Plan Costs

Plan cost: €1161.20  per year

Cost per additional child:

Child Cost
Child 1 Age 0-17: €535.90
Child 2 Age 0-17: €535.90
Child 3 Age 0-17: €535.90
Child 4 €29.20

Cost per additional young adult:

Age Cost
Age 18-20 €580.40
Age 21 €656.60
Age 22 €766.00
Age 23 €890.80
Age 24 €1025.90
Age 25 €1161.20

Hospital Cover (In-patient benefits)

What’s covered: 

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✅ A Multi-Occupancy or Semi-Private room in a Public Hospital and Day Case
✅ Public Hospital Private Room and Day Case
✅ Private Hospital Semi-Private Room (65% cover except for 35% cover in the Galway Clinic and Hermitage)
✅ Private Hospital Private Room (45% cover except for 25% cover in the Galway Clinic and Hermitage)
✅ The Blackrock Clinic, the Mater Private and the Beacon Hospital, certain Special Procedures (35% cover)
✅ The Blackrock Clinic, the Mater Private and the Beacon Hospital procedures other than Cardiac and Special (35% semi-private; 25% private)
✅ Day Case Private Hospitals (60% cover except for 35% cover in the Galway Clinic and Hermitage)
✅ Day Case The Blackrock Clinic, the Mater Private and the Beacon Hospital (35%)
✅ Convalescence (€26 X 14 days)
✅ Cancer Accommodation Support (€100 x 15 days)

What’s not covered: 

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

Overseas Cover

What’s covered:

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✅ Benefit Abroad For Surgical Procedures Available In Ireland (Covered- subject to level of cover available in Ireland)
✅ Benefit Abroad For Surgical Procedures Not Available In Ireland (Covered – up to the amount for for the most similar surgical procedure to treat the same condition in Ireland)
✅ Hospital Bill (€55,000)
✅ Repatriation Expenses (€1,000,000)
✅ Companion Repatriation Expenses (€1,000)
✅ 24 Hour Telephone Assistance
✅ Expenses For Companion (€1,000)

What’s not covered: 

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❌ Gender Affirmation

Maternity Cover

What’s covered:

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✅ Hospital Costs Up To 3 Nights
✅ Home Births (€400)
✅ Delivery Consultant Fees (Covered as per schedule of benefits for professional fees)
✅ Postnatal Home Help (Postnatal Domestic Support benefit of 2 x 3 hr cleaning sessions)
✅ Other Maternity Benefits (Contribution for 4D scans; Maternity Mental Health Support €40 x 5 sessions with Nurture; €30 towards an antenatal class; Gentle birth app (Learn More); Maternity “Welcome Home Food Hamper” plus 30 min phone consultation with Nutritionist)

What’s not covered: 

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❌ Outpatient Maternity Consultant Care
❌ Postnatal Home Nursing
❌ Child Home Nursing
❌ Pre & Postnatal Care
❌ Child Healthcare Benefit
❌ Parent Accompanying Child
❌ Partner Benefit
❌ Breastfeeding Consultancy

Outpatient Benefits

What’s covered:

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✅ Individual Excess (€25 per member)
✅ Family Excess (€25 per member)
✅ Consultant Fees (€55 per visit; International Second Opinion Service)
✅ GP Visits (GP Visits €15 x 5 visits; Female Health Consultation – 50% cover x 4 consultations per year with our provider partner; Digital Doctor Service – unlimited; Nurse on call covered)
✅ Physiotherapist (“Back-Up” treatment programme of 8 sessions, twice a year. Once off fee of €50 to customer, no excess)
✅ Emergency Dental Care (€450)
✅ Home Nursing (€40 x 20 visits; Health in the Home – Home Nursing after a stay in hospital; Care connect(Learn More))
✅ A&E Charge (€20 per year (Applies to A&E in Public Hospitals Only); Minor Injury Clinic Cover, 70% cover up to €200 per visit (HSE), no excess)
✅ Cancer Support Benefit (Cover for Breast Prosthesis 50% up to €1,000; Cover for wig following cancer treatment 50% up to €1,000)
✅ Psycho-Oncology Counselling (€40 x 5 visits)
✅ Manual Lymph Drainage (€50 x 5 visits)
✅ Employee Assistance Programme (Healthy Minds benefit– Online access to mental health assessments and content and up to 6 counselling sessions via phone, chat, video or face to face (Learn More))
✅ Child Speech And Language Therapy (Healthy Minds beneft – up to 6 counselling sessions via phone, chat, video or face to face (Learn More))
✅ Vaccinations (HPV Vaccine – 50% up to €200 per policy year, no excess)
✅ Outpatient Policy Limit (€4,000)

What’s not covered: 

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❌ Non Emergency Dental
❌ Alternative Medicines-Acupuncture, Chiropractor, Osteopath
❌ Dietician, Occupational Therapist, Chiropodist, Speech Therapist
❌ Other Day To Day Practitioners
❌ Hearing Test
❌ Optical
❌ Prescription Costs
❌ Hormone Replacement Therapy for Gender Dysphoria

Outpatient Radiology

What’s covered:

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✅ Approved Centres (MRI, CT and PET-CT Covered, No excess)
✅ Radiology Consultants’ Fees (Covered as per schedule of benefits for professional fees)
✅ Radiology Test Fees
✅ Health Screening (Discounts available at certain scan centres)

What’s not covered: 

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❌ Non-Approved Centres

Fertility Benefits

There are no fertility benefits included in this plan.