HealthAction 5

Inpatient scans and Consultants fees

• Consultant fees Covered
• Inpatient Scans Covered

Public Hospitals

• Day Case Covered
• Private Room Covered
• Semi Private Room Covered

Private Hospitals

• Day Case Covered subject to €50 excess per claim
• Private Room Covered subject to €50 excess per claim subject to €4,000 co-payment on certain orthopaedic procedures and €500 co-payment on certain ophthalmic procedures
• Semi Private Room Covered subject to €50 excess per claim subject to €4,000 co-payment on certain orthopaedic procedures and €500 co-payment on certain ophthalmic procedures

High Tech Hospitals

• Day Case Covered subject to €50 excess per claim.
• Listed Cardiac Procedures Covered
• Listed Special Procedures Covered subject to €50 excess per claim subject to €4,000 co-payment on certain orthopaedic procedures and €500 co-payment on certain ophthalmic procedures
• Private Room Covered (Beacon only) subject to €50 excess per claim. 50% Cover in Mater Private and Blackrock Clinic. All subject to €4,000 co-payment on certain orthopaedic procedures and €500 co-payment on certain ophthalmic procedures
• Semi Private Room Covered (Beacon only) subject to €50 excess per claim. 50% Cover in Mater Private and Blackrock Clinic. All subject to €4,000 co-payment on certain orthopaedic procedures and €500 co-payment on certain ophthalmic procedures

• Home birth Covered up to €4,000
• Inpatient maternity consultant fees As per schedule of benefits for professional fees
• Public hospital cover for maternity 3 nights accommodation

• 24 hour telephone assistance Covered
• Companion repatriation expenses Covered up to €1,000
• Expenses for companion who remains with you Covered up to €1,000
• Hospital bill for inpatient treatment Covered up to €100,000
• Out-patient A&E Abroad 50% up to €1,000
• Repatriation expenses Covered up to €1 million

• Elective Procedure abroad - for procedures that are available in Ireland Covered up to the level of cover available in Ireland to a maximum of €125,000
• Elective Procedure abroad - for procedures that are not available in Ireland Covered up to the amount for the most similar procedure to treat the same condition in Ireland to a maximum of €125,000

• Not related to substance abuse 100 days (up to the level of Hospital Cover provided under your plan)
• Related to substance abuse 91 days per 5 years (up to the level of Hospital Cover provided under your plan)

• Cancer Support Benefit (for accommodation expenses when travelling more than 50km) Up to €100 per day up to a maximum of €1500 per calendar year
• Care Connect Covered (refer to membership handbook)
• Child Home Nursing €100 x 14 days (following an inpatient stay of minimum 5 days)
• EXOGEN therapy Covered with our provider partner
• Gender Affirmation Benefit Covered up to €120,000 per lifetime
• Genetic Testing for Cancer Treatment Options - Foundation One CDx Covered
• Genetic Testing: Initial consultation 50% cover
• Genetic Testing: Test for specified genetic mutations Covered in approved clinics with our approved consultant
• Health in the Home Covered with our provider partner
• Hormone Replacement Therapy for Gender Dysphoria Covered up to €500 per lifetime
• Medicall ambulance costs Covered (refer to Membership Handbook)
• Oncotype DX Covered
• Parent accompanying child €40 x 14 days (not payable for the first 3 days)

• Adult Neurodiversity Benefit 50% up to €500 for a neurodevelopmental assessment
• Child Development Benefit 50% up to €500 for a developmental / neurodevelopmental assessment
• Consultant fees 75% up to €175 per visit
• Emergency Dental Care Up to €400
• Flu Vaccine Covered up to €25 per policy year
• Manual Lymph Drainage 75% up to €40 x 5 visits
• Medical and surgical appliances As per specified list
• Pathology: Consultant fees 50% as per schedule of benefits for professional fees
• Pathology: Cost of test 75% Covered
• Play Therapy €40 x 8 visits
• Psycho-oncology Counselling 50% up to €25 x 8 visits
• Psychotherapy and counselling benefit (including practitioners at the Dean Clinic) 50% up to 12 visits capped at €1250 per policy year
• Radiology: Consultant fees 50% as per schedule of benefits for professional fees
• Radiology: Cost of test 75% Covered
• Vaccinations: Travel Only 50% up to €100 per policy year
• Vasectomy (GP or Consultant) Covered up to €200

• Breast prosthesis or wig (following cancer treatment) First breast prosthesis or wig covered up to €2,000, subsequent claims covered as per specified list
• Convalescence benefits €50 x 25 days
• Digital Doctor Unlimited. See irishlifehealth.ie for further information.
• Eyebrow tattooing (following cancer treatment) Covered up to €60 once per policy year
• Mental Health Guide Covered (refer to Membership Handbook)
• Minor Injury Clinic Cover 75% up to €200 per visit
• Minor Injury Clinic Cover (Pay & Claim) 75% up to €100 per visit
• Nurse on call Covered
• Post cancer treatment sleeping caps Covered up to €60 once per policy year

• CT Scan: approved centre Covered
• MRI Scan: approved centre Covered
• PET-CT Scan: approved centre Covered

• Dentist Visits (Non Routine Treatment) 75% up to €150 per policy year
• Dentist Visits (Routine Treatment) 75% up to €100 per policy year
• GP Visits 75% up to €50 per visit
• Physiotherapist or Physical therapist 75% up to €35 x 15 visits

• Acupuncturist 50% up to €35 x 15 combined visits
• Chiropractor 50% up to €35 x 15 combined visits
• Massage therapist 50% up to €35 x 15 combined visits
• Osteopath 50% up to €35 x 15 combined visits
• Reflexologist 50% up to €35 x 15 combined visits

• Child/Teen Counselling 50% up to €50 x 8 visits
• Chiropodist Visits 50% up to €35 x 15 combined visits
• Dietician Visits 50% up to €35 x 15 combined visits
• Hearing Test Up to €40 x 1
• Nutritionist Visits 50% up to €35 x 15 combined visits
• Occupational therapist Visits 50% up to €35 x 15 combined visits
• Optical (eye test and/or glasses/lenses combined) 75% up to €100 per policy year
• Orthoptist Visits 50% up to €35 x 15 combined visits
• Podiatrist Visits 50% up to €35 x 15 combined visits
• Prescriptions €15 x 5 prescriptions
• Psychologist €75 x 5 visits

• Back Up
• Health Screening
• International Second Opinion Service