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VHI Healthcare

PMI 41 15

Prices per Annum

Date current version of plan commenced

Info

Adult

Info
€1,377.99

Child 1

€354.74

Child 2

€354.74

Child 3

€354.74

Child 4

€0.00

Young Adult

€482.60

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; 80% cover for certain orthopaedic and ophthalmic procedures; €75 Excess per claim

Private Hospital Private Room

Semi-private rate; 80% of the semi-private rate for certain orthopaedic and ophthalmic procedures; €75 Excess per claim

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

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Covered, €75 excess per claim

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

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Covered; 80% cover for certain orthopaedic and ophthalmic procedures; €75 excess per claim

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

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Beacon Hospital full cover semi-private, Blackrock Clinic 35% cover and Mater Private 45% cover semi-private; €75 excess per claim

Day Case Private Hospitals

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Covered; €50 excess per claim

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

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Covered; €50 excess per claim

Convalescence

€75 x 14 nights

Cancer Support Benefit

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€100 for each treatment up to €1500 per year

Maternity

Hospital Costs Up To 3 Nights

Covered

Home Births

€3,400

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

See pre/post natal care

Post Natal Home Help

€100 within 6 weeks of birth

Alternative Amount To Post Natal Home Help

Not covered

Post Natal Home Nursing

€1,200 following 1 night's stay or €600 following 2 night's stay

Child Home Nursing

€100 x 28 days

Pre Post Natal Care

€350

Child Healthcare Benefit

Paediatrician €60 x 1; Child Counselling €25 x 7; Baby massage €100 per child; Vhi Swiftcare Newborn baby programme €150; Vhi Swiftcare Paediatric visit or developmental check-up €100; 

Parent Accompanying Child

€100 x 14 following 3 night's stay in hospital

Partner Benefit

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Not covered

Breastfeeding Consultancy

€30 x 2 visits

Other Maternity Benefits

Foetal Screening €100 per pregnancy; Antenatal Course €75; Fertility Programme carried out in Vhi participating fertility treatment centre: Initial Consultations €100 discount; AMH & Semen Analysis tests €100 discount; IUI €450 once per lifetime; IVF or ICSI €1,000 per treatment twice per lifetime; Fertility Counselling €40 per session, 4 sessions per treatment.

Out-patient Benefits

Individual Excess

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€1

Family Excess

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€1

Consultant Fees

€60 x 7 visits

GP Visits

€25 x 7 visits

Physiotherapist

€25 x 7 visits 

Emergency Dental Care

Up to €750 per accident

Non Emergency Dental

€25 x 7 visits 

Home Nursing

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

A & E Charge

A+E €75 x 2 visits; 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

Alternative Medicines Acupuncture Chiropractor Osteopath

€25 x 7 combined visits

Dietician Occupational Therapist Chiropodist Speech Therapist

€25 x 7 combined visits

Psycho Onchology Counselling

Not covered

Manual Lymph Drainage

€50 x 10 visits

Hearing Test

€50 every 12 months

Optical

75% of charges up to €100 every 12 months for eye tests and glasses/contact lenses; 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

Not covered

Other Day To Day Practitioners

Not covered

Child Speech And Language Therapy

Not covered

Travel Vaccinations

€100

Out Patient Policy Limit

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€3,200

Out-patient Radiology

Approved Centres

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CT covered under Radiology, subject to excess; oncology patients of certain hospitals full cover. PET-CT Covered no excess; 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

€60 per procedure

Radiology Test Fees

50% of charges to a max of €500 per year

Health Screening

Lifestyle screening in a Vhi Medical centre €170 per screen every 2 years; 50% cover for Dexa and 100% for Mammograms every 2 years;

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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€1,000,000

Companion Repatriation Expenses

Not covered

24 Hour Telephone Assistance

Covered

Expenses For Companion

€1,000 for travel, €1,000 for accommodation

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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Mental health assessment €100 per 2 yrs; Mental health therapy €25 X 7; Clinical Psychologist €25 x 7 visits; Child Counselling €25 x 7 visits