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
&amp)
✅ 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