What important financial rights do the health insurance funds hide from patients?

What important financial rights are hidden from patients by health insurance funds

Tamara , a patient with Parkinson's disease, has been receiving continuous metapelett care from Bituach Leumi for about 3 years due to restrictions in her daily activities, including dressing, bathing and walking. She has Bituach Seaudi long-term care insurance through the Health Insurance Fund through Maccabi. But Tamara did not know about it !!! Unbeknownst to her, she was entitled to receive payments of about NIS 4,500 per month in accordance with the insurance policy, 'hidden' from her as part of the membership fees she paid to the health insurance fund. The reason is that she never received a policy from a health fund or an insurance company. This happens to many with policies. The Secret the policy was disclosed by Tamara by accident, after reading a professional article from our firm, and she filed a claim with the insurance company for payments. However, due to the fact that Tamara did not have the necessary information, she applied with a claim for payments to the Phoenix insurance company, to which the Maccabi Health Insurance Fund transferred the insurance policies of its patients only since 2019. Therefore, Tamara Phoenix's claim was rejected, since her insured event occurred during the period of Maccabi's work with the previous insurance company Klal, which insured her and other members of this health insurance fund until the end of 2018.

After receiving a refusal, Tamara turned to our firm for help, the advantage of which is that we provide professional legal assistance. And we receive our fee only if we successfully solve your problem, which means that there are no expenses or payments until the money is received from the insurance company. Our firm filed a bilateral claim on Tamara's behalf against both insurance companies, which, after a quick mediation process, agreed to pay Tamara a lump sum of approximately NIS 80,000 divided between them and a full monthly benefit of approximately NIS 4,500 before the end of the policy period.

It is worth noting here: 'Bituach siudi', which are 'hidden' in policies, in the end, they still require direct interaction directly with insurance companies, even if these are collective insurance through Kupat Holim. This fact is crucial !!! And the problem is not always solved without a lawyer who is a specialist in this field, with the necessary connections and is “ armed '' professional knowledge.

Here is an example: Roman who suffers from severe heart disease and kidney failure is a member of the Clalit Health Insurance Fund. He had no idea about the 'hidden' insurance company “ Arel '' Bituach siudi, which he pays as part of the membership fee within health insurance coverage. Roman turned to our office for help with his private policies, but he didn’t know that in addition to private insurance, he also had long-term care insurance, Bituach Sioudi. through Clalit. When we told him this information, Roman was extremely surprised. As a result of our work, after a few months he began to receive double monthly assistance, approximately 9,000 shekels, both through private insurance and through health insurance, and he will receive them for 5 years under two policies.

It should be noted that our office has been working with Russian-speaking Israelis for many years and representing their interests throughout the country, and we know how to help insured people as safely, quickly, efficiently and correctly as possible. Our office is headed by an experienced attorney Meir Zohar. For many years the office has been specializing exclusively in Bituach Seadi insurance. in case of long-term care. Meir Zohar's lawyer works directly with each client, there is no need for a team of “ accountants '', “ experts '' etc. This greatly simplifies the litigation for the insured sick people.

We were able to obtain a positive decision on a very important class action lawsuit against 4 insurance companies, which belongs to the private policies of Bituah Sioudi. You can read about the subject of the class action and other legal successes of the firm on our website.

We achieve maximum cash payments for our clients without unreasonable costs and without any obligations.

Our head office is located in the Bnei Brak business center. But it is IMPORTANT to NOTE that the office staff work throughout Israel, from north to south, INCLUDING EILAT, and can help you solve your problems.

Call: 03-5622772, 050-9929120 , 050-7756772 (we speak Russian).

The fee for our work is paid only after the successful solution of the problem.

Our website in Russian is www. law-ru.co.il
Our website is in Hebrew – www.la-w.co.il

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