HealthGuide 3

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 €50 excess per claim
• Private Room Covered subject to €75 excess per claim subject to €3,000 co-payment on certain orthopaedic procedures and €500 co-payment on certain ophthalmic procedures
• Semi Private Room Covered subject to €75 excess per claim subject to €3,000 co-payment on certain orthopaedic procedures and €500 co-payment on certain ophthalmic procedures

High Tech Hospitals

• Day Case Covered subject to €50 excess per claim.
• Listed Cardiac Procedures Covered
• Listed Special Procedures Covered subject to €75 excess per claim subject to €3,000 co-payment on certain orthopaedic procedures and €500 co-payment on certain ophthalmic procedures
• Private Room Covered (Beacon only) subject to €75 excess per claim. 50% Cover in Blackrock Clinic and Mater Private
• Semi Private Room Covered (Beacon Only) subject to €75 excess per claim. Mater Private and Blackrock Clinic 50% cover.

• GentleBirth App See handbook for details
• Home birth Covered up to €4,000
• 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
• Out-patient A&E Abroad 50% up to €1,000
• 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 €120,000 per lifetime
• Genetic Testing for Cancer Treatment Options - Foundation One CDx Covered
• Genetic Testing: Initial consultation 75% 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
• Hormone Replacement Therapy for Gender Dysphoria Covered up to €750 per lifetime
• Medicall ambulance costs Covered (refer to Membership Handbook)
• Mental Health Guide Covered (refer to Membership Handbook)
• Oncotype DX Covered
• Parent accompanying child €40 x 14 days (not payable for the first 3 days)
• Post Operative Home Help 2 x 3 hour cleaning sessions

Subject to excess

• A&E Cover (in choice of High Tech, Private and Public Hospitals) Covered up to €75 per visit
• Breast prosthesis or wig (following cancer treatment) First breast prosthesis and wig covered, subsequent claims covered as per specified list
• Child Development Benefit 50% up to €750 for a developmental / neurodevelopmental assessment
• Consultant fees 75% per visit, unlimited
• Emergency Dental Care €500
• Eyebrow tattooing (following cancer treatment) Covered up to €90 once per policy year
• Home Recovery Benefit €80 x 10 days
• Manual Lymph Drainage 75% up to €25 x 5 visits
• Medical and surgical appliances As per specified list (subject to €100 excess)
• Pathology: Consultant fees 50% as per schedule of benefits for professional fees
• Pathology: Cost of test 75% Covered
• Post cancer treatment sleeping caps Covered up to €60 once per policy year
• Psycho-oncology Counselling 75% up to €25 x 8 visits
• Radiology: Consultant fees 50% as per schedule of benefits for professional fees
• Radiology: Cost of test 75% Covered

With no excess

• 3D/4D & Early Pregnancy Scans €70 contribution
• AMH fertility test €75 contribution
• Antenatal Class €75 towards an antenatal class
• At Home Health Testing Covered up to €75 per policy year with our provider partner
• Baby Massage Course €40 for course of 4 classes
• Breastfeeding Consultancy €50 x 2 sessions
• Cardiac Screening 50% Cover
• Convalescence benefits €50 x 25 days
• Dexa Scan First visit fully covered 50% cover for subsequent visits
• Digital Doctor Unlimited. See irishlifehealth.ie for further information.
• Egg freezing Covered up to a max of €1,250 twice 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
• Female Pelvic Health Physiotherapy Covered up to €150 for initial consultation, once per policy year
• First aid course for mums and dads Fully covered with our provider partner
• Fitness Wearables €30 contribution
• Flu Vaccine Covered up to €25 per policy year
• Foetal Screening €100 per pregnancy
• Health screening & allergy testing Up to €300 per policy year
• His & Hers Fertility Screening Tests €50 contribution
• HPV Vaccine 50% up to €200 per policy year
• Life Coaching Session €50 contribution
• Lifestyle Genomic Testing - Nutrition, Fitness, Sleep and Stress 50% up to €75 with our provider partner
• Mammogram First visit fully covered 50% cover for subsequent visits
• Maternity Bra €50 contribution
• Maternity Mental Health Support €40 x 10 sessions with Nurture
• Menopause Benefit 75% cover for initial consultation and 75% cover for 1 follow up review consultation
• Mindfulness app subscription €30 contribution
• Minor Injury Clinic Cover 75% up to €300 per visit
• Minor Injury Clinic Cover (Pay & Claim) 75% up to €300 per visit
• Nurse on call Covered
• Nutrition Recovery Benefit €50 contribution
• Out-patient maternity consultant fees €500
• Partner Benefit €50 x 2 days travel, accommodation & child minding expenses
• Positive Mental Health Training €10 contribution towards 12 track programme with our provider partner
• Postnatal Doula Benefit Up to €200 contribution
• Pre/post natal yoga & pilates €20 x 3 visits
• Psychotherapy and counselling benefit (including practitioners at the Dean Clinic) 75% up to 12 visits capped at €1,250 per policy year
• SADS Screening €75 contribution
• Sperm freezing Covered up to a max of €175 once per lifetime
• Sports Club / Gym Membership / Classes €50 contribution
• Vaccinations: Travel Only 50% up to €100 per policy year
• Vasectomy (GP or Consultant) Covered up to €360
• Zika Screening €75 contribution with our provider partner plus €10 point of sale discount

Scan Cover

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

Day to Day Practicioners

• Dentist Visits 75% up to €300 per policy year
• GP Visits 75% of each visit
• Physiotherapist or Physical therapist €40 x 15 visits

Allied Professionals and Alternative Practitioners

• Acupuncturist 50% x 15 combined visits
• Chiropractor 50% x 15 combined visits
• Massage therapist 50% x 15 combined visits
• Osteopath 50% x 15 combined visits
• Reflexologist 50% x 15 combined visits
• Reiki practitioner 50% x 15 combined visits

Other Day to Day Benefits

• Child/Teen Counselling 50% up to €50 x 8 visits
• Chiropodist Visits 50% x 15 combined visits
• Dietician Visits 50% x 15 combined visits
• Fertility benefit Covered up to a max of €2,000 for IVF, IUI, ICSI. Twice per lifetime
• Hearing Test €40 x 1 visit
• Nutritionist Visits 50% x 15 combined visits
• Occupational therapist Visits 50% x 15 combined visits
• Optical (eye test and/or glasses/lenses combined) 75% up to €150 per policy year
• Orthoptist Visits 50% x 15 combined visits
• Podiatrist Visits 50% x 15 combined visits
• Prescriptions €15 x 5 prescriptions
• Psychologist €75 x 10 visits
• Speech Therapist 50% x 15 combined visits

• Allen Carr Smoking Cessation
• Back Up
• Health Screening
• Laser Eye Surgery