Plan Costs

Plan cost: €636.11 per year

Cost per additional child: €204.82 per year

Cost per additional young adult: €636.11 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 (Shortfall will apply – covered up to semi-private rate)
✅ Convalescence (€30 x 14 days)
✅ Cancer Accommodation Support (Up to €100 per night – No limit)

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

There are no overseas benefits included in this plan.

Maternity Cover

What’s covered:

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✅ Hospital Costs Up To 3 Nights (€400)
✅ Home Births (€400)
✅ Child Home Nursing (Up to €50 per day for 28 days)
✅ Pre & Postnatal Care (Up to €300 refund towards out-patient excess (full list of benefits included in your rules))
✅ Mid Wife Support Prorgramme Full cover for a phone consultation each trimester & one call within the first 3 months of your child’s birth
Pregnancy & Early Childhood nurition consultation Full cover for 2 digital consultations
✅ Paediatric First Aid Course Unlimited access to online paediatric first aid course through member area & up to €20 towards the out-patient excess for
face to face visit
✅ Maternity Yoga/Pilates Up to €50 once per pregnancy not subject to out-patient excess
✅ 3D/4D Scans Up to €50 once per pregnancy not subject to out-patient excess
✅ Pregnancy & Early Childhood nutrition consultation Full cover for 2 digital consultations
✅ Other expenses (Car Parking Expenses €20; New Parents Food Allowance €50 ; Baby massage classes €100; Maternity bra €40; Breastfeeding consultations €30 x 2; Antenatal classes/midwifery services €50)

What’s not covered: 

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❌ Delivery Consultant Fees
❌ Outpatient Maternity Consultant Care
❌ Postnatal Home Help
❌ Postnatal Home Nursing
❌ Child Healthcare Benefit
❌ Parent Accompanying Child
❌ Partner Benefit
❌ Breastfeeding Consultancy

Outpatient Benefits

What’s covered:

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✅ Individual Excess (1)
✅ Family Excess (1)
✅ GP Visits (Unlimited Access to GP live. Up to €20 per visit for 3 visits)
✅ Physiotherapist (Up to €20 per visit for 3 visits)
✅ Non Emergency Dental (Up to €20 per visit – 3 visits per year)
✅ A&E Charge (QuickCare consultations & treatment: Up to €125 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)
✅ Cancer Support Benefit(Eyebrow tattooing: (following cancer treatment) Full refund up to €150 once per membership year; Breast prosthesis or hairpiece: (following cancer treatment) Full cover for both; Sleeping caps: Full refund for 1 sleeping cap per membership year)
✅ Manual Lymph Drainage (Full refund up to €500 per year)
✅ Optical (Up to €30 per year not subject to out-patient excess)
✅ Outpatient Policy Limit (€6,500)

What’s not covered: 

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❌ Consultant Fees
❌ Emergency Dental Care
❌ Home Nursing
❌ Alternative Medicines-Acupuncture, Chiropractor, Osteopath
❌ Dietician, Occupational Therapist, Chiropodist, Speech Therapist
❌ Other Day To Day Practitioners
❌ Psycho-Oncology Counselling
❌ Hearing Test
❌ Prescription Costs
❌ Employee Assistance Programme
❌ Child Speech And Language Therapy
❌ Vaccinations
❌ Hormone Replacement Therapy for Gender Dysphoria

Outpatient Radiology

What’s covered:

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✅ HeartBeat cardiac screening Full cover for 1 screen every 2 years
✅ 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
✅ Direct payment bone density/dexa scan Full cover in direct payment public hospitals & scan centres & 66% cover in
direct payment private hospitals
✅ Women’s cancer screening (subject to annual out-patient excess) Up to €30 per year
✅ Men’s cancer screening (subject to annual out-patient excess) Up to €20 per year

What’s not covered: 

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❌ Approved Centres
❌ Non-Approved Centres
❌ Radiology Consultants’ Fees
❌Radiology Test Fees

Fertility Benefits

What’s covered:

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✅ Full cover for 5 visits per presenting issue ( 5 visits are separate from 24/7 mental wellbeing support programme -0818 1000
30)

What’s not covered: 

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❌ Infertility Benefit
❌ Fertility Preservation