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Laya Healthcare

Essential Connect Family

Prices per Annum

Date current version of plan commenced

Info

Adult

Info
€1,290.35

Child 1

€250.53

Child 2

€250.53

Child 3

€250.53

Child 4

€250.53

Young Adult

€645.18

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

Semi-private rate

Private Hospital Semi-Private Room

Covered with once-off €300 excess per family per year; No excess applies to 5 orthopaedic procedures (hip and knee replacement) in 12 private hospitals

Private Hospital Private Room

Covered with once-off €300 excess per family per year + shortfall of €250 per night. Full cover in the Mater Private Cork; No excess/shortfall applies to 5 orthopaedic procedures (hip and knee replacement) in 12 private hospitals

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

Info

Reduced cardiac list covered in Mater Private and Blackrock Clinic, no excess; Ask Laya for details. Covered in Beacon Hospital with once-off €300 excess per family per year.

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

Info

Covered in Beacon with once-off €300 excess per family per year; No excess applies to 5 orthopaedic procedures (hip and knee replacement). No cover in Blackrock Clinic or Mater Private 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

Covered in Beacon Hospital with once-off €300 excess per family per year. No cover in the Blackrock Clinic or Mater Private

Day Case Private Hospitals

Info

Covered with once-off €300 excess per family per year.

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

Info

Covered in Beacon Hospital with once-off €300 excess per family per year. No cover in the Blackrock Clinic or Mater Private.

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

€3,500

Delivery Consultant Fees

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

Outpatient Maternity Consultant Care

€400

Post-Natal Home Help

Not covered

Post Natal Home Nursing

Not covered

Child Home Nursing

€80 x 28

Pre/Post-Natal Care

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Not covered

Child Healthcare Benefit

Not covered

Parent Accompanying Child

Not covered

Partner Benefit

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Not covered

Breastfeeding Consultancy

Not covered

Other Maternity Benefits

Not covered

Fertility Benefits

Not covered

Out-patient Benefits

Individual Excess

Info
€150

Family Excess

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€250

Consultant Fees

€51 per visit

GP Visits

GP Consultation Line; GP live online consultations X 3

Physiotherapist

Physioline

Emergency Dental Care

€510 for restorative treatment within 5 days

Non Emergency Dental

Not covered

Home Nursing

€40 x 40

A & E Charge

€20 per visit; Quickcare-up to €150 for approved minor injuries and illness centres

Alternative Medicines-Acupuncture, Chiropractor, Osteopath

Not covered

Dietician, Occupational Therapist, Chiropodist, Speech Therapist

Not covered

Psycho-Oncology Counselling

Not covered

Manual Lymph Drainage

€500-not subject to outpatient excess

Hearing Test

Not covered

Optical

Not covered

Prescription Costs

Not covered

Employee Assistance Programme

Not covered

Other Day To Day Practitioners

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

Not covered

Vaccinations

Not covered

Outpatient Policy Limit

Info
€6,400

Out-patient Radiology

Approved Centres

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MRI, CT and PET-CT covered in full in direct payment centres except cardiac CT's which are covered by non-direct payment terms. Covered up to €500 and subject to outpatient excess in non direct payment centres

Non-Approved Centres

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Not covered

Radiology Consultants' Fees

Full amount subject to outpatient excess

Radiology Test Fees

Full amount up to €500, subject to out-patient excess

Health Screening

Full cover for Mammograms and Dexa scans in certain centres. Women's Cancer Screening up to €30; Men's Cancer Screening up to €20. Full cover for 'HeartBeat' cardiac screening, no excess; Home testing kits, up to €20

Overseas

Benefit Abroad For Surgical Procedures Available In Ireland

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Covered in the EU subject to approval

Benefit Abroad For Surgical Procedures Not Available In Ireland

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Covered in the EU subject to approval

Hospital Bill

€100,000

Repatriation Expenses

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€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

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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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€50 x 12 Mental Health Consultations in Dean Clinic; €50 x 12 eating disorder consultations in Lois Bridges both subject to outpatient excess; 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 issue for legal, consumer & health advice, career guidance, life coach & mediation.