Israel's healthcare system consistently ranks among the world's most advanced, earning fifth place globally in the World Health Organization's healthcare quality and innovation rankings. For residents, new immigrants, and visitors alike, understanding this sophisticated system can mean the difference between excellent care and costly confusion. Whether you're making aliyah, working in Israel temporarily, or simply visiting, this comprehensive guide will help you navigate everything from choosing a health fund to handling medical emergencies.

From touchdown to takeoff: Navigating your crucial first month as a new immigrant

Congratulations! You've made it to Israel. The plane has landed, you've collected your luggage, and suddenly the enormity of what you've done hits you. You're standing in Ben Gurion Airport with your entire life packed into suitcases, about to begin a completely new chapter in a country where street signs are in Hebrew and everyone talks impossibly fast.

Embracing a new chapter in the Land of Israel

Standing at the threshold of fifty, many of us find ourselves at a crossroads. The children have grown, careers have plateaued, and a quiet voice whispers: "Is this all there is?" For some, this midlife reflection leads to an extraordinary decision—making Aliyah, immigrating to Israel, and starting completely over in a new country.

Making Aliyah—the process of immigrating to Israel—has been transformed by the digital age. What was once a complex journey filled with paperwork, uncertainty, and lengthy bureaucratic processes can now be navigated more smoothly thanks to numerous online resources.

In a country smaller than New Jersey, Israel's rail network has undergone a remarkable transformation over the past decade. What was once a limited transportation option has evolved into a modern, efficient rail system connecting major cities and opening up new commuting possibilities for Israelis and tourists alike.

1. Eligibility for License Conversion

• Requirements: If you’ve held a valid foreign driver’s license for at least five years, you may be eligible to convert it to an Israeli license without the full licensing process. Conversion eligibility lasts for three years from your Aliyah date.

• Proof: Provide your Teudat Zehut, Aliyah certificate, and a license valid for five years. Some embassies may provide a letter verifying your license’s validity if needed.

1. Income Tax Benefits for New Olim

• Tax Exemptions: New olim qualify for progressive income tax reductions for 3.5 years. For the first 18 months, a 90% exemption on income tax is applied, then 80% for the next 12 months, and 70% for the remaining six months. This is available only on income earned in Israel.

• Consulting a Tax Advisor: Due to the complexities of Israeli tax law, consider working with a tax advisor, especially if you’re self-employed or have investments.

1. Why Enroll in Ulpan?

• Learning Hebrew is essential for integrating into Israeli society, whether for everyday conversations, employment, or cultural immersion. Ulpan courses provide structured language training, focusing on conversational skills, reading, and writing. New olim typically qualify for government-subsidized Ulpan programs, helping reduce costs.

1. Understanding Eligibility and Accessing Initial Support

• Eligibility: Benefits are available to all new olim (immigrants) upon arrival, including financial support, housing assistance, tax benefits, and integration programs.

• First Steps: Register with your local Misrad HaKlita (Ministry of Aliyah and Integration) office to confirm eligibility, receive your initial benefits package, and be assigned a local absorption counselor.

1. Electricity (Chashmal)

• Provider: Israel Electric Corporation (IEC) provides nationwide service for electricity.

• How to Set Up: Register directly with IEC via their website, app, or at a local office. Have your Teudat Zehut (ID card) and payment details ready, as most accounts are set up for monthly billing through direct debit (Hora’at Keva) from a bank account.

• Billing and Usage: Electricity bills are typically issued every two months. The billing statement includes information on usage, rates, and payment deadlines. Rates can fluctuate, with higher costs in peak months (especially summer and winter).

• Energy Saving Tips: Many olim are surprised by the cost of electricity. Consider energy-efficient bulbs, use air conditioning wisely, and turn off appliances when not in use.

1. Renting vs. Buying

• Renting: Renting is the most common option for new olim, offering flexibility as you get to know Israel’s neighborhoods and cities.

  • Typical Lease Terms: Leases usually run for a year, with renewal options. Expect to pay a security deposit and possibly a few months’ rent upfront.

  • Furniture and Appliances: Rentals may be furnished or unfurnished; sometimes, even appliances are not included.

• Buying: Some olim prefer buying a property right away, especially if they are certain of their preferred location.

  • Mortgage Assistance for Olim: New immigrants may qualify for mortgage benefits or government-backed loans. Check eligibility with the Ministry of Aliyah and Integration.

  • Consulting a Real Estate Agent: When buying, having a real estate agent familiar with local regulations and olim needs can streamline the process.

1. Why Health Insurance Matters in Israel

• Health insurance is mandatory for all residents, ensuring access to medical services through one of Israel's four public health funds, called Kupot Cholim. These health funds include Clalit, Maccabi, Meuhedet, and Leumit.

1. Choosing the Right Bank

• Options: Israel’s primary banks include Bank Hapoalim, Bank Leumi, Mizrahi-Tefahot, Discount Bank, and First International Bank.

• New Immigrant Benefits: Some banks offer specific benefits for new olim, like fee waivers, credit cards without annual fees, and special savings accounts.

• Branches and Language: Check branch locations and available language services. Some branches have English-speaking staff to assist non-Hebrew speakers.

The Teudat Zehut is Israel’s national identification card, essential for nearly every official interaction, from healthcare registration and banking to setting up utilities and voting. It contains your unique ID number and personal details, serving as the foundation of your legal and social status in Israel. Securing this document is among the first steps new olim (immigrants) should take to access benefits and services efficiently.

Moving to Israel and starting a new life as an Oleh (new immigrant) is a thrilling journey, but the challenges that come with culture shock are common and should not be underestimated. Culture shock can affect everything from daily routines and communication styles to emotional well-being. This guide provides an in-depth approach to navigating culture shock and building a foundation for a successful transition in Israel.

Here is a detailed list of useful telephone numbers and services that will be essential when making Aliyah, including government offices, emergency services, health, utilities, transportation, and support organizations. This comprehensive guide will help you access important resources throughout your transition to life in Israel:

In this fourth part of the FAQ series on practical living in Israel, we’ll cover topics like banking, continuing education, leisure activities, and volunteer opportunities. These answers will provide additional resources for both new Olim and long-term residents as they continue to settle into Israeli life.

In this sixth part of the FAQ series on practical living in Israel, we’ll focus on navigating bureaucracy, raising children, starting a business, entertainment, and retirement. These FAQs aim to provide practical insights and guidance for Olim and long-term residents as they navigate different stages of life in Israel.

In this tenth part of our FAQ series on practical living in Israel, we delve into the country’s social security system, parenting tips, housing alternatives, transportation options, and religious life. This guide will provide Olim and residents with essential information to better understand and integrate into Israeli society.

In this ninth part of our FAQ series on practical living in Israel, we explore regional differences across the country, Israel’s tax system, alternative living options like kibbutzim and moshavim, navigating family life, and the thriving tech/start-up culture. These FAQs will provide Olim and residents with valuable insights into the diverse lifestyles and opportunities available in Israel.