Students (University, Yeshivot, Seminaries)

Local student medical insurance is very reasonable - an absolute must.

Medical Insurance: 2 options exist -

  1. Basic medical cover - View details
  2. Cover for pre-existing conditions - View details

Primary Policy Holder Details
Last Name *
First Name *
Gender * Male Female
I am coming on a ... * Private Tour
Group Tour (name):
Home Address *
City *
ZIP
State
Country *
Phone in the US *
Fax
Email *
Date Of Birth *
Passport Number *
Do you have a Pre-existing Condition? *
 What is a pre-existing condition?
Travel Details
Landing in Israel *
Departing Israel *
Health Details
Have you been hospitalized at any time? If so when and for what reason? * Yes No
Details (please add date of event):
Have you suffered at any time from heart disease, cancer, cerebral disorder nervous disorders or any other serious health condition? * Yes No
Details (please add date of event):
Have you ever required an operation? * Yes No
Details (please add date of event):
Have you ever suffered an injury as a result of on accident? * Yes No
Details (please add date of event):
Have you at any time suffered from any form of disability? * Yes No
Details (please add date of event):
Are you on medication for any medical disorder? * Yes No
Details (please add date of event):

I am aware that the benefits under this policy do not cover treatment arising from any existing diseases, injuries, ailments or conditions for which I have been diagnosed or which have required medical treatment, including prescription medications.

Renunciation of Medical Secrecy
I, hereby give my permission to all the doctors and other medical institutions and hospitals and/or to all insurance companies and/or to every institution and other body or individual, to provide Harel Insurance Company Ltd.  with all the details, without exception and in the matter that shall be demanded by Harel, as regards my state of health and/or any disease that I have suffered from in the past and/or that I am currently suffering from, and I hereby release you from the obligation to safeguard medical secrets and hereby renounce this secrecy towards Harel. This declaration of renunciation binds me, my estate and my legal delegates and everyone who will come in my stead. This declaration of renunciation shall also apply to the minors in this policy.

 

What is a pre-existing condition?

Cover: Sudden deterioration of pre-existing illness/medical condition where:
1) Condition has been stable for 12 months prior to arrival.
2) Accident-no hospitalization for 6 months prior to arrival.
Excluded: Transplants,M.S.,dialysis,Cystic Fibrosis,sexual diseases,active psychiatric conditions, cancer treatment.