Nursing caregiver/foreign worker


Long-Term Care Services by a Foreign Caregiver/Worker
Under the Long-Term Care Law  

 

Eligibility
  • A long-term care benefit is granted under the law to an elderly person (men above age 65, women above age 60) who is highly or totally dependent on help from others in the performance of the most basic activities of daily living: mobility in the home; dressing; bathing; eating and drinking; controlling bodily functions.
  • A long-term care benefit is also granted to a person who requires constant supervision in order not to endanger him/herself or others. The severity of the medical condition is not a criterion for eligibility. Thus, a sick and handicapped person who is not highly dependent on others for most activities of daily living or who does not require supervision, is not entitled to this benefit.


Long-term care services that can be received under the Nursing Care Law

  • Personal care and supervision in the home and help in housekeeping.
  • Care at a daycare center for the elderly (including transportation).
  •   Absorbent products, laundry services, distress transmitter.

 

The full program of services can include homecare by a caregiver during the full quota of approved hours, or a combination of several services from the defined basket of services. The entire care package may not exceed the total number of weekly hours approved for the patient. A social worker from social services will assist in drawing up the program of services.

What amount is received?

  • Partial long-term care benefit – A 100% benefit (9 3/4 weekly hours) is granted to a person who is determined to be highly dependent on help from others in the performance of most daily activities, and to a person who is determined to require supervision.
  • Full long-term care benefit – A 150% benefit (15 1/2 weekly hours) is granted to a person who is determined to be totally dependent on help from others in the performance of all daily activities, and to a person who is determined to require constant supervision.
  • The benefit is conditional on an income test, which can result in a reduction or denial of the benefit.

How does one claim a long-term care benefit?

  • You must complete the long-term care benefit claim form and deliver it to the National Insurance branch near your home (claim forms can be obtained at any branch of the National Insurance Institute or the health plans, and they can also be downloaded from the National Insurance Institute website, by clicking here ). A person who has difficulty in completing the claim form can apply for assistance to the claims clerk or to the personnel of the Counseling Service for the Elderly at the local branch of the National Insurance Institute.
  • You must attach your personal doctor 's professional opinion and proof of income to the claim form.
  • A long-term care benefit claim can also be submitted by another person representing the insured, such as a relative, guardian, social worker or nurse or the long-term care association that offered the insured its services, after the claimant has signed the claim.

Long-term care benefit c laim process

  • The National Insurance Institute performs an income test.
  • A nurse from the National Insurance Institute visits the patient's home to evaluate his functional condition.
  • A committee consisting of representatives of the National Insurance Institute and a representative of the welfare bureau to which the elderly person belongs considers the nurse's recommendations (if the application is rejected, the answer is sent to the patient's home).
  • The committee's decision is forwarded to the welfare bureau to which the elderly person belongs.
  • The welfare bureau sends a social worker to the elderly person's home to draw up a program for him/her according to the individual's needs. Once the program has been formulated, the elderly person is permitted to choose the long-term care company from which he/she will receive the service.
  • The long-term care company receives a referral from the welfare bureau and begins providing the service according to the program that was formulated for the elderly person.

Note: It is possible to receive homecare services from a long-term care company before the Nursing Care Law applies to your specific case with regard to the National Insurance Institute. This would constitute a private arrangement between the company and the patient's family. Furthermore, most health plans provide caregiver services through their homecare unit.

What does personal homecare include?

  1. Caregiver – The service includes a caregiver from a service provider company who comes to the elderly person's home to assist in daily care. A caregiver, including a foreign worker, who cared for the patient privately is permitted to continue caring for him as an employee of the company, after he is found to be suitable by the company. The caregiver may not be a close relative of the patient. The care framework encompasses a number of services: assistance in dressing; bathing; mobility in the home; eating and drinking; and bodily functions.
  2. Daycare center services – Daycare centers provide a social framework, including an array of leisure and culture activities, in a sheltered environment. The service at the daycare centers also includes personal and nursing care (such as bathing, as necessary); transportation to and from the center; and two meals a day (for an additional charge). The service is counted towards the care hours allocated under the Nursing Care Law.
  3. Absorbent products – Persons suffering from incontinence are able to choose from a range of disposable undergarments and absorbent products in different sizes. The products are delivered to the patient's home once a month. Assistance can be obtained from a nurse in choosing and adjusting the products. To receive the service, contact the welfare bureau to which the patient belongs. The service is counted towards the care hours allocated under the Nursing Care Law.
  4. Distress button – A distress button is a wireless radio device that links the elderly person to an emergency call center, in case of medical, safety or other forms of distress. There are several kinds of distress buttons: free two-way voice communication, connection to MDA call center, etc. The service is counted  as one-quarter of a weekly care hour under the Nursing Care Law (conditional on the approval of the National Insurance Institute committee). See a list of emergency call centers and phone numbers at the bottom of this page.
  5. Laundry services – Collection of laundry from the elderly person's home and the return thereof after  cleaning. To receive this service, contact the welfare bureau to which the elderly person belongs. The  service is counted as some of the care hours allocated under the Nursing Care Law.

Can the long-term care benefit be received in cash?

Under the Nursing Care Law, the term "long-term care benefit" refers to the provision of services to the eligible person or his/her family. Just as healthcare and education services are not provided in the form of money, the law permits payment of the benefit in cash only when long-term care services are not available, which  only rarely  occurs, and only for an eligible person who resides with a relative.

Is an elderly person who resides in a retirement home entitled to long-term care benefit?

Residence in an institution defined as a private or public "nursing home" voids eligibility for a long-term care benefit, even if the resident in the home is paying maintenance expenses. A "nursing home" is defined in the law as "an institution or department in which people who require nursing care or suffer from mental infirmity or debilitation are held and treated."

Does temporary eligibility exist?

Eligibility for a long-term care benefit is determined according to the degree of dependence on another for the performance of activities of daily living or the extent to which supervision is required, over an extended period of time. When a significant improvement is anticipated in the patient's functional condition, a period of temporary eligibility is fixed, and the patient's eligibility is reviewed at the end of that period.

Can services be received from any company?

A patient can choose to receive services from any company that is included in the list attached to the notice of eligibility sent to a person who has been found to be eligible for a long-term care benefit.

 

Emergency Call Centers and Phone Numbers

Name of Call Center

Telephone

Secutech

1-800-555222

Enosh

1-800-445958

Yad Sarah

*6444

Babayit

National Call Center:
02-6231024


 

Note:  It is recommended to visit the National Insurance Institute 's Long-Term Benefit website  for a detailed explanation of the eligibility rules. Click here to visit the site.


 

 

Translated by The Shira Pransky Project