The health plans that focus on what matters to you

Transcription

1 The health plans that focus on what matters to you

2 Research has told us that our customers have different views on what health insurance benefits are important to them. The Aviva FOCUS plans have been developed to focus on what matters to you, by allowing you to clearly decide on the benefits you need, at a price that suits you. Contents What s different about the Aviva FOCUS Plans? 4 Value 6 Day2Day 10 First 14 Future 18 Family 22 Hospital 26 Hospital Treatment Centre List 30 3

3 What s different about the Aviva FOCUS plans? The Aviva FOCUS plans focus on what matters to you, by providing access to a specific list of hospitals and benefits that suit your needs. By choosing an Aviva FOCUS plan instead of one of our standard plans that provide cover for a full list of hospitals, you pay less. Each plan focuses on a different range of benefits. The picture below highlights the key benefits for each plan, so it s easy to choose the plan that suits you best. With the Aviva FOCUS plans you get: A choice of innovative health insurance plans starting from 44 per adult per month. The option to reduce your annual premium by accepting an excess and/or a co-payment on certain benefits. Access to a regional mix of hospitals across the country. Treatment for any medically necessary procedure can be carried out within the Hospital network. The option to attend ANY public hospital in the country as a public patient or through AE as a public patient. We will cover 75 towards the cost of your public stay for up to 10 nights. 50 towards travel and accommodation expenses if you have to travel more than 50km to a Public hospital as a result of your local Public hospital being out of network. VALUE FOCUS 525 DAY2DAY FOCUS 750 FIRST FOCUS 765 FUTURE FOCUS 880 FAMILY FOCUS 990 HOSPITAL FOCUS 1,170 Cover for selected public hospitals with no excesses or shortfalls, excluding maternity Cover for day-to-day practitioners Cover for selected public hospitals with no excesses or shortfalls, excluding maternity Cover for selected public, private and high-tech hospitals Cover for specialist health screening Cover for family planning, maternity and child benefits Cover for selected public, private and high-tech hospitals Cover for cardiac procedures and surgical procedures abroad Cover for family planning, maternity and child benefits Cover for G.P. visits Cover for selected public, private high-tech hospitals Full cover for cardiac procedures Cover for surgical procedures abroad Cover for selected public, private high-tech hospitals Prices shown are the adult annual price 4 5

4 The Value plan has been designed for those who are focused on value for money. This plan covers you for a private room in a selected list of public hospitals, which includes the 8 designated national cancer centres, with no excesses or shortfalls for in-patient stays, excluding maternity. Value prices 525 Adult price Student Child 6 7

5 Out-patient benefits with no excess MRI, CT PET-CT scans Fully covered in approved centres Out-patient benefits with a 200 excess per person Emergency dental care Up to 450 Consultant visits Up to 50 per visit In-patient benefits in selected public hospitals Semi-private room room, excluding maternity, excluding maternity Other benefits Day case procedures Public hospital levy 75 cash back per night for up to 10 nights if you stay in ANY public hospital as a public patient outside of your hospital list Please review the hospital and treatment centre list for your plan at the back of this brochure to ensure that this plan suits your needs. Back-Up Access to a dedicated clinical case manager for the management and treatment of acute back and neck pain 8 9

6 The Day2Day plan has been designed for those focused on cover for money back on day-to-day medical expenses such as G.P. and dentist visits. This plan offers great value for money as you also get cover for a private room in a selected list of public hospitals, which includes the 8 designated national cancer centres, with no excesses or shortfalls for in-patient stays, excluding maternity. Day2Day prices 750 Adult price Student Child 10 11

7 Out-patient benefits with a 200 excess per person Emergency dental care Up to 450 Consultant visits Up to 50 per visit Day-to-day benefits In-patient benefits in selected public hospitals Semi-private room, excluding maternity A key feature of the Day2Day plan is money back for everyday medical expenses. With this plan you ll get: Up to 30 back on up to 4 visits per year to each of the following practitioners: G.P. Dentist Physiotherapist room, excluding maternity Day case procedures Please review the hospital and treatment centre list for your plan at the back of this brochure to ensure that this plan suits your needs. Up to 30 back on up to 4 visits per year in total from the following list of practitioners: Acupuncturist Chiropodist Chiropractor Dietician Homeopath Massage therapist Medical herbalist Occupational therapist Osteopath Physical therapist Podiatrist Reflexologist Out-patient benefits with no excess MRI, CT PET-CT scans Fully covered in approved scan centres Other benefits Public hospital levy 75 cash back per night for up to 10 nights if you stay in ANY public hospital as a public patient outside of your hospital list Back-Up Access to a dedicated clinical case manager for the management and treatment of acute back and neck pain 12 13

8 The First plan has been designed for those who may be taking out health insurance for the first time and are focused on having private hospital cover. This plan covers you for public, private and high-tech hospitals within a selected hospital network, which includes the 8 designated national cancer centres. First prices 765 Adult price Student Child 14 15

9 Out-patient benefits with no excess MRI, CT PET-CT scans Fully covered in approved centres Travel vaccinations Up to 100 Public AE cover Up to 120 x 1 visit Health Screening Up to 100 towards V02 max testing or sexual health screening once every 2 years In-patient benefits in selected public, private high-tech hospitals Out-patient benefits with a 200 excess per person Emergency dental care Up to 750 Semi-private room, excluding maternity Consultant visits Up to 60 per visit room, excluding maternity Day case procedures For private high-tech hospitals, a 150 excess per claim applies, as well as a 2,000 co-payment on certain cardiac orthopaedic procedures. All procedure lists are available on or available on request by calling Aviva on Please review the hospital and treatment centre list for your plan at the back of this brochure to ensure that this plan suits your needs. Other benefits Public hospital levy Back-Up 75 cash back per night for up to 10 nights if you stay in ANY public hospital as a public patient outside of your hospital list Access to a dedicated clinical case manager for the management and treatment of acute back and neck pain Elvery s Sports Benefit 20 back on a pair of trainers per year Free mouth guard when you spend 30 Free assessment and 25% off Footbalance custom-moulded insoles 16 17

10 The Future plan has been designed for those who are focused on their future health insurance needs. This plan provides cover for a special range of family planning, maternity and child benefits. This plan also covers you for public, private and high-tech hospitals within a selected hospital network, which includes full cover for 3 nights in a private room in a public maternity hospital. Future prices 880 Adult price Student Child 18 19

11 In-patient benefits in selected public, private high-tech hospitals Out-patient benefits with no excess MRI, CT PET-CT scans Fully covered in approved centres Semi-private room room Health Screening Up to 100 towards fertility assessments or sexual health screening once every 2 years Day case procedures Prescriptions Costs 30 towards prescribed contraceptives per year For private high-tech hospitals, a 150 excess per claim applies, as well as a 2,000 co-payment on certain cardiac orthopaedic procedures.all procedure lists are available on or available on request by calling Aviva on Please review the hospital and treatment centre list for your plan at the back of this brochure to ensure that this plan suits your needs. Out-patient benefits with a 200 excess per person Emergency dental care Up to 500 Consultant visits Up to 60 per visit Pre/post natal medical expenses Up to 400 Maternity benefits Public AE cover Up to 60 x 3 visits Public hospital cover for maternity Grant-in-aid/home births 4,500 for 3 nights accommodation Other benefits 4D scans Discounts in approved centres Public hospital levy 75 cash back per night for up to 10 nights if you stay in ANY public hospital as a public patient outside of your hospital list Post-natal home help Post-natal counselling 120 cash benefit for domestic home help Up to 40 x 5 visits Back-Up Access to a dedicated clinical case manager for the management and treatment of acute back and neck pain Breast feeding consultancy Partner Benefit 30 x 2 sessions 50 x 2 days for travel, accommodation child minding expenses Elvery s Sports Benefit 20 back on a pair of trainers per year Free mouth guard when you spend 30 Free assessment and 25% off Footbalance custom-moulded insoles 20 21

12 The Family plan has been designed for those focused on having a high level of hospital cover, as well as cover for G.P. visits, family planning, maternity and child benefits. This plan covers you for public, private and hightech hospitals within a selected hospital network, including cover for cardiac procedures and surgical procedures abroad. Family prices 990 Adult price Student Child (age 0-4) 300 Child (age 5-17) Above pricing is valid from August 27th Introductory offer of 241 per child aged 0-4 and 150 per child aged 5-17 available until August 26th

13 In-patient benefits in selected public, private high-tech hospitals Semi-private room room Day case procedures Maternity Benefits Public hospital cover for maternity Grant-in-aid/home births 4,500 Pre/post natal medical expenses Up to 400 Post-natal home help for 3 nights accommodation 120 cash benefit for domestic home help For private high-tech hospitals, a 125 excess per claim applies, as well as a 2,000 co-payment on certain orthopaedic procedures. All procedure lists are available on or available on request by calling Aviva on Please review the hospital and treatment centre list for your plan at the back of this brochure to ensure that this plan suits your needs. Post-natal counselling Breast feeding consultancy Partner Benefit Up to 40 x 5 visits 30 x 2 sessions 50 x 2 days for travel, accommodation child minding expenses Child benefits Other Benefits Paediatrician Child speech and language therapist Child counselling Up to 100 per child, per annum 30 x 10 visits 30 x 10 visits Surgical procedures abroad not available in Ireland Surgical procedures abroad available in Ireland up to the amount for the most similar procedure, to treat the same condition, in Ireland up to the level of cover you would have in Ireland Public hospital levy 75 cash back per night for up to 10 nights if you stay in ANY public hospital as a public patient outside of your hospital list Out-patient benefits with no excess MRI, CT PET-CT scans Fully covered in approved centres Vasectomy Smiles Dental with a 125 excess 30 for check-up x-ray 50 for check-up, x-ray, scale polish 10% discount on general dentistry 300 off orthodontic treatment G.P visits Health Screening 30 x 3 visits Up to 100 towards fertility assessments or sexual health screening once every 2 years Elvery s Sports Benefit 20 back on a pair of trainers per year Free mouth guard when you spend 30 Free assessment and 25% off Footbalance custom-moulded insoles 24 25

14 The Hospital plan has been designed for those who are looking for a high level of hospital cover, with a particular focus on cardiac cover. With this plan, you ll have cover for public, private and high-tech hospitals within a selected hospital network, including full cover for cardiac procedures and cover for surgical procedures abroad. Hospital prices 1,170 Adult price Student Child (age 0-4) 300 Child (age 5-17) 26 27

15 Out-patient benefits with no excess MRI, CT PET-CT scans Health Screening Fully covered in approved centres Up to 100 towards health screens at any centre, once every 2 years Out-patient benefits with a 200 excess per person In-patient benefits in selected public, private high tech hospitals Public AE cover Up to 60 x 3 visits Semi-private room room Other benefits Day case procedures For private high-tech hospitals, a 2,000 co-payment applies on certain orthopaedic procedures. All procedure lists are available on or available on request by calling Aviva on Please review the hospital and treatment centre list for your plan at the back of this brochure to ensure that this plan suits your needs. Surgical procedures abroad not available in Ireland Surgical procedures abroad available in Ireland Vasectomy Public hospital levy Back-Up Smiles Dental up to the amount for the most similar procedure, to treat the same condition, in Ireland up to the level of cover you would have in Ireland with a 125 excess 75 cash back per night for up to 10 nights if you stay in ANY public hospital as a public patient outside of your hospital list Access to a dedicated clinical case manager for the management and treatment of acute back and neck pain 30 for check-up x-ray 50 for check-up, x-ray, scale polish 10% discount on general dentistry 300 off orthodontic treatment 28 29

16 Hospital Treatment Centre List Remember, with the plan range you get: The option to attend ANY public hospital in the country as a public patient or through AE as a public patient. We will cover 75 towards the cost of your public stay for up to 10 nights. 50 towards travel and accommodation expenses if you have to travel more than 50km to a Public hospital as a result of your local Public hospital being out of network. cover if admitted to a public hospital, not on your hospital list, for emergency care. SELECT HOSPITAL NETWORK For an interactive map of the hospitals and treatment centres in the plan range visit And don t worry, if our FOCUS plans don t suit you, give us a call and we can talk you through other plan options. A copy of the Schedule of Benefits is available on or available on request by calling Aviva on Location Cavan Hospitals Treatment Centres Family Hospital First Future Value Day2Day Cavan General Hospital Clare Bushypark Treatment Centre, Ennis Addiction centre Cahercalla Community Hospital, Ennis Midwestern Regional Hospital, Ennis Cork Bantry General Hospital Bon Secours Hospital Cork Clinic, Western Road (limited to hysteroscopy and cystoscopy only) treatment centre Cork University Hospital Cork University Maternity Hospital Cuan Mhuire (Farnanes) Addiction centre Employment Health Advisors (Blackrock) Health check centre Mallow General Hospital Mercy University Hospital, Grenville Place Optical Express (Mahon Point) Laser eye clinic Point of Care Centre Douglas Medical Centre Day case centre Mater Hospital Cork Smiles (Oliver Plunkett St.) Dental care South Infirmary/ Victoria University Hospital St. Finbarr s Hospital St. Patrick s (Marymount Hospice) hospice Tabor Lodge, Belgooly Addiction centre Donegal Letterkenny General Hospital White Oaks Treatment Centre Addiction centre Dublin Beacon Hospital, Sandyford, Dublin 18 High-tech Beaumont Hospital, Santry, Dublin 9 Blackrock Clinic, Co. Dublin High-tech Blackrock Hospice (part only), Co. Dublin hospice Bon Secours Hospital (Glasnevin), Dublin 9 Cappagh National Orthopaedic Hospital, Finglas, Dublin 11 Children s University Hospital (Temple St) Connolly Hospital Coombe Women s and Infant s University hospital Eccles Clinic, Dublin 7 day case treatment centre Employment Health Advisors (IFSC) Health check centre Hampstead Acute Unit, Dublin 9 Hermitage Medical Clinic Lucan Highfield Hospital, Whitehall, Dublin 9 Incorporated Orthopaedic Hospital of Ireland (Clontarf), Dublin 3 La Ginesa St John of God Mater Misericordiae University Hospital, Dublin 7 Mater Hospital, Dublin 7 High-tech Mount Carmel Hospital, Churchtown, Dublin 14 M.S. Care Centre, Rathgar, Dublin 6 Respite care National Maternity Hospital (Holles St), Dublin 2 Optical Express (Wellington Rd.) Dublin 4 Laser eye clinic Optical Express (Dundrum Centre) Dublin 16 Laser eye clinic Our Lady s Hospice, Harold s Cross (part only), Dublin 6W hospice Our Lady s Hospital for Sick Children (Crumlin), Dublin

17 Location Hospitals Treatment Centres Family Hospital First Future Park West Clinic, Nangor Road, Dublin 12 Peamount Hospital, Newcastle, Co. Dublin Value Day2Day Point of Care Centres: Applewood Medical Dental Centre, Swords, Co. Dublin Day case centre Ballyowen Lane Medical Centre, Lucan, Co. Dublin Day case centre Citywest Medical Dental Centre, Co. Dublin Day case centre Dundrum Medical Centre, Dublin 16 Day case centre Fitzwilliam Medical Centre, Dublin 4 Day case centre Lucan Medical and Dental Centre, Co. Dublin Day case centre Oldcourt Medical and Dental Centre, Dublin 24 Day case centre Tyrellstown Medical Centre, Dublin 15 Day case centre Rotunda Hospital, Dublin 1 Royal Victoria Eye and Ear Hospital, Dublin 2 Rutland Centre, Knocklyon, Dublin 16 Addiction centre Smiles Clinics: O Connell Street, Dublin 1; 4 South Anne St., Dublin 2; 27 South Anne St., Dublin 2; Ballsbridge, Dublin 4; Unit 2.2, Dundrum Dental care Shopping Centre, Dublin 14; Tallaght, Dublin 24 Sports Surgery Clinic, Santry, Dublin 9 St. Columcille s Hospital, Loughlinstown, Co. Dublin St. Edmundsbury Hospital, Lucan, Co. Dublin St. James s Hospital, Dublin 8 St. John of God Hospital, Stillorgan, Co. Dublin St. Joseph s Raheny, Dublin 5 St. Luke s Hospital, Rathgar, Dublin 6 St. Michael s Hospital, Dun Laoghaire, Co. Dublin St. Patrick s University Hospital, Dublin 8 St. Vincent s Hospital, Fairview, Dublin 3 St. Vincent s Hospital, Dublin 4 St. Vincent s University Hospital, Dublin 4 The Adelaide and Meath Hospital incorporating The National Children s Hospital, Tallaght, Dublin 24 (Tallaght Hospital) Town Dental, Clonshaugh, S.C., Dublin 17 Dental care Ultrasound Dimensions (Blackrock) Ultra Sound UMPC Cancer Centre, Beacon Hospital, Dublin 18 Galway Bon Secours Hospital, Renmore Cuan Mhuire, Coolarne Addiction centre Employment Health Advisors (Liosbán) Health check centre Point of Care Centre: Galway Bay Medical Centre Day case centre Galway Clinic (Classified as High-tech for Level 1) High-tech Merlin Park Regional Hospital Portiuncula Hospital Smiles (Middle Street) Dental care University College Hospital Kerry Bon Secours Hospital (Tralee) Kerry General Hospital Talbot Grove Centre, Castleisland Addiction centre Kildare Clane General Hospital Cuan Mhuire (Athy) Addiction centre Naas General Hospital Point of Care Centre: Manor Mills Medical Dental Centre Day case centre Optical Express (Newbridge) Laser eye clinic Kilkenny Aislinn Treatment Centre, Ballyragget Addiction centre Location Hospitals Treatment Centres Family Hospital First Future Value Day2Day Aut Even Hospital Lourdes Orthopaedic Hospital (Kilcreene) St. Luke s General Hospital Laois Midland Regional Hospital (Portlaoise) Leitrim Gulladoo Treatment Centre Addiction centre Our Lady s Hospital (Manorhamilton) Limerick Barrington s Hospital Cuan Mhuire (Bruree) Addiction centre Employment Health Advisors (Charlotte Quay) Health check centre Mid-Western Regional Hospital (including Mid-Western Radiation and Oncology Unit) Mid-Western Regional Maternity Hospital Mid-Western Regional Orthopaedic Hospital St. John s Hospital Louth Louth County Hospital, Dundalk Our Lady of Lourdes Hospital, Drogheda Town Dental Clinic (Drogheda) Dental care Town Dental Clinic (Dundalk) Dental care Mayo Hope House (Foxford) Addiction centre InnerVision Ultrasound (Castlebar) Ultra Sound Mayo General Hospital (Castlebar) Meath Our Lady s Hospital (Navan) Monaghan Monaghan General Hospital Offaly Midland Regional Hospital (Tullamore) Roscommon Roscommon County Hospital Sligo Sligo General Hospital St. Joseph s Hospital (Garden Hill) Tipperary Aiséirí Centre (Cahir) Addiction centre Mid-Western Regional Hospital Nenagh (St. Joseph s) South Tipperary General Hospital (Clonmel) Waterford Employment Health Advisors (Ballybricken) Health check centre Point of Care Centre: Waterford Health Park Day case centre Town Dental Clinic, Neptune House Dental care Waterford Regional Hospital Whitfield Clinic, Butlerstown North Westmeath Employment Health Advisors (Moate) Healthcheck centre Midland Regional Hospital (Mullingar) St. Francis Hospital (Mullingar) Wexford Aiséirí Centre (Roxborough) Addiction Centre Ely Hospital, Ferrybank Town Dental Clinic (Enniscorthy) Dental care 32 33

18 Location Hospitals Treatment Centres Family Hospital First Future Town Dental Clinic (Selskar Court, Wexford town) Dental care Wexford General Hospital Wicklow Toranfield House High-tech addiction centre Town Dental Clinic (Town Hall Court, Bray) Dental care Northern Ireland Antrim Royal Victoria Hospital (Belfast) Ulster Independent Clinic (Belfast) Derry Altnagelvin Area Hospital North West Independent Hospital (Ballykelly) Down Daisy Hill Hospital (Newry) Value Day2Day MRI (Scan Centres) Cork Bon Secours Hospital MRI ( Hospital) Cork University Hospital MRI Alliance Medical Mater Cork MRI Euromedic Cork, The Elysian MRI Mercy University Hospital, Grenville Place MRI South Infirmary/ Victoria University Hospital MRI Donegal Letterkenny General Hospital MRI Dublin Beacon Hospital, Sandyford, Dublin 18 MRI ( Hospital) Blackrock Clinic, Co. Dublin MRI ( Hospital) Bon Secours Hospital (Glasnevin), Dublin 9 MRI ( Hospital) Charter Medical Group MRI Euromedic Dundrum, Rockfield Medical Campus, Balally, Dublin 16 MRI Euromedic Northwood, Santry, Dublin 9 MRI Hermitage Clinic Lucan MRI ( Hospital) Mater Hospital, Dublin 7 MRI ( Hospital) Sports Surgery Clinic, Santry, Dublin 9 MRI ( Hospital) St. Vincent s Hospital, Dublin 4 MRI ( Hospital) Galway Bon Secours Hospital, Renmore MRI ( Hospital) Galway Clinic (Classified as High-tech for Level 1) MRI ( Hospital) Merlin Park Regional Hospital MRI Alliance Medical Portiuncula MRI Kerry Alliance Medical Tralee MRI Kildare Alliance Medical Clane MRI Vista Primary Care (Naas) MRI Kilkenny Aut Even Hospital MRI ( Hospital) Euromedic, Dean Street Clinic, Kilkenny MRI Limerick Alliance Medical Limerick MRI Louth Our Lady of Lourdes Hospital, Drogheda MRI Location Hospitals Treatment Centres Family Hospital First Future Value Day2Day Offaly MRI Centre Tullamore Regional Hospital MRI Sligo Sligo General Hospital MRI Waterford Whitfield Clinic, Butlerstown North MRI ( Hospital) Westmeath St. Francis Hospital (Mullingar) MRI ( Hospital) Derry North West Independent Hospital (Ballykelly) MRI ( Hospital) CT (Scan Centres) Cork Euromedic Cork, The Elysian CT Alliance Medical at Mater Cork CT Mercy University Hospital, Grenville Place CT* * Dublin Beacon Hospital, Sandyford, Dublin 18 CT ( Hospital) Beaumont Consultants Clinic, Santry, Dublin 9 CT ( Hospital) Blackrock Clinic, Co. Dublin CT ( Hospital) Bon Secours Hospital, Glasnevin Dublin 9 CT ( Hospital) Charter Medical Group CT Euromedic Dundrum, Rockfield Medical Campus, Balally, Dublin 16 CT Hermitage Clinic Lucan CT ( Hospital) * * Mater Hospital, Dublin 7 CT ( Hospital) Mount Carmel Hospital, Churchtown, Dublin 14 CT ( Hospital) Galway Bon Secours Hospital, Renmore CT ( Hospital) Galway Clinic (Classified as High-tech for Level 1) CT ( Hospital) * * Merlin Park Regional Hospital CT Kildare Alliance Medical Clane CT Vista Primary Care (Naas) CT Westmeath St. Francis Hospital (Mullingar) CT ( Hospital) PET CT (Scan Centres) Cork Cork University Hospital PET-CT Dublin Beacon Hospital, Sandyford, Dublin 18 PET-CT ( Hospital) Blackrock Clinic, Co. Dublin PET CT ( Hospital) Hermitage Clinic Lucan PET CT ( Hospital) Mater Hospital, Dublin 7 PET-CT ( Hospital) St. James s Hospital, Dublin 8 PET-CT Galway Galway Clinic (Classified as High-tech for Level 1) PET-CT ( Hospital) Waterford UPMC Cancer Centre WhitfieldClinic PET-CT ( Hospital) *Approved Cardiac MRI/CT scan centre. 34

19 3823B If you want to know more, simply contact your broker. Aviva Health Insurance Ireland Limited One Park Place Hatch Street Dublin 2 Please note that information relating to benefits and cover contained within this document is not conclusive and full details relating to benefits and cover are set out definitively in relevant Tables of Cover and Member Handbook. Information correct and applicable as at 28th June Aviva Health Insurance Ireland Limited is regulated by the Central Bank of Ireland.