Health Fund Complaints Report Shows Highest Rate at Meuhedet

Meuhedet Health Fund recorded the highest rate of complaints in 2025, with 6.03 complaints per 10,000 insured individuals, according to a report released last week by the Commissioner of Public Complaints. The report also indicated that Maccabi Health Services had the highest rate of justified complaints last year, at 1.33 per 10,000 insured.

Clalit Health Fund registered approximately 5.3 complaints per 10,000 insured in 2025, while National Health Fund again had the lowest complaint rate, below three per 10,000 insured. Shimon Riffer, also revealed that in 64.3% of complaints that concluded their review, the intervention with the commissioner yielded direct benefit to the insured.

Overall, 20.4% of complaints were found to be justified. In 25.2% of cases, the issue was resolved during the review process or immediately upon receipt of the complaint, and in an additional 18.7% of cases, information or guidance was provided that helped insured individuals exercise their rights.

During 2025, the handling of 14,967 public inquiries was completed. Of these, 5,291 complaints required individual review with the health funds and professional bodies, an increase of about 20% compared to 2024. Another 4,494 inquiries were processed by the commissioner's sorting, reception, and administration team without needing an individual review.

Additionally, 186 requests were handled for financial reimbursements submitted to the inter-ministerial committee. Concurrently, there was a roughly 15% increase in appeals concerning switching between health funds, totaling 4,996 requests. The health services basket remained the primary subject of complaints, accounting for about 60% of all grievances. Complaints regarding the choice of service providers decreased to 20.9%, attributed to expanded choices under a reform implemented in 2023.