Health Plan 01

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 €125 excess per claim
• Private Room Covered subject to €50 nightly excess subject to €2,000 co-payment on certain orthopaedic procedures
• Semi Private Room Covered subject to €125 excess (first two claims per member) subject to €2,000 co-payment on certain orthopaedic procedures

High Tech Hospitals

• Day Case Covered subject to €125 excess per claim
• Listed Cardiac Procedures Covered subject to €125 excess per claim
• Listed Special Procedures Covered subject to €50 excess per claim subject to €2,000 co-payment on certain orthopaedic procedures
• Private Room Covered (Beacon only) subject to €50 nightly excess. Mater Private and Blackrock Clinic 35% cover subject to €500 excess per claim.
• Semi Private Room Covered (Beacon Only) subject to €125 excess (first two claims per member). Mater Private and Blackrock Clinic 45% cover subject to €500 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 3 x 2 hour sessions with a midwife
• Home Early Midwife Support following 2 nights stay in hospital 2 x 2 hour sessions with a midwife
• Inpatient maternity consultant fees As per schedule of benefits for professional fees
• Postnatal Domestic Support 2 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

• Elective Procedure abroad - for procedures that are available in Ireland Covered up to the level of cover available in Ireland to a maximum of €125,000
• Elective Procedure abroad - for procedures that are not available in Ireland Covered up to the amount for the most similar procedure to treat the same condition in Ireland to a maximum of €125,000

• 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 50% up to €10,000 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)

• Consultant fees €55 per visit
• Emergency Dental Care €450
• Home Recovery Benefit €80 x 10 days
• Manual Lymph Drainage €40 x 5 visits
• Medical and surgical appliances As per specified list
• Pathology: Consultant fees As per schedule of benefits for professional fees
• Pathology: Cost of test Covered
• Pre/Post natal medical expenses €400
• Psycho-oncology Counselling €40 x 5 visits
• Public A&E Cover €66 x 2 visits
• Radiology: Consultant fees As per schedule of benefits for professional fees
• Radiology: Cost of test Covered

• Antenatal Class €50 towards an antenatal class
• Breastfeeding Consultancy €25 x 2 sessions
• Convalescence benefits €50 x 14 days
• Digital Doctor Unlimited. See irishlifehealth.ie for further information.
• 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
• Health screen at any centre Covered up to €100 per annum
• HPV Vaccine 50% up to €200 per policy year
• Maternity Mental Health Support €40 x 8 sessions with Nurture
• Minor Injury Clinic Cover 70% up to €200 per visit
• Minor Injury Clinic Cover (Pay & Claim) 70% up to €200 per visit
• Nurse on call Covered
• Partner Benefit €50 x 2 days travel, accommodation & child minding expenses
• Postnatal Doula Benefit Up to €100 contribution
• Vaccinations: Travel Only €50 per year
• Vasectomy (GP or Consultant) Covered up to €360

• CT Scan: approved centre Covered
• CT Scan: non approved centre €200
• MRI Scan: approved centre Covered
• MRI Scan: non approved centre €350
• PET-CT Scan: approved centre Covered

• Child psychology 50% up to €30 x 8 visits
• Child speech and language therapist 50% up to €30 x 8 visits
• Hearing Test 50% up to €25 x 1 visit
• Optical (eye test and/or glasses/lenses combined) 50% up to €25 x 1 visit
• Prescriptions 50% up to €25 per annum

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