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VHI Healthcare

PMI 41 15

Prices per Annum

Date current version of plan commenced




Child 1


Child 2


Child 3


Child 4


Young Adult




In Patient

Private Patient in a multi-occupancy (which may include semi-private) room in a public hospital and day case.



Public Hospital Private Room


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


Covered, €75 excess per claim

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


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


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


Covered; €50 excess per claim

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


Covered; €50 excess per claim


€75 x 14 nights

Cancer Support Benefit


€100 for each treatment up to €1500 per year


Hospital Costs Up To 3 Nights


Home Births


Delivery Consultant Fees


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

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

Child Home Nursing

€100 x 28 days

Pre/Post-Natal Care



Child Healthcare Benefit

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

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

Partner Benefit


Not covered

Breastfeeding Consultancy

€30 x 2 visits

Other Maternity Benefits

Foetal Screening €100 per pregnancy; 75% up to €500 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



Family Excess



Consultant Fees

50%; Consultant Consultation at Vhi Swiftcare 50% (orthopaedic, oral maxillofacial & sports medicine)

GP Visits

50%; Practice Nurse 50%


€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


Dietician, Occupational Therapist, Chiropodist, Speech Therapist


Psycho-Oncology Counselling

Not covered

Manual Lymph Drainage

€50 x 10 visits

Hearing Test

€50 every 12 months


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

See benefit for 'Dietician, Occupational Therapist, Chiropodist, Speech Therapist' above


Travel Vaccinations €100

Outpatient Policy Limit



Out-patient Radiology

Approved Centres


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


Not covered

Radiology Consultants' Fees


Radiology Test Fees

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

Health Screening

Lifestyle screening in a Vhi Medical centre €205 per screen every 2 years; 50% cover for Dexa and 100% for Mammograms every 2 years; STI Screening up to €100; 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.


Benefit Abroad For Surgical Procedures Available In Ireland



Benefit Abroad For Surgical Procedures Not Available In Ireland



Hospital Bill


Repatriation Expenses



Companion Repatriation Expenses

Not covered

24 Hour Telephone Assistance


Expenses For Companion

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

Psychiatric Cover

Inpatient Psychiatric Non Alcohol Drug


100 days

Inpatient Psychiatric Alcohol Related


91 days per 5 years

Outpatient Psychiatric Care


Mental health assessment €100 per 2 yrs; Mental health therapy €75 X 7; Clinical Psychologist €25 x 7 visits; Child Counselling €25 x 7 visits