Plan Costs

Plan cost: €XXX per year or €XX per month

Cost per additional child:

Child Cost
Child 1 Age 0-4: €XX, Age 4-18: €XX
Child 2 €250 always use whatever is more simple, if all the same, remove table and set to €XX
Child 3
Child 4
Child 5

Cost per additional young adult:

Age Cost
Age 18-20 €XX
Age 21 €XX
Age 22
Age 23
Age 24
Age 25

Note: In some cases, this table may not be necessary (fixed price per young adult. Then just use a single line like: “Cost per additional young adult: €XX”. Use your judgement here and if in doubt ask James. 

Hospital Cover (In-patient benefits)

What’s covered: 

(leave blank)
✅
✅
✅
✅

What’s not covered: 

(leave blank)
❌
❌
❌
❌

Overseas Cover

What’s covered:

(leave blank)
✅ This thing
✅ This thing
✅ This thing
✅ This thing

What’s not covered: 

(leave blank)
❌ This thing
❌ This thing
❌ This thing
❌ This thing

Maternity Cover

What’s covered:

(leave blank)
✅ This thing
✅ This thing
✅ This thing
✅ This thing

What’s not covered: 

(leave blank)
❌ This thing
❌ This thing
❌ This thing
❌ This thing

Outpatient Benefits

What’s covered:

(leave blank)
✅ This thing
✅ This thing
✅ This thing
✅ This thing

What’s not covered: 

(leave blank)
❌ This thing
❌ This thing
❌ This thing
❌ This thing

Outpatient Radiology

What’s covered:

(leave blank)
✅ This thing
✅ This thing
✅ This thing
✅ This thing

What’s not covered: 

(leave blank)
❌ This thing
❌ This thing
❌ This thing
❌ This thing

Fertility Benefits

What’s covered:

(leave blank)
✅ This thing
✅ This thing
✅ This thing
✅ This thing

What’s not covered: 

(leave blank)
❌ This thing
❌ This thing
❌ This thing
❌ This thing