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VHI Healthcare

PMI 41 15

Prices per Annum

Date current version of plan commenced

Info

Adult

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€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

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

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€350

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

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Not covered

Breastfeeding Consultancy

€30 x 2 visits

Other Maternity Benefits

Foetal Screening €100 per pregnancy; Antenatal Course €75

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

Consultant Fees

€60 x 7 visits; Consultant Consultation at Vhi Swiftcare 50% (orthopaedic, oral maxillofacial & sports medicine)

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-Oncology 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

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

Vaccinations

Travel Vaccinations €100

Outpatient Policy Limit

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€3,200

Out-patient Radiology

Approved Centres

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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

€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

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