Changes in the entitlement test for attendance allowance (the IADL test)

Until now, the right to attendance allowance and its rate have been determined in accordance with the extent of the claimant's dependence on the help of others in carrying out everyday activities – that is: mobility in the home, washing, dressing, eating and personal hygiene – as well as in accordance with the need for supervision in order to prevent danger to himself or others.  

Today the entitlement to the allowance and its rate are examined also in accordance with the need for help in housework activities, such as: preparing food, operating electric appliances, taking medicines, going shopping and making errands.


  • The examination relates to the limitations stemming from the medical impairment only, and not from other causes (such as cultural norms, habits, etc.)
  • The basis for determining entitlement was and remains the dependency of the claimant on the help of others in carrying out daily activities. A person who does not need help in these activities will not be eligible for the allowance.

An examination conducted by the National Insurance Institute found that the change will mainly cause the following groups to become newly entitled to the allowance:

  • Persons with severe schizophrenia;
  • Blind people (with vision impairments of 90% or more);
  • Persons with severe neurological impairments (such as Parkinson, AL and MS);
  • Persons with medium and severe mental retardation.

In addition, other persons limited in their daily activities who are also in need of help in managing a household due to their medical condition – may be entitled to higher rates of allowance.

Please note,

There is no change in the basic conditions of entitlement to attendance allowance.


If you wish to examine your entitlement to the allowance following the change described above, please fill out a claim on the appropriate form, as follows: