Speech therapy

 

This section details the eligibility for speech therapy as defined on the Clalit health plan website (valid as of January 1, 2011).


Voice disorders as the result of surgery

Up to 20 treatments in one treatment sequence, one-time diagnosis according to a speech therapist’s opinion up to two years from the day of the incident.


Language and speech disorders as the result of CVA or MS

Up to 20 treatments in one treatment sequence, one-time diagnosis according to a speech therapist’s opinion up to two years from the day of the incident.


Listening and lip reading exercises for the hard of hearing after hearing device adjustment

Up to 4 treatments only.


Cleft palate and lip

The extent of the treatment is determined by a professional certified by the health plan and is approved by a health plan speech therapist.

 

Teacher and kindergarten teacher hoarseness in the public education system

Up to 15 treatments only,  with occupational physician approval Treatment may be discontinued before exhausting all eligibility in the absence of a response or if treatments are no longer required.

   
Hoarseness lasting at least 6 months

 

Pre-conditions – Hoarseness lasting at least 6 months since the initial E.N.T. doctor examination and caused by a problem in the vocal chords after all other treatments and after changing the required habits (smoking), when it is not possible to treat using surgery to correct the problem according to the detailed findings.

 

Extent of treatments – Only up to 20 treatments may be approved according to the medical guidelines and with approval of a professional certified by Clalit (the health plan).

 

Eligibility

  • Warts (papillomas) on the vocal chords (subject to changing of habits)
  • Swelling of the vocal cords (subject to changing of habits)
  • Sound chord paralysis
  • Lack of chord closure due to weakness
  • Swelling of the vocal cords due to reflux (after exhausting previous treatment)
  • Thickening of the vocal cords – according to etiology
  • Chronic laryngitis – according to etiology
General Conditions
  • An E.N.T.specialist doctor referral stating the cause of the hoarseness, duration and treatments that were performed before addressing the surgical option is required.
  • To receive reimbursement, the insured must present advance approval from a professional certified by Clalit (health plan), and a tax invoice / original receipt.
  • Teachers and kindergarten teachers also require proof of employment.

 

 

 

 

 

Translated by The Shira Pransky Project