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VHI Healthcare

PMI 31 12

Prices per Annum

Date current version of plan commenced

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Adult

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€1,369.94

Child 1

€340.73

Child 2

€340.73

Child 3

€340.73

Child 4

€0.00

Young Adult

€457.48

Newborn

€0.00

In Patient

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

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Covered

Public Hospital Private Room

Covered

Private Hospital Semi-Private Room

Covered; €100 Excess per claim and 80% cover for certain orthopaedic and ophthalmic procedures

Private Hospital Private Room

Semi-private rate + 100% of the technical charges; €100 excess per claim and 80% of semi-private rate for certain orthopaedic and ophthalmic procedures

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

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Covered; €100 Excess per claim

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

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Covered; €100 Excess per claim and 80% cover for certain orthopaedic and ophthalmic procedures

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

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semi-private 45%; private 35%; €100 Excess and 80% cover for certain orthopaedic and ophthalmic procedures

Day Case Private Hospitals

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Covered; €100 Excess per claim and 80% cover for certain orthopaedic and ophthalmic procedures

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

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Covered; €100 Excess per claim and 80% cover for certain orthopaedic and ophthalmic procedures

Convalescence

€30 x 14

Cancer Support Benefit

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€100 for 1 night's accommodation for each treatment; Wig/hairpiece, mastectomy bra, swimsuit, surgical prosthesis (no excess, but subject to the maximum for medical and surgical appliances of €6,850)

Maternity

Hospital Costs Up To 3 Nights

Full Cover

Home Births

€3,500

Delivery Consultant Fees

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

Outpatient Maternity Consultant Care

See pre/post natal care

Post-Natal Home Help

Not covered

Post Natal Home Nursing

€1,200 following 1 night's stay; €600 following 2 nights' stay in hospital

Child Home Nursing

€100 x 28

Pre/Post-Natal Care

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€350; €1 outpatient excess

Child Healthcare Benefit

Paediatrician 1 visit up to €70; Baby massage classes €100; Foetal Screening €100; Child counselling €25 x 7 visits; Vhi paediatric clinic (Swiftcare) initial consultant consultation 75% cover, follow up paediatric treatment and services (including lactation consultant, dietician, ultrasound, blood tests and x-ray) 50% cover

Parent Accompanying Child

€100 X 14 not incl. first 3 days

Partner Benefit

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Not covered

Breastfeeding Consultancy

€30 x 2

Other Maternity Benefits

Antenatal Course €75

Fertility Benefits

Fertility Programme carried out in Vhi participating fertility treatment centre: Initial Consultations €100 discount; AMH & Semen Analysis tests €100 discount; Egg Freezing once per lifetime €1,000; Sperm Freezing once per lifetime €125; IUI €450 twice per lifetime; IVF or ICSI €1,000 per treatment twice per lifetime; Fertility Counselling €40 per session, 4 sessions per treatment. Fertility support services, see Acupuncturist and Dietician under Outpatient section.

 

Out-patient Benefits

Individual Excess

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€1

Family Excess

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€1 per person

Consultant Fees

€70 x 7 visits; Consultant Consultation at Vhi Swiftcare 50% (orthopaedic, oral maxillofacial & sports medicine)

GP Visits

€25 x 7

Physiotherapist

€25 x 7 visits

Emergency Dental Care

Not covered

Non Emergency Dental

€25 x 7 visits

Home Nursing

Full cover for Vhi Homecare benefit for certain procedures and upon referral from certain hospitals

A & E Charge

€75 x 2 (public hospital only); Vhi Swiftcare €75 towards initial consultation (€50 member co-payment); follow-up treatment package 50% cover subject to maximum member co-payment of €100 - unlimited visits

Alternative Medicines-Acupuncture, Chiropractor, Osteopath

€25 x 7 combined visits

Dietician, Occupational Therapist, Chiropodist, Speech Therapist

€25 x 7 combined visits

Psycho-Oncology Counselling

€50 X 10 visits

Manual Lymph Drainage

€50 X 10 visits

Hearing Test

€40 x 2

Optical

€100 every 2 years; ​Vhi VisionCare E-Screen (available through MyVhi.ie)-Full cover; Eye exam carried out by a VSP eye-care professional in each 24 month period - subject to Vhi VisionCare E-Screen referral (If attending a VSP network provider, benefit will not be subject to excess) 

Prescription Costs

Not covered

Employee Assistance Programme

Full EAP service with telephone and face to face counselling

Other Day To Day Practitioners

Orthoptist, Reflexologist, Podiatrist covered under alternative practitioners benefit; Strength and Conditioning Coach €25 X 3 visits

Child Speech And Language Therapy

See benefit for 'Dietician, Occupational Therapist, Chiropodist, Speech Therapist' above

Vaccinations

Travel Vaccinations €60

Outpatient Policy Limit

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€3,500

Out-patient Radiology

Approved Centres

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CT full cover; PET-CT full cover; MRI covered, no excess for category 1, with €125 excess for category 2, see rules.

Non-Approved Centres

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Not covered

Radiology Consultants' Fees

€60 per procedure

Radiology Test Fees

50% of charges to a max of €250 per year

Health Screening

Lifestages Screening Programme €150 per screen every 2 years; 100% cover Mammograms and 50% for Dexa scans every 2 years; Full cover 1 Fitness screening every 3 years; no excess

Overseas

Benefit Abroad For Surgical Procedures Available In Ireland

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€100,000

Benefit Abroad For Surgical Procedures Not Available In Ireland

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€100,000

Hospital Bill

€100,000

Repatriation Expenses

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Covered

Companion Repatriation Expenses

€1,000

24 Hour Telephone Assistance

Covered

Expenses For Companion

€1,000

Psychiatric Cover

Inpatient Psychiatric Non Alcohol Drug

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100 days

Inpatient Psychiatric Alcohol Related

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91 days per 5 years

Outpatient Psychiatric Care

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Mental Health Assessment €100 every 2 years; Mental Health Therapy €25 x 7; Clinical Psychologist €25 x 7; Child Counselling €25 x 7