Health and medical care

Checking coverage for medical tests

Separate medical need, health basket, supplementary plan and funding approval.

3 minutes to read Last checked: 21.10.2026
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Important to know

Tachles Israel is an independent information service, not a government authority. Check binding conditions, eligibility and deadlines with the official source.

Before you start

A listed test is not covered for everyone at every provider.

Who is this guide for?

Insured people checking test coverage.

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Conditions and exceptions

Maccabi examples; service, condition, age, plan and provider matter; no recommendation for a specific test.

Step by step

The checklist

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Your progress0 of 5 Steps
01

Identify exact test

Name/code, referral purpose and provider; clarify ambiguity with doctor.
What should you prepare?

Referral/summary.

Please note

Similar names can denote different services.

04

Check provider/cost first

Institution, code, date, fund alternative and private cost.
What should you prepare?

Approval/price.

Please note

No guaranteed reimbursement without approval.

05

Request reasoned decision

Refusal, supplement/appeal and separate clinical urgency.
What should you prepare?

Decision/evidence.

Please note

Complaint does not grant unfunded service.

Official sources

These links let you check with the responsible authority. The website's verification date does not guarantee that every detail has remained up to date since then.

Frequently asked questions

Does a referral require payment at any institute I choose?

Not by itself. Check eligibility, contracted provider and matching approval/obligation.

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