We would like to remind you that Israelis insured through HMOs, whose policies also include Bituah Siudi long-term care insurance, are entitled to receive monthly payments from the insurance company in cases where the patient cannot independently perform at least 3 daily activities such as dressing, bathing, going to the toilet, and those suffering from cognitive decline such as dementia or Alzheimer's disease. These patients need constant supervision. The question is, how can we succeed in receiving nursing benefits during the Corona period, when most of the population is in home quarantine and isolation, and almost all institutions are closed?
Well, the answer to this the issue largely depends on the persistence of the applicant, as well as on legal and professional knowledge in the field of filing claims against insurance companies. Two recent cases, which we will present below, illustrate this perfectly.
Oleg, 81 years old, has a “bouquet” of diseases – heart and kidney failure, diabetes mellitus with complications, urinary incontinence, repetitive falls and difficulty walking. He is insured through the Maccabi Health Insurance Fund. in case of need for long-term care (“Bituach Siudi”). Our office contacted the insurance company and we demanded that, despite the Corona, they begin to immediately pay the insured care allowance. Insurance company “Phoenix” agreed to start paying him a monthly care allowance of NIS 4,568 starting from January 2022 without a physical examination of the patient. At the moment, a decision has been made on payments for the coming year. But our office also insists on Oleg's right to receive an additional retroactive payment for the period prior to the start of benefits payments. Therefore, we have also now filed a lawsuit against the “Phoenix” for an additional amount of NIS 60,000, which, of course, does not cancel the receipt of monthly payments that we have achieved so far.
Now consider the second case. Tatiana, 88, suffers from severe heart failure with shortness of breath even with little exercise, kidney failure, leg swelling, memory loss, and urinary incontinence. Since 2015, Tatjana has been eligible to receive assistance from Bituah Leumi, for a total of 15 hours a week, and she is a member of the Clalit Health Insurance Fund. On Tatiana's behalf, our office approached the insurance company, which initially tried to refuse immediate cash benefits, but we didn't give up. We immediately sent explanations to the insurance company, according to which they are obliged to take measures to approve the allowance, and indeed, the insurance company sent us a confirmation letter, according to which they will start paying Tatiana NIS 3,568 monthly benefits from November 2021. In Tatiana's case, we have also filed a lawsuit these days to receive payments retroactively for the previous 3 years in the amount of about NIS 90,000, which does not cancel the payment of the monthly allowance, which has already been approved.
It is important to note that our The office has all the facilities, knowledge and tools to run a professional claims process from start to finish so that the patient can start receiving money from the insurance company without delay. We provide safe for youand the best possible legal assistance even in these difficult days.
It should be noted that our office has been working with Russian-speaking Israelis for many years and represents their interests throughout the country, and we know how to help the insured quickly, efficiently and correctly.
Led by attorney Meira Zohar, whose office specializes exclusively in long-term care insurance claims for Bituah Siudi, the company has won a successful decision in a major class-action lawsuit on behalf of hundreds, even thousands of policyholders against large insurance companies operating in the field. long-term care insurance (“Klal”, “Dikla”, “Arel” and “Migdal”) You can read about how it was filed on our website, as well as track the development of events.< br />
You also need to know that in our office you pay a fee only for the successful solution of the problem. Thanks to the reputation of the head of the company, the lawyer Meira Zohar, who, as already mentioned, is leading a large-scale litigation against all insurance companies that control the Bituah Siudi insurance market, and who works directly with each client, there is no need for a team of “accountants”, ” ;experts» and so on, no cost is required to pay for “opinions” doctors, etc. This greatly simplifies the litigation process for insured sick people. We achieve the maximum payout for our clients without unreasonable costs and without any obligations.
An important conclusion: the Crown does not prevent the consideration of applications for cash payments for those who are entitled to them. On the contrary, the situation today, more than ever, requires the immediate payment of benefits to the sick in need of care. And insurance companies, like the Bank of Israel, are important institutions that work even in emergencies, because especially on such days, the insured need long-term care benefits.
Don't give up and don't lose money. DO IT RIGHT!
Our head office is located in the Bnei Brak business center. But IMPORTANT NOTE that the office staff is located throughout Israel, from north to south, INCLUDING EILAT, and can help solve your problems.
Call: 050-9929120, 050-7756772 Russian), 03-5622772 – office (Hebrew).
Our website in Russian – www.law-ru.co.il
Our website in Hebrew – www.la-w.co.il
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