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Laya Healthcare

Control 300 Create

Prices per Annum

Date current version of plan commenced

Info

Adult

Info
€1,042.32

Child 1

€249.95

Child 2

€249.95

Child 3

€249.95

Child 4

€249.95

Young Adult

€1,042.32

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 €300 excess per claim; No excess applies to 5 orthopaedic procedures (hip and knee replacement) in 12 private hospitals

Private Hospital Private Room

Covered with €300 excess per claim; 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

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Covered-no excess.

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

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Beacon hospital covered with €300 excess per claim. Blackrock Clinic and Mater Private covered with €300 excess per claim and €200 shortfall per night; No excess/shortfall applies to 5 orthopaedic procedures (hip and knee replacement)

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

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Beacon hospital covered with €300 excess per claim. Blackrock Clinic and Mater Private covered with €300 excess per claim and €200 shortfall per night.

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

€55 x 14

Cancer Support Benefit

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€100 per night-unlimited nights; 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.

Maternity

Hospital Costs Up To 3 Nights

Full Cover

Home Births

€3,200

Delivery Consultant Fees

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

Out Patient Maternity Consultant Care

Up to €400

Post Natal Home Help

Not covered

Alternative Amount To Post Natal Home Help

Not covered

Post Natal Home Nursing

Up to €1600 for two nights

Child Home Nursing

€60 x 28

Pre Post Natal Care

Up to €150

Child Healthcare Benefit

Child healthcare support benefit up to €150 for certain outpatient treatments following 3 nights in hospital; ask laya for details

Parent Accompanying Child

€80 per day X 14 days

Partner Benefit

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Not covered

Breastfeeding Consultancy

Not covered

Other Maternity Benefits

€1,000 per lifetime towards IVF, IUI, ICSI

Out-patient Benefits

Individual Excess

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€1

Family Excess

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€1

Consultant Fees

€80 per visit

GP Visits

€30 per visit; 3 consultations for online GPLive or Prescription Consultation Service

 

Physiotherapist

Up to €30 X 25 visits; Physioline

Emergency Dental Care

Up to €450 per accident

Non Emergency Dental

Up to €150 per year

Home Nursing

Up to €40 per day X 40 days

A & E Charge

€50 per visit

Alternative Medicines Acupuncture Chiropractor Osteopath

€30 X 12 visits for each

Dietician Occupational Therapist Chiropodist Speech Therapist

Dietician €30 X 5 visits, Occupational therapist €35 X 5 visits, Chiropodist €30 X 5 visits, Speech therapist €30 X 8 visits

Psycho Onchology Counselling

Not covered

Manual Lymph Drainage

€500-not subject to outpatient excess

Hearing Test

Up to €50 per year

Optical

Up to €100 per year

Prescription Costs

Not covered

Employee assistance programme

Full cover

Other Day To Day Practitioners

Reflexologist €30 X 8 visits, Homeopaths €30 X 12 visits, Orthoptist €30 x 8 visits; 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

€30 X 8 visits

Travel Vaccinations

Not covered

Out Patient Policy Limit

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€6,500

Out-patient Radiology

Approved Centres

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Direct payment-covered except cardiac CT's which are covered by non-direct payment terms; Non-direct payment - covered up to €500, subject to outpatient excess

Non Approved Centres

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Not Covered

Radiology Consultants Fees

€60 per visit

Radiology Test Fees

Up to €75 per visit

Health Screening

Full cover for Mammograms and Dexa scans in certain centres. Women's Cancer Screening up to €50; Men's Cancer Screening up to €40. Full cover for 'HeartBeat' cardiac screening, no excess

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

In Patient Psychiatric Non Alcohol Drug

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100 days

In Patient Psychiatric Alcohol Related

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91 days per 5 years

Out Patient 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; Clinical Psychologist €30 x 8 visits