Routine maternity group cover

Benefit is only payable after 10 months of being registered for benefit

Benefits

Up to €1000 per confinement in a private hospital or €125 per confinement in a state hospital

Preventive Care

1. (a) Annual dental check-up/routine eyesight testing by an optometrist
2. (b) Skin cancer screening
3. (c) Chiropractic, acupuncture, homeopathy or osteopathy following referral by your family doctor (in addition to standard benefits on your plan)
4. (d) Prosthetics not forming an integral part of a surgical procedure
5. (e) Out-patient clinic fee

Benefits (c) and (d) are governed by all the benefits, exclusions and conditions of the policy

Benefits

1. (a) Up to €60
2. (b) Up to €60
3. (c) Up to €125
4. (d) 75% of cost incurred up to €250
5. (e) Up to €8 per visit

Preventive Care Plus

All the above Preventive Care benefits PLUS:

1. (f) Routine cervical cancer screening; routine mammography or breast ultrasound for women aged 40 and over; annual prostate examination/PSA test for members aged 40 or over
2. (g) Liver function test, lipid profile, complete blood count, fasting blood glucose test, urine analysis and family doctor consultation for routine test, for members aged 40 years or over as part of a preventive health check. When these tests are carried out as part of a regular monitoring programme for chronic non-pre-existing conditions, benefits are not payable when incurred within the first twelve months of being registered for this optional benefit.
   (g) for members aged 40 years or over
3. (h) Bone densitometry for members aged 40 or over
4. (i) Stress ECG for members aged 40 and over

Bone density and stress ECG costs are not payable in the first 12 months of purchasing this optional benefit.

Benefits
 
 

1. (f) Up to €170
2. (g) Up to €125

 

3. (h) Up to €125 every 2 years
4. (i) Up to €250 every 2 years

Personal medical case management

Much more than just a second opinion, when you access this service,you will be assigned an experienced case manager from one of the multidisciplinary teams which includes doctors and renowned medical experts from around the globe. Your case manager will identify which medical experts are best to deal with your case and you can expect a comprehensive care plan detailing any recommendations suggested by your expert team. In the unfortunate event that you are diagnosed with a serious illness, we may offer you access to a personal case management service. Medical practitioners will review your case and may also be able to recommend a suitable course of treatment for you.

Please note: If you choose to make use of this service, any treatment you receive will remain subject to the terms and limits of this policy, even if it is on the recommendation of the medical practitioner reviewing your case.

Benefits

1. Included

Cover for chronic conditions

This policy will also cover you for out-patient routine follow up consultations (and associated outpatient diagnostic tests) with a medical practitioner for the purpose of monitoring the on-going control of a specified chronic medical condition listed below. The routine out-patient drugs prescribed by the medical practitioner for the purpose of maintaining a chronic condition in its controlled state are not eligible for benefit. Specified chronic conditions are limited to: angina, arthritis, asthma, chronic obstructive pulmonary disease, diabetes, glaucoma, high cholesterol, raised blood pressure, thyroid problems.

Benefits

1. Up to €300

Vaccinations

Vaccinations including the cost of the vaccines and medical practitioner or nursing charges for their administration in their place of practice.

Benefits

1. Up to €200

Additional accommodation for adult relatives of children under 18 years of
age

This benefit is for the cost of one adult relative staying in hospital with a child under 18 years old while the child is receiving eligible private treatment. The child must be covered by the policy and the benefit is paid from the child’s benefit. This benefit is only available if treatment is eligible for payment.

Benefits
 

1. Limits as per benefits table applicable to your plan under the Additional accomodation benefit.

Special conditions applying on the purchase of the Personal Case Management and Wellbeing Extension:

1. 1. Minimum numbers of members are required to take up this cover for company paid groups (at least 10 members).
2. 2. For voluntary members or company paid groups with less than ten members, pre-existing chronic conditions will not be covered.
3. 3. Charges for vaccinations are not eligible for benefit when incurred in the first twelve months of cover under this extension, except in the case of new-born babies when one parent and any older siblings have been insured for twelve months under this extension.