16 דצמבר 2017 כ"ח כסלו תשע"ח

Services included in the Welcome program

The services provided by the Welcome program match those included in the health services provided by the National Health Insurance Law, except for the exceptions below, and in accordance with the program's rules and regulations. The medical services are provided within Israel only.
In any case, members of the program will not be eligible for services beyond the package of services specified in the legislation.

Which Services are Included?

Primary care: General practitioner, pediatrics, and obstetrics and gynecology.
Specialized care.
Free dental care up to the age of 14.
Emergency medicine, hospitalization, and emergency room care.
Elective hospital admission.
Care at children's health clinics.
Diagnostic services at Maccabi facilities, including imaging and gastroenterology.
Laboratory tests.
Medical drugs covered by the National Health Insurance Law.
Treatment in the Dead Sea for Psoriasis patients.
Child development treatments.

 

Program Restrictions

Members of the Welcome program will not be entitled to these services:
1. Hospital admission during the first 3 months of membership in the program, other than acute (emergency) hospitalization.
2. Treatment of pre-existing conditions, including deterioration.
3. Treatment of severe and chronic illnesses, as defined by the Israeli Ministry of Health, if they are diagnosed during the first 6 months of program membership.
4. Treatments or tests related to pregnancy and childbirth, including but not limited to: childbirth expenses, treatment of a newborn (including premature babies), hospitalization due to pregnancy complications, miscarriage, abortion, etc.
5. Fertility treatments.
6. Treatments directly and/or indirectly related to and/or caused by a car accident in Israel or abroad.
7. Treatments directly and/or indirectly related to and/or caused by a workplace accident.
8. Treatment and hospitalization for impotence and sexual dysfunction.
9. Treatment in relation to mental health, intentional self-harm, or attempted suicide.
10. Treatment for injury caused in scuba diving, skydiving, hunting, ski, and any other extreme sports.
11. Treatment or injury caused in acts of hostility, war, enmity, terrorism, or crime.
12. Treatment of illnesses caused by the consumption of alcohol or illegal drugs.
     
 
The restriction in clause 1 above does not apply to those who have retained continuous privileges from when they were residents, meaning they joined the Welcome program within one month of when they were informed in writing that they are no longer residents, if they registered for the Welcome program before the hospitalization was needed or before the severe or chronic disease was diagnosed.
 
Maccabi may update and/or change the details of the program from time to time, including the rights of the program members.
All of the above is subject to the Welcome program regulations: