Plan Costs

Plan cost: €658.38 per year

Cost per additional child: €213.76 per year

Cost per additional young adult: €658.38 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 (Semi-private: Full cover; Day-case/Out-patient surgical: Full cover)
✅ Public Hospital Private Room and Day Case (Private: Shortfall will apply per night for private accommodation; Day-case/Out-patient surgical: Full cover)
✅ Convalescence (Up to €30 per day for 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

What’s covered:

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✅ 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 €100,000 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: 

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❌ Gender Affirmation

Maternity Cover

What’s covered:

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✅ Hospital Costs Up To 3 Nights (Up to €400 in public hospitals)
✅ Home Births (Up to €400 in public hospitals)
✅ Delivery Consultant Fees (Full cover for participating consultants)
✅ Child Home Nursing (Up to €50 per day for 28 days)

What’s not covered: 

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

Outpatient Benefits

What’s covered:

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✅ Individual Excess (€125 excess)
✅ Family Excess (€125 excess)
✅ Consultant Fees (Up to €40 per visit)
✅ GP Visits (GP Visits: Up to €40 per visit; GPLive (online consultations): Unlimited consultations; 24 Hour GPLine cover from Ireland and
abroad)
✅ Emergency Dental Care (50% of costs up to €150 per accident)
✅ A&E Charge (Hospital casualty charge: Up to €20 per visit; QuickCare consultations &amp 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 & illness centres)
✅ Alternative Medicines-Acupuncture, Chiropractor, Osteopath (Acupuncture: Up to €20 per visit – 3 visits per year; Chiropractor: Up to €20 per visit – 3 visits per year; Osteopath: Up to €20 per visit – 3 visits per year)
✅ Other Day To Day Practitioners (Chiropractor: Up to €20 per visit – 3 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 €150 once per membership year)
✅ Manual Lymph Drainage (Full refund up to €500 per year)
✅ Hearing (Up to €20 per year)
✅ Optical (Optical: 50% of costs up to €100 per year; Orthoptist: Up to €20 per visit – 3 visits per year)
✅ Employee Assistance Programme (24/7 Telephone Counselling: Full cover; Face to face/Video/Phone Counselling: Full cover for 6 visits per issue)
✅ Outpatient Policy Limit (€7,650)

What’s not covered: 

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❌ Physiotherapist
❌ Non Emergency Dental
❌ Home Nursing
❌ Dietician, Occupational Therapist, Chiropodist, Speech Therapist
❌ Psycho-Oncology Counselling
❌ 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 bone density/dexa scan: 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 visit in laya healthcare approved hospitals or out-patient centres)
✅ Radiology Test Fees (Full refund up to €500 once carried out in public hospitals & laya healthcare approved scan centres. 66% cover up to €500 for treatment in a private hospital)
✅ 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 €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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❌ Non-Approved Centres

Fertility Benefits

There are no fertility benefits included in this plan.