Plan Costs

Plan cost: €550.65 per year

Cost per additional child: €168.18 per year

Cost per additional young adult: €550.65 per year

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 (Covered at semi-private rate)
✅ Convalescence (Up to €28 per day for 14 days)
✅ Cancer Accommodation Support (€100 per day)

What’s not covered: 

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❌ Private Hospital Private and Semi-Private Room
❌ The Blackrock Clinic, the Mater Private and the Beacon Hospital, certain Cardiac Procedures, certain Special Procedures and procedures other than Cardiac and Special
Day Case Private Hospitals
Day Case The Blackrock Clinic, the Mater Private and the Beacon Hospital

Overseas Cover

What’s covered:

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✅ 24 Hour Telephone Assistance (24 Hour GPLine and Nurseline cover from Ireland and abroad)

What’s not covered: 

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❌ Benefit Abroad For Surgical Procedures Available and Not Available In Ireland
❌ Hospital Bill
❌ Repatriation Expenses
❌ Companion Repatriation Expenses
❌ Expenses For Companion
❌ Gender Affirmation

Maternity Cover

What’s covered:

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✅ Hospital Costs Up To 3 Nights (Up to €400 in public hospitals)
✅ Delivery Consultant Fees (Full cover for participating consultants)
✅ Child Home Nursing (Up to €40 per day for 28 days)

What’s not covered: 

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❌ Home Births
❌ Outpatient Maternity Consultant Care
❌ Postnatal Home Help
❌ Postnatal Home Nursing
❌ Pre & Postnatal Care
❌ Child Healthcare Benefit
❌ Parent Accompanying Child
❌ Partner Benet
❌ Breastfeeding Consultancy
❌ Other Maternity Benefits

Outpatient Benefits

What’s covered:

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✅ A&E Charge (Hospital casualty charge: Up to €20 per visit; QuickCare consultations & treatment: Up to €100 per visit in laya
healthcare approved minor injuries & illness centres; Fracture Clinic: Up to €40 for a consultation & up to €50 for an x-ray in laya healthcare approved minor injuries & illness centres)
✅ Other Day To Day Practitioners (Healthcoach online assessment and personalised programmes – unlimited use)
✅ 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 €150 once per membership year)
✅ Manual Lymph Drainage (Full refund up to €500 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)
✅ Outpatient Policy Limit (€6,500)

What’s not covered: 

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❌ Emergency and Non Emergency Dental Care
❌ Home Nursing
❌ Alternative Medicines-Acupuncture, Chiropractor, Osteopath
❌ Dietician, Occupational Therapist, Chiropodist, Speech Therapist
❌ Psycho-Oncology Counselling
❌ Hearing Test
❌ Optical
❌ Prescription Costs
❌ Child Speech And Language Therapy
❌ Vaccinations
❌ Hormone Replacement Therapy for Gender Dysphoria

Outpatient Radiology

What’s covered:

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✅ Approved Centres (Direct payment MRI, CT & PET scans: Full cover in direct payment public hospitals & scan centres & 66% cover
in direct payment private hospitals; Direct payment mammogram: Full cover in direct payment public hospitals & scan
centres & 66% cover in direct payment private hospitals)
✅ Radiology Consultants’ Fees (Up to €25 per scan in laya healthcare approved hospitals or out-patient centres)
✅ Radiology Test Fees (Full refund up to €500 once carried out in public hospitals & approved scan 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 €20 per year; Men’s cancer screening (subject to annual out-patient excess): Up to
€15 per year)

What’s not covered: 

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❌ Non-Approved Centres

Fertility Benefits

There are no fertility benefits included in this plan.