Israeli national health insurance (Bituach Briut) works through the four Kupat Holim (health funds): Clalit, Maccabi, Meuhedet, and Leumit. When you relocate abroad, your coverage situation changes significantly.
Short-term travel (up to 90 days)
All four Kupot Holim provide emergency medical coverage abroad for temporary trips:
- Clalit: Emergency coverage up to 90 days abroad (may require purchasing a travel supplement for extended stays)
- Maccabi: Emergency coverage; additional plans available for extended travel
- Meuhedet: Emergency coverage, typically up to 60 days
- Leumit: Emergency coverage, verify current terms with your fund
What "emergency coverage" means:
- Covers life-threatening emergencies and hospitalizations
- Does not cover routine medical care, dental, or preventive care abroad
- You often pay out-of-pocket and claim reimbursement (forms available from your Kupat Holim)
- Coverage limits vary by fund, typically up to $50,000–$250,000 per incident depending on your plan
When you relocate permanently
Once you establish permanent residence abroad, you are no longer a current Israeli resident, and your Kupat Holim membership lapses. At that point:
- Your Israeli health coverage effectively ends for ongoing medical care
- Emergency coverage during visits to Israel or brief returns may still apply for a transition period — verify with your fund
- You need to arrange healthcare coverage in your new country
Arranging healthcare in your destination country
Different countries have different systems:
Countries with public healthcare systems (most of Europe, Canada, Australia):
- After establishing residency, you enroll in the national health system
- Coverage begins after a qualifying period (varies: immediate in some countries, up to 3 months in others)
- EU countries: register with the local equivalent of the health fund (NHS in UK, CPAM in France, Krankenkasse in Germany, etc.)
- Canada: provincial health card (waiting period of up to 3 months in some provinces)
- Australia: Medicare enrollment available to permanent residents
Countries without universal healthcare (USA):
- You must purchase private health insurance
- Options: employer-sponsored plan, Marketplace plan, or private insurer
- Costs: $300–$800+/month per adult depending on coverage level
UAE:
- Health insurance is legally required for all UAE residents
- Employers typically provide coverage; if self-employed, you must purchase privately
- DHA (Dubai Health Authority) plans starting around AED 3,000/year for basic coverage
Private international health insurance
For the transition period, especially the first months before you qualify for local public healthcare, private international health insurance is essential:
What to look for:
- Geographic coverage (worldwide, EU-wide, or specific region)
- Pre-existing conditions coverage
- Maternity coverage if relevant
- Dental and vision if important to you
- Emergency evacuation (important if in developing countries)
Reputable international health insurance providers:
- Cigna Global
- Allianz Care
- Aetna International
- Bupa Global
- AXA International
Typical costs: $100–$500+/month depending on age, coverage level, and geographic area.
Returning to Israel after living abroad
When you return to Israel permanently:
- You can rejoin a Kupat Holim within 2 years of emigration without a waiting period
- After more than 2 years abroad, a waiting period of up to 6 months may apply before you're covered for non-emergency care (emergency care must always be provided)
- The waiting period can be reduced or waived in certain circumstances (consult your preferred Kupat Holim)
Practical checklist before relocating
- Contact your Kupat Holim to understand your exact transition period coverage
- Research when you qualify for the destination country's public healthcare
- Purchase private international health insurance to bridge the gap
- Obtain copies of your medical records and prescription lists in English
- Locate equivalent medications in the destination country (some Israeli medications have different brand names abroad)
- Understand emergency room access in your new country (in many European countries, emergency care is free to all regardless of insurance status)
This content is for informational purposes only.