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Irish Life Health

Health Plan 13

Prices per Annum

Date current version of plan commenced

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Adult

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€1,327.80

Child 1

€320.00

Child 2

€320.00

Child 3

€320.00

Child 4

€118.40

Young Adult

€663.70

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 with €125 excess per claim; €2000 co-payment on certain orthopaedic procedures

Private Hospital Private Room

semi-private rate with €125 excess per claim; €2000 co-payment on certain orthopaedic procedures

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

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Covered with €125 excess per claim

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

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Covered with €125 excess per claim; €2000 co-payment on certain orthopaedic procedures

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

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Semi-Private Rate (Beacon only) subject to €125 excess per claim. Mater Private and Blackrock Clinic45% semi-private; 35% private; €2000 co-payment on certain orthopaedic procedures; €500 excess per claim

Day Case Private Hospitals

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Covered with €125 excess per claim

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

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Covered with €125 Excess per claim

Convalescence

€40 x 14

Cancer Support Benefit

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€100 x 15; Cover for Breast Prosthesis 50% up to €1,000; Cover for wig following cancer treatment 50% up to €1,000

Maternity

Hospital Costs Up To 3 Nights

Full Cover

Home Births

€3,450

Delivery Consultant Fees

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

Outpatient Maternity Consultant Care

Se pre/post natal care

Post-Natal Home Help

Postnatal Domestic Support benefit of 2 x 3 hr cleaning sessions

Post Natal Home Nursing

Not covered

Child Home Nursing

€100 x 14

Pre/Post-Natal Care

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50% up to €250; €1 excess

Child Healthcare Benefit

Child Counselling 50% up to €30 x 8; €1 excess

Parent Accompanying Child

€40 x 14 not incl. first 3 days

Partner Benefit

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€50 x 2

Breastfeeding Consultancy

€25 x 2

Other Maternity Benefits

Home Early Support following 1 night's stay in hospital of 2 hrs midwife and 3 x 3 hrs with postnatal supporter or following 2 night's stay in hospital of 1 hr midwife and 2 x 3 hrs with postnatal supporter; Postnatal Support benefit 1 x 3 hr sessions with postnatal supporter; Maternity Mental Health Support €40 x 8 sessions with Nurture; Antenatal Class benefit of €50 towards antenatal class plus 10% off GentleBirth workshop and Access to GentleBirth app; Maternity "Welcome Home Food Hamper" plus 30 min phone consultation with Nutritionist; Discount off cord blood stem cell preservation; Pre and post-natal yoga/pilates €20 x 2 visits

Fertility Benefits

AMH Fertility Test €50; Fertility Treatment at Beacon CARE Fertility 10% discount; Infertility benefit of 50% cover up to a max of €750 for IVF, IUI, ICSI, twice per lifetime.

Out-patient Benefits

Individual Excess

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€1

Family Excess

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€1 per member

Consultant Fees

50% up to €70 per visits; International Second Opinion Service

GP Visits

€35 x 7; Digital Doctor Service - unlimited consultations by phone or online video 

Physiotherapist

€35 x 7; "Back-Up" treatment programme of 8 sessions, twice a year. Once off fee of €50 to customer

Emergency Dental Care

Up to €250

Non Emergency Dental

€35 x 7

Home Nursing

€40 x 20

A & E Charge

€66 X 2 visits public A&E; Minor Injury Clinic Cover of 75% up to €400 per visit (HSE) and 75% up to €400 per visit (private)

Alternative Medicines-Acupuncture, Chiropractor, Osteopath

€35 x 7 combined visits

Dietician, Occupational Therapist, Chiropodist, Speech Therapist

€35 x 7 combined visits with the benefit above

Psycho-Oncology Counselling

50% up to €25 x 8

Manual Lymph Drainage

50% up to €25 x 8

Hearing Test

50% up to €25 x 1

Optical

50% up to €25 x 1

Prescription Costs

50% up to €25 x 1

Employee Assistance Programme

Telephone Stress Line plus 6 face-to-face follow up counselling sessions

Other Day To Day Practitioners

Massage Therapist, Medical Herbalist, Podiatrist, Reflexologist, Physical Therapist covered under alternative practitioners benefit

Child Speech And Language Therapy

50% up to €30 x 8

Vaccinations

Travel Vaccinations €50 x 1, no excess; HPV Vaccine 50% up to €200 per year

Outpatient Policy Limit

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€4,000

Out-patient Radiology

Approved Centres

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MRI, CT and PET-CT Covered, not subject to outpatient excess

Non-Approved Centres

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Not covered

Radiology Consultants' Fees

50% covered as per schedule of benefits for professional fees; €1 excess

Radiology Test Fees

50% covered; €1 excess

Health Screening

€100 per annum; no excess. Ocotype DX covered; Genetic Testing initial consultation 50% cover, test for specified genetic mutations covered in approved clinics

 

Overseas

Benefit Abroad For Surgical Procedures Available In Ireland

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Covered; Gender Reassignment 50% up to €10,000 when carried out in a medical facility in the EEA

Benefit Abroad For Surgical Procedures Not Available In Ireland

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Covered; Gender Reassignment 50% up to €10,000 when carried out in a medical facility in the EEA

Hospital Bill

€100,000

Repatriation Expenses

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€1,000,000

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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Child Counselling 50% up to €30 x 8; €1 excess