Health Plan 38

Inpatient scans and Consultants fees

• Consultant fees Covered
• Inpatient Scans Covered

Public Hospitals

• Day Case Covered
• Private Room Covered
• Semi Private Room Covered

Private Hospitals

• Day Case Covered subject to €75 excess per claim subject to €2,500 co-payment on certain orthopaedic procedures, €1,000 co-payment on certain cardiac procedures and €500 co-payment on certain ophthalmic procedures
• Private Room Covered subject to €150 excess per claim subject to €2,500 co-payment on certain orthopaedic procedures, €1,000 co-payment on certain cardiac procedures and €500 co-payment on certain ophthalmic procedures
• Semi Private Room Covered subject to €75 excess (first two claims per member); subject to €2,500 co-payment on certain orthopaedic procedures, €1,000 co-payment on certain cardiac procedures and €500 co-payment on certain ophthalmic procedures

High Tech Hospitals

• Day Case Covered subject to €75 excess per claim subject to €2,500 co-payment on certain orthopaedic procedures, €1,000 co-payment on certain cardiac procedures and €500 co-payment on certain ophthalmic procedures
• Listed Cardiac Procedures Covered subject to €50 excess per claim subject to €1,000 co-payment on certain cardiac procedures
• Listed Special Procedures Covered subject to €50 excess per claim subject to €2,500 co-payment on certain orthopaedic procedures and €500 co-payment on certain ophthalmic procedures
• Private Room Covered (Beacon Only) subject to €150 excess per claim. Mater Private and Blackrock Clinic 50% cover subject to €150 excess per claim.
• Semi Private Room Covered (Beacon Only) subject to €75 excess (first two claims per member). Mater Private and Blackrock Clinic 60% cover subject to €75 excess per claim.

• GentleBirth App See handbook for details
• Grant-in-aid amount Covered up to €3,450
• Home birth Covered up to €3,450
• Home Early Midwife Support following 1 night stay in hospital 4 x 2 hour sessions with a midwife
• Home Early Midwife Support following 2 nights stay in hospital 3 x 2 hour sessions with a midwife
• Inpatient maternity consultant fees As per schedule of benefits for professional fees
• Postnatal Domestic Support 3 x 3 hour cleaning sessions
• Public hospital cover for maternity 3 nights accommodation
• Welcome Home Food Hamper Hamper and 30 minute phone consultation with a nutritionist

• 24 hour telephone assistance Covered
• Companion repatriation expenses Covered up to €1,000
• Expenses for companion who remains with you Covered up to €1,000
• Hospital bill for inpatient treatment Covered up to €100,000
• Repatriation expenses Covered up to €1 million

• Benefit abroad for surgical procedures that are available in Ireland Yes - subject to level of cover available in Ireland
• Benefit abroad for surgical procedures that are not available in Ireland Yes - up to the amount for the most similar surgical procedure to treat the same condition in Ireland

• Not related to substance abuse 100 days (up to the level of Hospital Cover provided under your plan)
• Related to substance abuse 91 days per 5 years (up to the level of Hospital Cover provided under your plan)

• Cancer Support Benefit (for accommodation expenses when travelling more than 50km) Up to €100 per day up to a maximum of €1500 per calendar year
• Care Connect Covered (refer to membership handbook)
• Child Home Nursing €100 x 14 days (following an inpatient stay of minimum 5 days)
• EXOGEN therapy Covered with our provider partner
• Gender Affirmation Benefit Covered up to €100,000 per lifetime
• Genetic Testing for Cancer Treatment Options - Foundation One CDx Covered
• Genetic Testing: Initial consultation 50% cover
• Genetic Testing: Test for specified genetic mutations Covered in approved clinics with our approved consultant
• Health in the Home Covered with our provider partner
• Healthy Minds Online access to mental health assessments and content and up to 6 counselling sessions via phone, chat, video or face to face
• Medicall ambulance costs Covered (refer to Membership Handbook)
• Oncotype DX Covered
• Parent accompanying child €40 x 14 days (not payable for the first 3 days)

With no excess

• AMH fertility test €50 contribution
• Antenatal Class €75 towards an antenatal class
• Breastfeeding Consultancy €25 x 2 sessions
• Convalescence benefits €30 x 14 days
• Digital Doctor Unlimited. See irishlifehealth.ie for further information.
• Egg freezing 50% cover up to a max of €1,000 once per lifetime
• Female Fertility Assessment and Consultation Covered with our preferred provider, once per policy year subject to a €60 co-payment
• Female Health Consultation 50% cover x 4 consultations per year with our provider partner
• Fertility benefit 50% cover up to a max of €1,000 for IVF, IUI, ICSI. Twice per lifetime
• Health screen at any centre Covered up to €100 per annum
• Home Recovery Benefit €80 x 10 days
• HPV Vaccine 50% up to €200 per policy year
• Maternity Mental Health Support €40 x 10 sessions with Nurture
• Minor Injury Clinic Cover 75% up to €400 per visit
• Minor Injury Clinic Cover (Pay & Claim) 75% up to €400 per visit
• Nurse on call Covered
• Partner Benefit €50 x 2 days travel, accommodation & child minding expenses
• Postnatal Doula Benefit Up to €200 contribution
• Pre/post natal yoga & pilates €20 x 2 visits
• Psychotherapy and counselling benefit (including practitioners at the Dean Clinic) 50% up to 12 visits capped at €1,000 per policy year
• Sperm freezing 50% cover up to a max of €125 once per lifetime
• Vaccinations: Travel Only €50 per year
• Vasectomy (GP or Consultant) Covered up to €360

Scan Cover

• CT Scan: approved centre Covered
• MRI Scan: approved centre Covered
• PET-CT Scan: approved centre Covered

Day to Day Practicioners

• Dentist Visits €40 x 12 visits
• GP Visits €40 x 12 visits
• Physiotherapist or Physical therapist €40 x 15 visits

Allied Professionals and Alternative Practitioners

• Acupuncturist €40 x 12 combined visits
• Chiropodist €40 x 12 combined visits
• Chiropractor €40 x 12 combined visits
• Dietician €40 x 12 combined visits
• Homeopath €40 x 12 combined visits
• Massage therapist €40 x 12 combined visits
• Medical herbalist €40 x 12 combined visits
• Occupational therapist €40 x 12 combined visits
• Osteopath €40 x 12 combined visits
• Podiatrist €40 x 12 combined visits
• Reflexologist €40 x 12 combined visits

Other Day to Day Benefits

• Child psychology 50% up to €30 x 8 visits
• Child speech and language therapist 50% up to €30 x 8 visits
• Consultant fees 50% up to €70 per visit
• Emergency dental care Up to €250
• Hearing Test 50% up to €25 x 1 visit
• Manual lymph drainage 50% up to €25 x 8 visits
• Medical and surgical appliances As per specified list (subject to €100 excess)
• Optical (eye test and/or glasses/lenses combined) 50% up to €150 per policy year
• Pathology: Consultant fees 50% as per schedule of benefits for professional fees
• Pathology: Cost of test 50% Cover
• Pre/Post natal medical expenses 50% up to €250
• Prescriptions 50% up to €25 per annum
• Psychologist €25 x 10 visits
• Psycho-oncology counselling 50% up to €25 x 8 visits
• Public A&E Cover €66 x 2 visits
• Radiology: Consultant fees 50% as per schedule of benefits for professional fees
• Radiology: Cost of test 50% Cover

• Back Up
• Health Screening
• International Second Opinion Service
• Laser Eye Surgery