A person recognized as a victim of a work injury is entitled by law to medical care for the recognized injury.
The issuance of a coverage commitment and the refund of expenses for medical care related to the recognized work injury, are carried out as follows:
Authorization for medical care in Israel
To obtain an approval for medical care, you must be in possession of:
- A National Insurance confirmation of recognition as victim of a work injury.
- Medical recommendation for the requested care.
- Appointment taken with the requested service.
The above three authorizations must be enclosed to the inquiry to receive approval for the treatment.
How to file a request:
The request must be addressed to the Femi company by email at btl-acc@Femi.com (you can also send the inquiry by mail to the address: Harokmim 2, Holon, 12th floor, attn.: Femi company, Object: For account control - National Insurance).
To contact Femi company by telephone, dial 073+2037473.
Receiving a prior approval for medical equipment
To obtain an approval for medical, you must be in possession of:
- A National Insurance confirmation of recognition as victim of a work injury.
- Medical recommendation for the required medical equipment.
These above authorizations must be enclosed to the request for a coverage commitment for the required medical equipment.
How to file a request:
The request must be sent to the Femi company by email at btl-acc@Femi.com (you can also send the inquiry by mail to the address: Harokmim 2, Holon, 12th floor, attn.: Femi company, Object: For account control - National Insurance).
To contact Femi company by telephone, dial 073+2037473.
Refund of medical care or equipment
Refund requests for medical care or equipment related to the recognized work injury must be addressed to Health Services Clalit directly. The National Insurance will enter into an agreement with Clalit Health Services in order to process these requests.
The review and decision-making are carried out by Femi company, and Clalit will act a connection agent between Femi company, the National Insurance and the work-injured person.
The Clalit HMO renders a decision or pays a refund to the injured, only after having received an answer from Femi company or a payment from the National Insurance in favor of the insured.
To ask for money refund from Clalit, the following documents must be attached:
- A National Insurance confirmation of recognition as victim of a work injury.
- Receipts.
- Whether the material is submitted through a lawyer/third party, a power of attorney from the injured must be presented.
Each receipt must be accompanied with a parallel medical document with the same date (medical visit summary, test results, image, etc.):
- Receipt for the visit to the doctor - medical records of the visit must be attached (medical summary).
- Receipt for the test - the examination prescription + medical report of the test results (interpretation) must be attached.
- Receipt for medication - the doctor's drug prescription or medication recommendation must be attached.
- Receipt for trips to treatment - medical record of the medical treatment provided on the day of the trip.
Please note that as of 1.9.23, the money refund over medical care not provided within the territory of the State of Israel will be made only upon receipts attached to the request.
From this date onwards, money refund will no longer be approved based on hand-written authorizations.
It should be noted that if the refund asked will be made on the injured's name or on a lawyer's name and how (bank cheque or wire transfer to a bank account in Israel only), among the following options:
- Cheque in the injured's name.
- Cheque in the lawyer's name - in this case a power of attorney must be attached.
- Wire transfer in the injured's name - a bank account certificate or a cheque photocopy must be attached, please be aware that this means of payment is only available for Israeli banks.
- Wire transfer in the lawyer's name - a bank account certificate or a cheque photocopy in an Israeli bank only, as well as a power of attorney must be attached.
The refund rate is up to the tariff established by the Health Ministry or up to the actual sum paid by the insured - whichever is lower.
Eligibility for refunds of trips to medical treatments, will be examined as set forth in the agreement and annexed guidelines (a copy is available on the website of the National Insurance under the section "medical care to the work-injured".
Contact information of Clalit Health Services are:
Telephone: 03-6923675
Fax: 03-6923414
Email: WorkAccident@clalit.org.il