Conditions of entitlement


Five conditions determine an insured person’s entitlement to a long-term care benefit:

You can use a simulator to check your entitlement to a long-term care benefit

First condition: Israeli resident who reached retirement age

The applicant is an Israeli resident who has reached retirement age.

Whether the Israeli resident status was given to you only after reaching retirement age, you may be entitled to a long-term care benefit if you did Aliyah under the Law of Return or received an immigrant absorption basket from the Ministry of Integration.

Second condition: Incomes

Entitlement to long-term care benefit is established according to your income. The income's amount and influence over the benefit differ depending on your marital status.

Income calculation when both spouses require long-term care
When both spouses require long-term care, the income of the couple are combined, then divided by 2 and the resulting amount will be held as a single person income for purposes of income examination.

For instance: the couple income amounts to 18,600 NIS. Each spouse's eligibility will be examined based of an income of 9,300 NI. Both spouses are subject to income test, since an individual may earn up to NIS 10,551

 

Amount of income
as of Jan 01, 2022

Amount of benefit

Single

Up to NIS 10,551

Full benefit

Single

Over NIS 10,551 and up to NIS 15,827

Benefit reduced by 50%

SingleOver NIS 15,827 No entitlement to benefit

Couple

Up to NIS 15,827

Full benefit

Couple

Over NIS 15,827 and up to NIS 23,740

Benefit reduced by 50%

CoupleOver NIS 23,740 No entitlement to benefit

Income amount as of Jan 01, 2022

For more information incomes taken into account or not in the income examination - click here


Third condition: Needing extensive help from others

The applicant needs either the help of others in performing everyday functions, or home supervision for his safety or the safety of those around him.

In order to establish your degree of dependency, we will examine your functioning capacity. For more information regarding the examination, click here.

Those living at their home our in sheltered housing are entitled to long-term care.

Persons institutionalized

A person living in a long-term care institution cannot be entitled unless staying in a department for frail or independent persons.

Entitlement will be denied if you are placed in a long-term care division, a mentally frails division, in geriatric hospital, or in an institution where most maintenance expenses are funded by a public body (State Ministries, local authorities).

If a you have started to receive a long-term care benefit and are interested in living in a nursing home, you must fill out a form for the Authorization of residence in an institution/retirement home, and send it to the NII branch in charge of your file, in order to examine your eligibility for the benefit.

Persons hospitalized

  • The recipient of a long-term care benefit who is hospitalized in a general hospital - may continue to receive the benefit only for the first 30 days of his hospitalization.
  • If you do not receive long-term care benefit, and are currently or shall soon be hospitalized - you can submit a claim for long-term care benefit without delays. A medical authorization from the hospital referred to as: "Interim Summary", must be attached to your claim.

Fifth condition: You do not receive another long-term care benefit from any governmental body

Whether you receive one of the following benefits, you must choose between that benefit and the long-term care benefit:

  1. Attendance allowance for persons with severe disabilities.
  2. Benefit for personal care or supervision from the Treasury.
  3. Benefit from the Ministry of Defense: "Help from others" advantage for medical reasons or accompaniment advantage.

Please note, if you are receiving from the Ministry of Defense a special needs increment, you may receive it together with a long-term care benefit from the NII.