The Dental Help health service represents a new category of supplementary health insurance services, Maccabi Shelly, which provides policyholders with expanded access to important services such as dental care for patients of any age,
dental insurance no waiting period of the cost of reading glasses, consultation of child development specialists, comprehensive medical examination under the “director’s” insurance, help for older people and personal fitness training.
All rights granted within the framework of the additional medical insurance “Maccabi Sheli” come into effect immediately after joining this program, that is, without a waiting period.
Ran Saar, Director General of Maccabi Health Services: “We have made dental care accessible to the entire population and expect the health insurance fund members to take advantage of broader health care rights selected at the request of the patients themselves. the cost of each of us on health-important medical services. “
Starting from February 1, Maccabi Shiruutei-Bryuta offers its customers a new category of additional health insurance services, Maccabi Shelly. Both those who are members of Maccabi and patients of other health insurance schemes who decide to go to Maccabi will be able to join it. The new insurance ensures the realization of rights to health insurance services, a list of which is based on the results of patient surveys and focus group studies. It is expected that thanks to this, the cashier’s clients will be more likely to enjoy the benefits they are entitled to.
The new insurance provides patients with services that everyone needs every day, and reduces the daily costs of these services. New insurance offers a wide range of services that help to maintain a healthy lifestyle at a much lower price compared to accepted prices. In addition, the new category was planned in such a way that it could offer patients of each age group the right to health-important medical services that meet the needs of different periods of life.
According to Rahn Sahar, Director General of Maccabi Health Services, Briar, “the volume of realization of the rights to medical services by clients of the cash department within our oldest insurance Magen Zahav is 93% and significantly reduces patient spending on health care. And because Maccabi insurance Sheli “was developed in accordance with the needs and desires of patients, we expect that the new category of supplementary insurance services will be in demand.”
For the first time in Israel, preventive dental care for patients of all ages will be provided at a single rate – just 20 NIS. for a treatment session.
Ran Saar, Director General of the Maccabi Health Services-Brighten, remarks: “Since the patients of the Maccabi health insurance company constitute a large group of the country’s population, we decided to offer them important health services at low prices. Particularly pleased that the members of Maccabi “of any age will be able to receive conservative dental care at a low price – only 20 shekels per treatment session. The list of rights to receive additional health insurance services is structured in such a way that each patient of the health insurance scheme independently t age can use them to promote health, for economic benefit and for the benefit of membership in the “Maccabi Shelly.”
Haniela Vilner, Head of Maccabi’s Department of Supplementary Health Insurance Services, stressed that the population attaches great importance to the right to dental care: “Every public opinion survey with the help of surveys and focus groups shows that the right to dental care plays a big role in life Israelis. Many people avoid going to the dentist because of the high cost of this kind of services, and the state of the teeth gradually deteriorates, which leads to their loss and other complications. But now prophylactic atologic care, which includes emergency dental care, dental filling and tooth extraction, will finally be available to a much larger number of patients. “
Glasses and contact lenses for patients of all ages
One of the basic rights granted under Maccabi Shelly is the right to cover up to 1,000 shekels. (50% return and up to 1000 NIS.) when buying glasses for reading or contact lenses by patients of all ages, and not just for children, as it has been until now. This right is renewed every 3 years. This means that every 3 years a patient can get new reading glasses or contact lenses at a reduced price without certain medical criteria.
Women during pregnancy, childbirth and after childbirth will be eligible for coverage of up to 6,000 NIS. (50% return and up to NIS 2,000 for each pregnancy; in just 3 pregnancies). This amount can be used to purchase goods and services in the period before, during and after delivery. This right is granted in addition to all rights to medical services within the scope of the services basket provided by Magen Zahav insurance.
Rights of children and adults
Every child and adult will be eligible for a computerized test for attention deficit disorder costing just 20 NIS. For those who wanted to pass this test worth hundreds of shekels, this is a significant reduction in price. In addition, a child under the age of 18 who needs expressive art therapy, zoo therapy, therapeutic riding and other types of supplementary insurance services will be eligible for an expanded basket of medical services worth 60 NIS. for a treatment session.
The main goal of creating Maccabi Shelley is to encourage people to exercise regularly. Each client of the health insurance scheme has the right to 10 personal trainings at home costing only 20 NIS. for each (2 workouts can be replaced by 2 home dietitian consultations). In addition, a patient of a health insurance scheme who regularly visits the gym for a year will be entitled to 2 months of free classes, which will be an incentive to continue training.
Haniela Vilner, head of Maccabi’s Department of Supplementary Health Insurance Services, is convinced that many Israelis want to exercise, but don’t dare to start training. A personal trainer who comes to the house is a great opportunity to get used to physical education and adapt them to their individual abilities. By the way, it can be lessons in pairs, and even exercises for the whole family. “
Comprehensive medical examination under the “director’s” insurance (“seker-menalim”)
Every insured person aged 45 years and older will be entitled to undergo a comprehensive physical examination once every 3 years. Previously, it was intended only for senior managers whose medical care was paid for by the company. Now the cost of these surveys will be very low, and they can be passed in a few hours. Maccabi believes that this benefit is very important for many, because we are often too busy to be examined and stay healthy.
Maccabi Sheli insurance is the result of much thought about what kind of medical services the elderly should count on. And now all rights to medical services intended for younger people, such as dental care, the acquisition of glasses, a comprehensive examination and the services of a personal trainer, are also granted to older persons. Moreover, every insured person aged 65 or older will be entitled to a discount of 1,000 NIS. when purchasing accessories (guards, chair lifts to get up from a sitting position, bed lifts and toilets, handrails and even household items for people with disabilities, such as cutlery and plates). According to Haniela Vilner, ” Older people are suddenly or gradually beginning to feel the need for multiple health-related services and products. Maccabi Shelly insurance provides a significant reduction in the cost of these services. It is very important to pre-install various aids in the house, which will help prevent falls and injuries, after which it is difficult to restore the former physical form in old age.
People aged 65 and over are also eligible to be covered twice a year by ambulance delivery home after hospitalization – with personal participation of 50% of the cost of transportation and up to NIS 200 – as well as 2 annual medical consultations with another specialist second opinion “). In total, it will be possible to receive up to 5 such consultations within a year.
The cost of membership in Maccabi Sheli is 18.5 NIS. per month for insured persons under the age of 18 and from 40.5 to 46 NIS. after 18 years. The monthly payment for this insurance is on one – the top – price level with the additional insurance of other sickness funds. Benefits for new insurance are established in such a way that they can make available to the general public the vital services necessary for maintaining health, as well as helping to meet the sudden and isolated needs in this area. The new category of insurance is planned with regard to ease of use, and the rights under this insurance, thanks to a well-known fixed discount rate and a well-known payment, are easy to understand and implement.