Health Insurance Comparison HIA: Health Insurance Authority

Transcription

1 Health Insurance Comparison HIA: Health Insurance Authority Your Comparison SimplyHealth Starter Prices per Annum Date current version of plan commenced Adult 1, Child Child Child Child Young Adult Newborn 0.00

2 In Patient Private Patient in a multi-occupancy (which may include semi-private) room in a public hospital and day case. Public Hospital Private Room Private Hospital Semi Private Room in selected private hospitals. Shortfall of 260 per night for Mater Private Cork. Private Hospital Private Room in selected private hospitals. Tier 2 private hospitals carry a shortfall per night, see list. The Blackrock Clinic, the Mater Private and the Beacon Hospital, certain Cardiac Procedures Reduced cardiac list covered. The HIA does not hold these lists, ask Laya for details. The Blackrock Clinic, the Mater Private and the Beacon Hospital, certain Special Procedures except for listed orthopaedic procedures in the Blackrock Clinic and Mater Private, which are covered with no co-payment. The Blackrock Clinic, the Mater Private and the Beacon Hospital procedures other than Cardiac and Special Day Case Private Hospitals in selected private hospitals, see list. Hospital List Day Case The Blackrock Clinic, the Mater Private and the Beacon Hospital Convalescence 50 x 14 Cancer Support Benefit 100 per night Maternity Hospital Costs Up To 3 Nights Full Cover Home Births 3,200 Delivery Consultant Fees up to agreed charges incurred on day of delivery for participating consultants Out Patient Maternity Consultant Care 250 Post Natal Home Help Alternative Amount To Post Natal Home Help Post Natal Home Nursing 900 following 1 night's stay of 450 following 2

3 Child Home Nursing 50% up to 2,800 per year Pre Post Natal Care 250 Child Healthcare Benefit Child Healthcare Support Benefit up to 275 for certain outpatient treatments following 3 nights in hospital; ask laya for details. Parent Accompanying Child Partner Benefit Breastfeeding Consultancy Other Maternity Benefits Out-patient Benefits Individual Excess 1 Family Excess 1 Consultant Fees 50% GP Visits 50%, GP Help line Physiotherapist 50% x 25 Emergency Dental Care 50% up to 300 Non Emergency Dental 50% up to 25 Home Nursing 50% up to 950 A & E Charge 50% up to 50 Alternative Medicines Acupuncture Chiropractor Osteopath 50% x 12 visits per therapy Dietician Occupational Therapist Chiropodist Speech Therapist Speech Therapy 50% x 8 +1 x 60 assessment. Occupational Therapist 50% x 5 +1 x 60 assessment. Dietician & Chiropody 50% x 5 visits per therapy Psycho Onchology Counselling Manual Lymph Drainage not subject to outpatient excess Hearing Test

4 Optical 50% up to 20 Prescription Costs Employee assistance programme Other Day To Day Practitioners Reflexologist 50% x 8 ; Homeopathy 50% x 12 Child Speech And Language Therapy 50% x 8 plus 50% up to 60 for 1 assessment Travel Vaccinations Out Patient Policy Limit 6,400 Out-patient Radiology Approved Centres MRI, CT and PET-CT covered in full in direct payment centres except cardiac CT's which are covered by non-direct payment terms. 50% refund on costs in non direct payment centres. Non Approved Centres Radiology Consultants Fees 50% of costs Radiology Test Fees 50% of costs Radiology Health Screening Men and Women's Cancer Screening 50%. Full cover for 'HeartBeat' cardiac screening, no excess Overseas Benefit Abroad For Surgical Procedures Available In Ireland Benefit Abroad For Surgical Procedures Not Available In Ireland Hospital Bill 100,000 Repatriation Expenses 2,000,000 Companion Repatriation Expenses 1, Hour Telephone Assistance Expenses For Companion Psychiatric Cover In Patient Psychiatric Non Alcohol Drug 100 days

5 In Patient Psychiatric Alcohol Related 91 days per 5 years Out Patient Psychiatric Care 50% x 12 Mental Health Consultations in Dean Clinic; Child Counselling 8 visits up to 275 following 3 days in hospital-part of Child Healthcare Support Benefit; 50% x 12 eating disorder consultations at Lois Bridges Hospital lists Private Hospital Semi Private Room SimplyHealth Starter Private Tier One Hospitals (No excess per Aut Even, Kilkenny Barringtons Hospital, Limerick Cahercalla Hospital, Co. Clare (day case and surgical outpatient only) Clane General Hospital, Co. Kildare Cork Clinic (day case and surgical outpatient only) Hampstead Clinic, Dublin 9 Private Tier Two Hospitals (No excess per Galway Clinic Hermitage Clinic, Dublin 20 Mater Private Cork St.Vincents Private, Dublin 4 Whitfield Clinic, Waterford Private Hospitals Bon Secours, Dublin 9 Bon Secours Tralee Bons Secours Cork Bons Secours Galway Highfield Hospital, Dubl Ulster Independent, Bel Sports Surgery Clinic, D National MS Care Centre, Dublin 6 Park West Clinic, Dublin 12 (day case and surgical outpatient only) St. Edmundsbury, Lucan, Co. Dublin St. John of God, Co. Dublin St. Joseph's Garden Hill, Sligo (surgical admissions only) St. Patrick's Hospital, Dublin 8 St.Francis Mullingar, Westmeath (surgical admissions only) Private Hospital Private Room

6 SimplyHealth Starter Private Tier One Hospitals (No excess per Aut Even, Kilkenny Barringtons Hospital, Limerick Cahercalla Hospital, Clare Clane General Hospital, Kildare Cork Clinic (day case and surgical outpatient only) Hampstead Clinic, Dublin 9 National MS Care Centre, Dublin 6 Park West Clinic, Dublin 12 (day case and surgical outpatient only) Private Tier Two Hospitals (No excess per Galway Clinic Hermitage Clinic, Dublin 20 Mater Private Cork St.Vincent's Private, Dublin 4 Whitfield Clinic, Waterford Private Hospitals Bon Secours, Dublin 9 Bon Secours Tralee Bons Secours Cork Bons Secours Galway Highfield Hospital, Dubl Ulster Independent, Bel Sports Surgery Clinic Du St. Edmundsbury, Lucan, Co. Dublin St. John of God, Co. Dublin St. Joseph's Garden Hill, Sligo (surgical admissions only) St. Patrick's Hospital, Dublin 8 St.Francis Mullingar, Westmeath (surgical admissions only) Day Case Private Hospitals SimplyHealth Starter Private Tier One Hospitals (No excess per Aut Even Kilkenny Barringtons Hospital Limerick Cahercalla Hospital, Co. Clare (day case and surgical outpatient only)

7 Clane General Hospital, Kildare Cork Clinic (day case and surgical outpatient only) Hampstead Clinic, Dublin 9 National MS Care Centre, Dublin 6 Park West Clinic, Dublin 12 (day case and surgical outpatient only) St. Edmundsbury, Lucan, Co. Dublin St. John of God, Co. Dublin St. Joseph's Garden Hill, Sligo (surgical admissions only) Private Tier Two Hospitals (No excess per Galway Clinic Hermitage Clinic, Dublin 20 Mater Private Cork (day case and surgical out-patient only) St.Vincents Private, Dublin 4 Whitfield Clinic, Waterford Private Hospitals Bon Secours Dublin 9 Bon Secours Tralee Bons Secours Cork Bons Secours Galway Highfield Hospital, Dubl North West Independen Sports Surgery Clinic Du Ulster Independent, Bel St. Patrick's Hospital, Dublin 8 St.Francis Mullingar, Westmeath (surgical admissions only)