Nursing-care claims
Long-term care (siudi) insurance disputes: entitlement, the ADL tests insurers use, and appeals when a claim is underpaid or denied.
What these files turn on
Insurers apply functional tests (washing, dressing, eating, continence, mobility, and sometimes cognition). The gap between the medical record and the insurer’s scoring is often the case. The policy wording and the examination protocol both matter.
How we start
The policy, the denial or partial-approval letter, and the recent medical record. Then a decision whether to appeal inside the company, go to the regulator path, or sue. No promised amount at the first call.
Related: all practice areas · fees · why this office.
First consultation
A first call to review the claim and the path forward. No promised amount. The office is in Ramat Gan; we represent clients throughout Israel.