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Irish Life Health

Health Plan 13

Prices per Annum

Date current version of plan commenced

Info

Adult

Info
€1,637.70

Child 1

€445.90

Child 2

€445.90

Child 3

€445.90

Child 4

€118.40

Young Adult

€818.70

Newborn

€0.00

In Patient

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

Info
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; Pre and post-natal yoga/pilates €20 x 2 visits

Fertility Benefits

AMH Fertility Test €50; 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

Healthy Minds benefit - up to 6 counselling sessions via phone, chat, video or face to face

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