National Insurance Details Special Allowance Payment Conditions

The National Insurance Institute (Bituah Leumi) has detailed the eligibility criteria for its Special Services Allowance (Sher'am), intended for individuals up to retirement age who require significant assistance with daily activities or constant supervision. The allowance is disbursed on the 28th of each month to approved claimants, with eligibility determined by the level of dependency on another person for tasks such as dressing, eating, bathing, mobility, and personal hygiene, or the need for continuous supervision to prevent harm.

Eligibility extends to Israeli residents aged 18 and above who have not yet reached retirement age. Those already receiving the allowance upon reaching retirement age will continue to do so, provided they meet the ongoing requirements. New claims can be filed up to six months after retirement age. Other conditions include residency in Israel, medical disability, income from employment, and institutionalization.

For those residing abroad, the allowance can be continued for up to three months if received for two consecutive months prior to departure. Extended periods of up to 24 months are possible for medical treatment or work-related stays abroad under specific conditions. Regarding medical disability, individuals receiving general disability benefits may qualify if deemed 60% medically disabled or 40% disabled with a specific impairment of at least 25%. Those not receiving general disability benefits require at least 75% medical disability.

Income limits are also a factor, with gross monthly earnings from work not exceeding five times the average wage, which is approximately 68,845 shekels as of January 1, 2026. Individuals residing in institutions providing medical, nursing, or rehabilitation services are ineligible. The allowance amount varies based on dependency levels, ranging from 1,943 shekels for 50% eligibility to 9,126 shekels for 235% eligibility, which is for those completely dependent on others for all daily activities and requiring constant supervision.

Additional supplements are available for specific circumstances, including a 10,774 shekel supplement for ventilated disabled individuals with 188% eligibility or higher, and a 1,215 shekel supplement per child under three for up to two children. A further supplement of 7,182 shekels may be granted to those requiring two caregivers, provided they have permits and are actively employing them.

Claimants are assessed based on their need for assistance with daily tasks, household chores, and managing finances. The National Insurance Institute emphasizes that assessments focus solely on limitations stemming from medical conditions, not cultural norms or habits. Claims can be submitted via phone, online, mail, fax, or in person, with a fast-track process available for individuals with severe disabilities, aiming for resolution within 30 days.