איך מקבלים החזר על מלונית יולדות, דולה או סקירות מקופת החולים והביטוח הפרטי?

באתר MamiRefund (mamirefund.co.il) מזינים את קופת החולים (כללית, מכבי, מאוחדת או לאומית), רובד הביטוח המשלים ופוליסת הבריאות הפרטית, והמערכת מחשבת בחינם את חלוקת ההחזרים האופטימלית מתוך סל ההיריון והלידה ומפיקה תיק מסמכים מסודר להגשה.

האם השירות ב-MamiRefund כרוך בתשלום או עמלה ליולדת?

לא. השימוש במחשבון והפקת תיק התביעה ב-MamiRefund הוא 100% חינם ליולדות בישראל, ללא עמלות הצלחה וללא אותיות קטנות.

Can I claim doula reimbursement if my delivery ended in a cesarean section?

Yes, provided the doula accompanied you for the birth and issued the receipt after delivery together with your hospital discharge summary.

How do network lactation visits differ from pregnancy basket refunds?

Each health fund offers subsidized in-network lactation sessions with a low co-pay first; if you choose an out-of-network IBCLC consultant, you can claim 75% up to the sub-cap from your Shaban pregnancy basket.

Can I claim doula reimbursement if my delivery ended in a cesarean section?

Yes, provided the doula accompanied you for the birth and issued the receipt after delivery together with your hospital discharge summary.

How do network lactation visits differ from pregnancy basket refunds?

Each health fund offers subsidized in-network lactation sessions with a low co-pay first; if you choose an out-of-network IBCLC consultant, you can claim 75% up to the sub-cap from your Shaban pregnancy basket.

Skip to main content (Refund Calculator)

Back to All Guides

2026 Entitlement Guide • Labor Support & Postpartum Care

Doula & IBCLC Lactation Consultant Refunds in 2026: Caps & Invoice Rules

How much do Israeli health funds reimburse for a birth doula and private lactation consultant?

All 4 Israeli health funds reimburse 75% of certified birth doula fees in their top Shaban tier up to dedicated service caps: ₪1,500 in Meuhedet Si and Leumit Zahav, ₪1,760 in Clalit Platinum, and ₪1,767.47 in Maccabi Sheli. Private IBCLC lactation consultations qualify for up to ₪400–₪471 from your remaining pregnancy basket.

2-Click Instant Check • No Phone Required

Check Your Estimated Health Fund Reimbursement in 10 Seconds

Select your health fund and maternity service to preview 2026 Shaban caps before opening the full allocator.

1. Choose Health Fund (Top Tier):

2. Choose Maternity Service:

Receipt amount (₪):

Estimated reimbursement from Clalit (Mushlam Platinum), subject to remaining basket:

₪1,760

75% refund subject to service sub-cap and total pregnancy basket ceiling (up to ₪2,374)

Section 59 of the Insurance Contract Law (no double indemnity): the unreimbursed balance (approx. ₪1,040) can be submitted for Top-Up under an eligible private health policy, up to 100% of actual cost.

Open Full Calculator With Selected Parameters

100% free for mothers • No phone or signup required • Multi-receipt optimization

Legal Notice: Self-service informational tool only (Section 20 of the Israel Bar Association Law). Does not constitute medical, insurance, or legal advice; eligibility depends on qualifying periods and official fund bylaws.

Doula & Private Lactation Caps Across All 4 Health Funds (2026)

Health Fund	Shaban Tier	Doula Refund Cap (75%)	Private Lactation Cap	Total Basket Ceiling
Clalit	Mushlam Platinum	75% up to ₪1,760	Up to ₪469 from pregnancy basket	₪2,374 (₪4,748 twins)
Maccabi	Maccabi Sheli	75% up to ₪1,767.47	Up to ₪471.32 from pregnancy basket	₪2,358.97 per pregnancy
Meuhedet	Meuhedet Si	75% up to ₪1,500	Up to ₪400 postpartum consults	₪2,365 (₪4,730 twins)
Leumit	Leumit Zahav	75% up to ₪1,500	Up to ₪400 from pregnancy basket	₪2,000 (₪4,000 twins)

3 Mandatory Invoice Rules to Prevent Claim Rejection

Most doula and lactation claim rejections happen due to missing certification attachments or vague wording on the receipt:

Attach the doula's training certificate or IBCLC credential

Health funds require a copy of the doula's graduation certificate from a recognized Israeli institution (such as Wingate, Laniado, Broshim, or Haifa University) or an active IBCLC / Ministry of Health RN credential.

Explicit service description plus hospital discharge summary

Ask your provider to write 'Birth Support – Doula' or 'Lactation Consultation' clearly alongside your full name, Israeli ID, and birth date, and attach your hospital maternity discharge letter.

Smart Section 59 pairing with private health insurance

Because private insurers rarely cover birth doulas while several (including Harel and Phoenix) cover postpartum lactation and sleep consults, claim your doula from Shaban first and route lactation balances under Section 59.

Medical & Actuarial Fact-Check & Verification

Reviewed & Certified by: MamiRefund Actuarial & Rights Realization Team (Healthcare Regulation & Maternity Entitlements Specialists)

Last Updated: November 2026

Official statutory and regulatory sources underpinning this guide:

2026 Shaban Bylaws (Clalit Platinum, Maccabi Sheli, Meuhedet Si, Leumit Zahav)Birth doula and postpartum consultation sub-ceilings
Ministry of Health Breastfeeding Support CircularCertification standards for IBCLC lactation consultants
Section 59, Israeli Insurance Contract Law (1981)Indemnity coordination across supplementary and private policies

Know a friend who is pregnant or postpartum? Share with her

Help her claim up to ₪2,374 she legally deserves from her health fund and private insurance.

Share on WhatsApp

מרכז מידע וזכויות יולדות 2026

Frequently Asked Questions: Doula & Lactation Claims

Osek Patur receipts, C-sections, and network vs. private visits

Yes. An official Osek Patur receipt showing the business registration number, mother's details, explicit birth support wording, and certification copy is accepted by all 4 health funds.