Recently one my kids needed a medical procedure done. I had it done via a privately engaged doctor (Sharap) with the intention of getting remimbursed by Macabi Zahav.
Two interesting things about the reimbursement: a) the amount that Zahav is willing to pay is significantly less than what the doctor required. b) Zahav is willing to pay for the anaesthesiologist, but the private doctor in this case was not willing to provide a separate receipt indicating what the anaesthesiologist was being paid. In total, the reimbursement was left than 50% of the total cost of the procedure.
A separate complaint: Zahav's policy currently is that they will not reimburse sharap for doctors who are part of the Macabi network. Thus, if you want to go private, you cannot use your regular doctor.
4 minutes ago