Copayments

 

General

As a general rule, all of the services in the basket are provided free of charge; however, the health plans (kupot) are permitted to charge Copayments for a portion of the medical services in the healthcare basket dependent on approval from the Knesset Finance Committee.

 

Services Requiring Payment

 

In the second addition to the law, there is a breakdown of the services for which a copayment must be paid.

The following is a partial list of these services: medicine included in the basket; doctor visits; visits to an external clinic in the general hospital framework; visits to institutions outside the hospital framework (x-ray, ultrasound, CT, MRI, EEG, EMG, gastroenterology, etc.); emergency room services; transport in an ambulance; emergency services (medical center); comprehensive hospice care; fetal protein tests; child development treatments; dental treatments for oncological patients; use of medical devices, appliances and equipment; doctor home visits; fertility treatments; psychiatric treatments.

 

Please Note: This list is only partial and even within the listed categories, depending on the specific circumstances, a copayment is not always required. It is recommended to check with the health plan regarding which goods and services require a copayment and which do not.

 

 

Discounts and Exemptions from Payment

 

According to the law, certain population groups are defined as being exempt from
payment. The list of those who are entitled to exemptions and discounts based on
socio-economic status is sent to the health plan from the National Insurance Institute
(Bituach Leumi).

 

In order to claim exemptions or discounts, you must go to your closest health plan
branch with the required documents.

 

Please click here for more information and links about copayments in general, copayment limits, exceptions, and arrangements, as well as links to the relevant health plan websites.

 

 

 

Translated by The Shira Pransky Project