Aviva Health Fit for Business A fresh approach to health insurance
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1 Aviva Health Fit for Business A fresh approach to health insurance
2 Aviva Health Fit for Business A fresh approach to health insurance
3 Aviva Health, Fit for Business Welcome to your Be Fit 1 Plan. With your Aviva Health Be Fit 1 Plan, your health insurance cover doesn t just start when you visit your GP. We believe in a proactive approach to health, with a focus on wellness initiatives and preventative programmes designed to keep you fit and healthy from the outset. We also understand that everyday costs can mount up. That s why we have you covered for day to day medical expenses and continue to support you along the way. Our Be Fit plans are inherently simple and transparent, offering peace of mind when you need it most, in knowing exactly what you are covered for, and how to make a claim. For more information visit
4 BE FIT 1 Your Plan Explained Benefit Be Fit 1 Plan Cover Preventative Care Nurse on call Vaccinations Health screen at any centre Employee Assistance Programme (EAP) via the Anytime Health Line Back-Up Yes Vaccinations: 50 per year (Travel purposes only) up to 100 per annum 365 day telephone support line and 6 face to face counselling sessions Acute back and neck pain treatment programme. 50 once off payment covers up to 8 physio sessions if medically necessary. Day to Day Practitioners GP Visits Babylon Health Consultant fees Public A&E fee Prescriptions Dentist visits Physiotherapy visits 1st visit fully covered and 50% cover for 7 subsequent visits for 3 GP video consultations via your smartphone 1st visit fully covered and 50% cover for 7 subsequent visits 1st visit fully covered and 50% cover for 7 subsequent visits up to 25 per annum Not Not Alternative Practitioners Acupuncturist Chiropodist Chiropractor Dietician Homeopath Massage therapist Medical herbalist Occupational therapist Osteopath Physical therapist Podiatrist Reflexologist Voice coaching Other Day to Day Benefits Emergency dental Up to 250 Pre and post natal benefit Up to 250 Hearing test Up to 25 x 1 Optical Benefit Up to 25 x 1 Manual lymph drainage 50% up to 25 x 5 Psycho Oncology Counselling 50% up to 25 x 8 Child Speech and Language Therapy 50% up to 30 x 8 Child Counselling 50% up to 30 x 8
5 Benefit Be Fit 1 Plan Cover Diagnostic Tests Pathology: Cost of test 50% Cover Pathology: Consultant fees 50% as per schedule of benefits for professional fees 1 Radiology: Cost of test 50% Cover Radiology: Consultant fees 50% as per schedule of benefits for professional fees 1 Scan Cover PET-CT: Approved centres MRI: Approved centres CT: Approved centres Hospital Cover Consultants fees In patient scans Public hospitals Private hospitals Private hospital: Day case High-tech hospital: Routine procedures High-tech hospital: Day case High-tech hospital: Listed cardiac procedures High-tech hospital: Listed special procedures in a semi-private room subject to 250 excess per claim subject to 2,000 co-payment on certain orthopaedic procedures Cover subject to 50 excess per claim Mater Private Hospital Dublin and Blackrock Clinic Dublin not covered. Beacon Hospital covered (private and semi private) subject to 250 excess per claim subject to 2,000 co-payment on certain orthopaedic procedures. subject to 50 excess per claim subject to 250 excess per claim subject to 250 excess per claim subject to 2,000 co-payment on certain Orthopaedic procedures Maternity Public hospital cover for maternity 3 nights accommodation In patient maternity consultant fees As per schedule of benefits for professional fees 1 Newborn free until next renewal A&E Abroad Hospital bill for in patient treatment up to 100,000 Repatriation expenses Expenses for companion who remains with you up to 1 million up to 1,000 Companion repatriation expenses up to 1, hour telephone assistance Elective Overseas Referral Benefit abroad for surgical procedures that are available in Ireland Benefit abroad for surgical procedures that are not available in Ireland Yes subject to level of cover available in Ireland Yes up to the amount for the most similar surgical procedure to treat the same condition in Ireland
6 Benefit Be Fit 1 Plan Cover Psychiatric Treatment Not related to substance abuse Related to substance abuse 100 days 91 days per 5 years Other Benefits Oncotype DX Convalescence benefits Child home nursing Parent accompanying child Cancer support benefit (for accommodation expenses when travelling more than 50km) Home nursing 50 x 15 days 100 x 14 days (following an In patient stay of minimum 5 days) 40 x 14 days (not payable for the first 3 days) Up to 100 per day up to a maximum of 1,500 per calendar year 40 x 20 days Medical and surgical appliances As per specified list (subject to 200 per person excess) 2 Medical ambulance costs (refer to Membership Handbook) Out Patient and Day to Day Benefits Limits Individual excess 1 Family excess Maximum amount of Out Patient benefits per member per policy year 1 per person 4,000 Points to Note 1 The schedule of benefits is available on or available on request by calling Aviva on The medical and surgical appliances list is available on or available on request by calling Aviva on All procedure lists are available on the Aviva website or by calling Aviva on Exclusive Member Benefits Aviva Dental Package at Smiles and Town Dental clinics Laser eye surgery at Optical Express Cervical cancer vaccination at Point of Care Centres 4D scans U Mamma Back-Up Health screening Please note each Aviva plan provides different levels of cover which may or may not suit your needs. Please note that information relating to benefits, cover and member benefits contained in tables within this document is not conclusive. For full details on what s covered and what s not covered see the relevant Table of Cover and Member Handbook at avivahealth.ie or call us. Information correct as of May 2015.
7 For further information on the Be Fit 1 Plan from Aviva Health, contact Cornmarket today on or health.insurance@cornmarket.ie A fresh approach to health insurance Aviva Health Fit for Business
8 Aviva Health Fit for Business A fresh approach to health insurance Cornmarket Group Financial Services Ltd. is regulated by the Central Bank of Ireland. A member of the Irish Life Group Ltd. Telephone calls may be recorded for quality control and training purposes. Aviva Health Insurance Ireland Limited is regulated by the Central Bank of Ireland. BK-631
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This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.anthem.com or by calling 1-800-445-7490. Important Questions
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