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לצערי מרבית תביעות הסיעוד נדחות ע\"י חברת הביטוח ואחוז גבוה מהן, ללא כל סיבה מוצדקת. גם אם המבוטח הגיש את תביעתו באופן עצמאי ותביעתו נדחתה, מוזמן לפנות אלינו להערכת סיכויי התביעה והצעת דרך פעולה אפשרית לקבלת תגמולי ביטוחי הסיעוד.","@type":"Answer"}},{"name":"אם הגשתי תביעה לחברת הביטוח ושולם לי סכום כלשהו, לא אוכל להגיש תביעה בשנית?","@type":"Question","acceptedAnswer":{"text":"לא בהכרח! ראשית, חשוב מאוד לבחון ביסודיות את התיעוד הרפואי לעיין בהתכתבויות עם חברת הביטוח. לאחר מכן, ישנם מבוטחים שיוכלו להגיש תביעת סיעוד בשנית, הכל בהתאם לנסיבות העניין.","@type":"Answer"}}]}],"@context":"https://schema.org"},"created_at":"2026-05-31T19:44:03.288333+00:00","updated_at":"2026-06-29T22:26:18.013+00:00","faq":[{"answer":"ישנם הבדלים ניכרים בין התנאים לקבלת תגמולי ביטוח סיעוד לבין התנאים לקבלת גמלת מהמוסד לביטוח לאומי. לכן, יש לבחון את התיק פעמיים: הן כתובע את חברת הביטוח בגין גמלת סיעוד והן כתובע את המוסד לביטוח לאומי. ישנם מקרים רבים כי אדם הזכאי לגמלת סיעוד מהביטוח הלאומי, לא יהיה זכאי לגמלת סיעוד בפוליסות הביטוח השונות, ולהיפך.","category":"general","question":"מה ההבדל בין ביטוח סיעודי פרטי לבין גמלת סיעוד מהמוסד לביטוח לאומי?"},{"answer":"חברת הביטוח מורשית להזמין אחות/רופא לבית המבוטח, בתיאום עמו, על מנת לערוך לו בדיקה שתבדוק את מצבו התפקודי. במקרים כגון אלו, אנו מדריכים את המבוטחים כיצד לנהוג ומה זכויותיהם במהלך הבדיקה.","category":"general","question":"האם חברת הביטוח יכולה לשלוח רופא לבדיקת המבוטח?"},{"answer":"ממש ממש לא!! 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