New Agreement Allows Maccabi Healthcare Members to Claim Eyewear Benefits at Halperin Optica
Translated & summarized from Arutz Sheva by baba
Maccabi Healthcare members can now use new benefits for prescription glasses at Halperin Optica branches nationwide. Children under 8 and Maccabi Sheli members aged 8 and older are eligible, with varying benefits based on age and plan. To claim, members need their Maccabi card and, for younger children, a referral and prescription from a Maccabi ophthalmologist. Eligibility details, including co-payments and covered items, should be confirmed before purchase.
The story in 6 lines · by baba
- Maccabi Healthcare members can now claim prescription eyewear benefits at Halperin Optica.
- Children under 8 are eligible for one pair of glasses annually via the health basket.
- Maccabi Sheli members aged 8-18 can claim glasses once a year; those over 18, once every two years.
- Eligibility, co-payments, and covered frames/lenses vary by age, prescription, and plan.
- Members must present their Maccabi card and, for children under 8, a referral and prescription.
- Vision tests are available at Halperin Optica, but do not replace ophthalmologist examinations.
Maccabi Healthcare members who are eligible can now utilize benefits for prescription glasses at Halperin Optica branches across Israel. This new arrangement caters to children under 8, who are entitled to glasses through the health basket based on medical need, and to Maccabi Sheli members aged 8 and older, depending on their age and plan terms. The benefits vary based on age, type of glasses, and price, and are subject to Maccabi's regulations, insurance track, and individual eligibility.
Children under 8 may receive one pair of prescription glasses annually, provided there is a medical necessity and it aligns with the health basket's conditions. To claim this, they need their Maccabi member card, a referral, and a prescription from a Maccabi ophthalmologist. The benefit includes single-vision glasses from a selection of frames and lenses, with a co-payment determined by the prescription and lens type. It's important to note that the annual entitlement is based on the calendar year, not a 12-month period from the purchase date.
Maccabi Sheli members aged 8 to 18 can claim glasses once a year, while those over 18 are eligible once every two years, subject to the plan's terms. The extent of the benefit and co-payment differ based on age group, frame cost, and lens type, with specific conditions for those aged 18-70 and over 70. Benefits can cover single-vision, bifocal, or multifocal lenses, depending on eligibility, prescription, and the member's needs. A six-month waiting period applies after joining Maccabi Sheli for optical services.
Before visiting, members are advised to verify their eligibility is active and bring the necessary documents. Halperin Optica offers vision tests by certified optometrists, which help determine the correct prescription but do not replace a medical examination by an ophthalmologist. Members should confirm which frames and lenses are included in the agreement and understand their specific co-payment before ordering, as not all options may be covered.