Israeli HMO Navigator
Community67/100Navigate Israel's four HMOs (kupot cholim) and healthcare system for service comparisons, referrals, and coverage decisions. Use when user asks about Clalit, Maccabi, Meuhedet, Leumit, health basket, specialist referrals, supplementary insurance, or switching HMOs.
Trust score 67/100 (Community) · 210+ installs · MIT license
Israel's healthcare system with four competing HMOs, multi-tier coverage levels, and Hebrew-language processes can be confusing, especially for new immigrants or when comparing supplementary insurance options, understanding referral procedures, or knowing patient rights under the National Health Insurance Law.
How to use this skill
Not sure how? Read the guide- 1. Click "Download ZIP" to download the skill files.
- 2. Open Claude Desktop and go to Customize > Skills.
- 3. Click "+" and select "Upload a skill", then upload the ZIP file.
- 4. Start a new conversation. The skill will activate automatically when relevant.
Developers? Install via command line (CLI)
npx skills-il add skills-il/health-services@v1.3.0-israeli-hmo-navigator --skill israeli-hmo-navigator -a claude-codeWhen to Apply
- When comparing services and coverage across Clalit, Maccabi, Meuhedet, and Leumit
- When a new immigrant needs to choose an HMO (kupat cholim)
- When understanding the specialist referral (hafnaya) process and wait times
- When deciding whether to purchase supplementary insurance (biituach mashlim)
- When switching between HMOs or understanding transfer waiting periods
Try These Prompts
I just made aliyah to Tel Aviv. Compare Clalit vs Maccabi for a young couple with no children
My doctor gave me a hafnaya to a dermatologist. What are the steps and how long should I wait?
Compare supplementary insurance (mashlim) plans across all four HMOs for a 35-year-old
What dental coverage is available through kupat cholim supplementary insurance vs private dental plans?
Frequently Asked Questions
Changelog
Added MyHealth (Marpe) national patient portal context, refined wait-time guidance (no single binding national cap as of mid-2026), added Gotchas about Iron Swords war HMO operational shifts and annual membership-number variability, added Ombudsman escalation link.
May 25, 2026
Critical fix: Maccabi Zahav is entry tier and Sheli is premium (was inverted), updated all 4 kupot tier table, copay ranges refreshed, 2026 health basket additions noted.
Apr 25, 2026
Fixed broken MCP links, corrected HMO switching rules (up to twice in 12 months with 6 fixed dates), corrected wait time claims, updated Leumit membership data, added Reference Links section
Apr 11, 2026
Related Skills
Plan meals and make dietary decisions based on Israeli Ministry of Health Nutritional Rainbow guidelines and front-of-package red/green labeling. Use when you need to build balanced weekly menus, understand what Israeli food labels mean, or plan kosher meals with proper meat-dairy separation. Covers the five rainbow bands, red label thresholds (Phase 2, January 2021), label exemptions, Israel-specific nutrient gaps (iodine, vitamin D, iron, B12 for vegans), 14 dietitian visits/year for diabetes across all four HMOs, GLP-1 medication status (Wegovy in the 2026 basket for adolescents 12-18 with severe obesity; adults out-of-pocket), and fasting-day planning with red flags for diabetics on insulin or sulfonylureas. Do NOT use for clinical nutrition therapy, eating disorders, or medical dietary prescriptions.
Comprehensive guide to navigating elder care in Israel. Helps families with Bituach Leumi long-term care benefits (gimlat siud), private nursing care insurance (bituach siudi) through kupot cholim, old-age pension (kiztavat zikna), nursing homes (beit avot) and assisted living (diur mugan), home care, enduring power of attorney (yipuy koach mitmashech), and guardian appointment (apotropus). Use when caring for an aging parent, comparing care options, checking benefit eligibility, or planning advance directives. Prevents crisis-driven decisions by consolidating all elder care information. Do NOT use for general Bituach Leumi benefits, private pension funds, or HMO/health insurance questions.
Guide to mental health services in Israel including therapy through kupot cholim, crisis hotlines, PTSD resources, and workplace mental health rights. Use when a user needs information about accessing psychiatric or psychological care, finding subsidized therapy, understanding the 2015 mental health reform, using crisis lines like ERAN (1201) or Natal, or navigating PTSD recognition through Bituach Leumi. Covers CBT, EMDR, private therapy costs, and employee mental health days. Do NOT use for clinical diagnosis or medication recommendations.
Use at your own risk. Terms of Use · Security
Want to build your own skill? Try the Skill Creator · Submit a Skill
