Plan Costs

Plan cost: €1126.06 per year

Cost per additional child: €280.79 per year

Cost per additional young adult: €1126.06per year

Hospital Cover (In-patient benefits)

What’s covered: 

(leave blank)
✅ A Multi-Occupancy or Semi-Private room in a Public Hospital and Day Case (Semi-private: Full cover; Day-case/Out-patient surgical: Full cover)
✅ Public Hospital Private Room and Day Case (Private: A shortfall will apply per night for private accommodation; Day-case/Out-patient surgical: Full cover)
✅ Private Hospital Semi-Private Room (Private hospital excess: €175 excess for day-case & out-patient surgical & €600 excess for semi-private or private; Semi-private: Full cover in selected private hospitals; Specified Orthopaedic & Ophthalmic Procedures: No excess or shortfall applies for Specified orthopaedic procedures, normal excesses & shortfalls apply for ophthalmic procedures(Orthopaedic Hospital List: Click Here)
✅ Private Hospital Private Room (Private hospital excess: €175 excess for day-case & out-patient surgical & €600 excess for semi-private or private; Private: €300 shortfall per night. Full cover in the Mater Private Cork; Specified Orthopaedic & Ophthalmic Procedures: No excess or shortfall applies for Specified orthopaedic procedures, normal excesses & shortfalls apply for ophthalmic procedures(Orthopaedic Hospital List: Click Here))
✅ The Blackrock Clinic, the Mater Private and the Beacon Hospital, certain Special Procedures (Hi-tech hospital excess: Not applicable; Specified Orthopaedic & Ophthalmic Procedures: No excess or shortfall applies for Specified orthopaedic procedures, no cover in Hi-tech for ophthalmic procedures(Orthopaedic Hospital List: Click Here))
✅ Day Case Private Hospitals (Hi-tech hospital excess: Not applicable; Specified Orthopaedic & Ophthalmic Procedures: No excess or shortfall applies for Specified orthopaedic procedures, no cover in Hi-tech for ophthalmic procedures)
✅ Convalescence (Up to €40 per day for 14 days)
✅ Cancer Accommodation Support (Up to €100 per night. No limit)

What’s not covered: 

(leave blank)
❌ The Blackrock Clinic, the Mater Private and the Beacon Hospital, certain Cardiac Procedures
❌ The Blackrock Clinic, the Mater Private and the Beacon Hospital procedures other than Cardiac and Special
❌ Day Case The Blackrock Clinic, the Mater Private and the Beacon Hospital

Overseas Cover

What’s covered:

(leave blank)
✅ Benefit Abroad For Surgical Procedures Available In Ireland (Full cover for treatment in another country within the EU or UK, up to the amount payable in Ireland – subject to prior approval)
✅ Benefit Abroad For Surgical Procedures Not Available In Ireland (Full cover in the EU or UK- subject to prior approval)
✅ Hospital Bill (Up to €70,000 per episode of illness or injury)
✅ Repatriation Expenses (Up to €2 million towards the cost of medical evacuation. Up to €1,000 towards companion evacuation)
✅ Companion Repatriation Expenses (Up to €2 million towards the cost of medical evacuation. Up to €1,000 towards companion evacuation)
✅ 24 Hour Telephone Assistance (24 Hour GPLine and Nurseline cover from Ireland and abroad)
✅ Expenses For Companion (Up to €2 million towards the cost of medical evacuation. Up to €1,000 towards companion evacuation)

What’s not covered: 

(leave blank)
❌ Gender Affirmation

Maternity Cover

What’s covered:

(leave blank)
✅ Hospital Costs Up To 3 Nights (Full cover for 3 nights in a public hospital or up to €3,000 per year towards homebirth costs)
✅ Home Births (Full cover for 3 nights in a public hospital or up to €3,000 per year towards homebirth costs)
✅ Delivery Consultant Fees (Full cover for participating consultants)
✅ Outpatient Maternity Consultant Care (Up to €300 per pregnancy)
✅ Postnatal Home Nursing (Up to €1,200 for 2 nights home nursing & up to €600 for 1 night home nursing)
✅ Child Home Nursing (Up to €50 per day for 28 days)
✅ Pre & Postnatal Care (Paediatric First Aid Course: Up to €20 per year)
✅ Parent Accompanying Child (Up to €60 per day for 14 days)
✅ Other Maternity Benefits (Paediatric First Aid Course: Up to €20 per year)

What’s not covered: 

(leave blank)
❌ Postnatal Home Help
❌ Child Healthcare Benefit
❌ Partner Benefit
❌ Breastfeeding Consultancy

Outpatient Benefits

What’s covered:

(leave blank)
✅ Individual Excess (€1 excess)
✅ Family Excess (€1 excess)
✅ Consultant Fees (Up to €40 per visit)
✅ GP Visits (GP Visits: Up to €15 per visit; GPLive (online consultations): Unlimited consultations; 24 Hour GPLine cover from Ireland and abroad)
✅ Physiotherapist (Up to €15 per visit – 25 visits per year)
✅ Emergency Dental Care (Up to €400 per accident)
✅ Non Emergency Dental (Up to €80 per year)
✅ Home Nursing (Up to €30 per day for 40 days)
✅ A&E Charge (Hospital casualty charge: Up to €20 per visit; QuickCare consultations & treatment: Up to €75 per visit in laya healthcare approved minor injuries & illness centres; Fracture Clinic: Up to €75 for a consultation & up to €50 for an x-ray in laya healthcare approved minor injuries & illness centres)
✅ Alternative Medicines-Acupuncture, Chiropractor, Osteopath (Acupuncture: Up to €15 per visit – 12 visits per year; Chiropractor: Up to €15 per visit – 12 visits per year; Osteopath: Up to €15 per visit – 12 visits per year)
✅ Dietician, Occupational Therapist, Chiropodist, Speech Therapist (Dietician: Up to €15 per visit – 5 visits per year; Occupational therapy: Up to €15 per visit – 5 visits per year; Chiropody/ Podiatry: Up to €15 per visit – 5 visits per year; Speech & language therapy: Up to €15 per visit – 8 visits per year)
✅ Other Day To Day Practitioners (Reflexology: Up to €15 per visit – 8 visits per year; Homeopathy: Up to €15 per visit – 12 visits per year; Chiropractor: Up to €15 per visit – 12 visits per year)
✅ Cancer Support Benefit (Breast prosthesis or hairpiece (following cancer treatment): Full cover for both; Sleeping caps: Full refund for 1 sleeping cap per membership year; Eyebrow tattooing (following cancer treatment): Full refund up to €60 once per membership year)
✅ Psycho-Oncology Counselling (Adult Counselling-Psychologists : Up to €15 per visit – 8 visits per year)
✅ Manual Lymph Drainage (Full refund up to €500 per year)
✅ Hearing Test (Up to €30 per year)
✅ Optical (Optical: Up to €60 per year; Orthoptist: Up to €15 per visit – 8 visits per year)
✅ Employee Assistance Programme (24/7 Telephone Counselling: Full cover; Face to face/Video/Phone Counselling: Full cover for 6 visits per presenting issue)
✅ Child Speech And Language Therapy (Up to €15 per visit – 8 visits per year)
✅ Outpatient Policy Limit (€6,500)

What’s not covered: 

(leave blank)
❌ Prescription Costs
❌ Vaccinations
❌ Hormone Replacement Therapy for Gender Dysphoria

Outpatient Radiology

What’s covered:

(leave blank)
✅ Approved Centres (Direct payment MRI, CT & PET scans: Full cover in laya healthcare approved centres ; Direct payment bone density/dexa
scan: Full cover in approved direct payment density/dexa scan centres; Direct payment mammogram: Full cover in approved
direct payment mammogram centres)
✅ Radiology Consultants’ Fees (Up to €40 per scan in laya healthcare approved hospitals or out-patient centres)
✅ Radiology Test Fees (Up to €50 per scan in laya healthcare approved hospitals or out-patient centres)
✅ Health Screening (HeartBeat cardiac screening: Full cover for 1 screen every 2 years for members over the age of 12 ; Women’s cancer screening
(subject to annual out-patient excess): Up to €40 per year; Men’s cancer screening (subject to annual out-patient excess): Up to
€30 per year)

What’s not covered: 

(leave blank)
❌ Non-Approved Centres

Fertility Benefits

There are no fertility benefits included in this plan.