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VHI Healthcare

PMI 38 14

Prices per Annum

Date current version of plan commenced

Info

Adult

Info
€1,661.62

Child 1

€530.43

Child 2

€530.43

Child 3

€530.43

Child 4

€0.00

Young Adult

€533.20

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 in selected private hospitals, except 80% cover for certain orthopaedic and ophthalmic procedures. Approved sports injury treatment programmes in Santry Sports Surgery Clinic covered with €75 excess per claim

  • PMI 38 14
    VHI Healthcare

    Private Hospitals Covered

    Aut Even, Kilkenny

    Barringtons Hospital, Limerick

    Bon Secours, Dublin 9

    Cahercalla Hospital, Clare

    Clane General Hospital, Kildare

    Galway Clinic

    Hampstead Clinic, Dublin 9

    Hermitage Clinic, Dublin 20

    Highfield Hospital, Dublin 6

    Kingsbridge Private Hospital, Sligo

    Mater Private, Cork

    North West Independent, Derry

    Sports Surgery Clinic, Dublin 9

    St Edmundsbury, Lucan, Co. Dublin

    St. Francis Private, Mullingar, Co. Westmeath

    St. John of God, Co. Dublin

    St. Joseph's Private, Sligo

    St. Vincent's Private, Dublin 4

    Ulster Independent Clinic, Belfast

    Whitfield Clinic, Waterford

    Private Hospitals Not Covered

    Bon Secours, Cork

    Bon Secours, Galway

    Bon Secours, Tralee

    Print

Private Hospital Private Room

Covered with €50 excess per night, except 80% for certain orthopaedic and ophthalmic procedures with €50 excess per night; Approved sports injury treatment programmes in Santry Sports Surgery Clinic covered with €75 excess per claim

  • PMI 38 14
    VHI Healthcare

    Private Hospitals Covered

    Aut Even, Kilkenny

    Barringtons Hospital, Limerick

    Bon Secours, Dublin 9

    Cahercalla Hospital, Clare

    Clane General Hospital, Kildare

    Galway Clinic

    Hampstead Clinic, Dublin 9

    Hermitage Clinic, Dublin 20

    Highfield Hospital, Dublin 6

    Kingsbridge Private Hospital, Sligo

    Mater Private, Cork

    North West Independent, Derry

    Sports Surgery Clinic, Dublin 9

    St Edmundsbury, Lucan, Co. Dublin

    St. Francis Private, Mullingar, Co. Westmeath

    St. John of God, Co. Dublin

    St. Joseph's Private, Sligo

    St. Patrick's Hospital, Dublin 8

    St. Vincent's Private, Dublin 4

    Ulster Independent Clinic, Belfast

    Whitfield Clinic, Waterford

    Private Hospitals Not Covered

    Bon Secours, Cork

    Bon Secours, Galway

    Bon Secours, Tralee

    Print

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; 80% cover for certain orthopaedic and ophthalmic procedures

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

Info
50% semi-private rate; 40% private rate; Beacon full cover but 80% cover for certain orthopaedic and ophthalmic procedures in all three hospitals

Day Case Private Hospitals

Info

Covered except 80% cover for certain orthopaedic and ophthalmic procedures; Approved sports injury treatment programmes in Santry Sports Surgery Clinic covered with €75 excess per claim

  • PMI 38 14
    VHI Healthcare

    Private Hospitals Covered

    Aut Even, Kilkenny

    Barringtons Hospital, Limerick

    Bon Secours, Dublin 9

    Cahercalla Hospital, Clare

    Clane General Hospital, Kildare

    Galway Clinic

    Hampstead Clinic, Dublin 9

    Hermitage Clinic, Dublin 20

    Highfield Hospital, Dublin 6

    Kingsbridge Private Hospital, Sligo

    Mater Private, Cork

    North West Independent, Derry

    Sports Surgery Clinic, Dublin 9

    St Edmundsbury, Lucan, Co. Dublin

    St. Francis Private, Mullingar, Co. Westmeath

    St. John of God, Co. Dublin

    St. Joseph's Private, Sligo

    St. Patrick's Hospital, Dublin 8

    St. Vincent's Private, Dublin 4

    Ulster Independent Clinic, Belfast

    Whitfield Clinic, Waterford

    Private Hospitals Not Covered

    Bon Secours, Cork

    Bon Secours, Galway

    Bon Secours, Tralee

    Print

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

Info
Covered; 80% cover for certain orthopaedic and ophthalmic procedures

Convalescence

€30 x 14

Cancer Support Benefit

Info

€100 for 1 night's accommodation for each treatment; Wig/hairpiece, mastectomy bra, swimsuit, surgical prosthesis (no excess, but subject to the maximum for medical and surgical appliances of €6,650)

Maternity

Hospital Costs Up To 3 Nights

Full Cover

Home Births

€4,000

Delivery Consultant Fees

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

Outpatient Maternity Consultant Care

See pre/post natal care

Post-Natal Home Help

€100 within 6 weeks of birth

Post Natal Home Nursing

€1,500 following 1 night's stay or €800 following 2 night's stay

Child Home Nursing

€100 x 28

Pre/Post-Natal Care

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€500; €1 outpatient excess

Child Healthcare Benefit

Paediatrician 75% cover; Vhi paediatric clinic (Swiftcare) initial consultant consultation 50% cover, follow up paediatric treatment and services (including lactation consultant, dietician, ultrasound, blood tests and x-ray) 50% cover

Parent Accompanying Child

€125 x 15 following 3 night's stay in hospital

Partner Benefit

Info
Not covered

Breastfeeding Consultancy

Covered under Mother and Baby Package in "Other Maternity Benefits" section.

Other Maternity Benefits

Foetal Screening €200 per pregnancy; 75% up to €600 for Mother and Baby Bundle (Maternity Yoga and Pilates classes, 1 Maternity Scan, Breastfeeding consultations, Baby Massage Classes, Baby Swim Classes, Antenatal Course)

Fertility Benefits

Fertility Programme carried out in Vhi participating fertility treatment centre: Initial Consultations €100 discount; AMH & Semen Analysis tests €100 discount; Egg Freezing once per lifetime €1,000; Sperm Freezing once per lifetime €125; IUI €450 twice per lifetime; IVF or ICSI €1,000 per treatment twice per lifetime; Fertility Counselling €40 per session, 4 sessions per treatment. Fertility support services, see Acupuncturist and Dietician under Outpatient section.

 

Out-patient Benefits

Individual Excess

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€1

Family Excess

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€1 per person

Consultant Fees

€130 x 12 visits; Consultant Consultation at Vhi Swiftcare 75% (orthopaedic, oral maxillofacial & sports medicine)

GP Visits

75% cover; Practise Nurse 75% cover

Physiotherapist

€40 x 12 visits; Swiftcare physiotherapy €40 x 12 visits

Emergency Dental Care

Not covered

Non Emergency Dental

€40 x 12 visits; Swiftcare €40 x 12 visits

Home Nursing

Full cover for Vhi Homecare benefit for certain procedures and upon referral from certain hospitals

A & E Charge

€75 x 2 visits (public A+E); Vhi Swiftcare €100 towards initial consultation (€25 member co-payment); follow-up treatment package 50% cover subject to maximum member co-payment of €100 - unlimited visits; For sports injuries member can claim full cover for Swiftcare Clinic subject to €75 excess per claim X 2 visits.

Alternative Medicines-Acupuncture, Chiropractor, Osteopath

75% cover

Dietician, Occupational Therapist, Chiropodist, Speech Therapist

75% cover

Psycho-Oncology Counselling

€50 X 10 visits

Manual Lymph Drainage

€50 x 10 visits

Hearing Test

€50 x 2 tests

Optical

Eye Tests, Glasses and Contact Lenses 75% up to €200 every 2 years (If attending a VSP network provider, benefit will not be subject to excess); Vhi VisionCare E-Screen (available through MyVhi.ie)-Full cover; Eye exam carried out by a VSP eye-care professional in each 24 month period - subject to Vhi VisionCare E-Screen referral

Prescription Costs

Not covered

Employee Assistance Programme

Emotional Wellbeing Service provided by Imagine Health €150 x 12 visits- contact Vhi for details

Other Day To Day Practitioners

Orthoptists, Reflexologists, Podiatrist 75% cover; Strength and Conditioning Coach €40 X 3 visits

Child Speech And Language Therapy

€40 x 2 visits or 75% cover, whichever is higher.

Vaccinations

Travel Vaccinations €100 per year

Outpatient Policy Limit

Info

€5,000

Out-patient Radiology

Approved Centres

Info

CT full cover; PET-CT full cover; MRI covered, no excess for category 1, with €125 excess for category 2, see rules.

Non-Approved Centres

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Not covered

Radiology Consultants' Fees

€100 per procedure

Radiology Test Fees

75% of charges to a max of €1000 per year

Health Screening

Male and Female Screening €250 per member every 2 years; 50% cover for Dexa and 100% for Mammograms every 2 years; 1 Fitness Screening every 3 years in Santry Sports Surgery Clinic; STI Screening up to €100; 1 maternity scan covered under Mother and Baby Package in "Other Maternity Benefits" section; Full cover for genetic testing for specified genetic mutations in an approved clinic and 50% cover for initial consultation. Follow on preventative treatment covered up to the level of cover provided in the Inpatient section.

 

Overseas

Benefit Abroad For Surgical Procedures Available In Ireland

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€100,000

Benefit Abroad For Surgical Procedures Not Available In Ireland

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€100,000

Hospital Bill

€100,000

Repatriation Expenses

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Covered

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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Mental Health Assessment €100 every 2 years; Mental Health Therapy €100 x 12 visits; Approved day care programmes, contact Vhi for details; Child counselling €30 x 13 visits