הערכה ראשונית של זכויות
estimate_benefitsRough, anonymous estimate of Israeli benefits for one route: general disability pension, long-term care (nursing), work injury, or health-fund coverage. Uses only ranges and categories, never names, ID numbers or medical records. If required answers are missing, the result lists them so you can ask the user. Results are indicative only.
Input Schema
| Name | Required | Description | Default |
|---|---|---|---|
| age | No | Age in years. | |
| adlCount | No | Number of daily activities needing help: dressing, eating, bathing, continence, mobility at home (nursing route). Values: 0to1 (0–1), 2 (2), 3 (3), 4 (4), 5 (5). | |
| children | No | Number of dependent children (disability route). Values: 0 (0), 1 (1), 2 (2), 3 (3), 4 (4), 5 (5+). | |
| duration | No | How long the medical condition has lasted (disability route). Values: under3 (פחות מ־3 חודשים), 3to6 (3–6 חודשים), 6to12 (6–12 חודשים), 1to2 (1–2 שנים), over2 (מעל שנתיים). | |
| rightType | Yes | Which route to estimate: general disability pension, long-term care (nursing), work injury, or health-fund coverage. Values: disability (קצבת נכות כללית), nursing (קצבת סיעוד), workInjury (תאונת עבודה), healthFund (זכויות בקופת חולים). | |
| healthFund | No | Health fund (health-fund route). Values: clalit (כללית), maccabi (מכבי), meuhedet (מאוחדת), leumit (לאומית). | |
| healthPlan | No | Health-fund plan (health-fund route). Values: basic (סל בסיסי), supplementalBasic (שב״ן בסיסי), supplementalExtended (שב״ן מורחב), unknown (לא ידוע). | |
| absenceDays | No | Days absent from work after the injury. | |
| serviceCost | No | Cost of the medical service in ILS. | |
| serviceType | No | Type of medical service (health-fund route). Values: medication (תרופה), treatment (טיפול או בדיקה), equipment (ציוד רפואי), surgery (ניתוח או ייעוץ), dental (שיניים), other (אחר). | |
| supervision | No | Whether constant supervision is needed (nursing route). Values: yes (כן), no (לא). | |
| injuryIncome | No | Gross monthly income before the work injury in ILS (rounded to 500). | |
| caregiverType | No | Type of caregiver (nursing route). Values: services (שירותים / מטפל ישראלי), foreign (מטפל זר), unknown (טרם ידוע). | |
| currentIncome | No | Current gross monthly income from work in ILS (rounded to 500). | |
| documentation | No | Whether medical documentation is complete (disability and work-injury routes). Values: full (מלא), partial (חלקי / אין). | |
| maritalStatus | No | Marital status (disability route). Values: single (רווק/ה), married (נשוי/אה), divorced (גרוש/ה), widowed (אלמן/ה). | |
| planSeniority | No | Seniority in the supplemental plan (health-fund route). Values: under3 (פחות מ־3 חודשים), 3to6 (3–6 חודשים), 6to12 (6–12 חודשים), over12 (יותר משנה), unknown (לא ידוע). | |
| priorApproval | No | Prior approval status from the health fund (health-fund route). Values: approved (אושר), notRequested (טרם התבקש), notNeeded (לא נדרש), rejected (נדחה), unknown (לא ידוע). | |
| receiptStatus | No | Payment and receipt status (health-fund route). Values: paidWithReceipt (שולם ויש קבלה), paidNoReceipt (שולם ללא קבלה), notPaid (טרם שולם). | |
| employmentType | No | Employment type at the time of injury (work-injury route). Values: employee (שכיר/ה), selfEmployed (עצמאי/ת), both (שכיר/ה ועצמאי/ת). | |
| workConnection | No | Whether the injury or illness is connected to work (work-injury route). Values: yes (כן), unsure (לא בטוח/ה), no (לא). | |
| assistanceLevel | No | How much help is needed with those activities (nursing route). Values: partial (חלקית), substantial (רבה), full (מלאה). | |
| householdIncome | No | Monthly household income in ILS (rounded to 500). | |
| medicalReferral | No | Whether there is a medical referral (health-fund route). Values: yes (כן), no (לא), notNeeded (לא נדרש), unknown (לא ידוע). | |
| claimRecognition | No | Status of the work-injury claim (work-injury route). Values: recognized (הוכרה), pending (בבדיקה), notSubmitted (טרם הוגשה), rejected (נדחתה). | |
| disabilityStatus | No | Whether a work-disability percent was set and if it is temporary or permanent (work-injury route). Values: notAssessed (טרם נקבעה), temporary (זמנית), permanent (לצמיתות). | |
| medicalThreshold | No | Whether a medical committee already found the medical-disability threshold met (disability route). Values: yes (עבר/ה את הסף), no (לא עבר/ה את הסף), unknown (טרם נקבע). | |
| livingArrangement | No | Where the person lives (nursing route). Values: home (בבית), assisted (דיור מוגן / עצמאיים), institution (מחלקה סיעודית / מוסד ממומן). | |
| retirementReached | No | Whether retirement age was reached (nursing route). Values: yes (כן), no (לא). | |
| conflictingBenefit | No | Whether a benefit that conflicts with long-term care is already paid, such as attendance allowance (nursing route). Values: yes (כן), no (לא). | |
| earningLossPercent | No | Estimated loss of earning capacity, percent. | |
| careHouseholdStatus | No | Lives alone or as a couple (nursing route). Values: single (יחיד/ה), couple (זוג). | |
| providerArrangement | No | Whether the provider is in the fund network (health-fund route). Values: inNetwork (בהסדר), outOfNetwork (מחוץ להסדר), unknown (לא ידוע). | |
| disabilityClaimStatus | No | Status of a general disability claim (disability route). Values: new (חדש / טרם נקבע), pending (בבדיקה), approved60 (אושרו 60%), approved65 (אושרו 65%), approved74 (אושרו 74%), approvedFull (אושרה דרגה מלאה), rejected (נדחתה). | |
| workDisabilityPercent | No | Work-disability percent set by a National Insurance committee, if any. |