Health Insurance Comparison | HIA: Health Insurance Authority

Displaying: 1 of 1 Plans Show all benefits	Laya Healthcare Simply Health Choice

Date current version of plan commenced Info	01-09-2017
Adult Info	€1,412.58
Child1	€354.34
Child2	€354.34
Child3	€354.34
Child4	€354.34
Young Adult	€625.66

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 €50/€175 excess per claim. No excess will apply for certain listed orthopaedic procedures in listed private hospitals
Private Hospital Private Room	Covered with €50/€175 excess per claim and shortfall of €165 per night. No shortfall in the Mater Private Cork. No excess will apply for certain listed orthopaedic procedures in listed private hospitals
The Blackrock Clinic, the Mater Private and the Beacon Hospital, certain Cardiac Procedures Info	Covered
The Blackrock Clinic, the Mater Private and the Beacon Hospital, certain Special Procedures Info	Covered with €175 shortfall per night and €250 excess per claim. Listed orthopaedic procedures have no excess or shortfall applied in the Mater Private and Blackrock Clinic
The Blackrock Clinic, the Mater Private and the Beacon Hospital procedures other than Cardiac and Special Info	Covered with €175 shortfall per night and €250 excess per claim
Day Case Private Hospitals Info	Covered with €50/€175 excess per claim
Day Case The Blackrock Clinic, the Mater Private and the Beacon Hospital Info	Covered with €250 excess per claim
Convalescence	€50 x 14
Cancer Support Benefit Info	€100 per night

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
Out Patient Maternity Consultant Care	€400
Post Natal Home Help	Not covered
Alternative Amount To Post Natal Home Help	Not covered
Post Natal Home Nursing	€1200 following 1 night's stay or €600 following 2 nights
Child Home Nursing	50% up to €2,800 per year
Pre Post Natal Care	€275 combined receipts for baby massage classes, midwifery service, optical, dental, breastfeeding consultations, GP, physiotherapy, complementary therapies, chiropody, nutritionist & counselling service
Child Healthcare Benefit	Child Healthcare Support Benefit up to €250 for GP's, consultants, physiotherapy, radiology, pathology, child counselling, speech & language therapy, dietician, occupational therapy following 3 nights in hospital; ask laya for details.
Parent Accompanying Child	€105 x 14 not incl. first 3 days
Partner Benefit Info	Not covered
Breastfeeding Consultancy	Part of Pre/Post natal care benefit
Other Maternity Benefits	Members on the Simply Health Plus product will have up to €1000 for benefit towards specific infertility treatments at approved centres, please contact Laya Healthcare for further details.

Individual Excess Info	€1
Family Excess Info	€1
Consultant Fees	50%
GP Visits	50%; GP Helpline; 3 consultations for online GPLive or Prescription Consultation Service
Physiotherapist	50%; Physioline
Emergency Dental Care	50% up to €510
Non Emergency Dental	50% up to €300
Home Nursing	50% up to €950
A & E Charge	50% up to €50
Alternative Medicines Acupuncture Chiropractor Osteopath	50% for each therapy
Dietician Occupational Therapist Chiropodist Speech Therapist	50% for each therapy
Psycho Onchology Counselling	Not covered
Manual Lymph Drainage	€500 - not subject to outpatient excess
Hearing Test	50% up to €40 per year
Optical	50% up to €150
Prescription Costs	Not covered
Employee assistance programme	Covered
Other Day To Day Practitioners	Reflexologist 50%; Homeopathy 50%
Child Speech And Language Therapy	50% x 8 plus 50% up to €60 for 1 assessment
Travel Vaccinations	50% up to €60
Out Patient Policy Limit Info	€7,650

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 Info	Not covered
Radiology Consultants Fees	50% of costs
Radiology Test Fees	50% of costs
Health Screening	Full cover for Mammograms and Dexa scans in certain centres. Men and Women's Cancer Screening 50%. Full cover for 'HeartBeat' cardiac screening, no excess

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	€1,000

In Patient Psychiatric Non Alcohol Drug Info	100 days
In Patient Psychiatric Alcohol Related Info	91 days per 5 years
Out Patient Psychiatric Care Info	50% x 12 Mental Health Consultations in Dean Clinic; Child Counselling 8 visits up to €50 following 3 days in hospital-part of Child Healthcare Support Benefit; 50% x 12 eating disorder consultations at Lois Bridges

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