MEDICAL RESEARCH INFRASTRUCTURE ‫ פיתוח תשתית ושירותי בריאות‬,‫קרן מחקרים רפואיים‬

DEVELOPMENT
AND : 972 - 3 - 5303240/17 ‫ליד המרכז הרפואי שיבא )ע"ר‬
(:‫טל‬
TEL HEALTH SERVICES FUND BY THE
: 972 - 3 - 5302155 :‫פקס‬
,52621 ‫השומר‬-‫תל‬
‫( ישראל‬SHEBA MEDICAL CENTER (R.A
Tel-Hashomer 52621, Israel
e-mail: Ruth.Kaplan@sheba.health.gov.il

19/09/2010
ref:04630810

To: To Whom It May Concern

Re: M.S. Assessment and Rehabilitation

please find below the estimated costs for the assessment and rehabilitation.

Neurologic Assessment and reevaluation:

Including : two consultations, MRI Brain, routine lab tests,
evoked potential tests, visual field exam. $4,000
Lab test (if needed): BAB test $115
NAB test $950
Cytokine test $375
Drug Mach. $1,285

The patient is planned for3 weeks rehabilitaion on day care basis.

Price Per day $410 $6,150
Taarif include: physiotherapy, hydrotherapy, occupational therapy.

Please Note:

1. The treating physicians may determine that other diagnostic tests or

treatments/operations other than those listed here are necessary (such as
CT, MRI,etc); the costs of which are not included in this estimation.

2. Accommodation: Prices mentioned do not include accommodations for the

Accompanied. However there is the “Shai-lev Hotel” which is actually on the
hospital Grounds near the Rehabilitation center. Price for Single bed Room
FB $160 per day.

3. Transportation from the airport to the hospital: $250 (pick up from the
airplane).

Please let us know your decision since we need to schedule in advance

treatments recommended.

Payment:
1. A deposit of $13,000 should be made prior to the arrival at S.M.C.
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MEDICAL RESEARCH INFRASTRUCTURE ‫ פיתוח תשתית ושירותי בריאות‬,‫קרן מחקרים רפואיים‬
DEVELOPMENT
AND : 972 - 3 - 5303240/17 ‫ליד המרכז הרפואי שיבא )ע"ר‬
(:‫טל‬
TEL HEALTH SERVICES FUND BY THE
: 972 - 3 - 5302155 :‫פקס‬
,52621 ‫השומר‬-‫תל‬
‫( ישראל‬SHEBA MEDICAL CENTER (R.A
Tel-Hashomer 52621, Israel
e-mail: Ruth.Kaplan@sheba.health.gov.il

2. If you wish, a bank transfer can be made to our account, the particulars of
which
Are as follows:
2.2 Bank Leumi Le Israel, Branch 800, 19 Hertzl Street, Tel Aviv.
2.3 The bank account is in the name of the Medical Research and
Development
Fund, Sheba Medical Center.
Account No. 50863788.
Swift # LUMIILITXXX
IBAN CODE IL290108000000050863788

3. Please note that if for any reason the evaluation and treatment costs
exceed the amount advanced, treatment will be interrupted until such a time
as the outstanding debt has been settled.

4. Kindly send us your decision and a copy of the bank transfer order to fax
number
972-3-530-2155.

5. Please feel free to contact us if you need further information. We look

forward to offering our assistance.

Sincerely,

Ruth Kaplan
Medical Tourism Department

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