Giving Birth on an A/5 Visa in Israel

If you are in the Israel spouse visa process and already have A/5 temporary residency, giving birth in Israel creates a few practical steps with Bituach Leumi (National Insurance Institute), the hospital, Misrad Hapnim (Population and Immigration Authority), and Kupat Holim (Israeli health fund).
This guide explains what to prepare before birth, what happens at the hospital, how the baby is registered, and what does - and does not - change in the gradual process.
This guide focuses on couples where the foreign partner has A/5 temporary residency and the other parent is Israeli.
What A/5 Means Before Birth
A/5 is temporary residency in Israel.
It usually includes:
- Israeli ID number
- temporary resident status
- access to Bituach Leumi (National Insurance Institute) and Kupat Holim (Israeli health fund) after residency is recognized
- annual renewals with Misrad Hapnim (Population and Immigration Authority)
Check Your Bituach Leumi Status
Before birth, the most important question is whether the A/5 holder is already recognized by Bituach Leumi (National Insurance Institute) as an Israeli resident.
Bituach Leumi treats A/5 holders as people who can be recognized as residents, but residency is checked separately.
The main points are:
- Bituach Leumi checks center of life in Israel
- A/5 holders may need to submit a residency questionnaire
- Bituach Leumi residency is important for health coverage and maternity benefits
If your A/5 was issued recently and you are not sure whether Bituach Leumi already recognized you as a resident, check this before birth.
Before Birth: Ask Bituach Leumi About BL/303
Before birth, contact Bituach Leumi (National Insurance Institute) and ask whether you need BL/303.
BL/303 is a form that confirms coverage of childbirth-related hospital expenses.
Bituach Leumi says an Israeli resident married to a non-Israeli resident should contact the nearest Bituach Leumi branch up to two months before the estimated delivery date and ask for form BL/303. The approved form should be given to the hospital when registering for delivery or arriving to give birth.
Official Bituach Leumi page.
Prepare:
- A/5 holder's Israeli ID
- Israeli partner's ID
- medical document showing the expected delivery date
- hospital where the birth is planned
- Bituach Leumi residency information
Hospital Registration and Birth Notice
After the birth, the hospital issues a birth notice.
In Hebrew this is called:
הודעת לידה
Hoda'at Leida
Birth Notice
This document is used later for registration with Misrad Hapnim (Population and Immigration Authority).
Before leaving the hospital, check that the details are correct:
- baby's name
- mother's details
- father's details
- dates
- passport / ID details
- spelling in English, if English documents will be needed later
If the father is Israeli and the mother is foreign, make sure the father's details are properly recorded. If the parents are not married or the family status is not clear in the population registry, paternity recognition can become a separate issue.
Hospital Deposit
Official Bituach Leumi guidance says BL/303 confirms entitlement to coverage of childbirth-related expenses.
Official Bituach Leumi page.
It is known from practical experience that hospitals can ask for a security deposit if BL/303 was not arranged before birth or if coverage is not clear at the hospital.
To avoid this issue:
- contact Bituach Leumi before birth
- ask for BL/303
- bring the approved form to the hospital
- confirm with the hospital how they want to receive it
Birth Grant
The birth grant is a one-time payment from Bituach Leumi (National Insurance Institute) for initial birth expenses.
According to Bituach Leumi, the birth grant is paid to the new mother to cover some initial birth expenses.
Official Bituach Leumi page.
For a first birth, the payment is sent to the bank account given at the hospital. For later births, it is usually sent to the bank account used for child allowance.
The birth grant depends on Bituach Leumi eligibility conditions, including residency.
Maternity Allowance
Maternity allowance is different from the birth grant.
It is relevant for mothers who worked before birth and stopped working because of the birth.
Eligibility depends on work history and Bituach Leumi contribution periods before the birth.
In simple terms:
- birth grant = one-time payment after birth
- maternity allowance = payment connected to work and insurance contributions
If the mother worked in Israel before birth, check maternity allowance eligibility with Bituach Leumi. Bituach Leumi explains that maternity allowance is paid to a working woman who takes birth and parenthood leave.
Official Bituach Leumi page.
Registering the Baby with Misrad Hapnim
The parents need to handle the baby's registration with Misrad Hapnim (Population and Immigration Authority).
For a child born in Israel to an Israeli father and a foreign mother, Gov.il has a specific service for applying for status and visas for a newborn up to 3 months old. Both parents apply together.
Official Gov.il service.
Prepare:
- Israeli parent's ID
- foreign parent's ID
- foreign parent's passport
- parents' ID appendices / sefach (paper appendix attached to the Israeli ID card)
- hospital birth notice
- baby passport photo, if applying for passport
- additional documents requested by the branch
The baby's registration should be handled through the PIBA office responsible for the couple's spouse visa file.
Will the Baby Be Israeli?
A child born in Israel to an Israeli parent is generally connected to Israeli citizenship by birth.
In practice, the baby still needs to be registered with Misrad Hapnim (Population and Immigration Authority).
If one parent is Israeli and the other is foreign, Misrad Hapnim can check parenthood and family status before completing registration. This is especially important when the parents are not married, the relationship is not updated in the population registry, or paternity needs to be recognized.
Paternity and the 300-Day Issue
If the mother had partner status for fewer than 300 days before birth, paternity recognition may become relevant.
The official PIBA procedure connected to this topic is Procedure 5.2.0004, which deals with granting status in Israel to minors born in Israel through recognition of paternity.
If the mother is foreign and the father is Israeli, and the parents are not clearly registered as married or recognized together, check paternity requirements with the PIBA branch before birth.
Registering the Baby with Kupat Holim
After the baby receives an Israeli ID number, register the baby with Kupat Holim (Israeli health fund).
This is important because newborns need medical follow-up soon after birth.
Practical steps:
- contact the Kupat Holim used by one of the parents
- ask how to add a newborn
- provide the baby's ID number
- schedule the first pediatric checkup
- schedule Tipat Halav (mother-and-child health clinic) follow-up
If there is a delay with Misrad Hapnim registration, ask Tipat Halav (mother-and-child health clinic) directly where the baby can receive newborn care and vaccinations during the delay.
Foreign Citizenship and Passport
If the foreign parent has another citizenship, the baby may also be eligible for foreign citizenship.
This depends on the law of the foreign parent's country.
After receiving the Israeli birth certificate, contact the foreign parent's embassy or consulate and ask:
- whether the baby receives citizenship automatically
- what documents are needed
- whether an apostille or translation is required
- how to apply for a foreign passport
- whether the country allows dual citizenship
If you need an English birth certificate, request it from Misrad Hapnim (Population and Immigration Authority) and check that the baby's name is spelled correctly.
Does Having a Baby Make the Gradual Process Easier?
No. Having a baby does not automatically shorten the gradual process, cancel renewals, or guarantee final status for the foreign partner.
The spouse visa process still continues.
At renewals, the couple still needs to show:
- genuine relationship
- shared life
- center of life in Israel
- updated documents
- continued eligibility
Having a child can be part of the couple's family-life picture, but it does not replace the regular requirements of the gradual process.
The baby's status and the foreign partner's status are separate issues.
Common Questions
Do I need BL/303 before giving birth?
Yes, if childbirth expense coverage needs to be confirmed before hospital registration. Bituach Leumi says to contact the branch up to two months before the estimated delivery date and ask for BL/303.
Official Bituach Leumi page.
Will the baby be Israeli if one parent is Israeli?
A baby born in Israel to an Israeli parent is connected to Israeli status, but the baby still needs registration with Misrad Hapnim. If the father is Israeli and the mother is foreign, use the official Gov.il service for a newborn born in Israel to an Israeli father and foreign mother.
Official Gov.il service.
Does having a baby help the foreign partner get citizenship faster?
No. The gradual process continues. The baby does not cancel renewals or automatically give the foreign partner final status.
Glossary: Key Hebrew Terms
If you are going through the spouse or partner visa process in Israel, you may come across Hebrew terms in official documents, communication, or during the interview.
Here are some of the most common ones:
- אשרת א/5 (A/5) - temporary residency status
- תעודת זהות (Teudat Zehut) - Israeli ID card
- ספח (Sefach) - paper appendix attached to the Israeli ID card
- ביטוח לאומי (Bituach Leumi) - National Insurance Institute
- בל/303 (BL/303) - Bituach Leumi form connected to childbirth expense coverage
- הודעת לידה (Hoda'at Leida) - birth notice issued after birth
- מענק לידה (Maanak Leida) - birth grant
- דמי לידה (Dmei Leida) - maternity allowance
- משרד הפנים (Misrad Hapnim) - Population and Immigration Authority
- רשות האוכלוסין וההגירה (PIBA) - Population and Immigration Authority
- קופת חולים (Kupat Holim) - Israeli health fund
- טיפת חלב (Tipat Halav) - mother-and-child health clinic
- מרכז חיים (Merkaz Chaim) - center of life
- הכרה באבהות (Hakarat Avahut) - recognition of paternity
Important:
This guide is for informational purposes only and is based on publicly available sources and practical guidance. It is not an official government publication and is not legal advice. Procedures may change. Always verify current requirements with the official Population and Immigration Authority (Misrad Hapnim) and relevant official sources.