25 מרץ 2017 כ"ז אדר תשע"ז

How to Join?


To join Maccabi's "Well Come" Plan, complete the membership application form, and deliver it, along with a health declaration, a copy of your ID or passport and the necessary medical documents to a Maccabi branch.
The application forms in the French, Russian and Arabic are provided for illustration purposes only. Application forms must be filled in Hebrew or English only!
Upon joining the plan, and serving as a condition for the process' completion, new members will pay membership fees for a period of 4 months, regardless of the time period for which they wish to sign up. This pre-payment will be charged one time only.
Member’s fees and other payments will be charged using a credit card or a bank charge authorization, in NIS only.
Overseas Residents – Complete the membership forms, sign in the designated places, and then send the form, along with a copy of your passport or ID and direct debit authorization signed by your bank to a Maccabi branch. If need be, also attach relevant medical documents according to requirements.
Those who receive a letter to their home notifying them that they are no longer eligible to receive medical services under the law must complete the membership form attached to the letter and send it to a Maccabi branch with the required medical documents.
A magnetic card including personal data will be issued to "Well Come" members.


Important Clarifications

Additional notes for those joining the "Well Come" Plan.
  1. Authorization to join the "Well Come" Plan will be given in accordance with the sole discretion of Maccabi Healthcare Services, subject to the terms and conditions of the Plan as detailed in this document.
  2. Any request to join will be individually examined and approved, subject to the restrictions stated in the Plan.
  3. Any request to join the Plan by a person whose residency has ceased, usually a Maccabi member, according to the National Health Insurance Law 1994, is subject to receive prior authorization.
  4. Maccabi has the right to approve or deny requests to join the "Well Come" Plan without being required to justify its decision.
  5. According to Maccabi's requirements, an applicant who wishes to join the Plan must submit to a medical examination at his own expense and deliver any necessary detail or medical document, within reason. This clause is a prerequisite for considering the membership application.
  6. Maccabi reserves the right to authorize membership while withholding certain treatments, subject to medical status.
  7. The contract for the "Well Come" Plan will be between Maccabi and the member who signed the membership application only.
  8. The eligibility for medical services through the Plan will commence only after settlement of the membership fees as well as approval of confirmation from Maccabi of having joined the Plan.
  9. Maccabi is not obligated and is not responsible for the period between the application date and the date of acceptance.
  10. Maccabi will be exempt from providing services related to birth defects/congenital diseases, as well as hereditary diseases and/or health conditions and/or medical phenomena and/or diseases, whether under treatment or not, and/or its results if directly or indirectly caused or aggravated due to a medical condition existing prior to the start date of the membership.
  11. Residents subject to the mandatory waiting period under Article 58 of the National Health Insurance Law are obligated to advise Maccabi regarding the end date of their waiting period.
  12. The membership application and health declaration are valid for one month from the day the declaration is signed. After this period, the person requesting membership must sign that no change has occurred in his medical condition since his initial signature, providing that no more than three months have passed since the date of the first signature.
  13. In the event the "Well Come" member has received services that are not covered by the Plan, or for which he is not eligible to receive, Maccabi has the right to charge the treatment/service costs from the bank account/credit card from which fees are collected.
  14. Registration of a minor within the plan is possible only if the parent or legal guardian is also insured by Maccabi. In exceptional cases a minor may be registered in the programme under a guardian with power of attorney who is a member of Maccabi, subject to his parent's agreement.
    If the minor's parents live outside of Israel both parents will sign a power of attorney in the presence of the Israeli Consul in the country in which they reside.
    The original power of attorney (not a copy) - together with a copy of the parents' and minor's passports - will be sent to a Maccabi branch, signed by both parents, with the Consul's confirmation that he identified the parents and that they signed in his presence.
    If the minor's parents live in Israel they will sign the power of attorney on presentation of passports or identity cards in a branch in the presence of a service coordinator.
    Download a power of attorney form >> (Hebrew)
  15. Adding any additional family member to the Plan, including a
    newborn
    baby who was not mentioned in the membership forms, entails a new membership form for this family member.
  16. Maccabi reserves the right to request that "Well Come" members come to a Maccabi branch to update and verify their details.


Joining the "Magen Zahav" Supplementary Insurance Plan

A member of the "Well Come" Plan is eligible to join "Magen Zehav".
A member of the "Well Come" Plan who is also insured in Maccabi and in a waiting period under Article 58 is eligible to all healthcare services under “Magen Zahav”. Other members of the "Well Come" Plan joining “Magen Zahav” are eligible to complimentary medical rights, except for
IVF
.

Join “Maccabi Sheli”, the new complementary health insurance plan

Any member of the "Well Come" plan can join "Maccabi Sheli".
A member of the "Well Come" Plan who is also insured in Maccabi and in a waiting period under Article 58 is eligible to all healthcare services under “Maccabi Sheli”. Other members of the "Well Come" Plan joining “Maccabi Sheli” are eligible to complimentary medical rights, except for surgery abroad.
A returning resident who is a Maccabi member by law and subject to the mandatory waiting period under Article 58 who has joined a supplementary insurance will be eligible, during their stay in Israel, to medical services under the terms of the supplementary insurance. However, such a resident will not be eligible for basic medical services, which are granted through the National Health Insurance Law/

Retaining Supplementary Insurance Rights

A member of the Well Come Plan who was a member of Maccabi's supplementery insurance up to the cessation of their eligibility to receive medical treatment by law, may retain rights for the supplementary insurance if they have joined the Well Come Plan within three months of the date their eligibility was ceased as stated, and have requested retaining of such rights during the process of joining the Plan. The supplementary insurance rights may be retained for the same level in which they were a member up to that date.
Retaining supplementary insurance rights is subject to the terms of the supplementary insurance programs as they apply to Well Come Plan members and maintaining a continuous record of payment of membership fees since the date the eligibility was ceased.
Cancellation of membership in the Plan for any reason shall incur cessation of membership in all supplementary insurance plans the member has joined as stated.
To clarify, cessation of the eligibility for medical services under Article 58 for a Maccabi member does not cancel the membership in the supplementary insurances as long as the member continues to pay membership fees for them. Membership of Well Come is not requisite for the continuation of membership in these insurance plans.

Joining Nursing Care Zahav

Any "Well Come" member is eligible to join Nursing Care Zahav, subject to the terms and conditions of the Clal Briut company. Members who wish to join will complete a separate nursing insurance membership form in addition to the membership form completed for the "Well Come" Plan.

Retaining Nursing Insurance Rights

A "Well Come" member who was a member of Maccabi members' nursing insurance up to the time their eligibility for medical services was ceased by law, can retain nursing insurance rights if they have joined the Plan within one month of the time their eligibility was ceased and have requested to maintain such rights in the process of joining the Plan. Retaining of these rights is subject to the authorization of the insurance company and maintaining a continuous record of premium payments from the time the elegibility was ceased.

Joining Keren Maccabi

A member of the "Well Come" Plan is eligible to join "Keren Maccabi".

Cessation of Membership in the "Well Come" Plan

A. Cancellation of Membership Not by the Member

Maccabi may cease the member's membership in the Plan in any of the following cases:
  1. Delayed Payment of Membership Fees – Maccabi has the right to end membership of the "Well Come" Plan and to prevent the member's eligibility to receive medical services in the event that he does not pay his membership fees. The member will not be eligible for medical services through the Plan beginning in the first month for which they have not paid membership fees. The member will be required to reimburse Maccabi for the cost of medical treatments they have recieved, in so much as they have recieved such treatments, during each month for which membership fees were not paid by them. If the member proves the cessation of payment of membership fees was done without their prior knowledge and/or initiative, the member may request to renew their membership in the Plan, if only no more then 30 days have passed from the time they recieved notice of the cancellation of membership and the member has settled their full debt to Maccabi in cash.
  2. False Declarations and Information – Cessation of membership can be enacted at any time if it comes to light that any of the member's declarations, as well as the health declarations in the membership application, are not correct and/or complete. Membership of the Plan is decided on the basis of the declarations provided in writing to Maccabi. The veracity and completeness of this information is vital. If the "Well Come" member did not provide full, honest answers in the membership form, or brings to light facts that would influence his acceptance to or rejection from the Plan, Maccabi has the right to remove him from the Plan immediately. Maccabi has the right to charge the member for all fees it has paid if the declarations are not correct and in full, as said.
  3. Maccabi found that the member’s stay in Israel is illegal.
  4. The member acted inappropriately, whether physically or verbally, towards Maccabi, any of its employees, doctors or members.

B. Cancellation of Membership by the Member

Membership will be canceled in writing, signed by the member, in a Membership Cancellation Request Form. Cancellation of membership will begin from the day the request is delivered to the branch, subject to the Plan's conditions, and in any event the member requesting to cease his membership must have paid fees for a minimum of four months and pay all existing debts to the Plan.
Cancellation of membership will also lead to the cancellation of nursing insurance and, for those who are not Maccabi members, removal from supplementary insurance.
As said, membership of the Plan will be valid as long as the membership is not canceled on the member's initiative and in writing, as detailed in this article, or canceled by Maccabi detailed in Article A above.
The cessation of paying membership fees to the Plan will not be considered as notification of ending membership, and the member's debt must be paid even after the cancellation of his membership.
"Well Come" members who have paid membership fees in advance for several months and wish to cancel their membership will be eligible to receive a refund for membership fees paid for the period after the cancellation of membership, except for the payment for the first 4 months which was paid when joining the Plan.
No refund shall be offered for parts of a month and the refund will be given beginning with the month following the cancellation of membership.

C. Cancellation of Application

An application to the Plan can be canceled, with membership fees repaid in full, if the cancellation is made in writing within two business days of joining the Plan, if only there was no use of medical services through the Plan.
A full refund will be transferred to the member's bank account. If more than two business days have passed, this will be considered a cessation of membership initiated by the member according to Article B above.
 
In the event of a discrepancy between the wording used in this document and the original Hebrew version, the Hebrew version will prevail.