The Monthly Cost of a Foreign Caregiver: Every Component
The real cost of employing a foreign caregiver is a set of fixed components: wage, pocket money, medical insurance, social deposits and authority fees. Know them all up front — and know what is paid to the worker and the state versus what is paid to the bureau.
This guide breaks down the monthly components, what Orshina itself charges, and how Israel's nursing allowance can fund a meaningful share.
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The monthly cost components
Official, current tariffs: medical insurance for foreign workers, the deposit account and fees and National Insurance for employers.
- Wage: at least minimum wage, before legally permitted deductions.
- Weekly pocket money: about 100 NIS per week, on top of the wage.
- Medical insurance for the worker: the employer's obligation, in a dedicated foreign-worker policy.
- Social deposits: severance and pension paid into the state's designated deposit account.
- National Insurance contributions: reported and paid by the employer.
- Authority fees: permit and license-extension fees per the official tariffs.
What is paid to Orshina — and what is not
Orshina charges exactly two fees, per the Population and Immigration Authority's procedures for licensed private bureaus: a one-time placement fee of 2,000 NIS incl. VAT and a monthly care fee of 70 NIS incl. VAT. The wage, insurance, deposits and fees are paid directly to the worker and the authorities — not to Orshina. Full details: service fees and terms.
The nursing allowance: state help with funding
- Eligible patients can convert National Insurance care hours into a cash allowance.
- The allowance is paid into the patient's bank account and helps fund the caregiver's wage.
- Orshina assists families with the conversion process with the care providers.
Comparing offers without surprises
- Ask for a written breakdown: what goes to the worker, the state and the bureau.
- Verify the bureau is licensed by the Population and Immigration Authority.
- Beware of "all inclusive" quotes with no component breakdown — the components are set by law and do not disappear.
- Placement and care fees are capped by the Authority's procedures; a higher quote needs an explanation.
Frequently asked questions
What does a foreign caregiver cost per month in total?
The cost combines wage (at least minimum wage), weekly pocket money of about 100 NIS, medical insurance, deposit contributions and authority fees. The total depends on the arrangement and official tariffs — get a written breakdown before committing.
Can the nursing allowance cover the wage?
It can fund a meaningful share: care hours can be converted into a cash allowance paid into the patient's account and used toward the wage.
What does Orshina itself charge?
A one-time placement fee of 2,000 NIS incl. VAT and a monthly care fee of 70 NIS incl. VAT, per the Authority's procedures for licensed bureaus. Everything else is paid directly to the worker and the state.
Last reviewed: July 17, 2026 · Orshina team · Official sources are linked in the guide body.
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Contact us with the details — we will walk through the components and allowance eligibility, no commitment. Meanwhile, see who is available in your area.
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