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Laya Healthcare

SimplyHealth Starter

Prices per Annum

Date current version of plan commenced

Info

Adult

Info
€1,377.84

Child 1

€339.76

Child 2

€339.76

Child 3

€307.10

Child 4

€307.10

Young Adult

€610.03

Newborn

€0.00

In Patient

Private Patient in a multi-occupancy (which may include semi-private) room in a public hospital and day case.

Info
Covered

Public Hospital Private Room

Covered

Private Hospital Semi-Private Room

Covered in selected private hospitals. Shortfall of €260 per night for Mater Private Cork; No excess/shortfall applies to 5 orthopaedic procedures (hip and knee replacement) in 12 private hospitals; Reduced cardiac list available in the Galway Clinic; ask Laya for details.

  • SimplyHealth Starter
    Laya Healthcare

    Private Tier One Hospitals (No excess per claim)

    Aut Even, Kilkenny

    Barringtons Hospital, Limerick

    Cahercalla Hospital, Co. Clare (day case and surgical outpatient only)

    Clane General Hospital, Co. Kildare

    Cork Clinic (day case and surgical outpatient only)

    Hampstead Clinic, Dublin 9

    National MS Care Centre, Dublin 6

    Park West Clinic, Dublin 12 (day case and surgical outpatient only)

    St. Edmundsbury, Lucan, Co. Dublin

    St. John of God, Co. Dublin

    St. Joseph's Garden Hill, Sligo (surgical admissions only)

    St. Patrick's Hospital, Dublin 8

    St.Francis Mullingar, Westmeath (surgical admissions only)

    Private Tier Two Hospitals (No excess per claim)

    Galway Clinic

    Hermitage Clinic, Dublin 20

    Mater Private Cork

    St.Vincents Private, Dublin 4

    Whitfield Clinic, Waterford

    Private Hospitals Not Covered

    Bon Secours, Dublin 9

    Bon Secours Tralee

    Bons Secours Cork

    Bons Secours Galway

    Highfield Hospital, Dublin 9

    Ulster Independent, Belfast

    Sports Surgery Clinic, Dublin 9

    Print

Private Hospital Private Room

Covered in selected private hospitals. Tier 2 private hospitals carry a shortfall per night, see list; No excess/shortfall applies to 5 orthopaedic procedures (hip and knee replacement) in 12 private hospitals; Reduced cardiac list available in the Galway Clinic; ask Laya for details.

  • SimplyHealth Starter
    Laya Healthcare

    Private Tier One Hospitals (No excess per claim)

    Aut Even, Kilkenny

    Barringtons Hospital, Limerick

    Cahercalla Hospital, Clare

    Clane General Hospital, Kildare

    Cork Clinic (day case and surgical outpatient only)

    Hampstead Clinic, Dublin 9

    National MS Care Centre, Dublin 6

    Park West Clinic, Dublin 12 (day case and surgical outpatient only)

    St. Edmundsbury, Lucan, Co. Dublin

    St. John of God, Co. Dublin

    St. Joseph's Garden Hill, Sligo (surgical admissions only)

    St. Patrick's Hospital, Dublin 8

    St.Francis Mullingar, Westmeath (surgical admissions only)

    Private Tier Two Hospitals (No excess per claim)

    Galway Clinic

    Hermitage Clinic, Dublin 20

    Mater Private Cork

    St.Vincent's Private, Dublin 4

    Whitfield Clinic, Waterford

    Private Hospitals Not Covered

    Bon Secours, Dublin 9

    Bon Secours Tralee

    Bons Secours Cork

    Bons Secours Galway

    Highfield Hospital, Dublin 9

    Ulster Independent, Belfast

    Sports Surgery Clinic Dublin 9

    Print

The Blackrock Clinic, the Mater Private and the Beacon Hospital, certain Cardiac Procedures

Info

Reduced cardiac list covered. The HIA does not hold these lists, ask Laya for details.

The Blackrock Clinic, the Mater Private and the Beacon Hospital, certain Special Procedures

Info

Not covered except for 5 orthopaedic procedures (hip and knee replacement) which are fully covered 

The Blackrock Clinic, the Mater Private and the Beacon Hospital procedures other than Cardiac and Special

Info
Not covered

Day Case Private Hospitals

Info

Covered in selected private hospitals, see list.

  • SimplyHealth Starter
    Laya Healthcare

    Private Tier One Hospitals (No excess per claim)

    Aut Even Kilkenny

    Barringtons Hospital Limerick

    Cahercalla Hospital, Co. Clare (day case and surgical outpatient only)

    Clane General Hospital, Kildare

    Cork Clinic (day case and surgical outpatient only)

    Hampstead Clinic, Dublin 9

    National MS Care Centre, Dublin 6

    Park West Clinic, Dublin 12 (day case and surgical outpatient only)

    St. Edmundsbury, Lucan, Co. Dublin

    St. John of God, Co. Dublin

    St. Joseph's Garden Hill, Sligo (surgical admissions only)

    St. Patrick's Hospital, Dublin 8

    St.Francis Mullingar, Westmeath (surgical admissions only)

    Private Tier Two Hospitals (No excess per claim)

    Galway Clinic

    Hermitage Clinic, Dublin 20

    Mater Private Cork (day case and surgical out-patient only)

    St.Vincents Private, Dublin 4

    Whitfield Clinic, Waterford

    Private Hospitals Not Covered

    Bon Secours Dublin 9

    Bon Secours Tralee

    Bons Secours Cork

    Bons Secours Galway

    Highfield Hospital, Dublin 9

    North West Independent, Derry

    Sports Surgery Clinic Dublin 9

    Ulster Independent, Belfast

    Print

Day Case The Blackrock Clinic, the Mater Private and the Beacon Hospital

Info
Not covered

Convalescence

€50 x 14

Cancer Support Benefit

Info

€100 per night; Cover for 1 hairpiece per year following cancer treatment; Cover for first breast prosthesis following inpatient claim, second prosthesis assessed in accordance with surgical appliance list; Sleeping caps, full refund for 1 sleeping caps per membership year; Eyebrow tattooing (following cancer treatment), up to €60 once per membership year

Maternity

Hospital Costs Up To 3 Nights

Full Cover

Home Births

€3,200

Delivery Consultant Fees

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Covered up to agreed charges incurred on day of delivery for participating consultants

Outpatient Maternity Consultant Care

€250

Post-Natal Home Help

Not covered

Post Natal Home Nursing

€900 following 1 night's stay of €450 following 2

Child Home Nursing

50% up to €2,800 per year

Pre/Post-Natal Care

Info

Up to €385 combined receipts for a range of benefits including; car parking benefit-max €20 refund, new parent's food allowance-max €20 refund for up to 2 months before & 3 months after delivery & paediatric first aid course-max €20 refund

Child Healthcare Benefit

Child Healthcare Support Benefit up to €275 for certain outpatient treatments following 3 nights in hospital; ask laya for details.

Parent Accompanying Child

Not covered

Partner Benefit

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Not covered

Breastfeeding Consultancy

Not covered

Other Maternity Benefits

Not covered

Fertility Benefits

€1,000 twice per lifetime for IVF, IUI, ICSI

Out-patient Benefits

Individual Excess

Info
€1

Family Excess

Info
€1

Consultant Fees

50%

GP Visits

50%refund, GP Helpline; GP live online consultations X 5; Full cover for 2 HSE GP out of hours visits

 

Physiotherapist

50% x 25; Physioline

Emergency Dental Care

50% up to €300

Non Emergency Dental

50% up to €25

Home Nursing

50% up to €950

A & E Charge

50% up to €50; Quickcare-up to €150 for approved minor injuries and illness centres

Alternative Medicines-Acupuncture, Chiropractor, Osteopath

50% x 12 visits per therapy

Dietician, Occupational Therapist, Chiropodist, Speech Therapist

Speech Therapy 50% x 8 +1 x €60 assessment. Occupational Therapist 50% x 5 +1 x €60 assessment. Dietician & Chiropody 50% x 5 visits per therapy

Psycho-Oncology Counselling

Not covered

Manual Lymph Drainage

€500 - not subject to outpatient excess

Hearing Test

Not covered

Optical

50% up to €20

Prescription Costs

Not covered

Employee Assistance Programme

Covered

Other Day To Day Practitioners

Reflexologist 50% x 8 ; Homeopathy 50% x 12; Healthcoach online assessment and personalised programmes - unlimited use; Healthcoach face-to-face consultation - full cover for 1 consultation every 2 years.

Child Speech And Language Therapy

50% x 8 plus 50% up to €60 for 1 assessment

Vaccinations

Not covered

Outpatient Policy Limit

Info
€6,400

Out-patient Radiology

Approved Centres

Info
MRI, CT and PET-CT covered in full in direct payment centres except cardiac CT's which are covered by non-direct payment terms. 50% refund on costs in non direct payment centres.

Non-Approved Centres

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Not covered

Radiology Consultants' Fees

50% of costs

Radiology Test Fees

50% of costs

Health Screening

Men and Women's Cancer Screening 50%. Full cover for 'HeartBeat' cardiac screening, no excess; Home testing kits, 50% up to €20

Overseas

Benefit Abroad For Surgical Procedures Available In Ireland

Info

Covered in the EU subject to approval

Benefit Abroad For Surgical Procedures Not Available In Ireland

Info

Covered in the EU subject to approval

Hospital Bill

€100,000

Repatriation Expenses

Info
€2,000,000

Companion Repatriation Expenses

€1,000

24 Hour Telephone Assistance

Covered

Expenses For Companion

Not covered

Psychiatric Cover

Inpatient Psychiatric Non Alcohol Drug

Info
100 days

Inpatient Psychiatric Alcohol Related

Info
91 days per 5 years

Outpatient Psychiatric Care

Info

50% x 12 Mental Health Consultations in Dean Clinic; Child Counselling 8 visits up to €275 following 3 days in hospital-part of Child Healthcare Support Benefit; 50% x 12 eating disorder consultations at Lois Bridges; Counselling Support Benefit 24/7 Telephone Counselling, full cover; Face to face/Video/Phone Counselling, full cover for 5 visits per issue; Cover for specific support services, full cover for 1 session per presenting issue for legal, consumer & health advice, career guidance, life coach & mediation.