Attendance Allowance (Special Services) in Israel (2026): who qualifies and how much

Who qualifies

• Israeli residents aged 18 up to retirement age. If you qualify on the day you reach retirement age, you keep receiving it. You can file for the first time up to six months after retirement age.
• General disability recipients: a medical disability of at least 60%, or 40% with one impairment of at least 25%. Others: at least 75% medical disability.
• Earnings up to ₪68,845 gross a month (5 times the average wage, 2026).
• Not living in a medical, nursing or rehabilitation institution. During a hospital stay the allowance continues for 90 days.
• Not receiving the special work-injury allowance or any other statutory payment for personal care.

How much is paid

Recipients with a child under 3 get an extra ₪1,215 per child, for up to two children. There are also additions for people on ventilators and for those employing two caregivers.

How the level is set

A Bituach Leumi doctor reviews your documents and, if needed, calls you to a medical committee for a dependency test. It checks how much help you need with daily activities and household tasks: preparing food, taking medication, shopping and errands. Only limits caused by your medical condition count.

How to apply

1. Fill in the attendance allowance claim online, on paper or with a representative on *3928 who completes it for you.
2. Attach medical documents listing all chronic conditions, treatments and medication. If you changed jobs in the last year, attach six months of pay slips.
3. A Bituach Leumi doctor decides on the documents or calls you to a committee. Severe cases go through a fast track.

Free advice and committee preparation: Yad Mechavenet centres, *2496.

If you disagree

• Appeal to the attendance allowance appeals committee within 90 days of the decision.
• If you were refused for lack of medical disability percentage, appeal to the general disability medical appeals committee within 30 days.
• Refusals for legal reasons, such as high income, living in an institution or asking for more than 6 months back, go to the Labour Court within 12 months.

Paid help

If you use a rights company or a lawyer, the law caps the fee as for general disability. A company may charge up to 11.25% of the allowance for the first 60 months plus a file-opening fee of up to ₪961. A lawyer who represents you at the committee may charge up to 13.75% plus the file-opening fee. VAT is added to all amounts.

Frequently asked questions

Calculators for this topic

• Long-term care calculator

  Weekly care hours and cash options for levels 1 to 6, with the income test.

• Disability percentage calculator

  Combines impairments like a medical committee and checks the thresholds for disability benefits and tax relief.

Worth checking too

• General Disability Allowance

  A monthly allowance for people whose earning capacity fell by at least 50% because of illness, injury or a birth defect. Up to ₪4,711 a month.

• Preparing for a medical committee

  What to prepare, what happens in the room, expense refunds and appeal deadlines. Most health-related benefits go through the committee.

• Disability discounts and benefits

  What you get on top of the pension: discounts on transport, at your health fund, on arnona, water and electricity, at banks and on taxes — by percentage and benefit.

• Appealing a Bituach Leumi decision

  Where to file and how fast: appeals committee, advisory committee, claims committee or Labour Court — depending on the decision.

• Long-Term Care Benefit

  For people of retirement age who need help bathing, dressing, eating or moving around at home. Care hours or cash, in 6 levels.

• Disabled Child Benefit

  For parents of a child with an illness, impairment or dependence on others, from 91 days to 18. ₪1,943–₪9,126 a month, up to a year back.

Sources

• Bituach Leumi: attendance allowance (Hebrew)
• Bituach Leumi: eligibility (Hebrew)
• Bituach Leumi: allowance levels (Hebrew)