HealthGuide 1

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 €100 excess per claim
• Private Room Covered subject to €200 nightly excess subject to €3,000 co-payment on certain orthopaedic procedures and €500 co-payment on certain ophthalmic procedures
• Semi Private Room Covered subject to €200 excess per claim subject to €3,000 co-payment on certain orthopaedic procedures and €500 co-payment on certain ophthalmic procedures

High Tech Hospitals

• Day Case Covered subject to €100 excess per claim
• Listed Cardiac Procedures Covered subject to €200 excess per claim
• Listed Special Procedures Covered subject to €200 excess per claim subject to €3,000 co-payment on certain orthopaedic procedures and €500 co-payment on certain ophthalmic procedures
• Private Room Semi-Private Rate (Beacon only) subject to €200 excess per claim. Mater Private and Blackrock Clinic 35% of Semi-Private Rate.
• Semi Private Room Covered (Beacon only) subject to €200 excess per claim. Mater Private and Blackrock Clinic 45% cover.

• GentleBirth App See handbook for details
• Home birth Covered up to €4,000
• Inpatient maternity consultant fees As per schedule of benefits for professional fees
• Postnatal Domestic Support 2 x 3 hour cleaning sessions
• Public hospital cover for maternity 3 nights accommodation
• Welcome Home Food Hamper Hamper and 30 minute phone consultation with a nutritionist

• 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 50% up to €10,000 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
• Healthy Minds Online access to mental health assessments and content and up to 6 counselling sessions via phone, chat, video or face to face
• Hormone Replacement Therapy for Gender Dysphoria Covered up to €250 per lifetime
• Medicall ambulance costs Covered (refer to Membership Handbook)
• Mental Health Guide Covered (refer to Membership Handbook)
• Oncotype DX Covered
• Parent accompanying child €40 x 14 days (not payable for the first 3 days)

• Consultant fees €60 per visit, unlimited
• Emergency Dental Care Up to €150
• Home Recovery Benefit €80 x 10 days
• Manual Lymph Drainage 50% up to €25 x 5 visits
• Medical and surgical appliances As per specified list (subject to €100 excess)
• Menopause Benefit €60 cover for initial and €60 cover for 1 follow up review consultation
• Pathology: Consultant fees 50% as per schedule of benefits for professional fees
• Pathology: Cost of test 50% Cover
• Post cancer treatment sleeping caps Covered up to €60 once per policy year
• Psycho-oncology Counselling 50% up to €25 x 8 visits
• Public A&E Cover 50% up to €50 per visit
• Radiology: Consultant fees 50% as per schedule of benefits for professional fees
• Radiology: Cost of test 50% Cover

• 3D/4D & Early Pregnancy Scans €50 contribution
• AMH fertility test €50 contribution
• Antenatal Class €50 towards an antenatal class
• Breastfeeding Consultancy €25 x 2 sessions
• Cardiac Screening 50% Cover
• Convalescence benefits €50 x 15 days
• Digital Doctor Unlimited. See irishlifehealth.ie for further information.
• Egg freezing 50% cover up to a max of €500 once per lifetime
• Female Fertility Assessment and Consultation Covered with our preferred provider, once per policy year subject to a €60 co-payment
• Female Health Consultation 50% cover x 4 consultations per year with our provider partner
• Fertility benefit 50% cover up to a max of €500 for IVF, IUI, ICSI. Twice per lifetime
• Fitness Wearables €20 contribution
• Health screening & allergy testing Up to €150 per policy year
• His & Hers Fertility Screening Tests €50 contribution
• HPV Vaccine 50% up to €200 per policy year
• Lifestyle Genomic Testing - Nutrition, Fitness, Sleep and Stress 50% up to €50 with our provider partner
• Maternity Mental Health Support €40 x 8 sessions with Nurture
• Minor Injury Clinic Cover 50% up to €200 per visit
• Minor Injury Clinic Cover (Pay & Claim) 50% up to €200 per visit
• Nurse on call Covered
• Nutrition Recovery Benefit €50 contribution
• Out-patient maternity consultant fees €400
• Psychotherapy and counselling benefit (including practitioners at the Dean Clinic) 50% up to 12 visits capped at €300 per policy year
• SADS Screening €50 contribution
• Sperm freezing 50% cover up to a max of €125 once per lifetime
• Sports Club / Gym Membership / Classes €40 contribution
• Vaccinations: Travel Only €50 contribution
• Vasectomy (GP or Consultant) Covered up to €360

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

• Dentist Visits 50% up to €100 per policy year
• GP Visits €25 per visit
• Physiotherapist or Physical therapist €30 x 10 visits

• Acupuncturist 50% up to €35 x 10 combined visits
• Chiropractor 50% up to €35 x 10 combined visits
• Massage therapist 50% up to €35 x 10 combined visits
• Osteopath 50% up to €35 x 10 combined visits
• Reflexologist 50% up to €35 x 10 combined visits
• Reiki practitioner 50% up to €35 x 10 combined visits

• Child/Teen Counselling 50% up to €30 x 8 visits
• Chiropodist Visits 50% up to €35 x 10 combined visits
• Dietician Visits 50% up to €35 x 10 combined visits
• Hearing Test Up to €25 x 1
• Nutritionist Visits 50% up to €35 x 10 combined visits
• Occupational therapist Visits 50% up to €35 x 10 combined visits
• Optical (eye test and/or glasses/lenses combined) 50% up to €75 per policy year
• Orthoptist Visits 50% up to €35 x 10 combined visits
• Podiatrist Visits 50% up to €35 x 10 combined visits
• Prescriptions €15 x 3 prescriptions
• Psychologist €25 x 10 visits
• Speech Therapist 50% up to €35 x 10 combined visits

• Back Up
• Health Screening
• Laser Eye Surgery