table of benefits – pmi 01 10 - irish health insurance · table of benefits – pmi 01 10...

Denotes benefit changes to this plan since the last renewal date. If you have moved to or purchased this plan for the first time, benefit differences with your old plan, if applicable, are not highlighted.

Table of Benefits – PMI 01 10

Applicable to new registrations or renewals on/or after 1st October, 2018.

This Table of Benefits must be read in conjunction with your Company Plan Terms and Conditions and the directories of approved facilities. Facilities may change from time to time, so log on to Vhi.ie or phone us on (056) 444 4444 if you are planning treatment.~

Benefit Provision Benefit

Section 1 - Hospital chargesA Public 1 & 2 hospitals

Day care, side room, semi-private & private accommodation Full cover

B Private hospitals and treatment centres

Private 1, 2 & 3 hospitals (other than for certain investigations & treatments referred to in Section 1c & 1d) Day care, side room & semi-private accommodation Full cover

Private accommodation *(subject to a daily hospital excess of €50 per night) *Full cover

Radiotherapy (day care & out-patient) Full cover

Private 4 hospitals (other than for certain investigations & treatments referred to in Section 1c & 1d) Day care & side room Full cover

Semi-private accommodation 50%

Private accommodation 40%


C Certain investigations and treatments - herein referred to as Fixed Price Procedures (FPPs), (contact us for details)

Private 3 & 4 hospitals Day care & in-patient cardiac FPPs Level 1 Full cover

Day care & in-patient non-cardiac FPPs Level 1 (other than Radiotherapy and Chemotherapy, refer to Section 1B)

Full cover

In-patient cardiac FPPs Level 2 0%

D Specified hip, knee & shoulder joint replacement procedures (herein referred to as Orthopaedic procedures) & specified Ophthalmic procedures - contact us for details of these

Private 1, 2 & 3 hospitals Day care, side room & semi-private accommodation 80%

Private accommodation *(subject to a daily hospital excess of €50 per night) *80%

Private 4 hospitals Day care & side room 80%



PMI 01 10

When carried out as a Fixed Price Procedure (contact us for details) Private 3 & 4 hospitals 80%

Section 2 - Consultants' fees/GP proceduresA In-patient treatment, day-care/side room/out-patient & GP procedures

Participating consultant/GP Full cover

Non-participating consultant/GP Standard benefit

Section 3 - Psychiatric cover (read in conjunction with Section 1)

A In-patient psychiatric cover 180 daysB Day care psychiatric treatment for approved day care programmes Contact us for

further detailsC In-patient treatment for alcoholism, drug or other substance abuse in any 5 year

period91 days

D Out-patient mental health treatment (in an approved out-patient mental health centre) Mental health assessment in every 2 year period €100 per

member Mental health therapy, 12 visits €30 per visit

Section 4 - MaternityA Normal confinement

Public hospital benefit (up to 3 days) Full coverCaesarean delivery (as per hospital benefits listed) Refer Section

1Home birth benefit €3,500

B In-patient maternity consultant fees (per Schedule of Benefits for Professional Fees)

Agreed charges

C Post-natal home nursing Following 1 nights stay €1,300

Following 2 nights stay €650

D Vhi Fertility Programme

Fertility benefit - benefit per member, towards the cost of specified fertility tests and treatments carried out in a Vhi Participating Fertility Treatment Centre Initial consultation €100 discount

at point of sale

AMH & Semen Analysis tests €100 discount at point of

sale Egg freezing - once per lifetime €1,000

Sperm freezing - once per lifetime €125

PMI 01 10

IUI - up to 2 treatments per lifetime, female members only €450 per treatment*

IVF or ICSI - up to 2 treatments per lifetime, female members only €1,000 per treatment*

Fertility counselling - 4 sessions per treatment carried out in a Vhi Participating Fertility Treatment Centre

€40 per session

Fertility support services - Acupuncturists & Dieticians visits Refer Section 9

* These benefits are co-funded by Vhi and the Vhi Participating Fertility Treatment CentreSection 5 - Cancer care and other benefits

A Mammograms in an approved mammogram centre in each 24 month period, covered in accordance with our rules (contact us for details)

Full cover

B Cancer care support - one night's accommodation for each treatment €100 per nightC Manual lymph drainage following cancer treatment - 10 visits €50 per visitD Clinical psychology counselling for oncology treatment (psycho oncology

counselling) - 10 visitsRefer Section

9E Additional cancer support benefits

Wig/ hairpiece, post-mastectomy bra, swimsuit, surgical prosthesis following cancer treatment

Full cover

No excess applies, but subject to the benefit maximum for medical and surgical appliances set out below

F Other benefits in Section 5

Vhi Healthcare approved medical and surgical appliances - subject to an excess of €300 per member per year (contact us for details of eligible appliances)

€3,200 per member year

Convalescent care - first 14 nights €30 per night

Vhi Hospital@Home Full cover

Child home nursing - 28 days per calendar year €100 per day

Parent accompanying child - 14 days per calendar year, following a stay in excess of 3 days in hospital

€100 per day

Return home benefit €100 per claim

Vhi VisionCare Vhi VisionCare E-Screen (available through Vhi.ie/myvhi) Full cover

Comprehensive eye exam carried out by a VSP eye-care professional in each 24 month period - subject to Vhi VisionCare E-Screen referral

Full cover

Section 6 - Transport costsA Transport costs (covered in accordance with our rules) Agreed

chargesSection 7 - Cover outside Ireland

A Emergency treatment abroad €100,000B Elective treatment abroad (subject to prior approval)

PMI 01 10

Surgical procedures available in Ireland (as per level of cover in Ireland) €100,000

Treatment not available in Ireland €100,000

Section 8A In-patient MRI scans (covered in accordance with Section 1) Agreed

chargesB Out-patient MRI scans

Category 1 - approved MRI centres Full cover

Category 2 - approved MRI centres, agreed MRI charges & consultant Radiologists fees (subject to an excess of €125 per scan)

Full cover

C PET-CT scans (covered in accordance with our rules) Agreed charges

D CT Scans (covered in accordance with our rules) Full cover

Section 9 – Day-to-day medical expenses (benefits are per visit, per member, unless otherwise indicated)

A General practitioner - 12 visits €35B Consultant consultation - 7 visits €70C Pathology - consultants’ fees (per referral) €70D Radiology - consultants’ fees for professional services (per procedure) €70E Pathology/Radiology or other diagnostic tests (refer to Section 8 for out-patient

MRI benefits) - 75% of agreed charges in an approved out-patient centre. Contact us for details of eligible diagnostic tests and reimbursements

€750 per year

F Pre- and post-natal care (combined visits) €400G Dental practitioner - 7 visits €35H Physiotherapist - 7 visits €35I Acupuncturists, Chiropractors, Osteopaths, Physical therapists, Reflexologists - 7

combined visits€35

J Chiropodists/Podiatrists, Dieticians, Occupational therapists, Speech therapists, Orthoptists - 7 combined visits

€35

K Clinical Psychologist – 7 visits €35L Optical – eye tests and glasses/contact lenses – 75% of charges in each 24 month

period (^Payment will be made directly to the provider if attending a VSP network provider, and will not be subject to the annual excess or the annual maximum)

€100^

M Hearing test in each 2 year period €35N Health screening - in each 24 month period, covered in accordance with our rules

(contact us for details) * Lifestage screening programme in a Vhi Medical Centre €150 per

screen Dexa scans in an approved dexa scan centre 75% cover

O Accident & emergency cover - 2 visits €75P Child counselling - 7 visits €30Q Baby massage classes, in the year of the birth €100 per child

PMI 01 10

R Foetal screening, in the year of the birth €100 per pregnancy

S Antenatal course, in the year of the birth €75T Breastfeeding consultations, 2 visits in the year of the birth €30U Travel vaccinations €60 per yearV Clinical psychology counselling for oncology treatment (psycho oncology

counselling)* - 10 visits€50 per visit

W Strength & Conditioning Coach – 3 visits €35X Vhi SwiftCare exclusive benefit to Vhi customers*

Initial consultation (charge is €125 – you pay €50) €75

Follow-up treatment package after this consultation for x-rays, tests & medical aids (maximum you will pay is €100 for this follow-up treatment)

50% of total costs

Vhi SwiftCare appointment services* Consultant consultation (orthopaedic, oral maxillofacial & sports medicine) 75%

Dental practitioner – 7 visits €35

Physiotherapist – 7 visits €35

Y Vhi paediatric clinic* Initial Consultant consultation 75%

Follow up paediatric treatment and services after this consultation including lactation consultant, dietician, ultrasound, blood tests and x-ray

50% of total costs

Z Paediatrician benefit in addition to the Vhi paediatric clinic benefit listed above - 1 visit in the year of the birth

€75

Annual excess - per member, per year €1

Annual maximum - per member, per year €4,000

* These benefits are not subject to the annual excess or annual maximum

Section 10A Fitness screening and Personalised Exercise Programme, carried out in the

Sports Surgery Clinic, Santry (1 visit per 3 year period)Full cover

Section 11 - Workplace benefitsA Employee Assistance Programme

Telephone counselling, 6 sessions per issue Full cover

Face-to-face counselling, 6 visits per issue Full cover

Additional notesA Hospitals not covered on this plan - Bon Secours Hospital Galway and Whitfield

Clinic Waterford

PMI 01 10

Vhi Healthcare DAC trading as Vhi Healthcare is regulated by the Central Bank of Ireland. Vhi Healthcare is tied to Vhi Insurance DAC for health insurance in Ireland which is underwritten by Vhi Insurance DAC.

TOBPMI 0110 V5 Oct18










Private accommodation Semi-private rate


Hospital excess (per claim - except maternity & certain cancer treatments) €125









Full cover





Private accommodation 80% Semi-private rate

PMI 02 10

Hospital excess (per claim) €125













period91 days







Agreed charges




Fertility benefit - benefit per member, towards the cost of specified fertility tests and treatments carried out in a Vhi Participating Fertility Treatment Centre

PMI 02 10

Initial consultation €100 discount at point of

sale AMH & Semen Analysis tests €100 discount

at point of sale

Egg freezing - once per lifetime €1,000





€40 per session




Full cover





Full cover









€100 per day




Full cover

PMI 02 10










Full cover




A General practitioner - unlimited visits 75%B Consultant consultation - unlimited visits 50%C Pathology - consultants’ fees 50%D Radiology - consultants’ fees for professional services 50%E Pathology/Radiology or other diagnostic tests (refer to Section 8 for out-patient


€500 per year

F Pre- and post-natal care (combined visits) €350G Dental practitioner - 7 visits €30H Emergency dental treatment Up to €500

per accidentI Physiotherapist - 25 visits €30J Clinical Psychologist – 7 visits €25K Acupuncturists, Chiropractors, Osteopaths, Physical therapists, Reflexologists - 7

combined visits50%

L Chiropodists/Podiatrists, Dieticians, Occupational therapists, Speech therapists, Orthoptists* - 7 combined visits

50%

M Optical – eye tests and glasses/contact lenses – 75% of charges in each 24 month period (^Payment will be made directly to the provider if attending a VSP network provider, and will not be subject to the annual excess or the annual maximum)

€110^

PMI 02 10

N Hearing test in each 2 year period €20O Health screening - in each 24 month period, covered in accordance with our rules


screen Dexa scans in an approved dexa scan centre Full cover

P Accident & emergency cover - 2 visits €75Q Child counselling - 7 visits €25R Baby massage classes, in the year of the birth €100 per childS Foetal screening, in the year of the birth €100 per

pregnancyT Antenatal course, in the year of the birth €75U Breastfeeding consultations, 2 visits in the year of the birth €30V Travel vaccinations €60 per yearW Clinical psychology counselling for oncology treatment (psycho oncology


X Vhi SwiftCare exclusive benefit to Vhi customers* Initial consultation (charge is €125 – you pay €50) €75


50% of total costs






50% of total costs


€60







PMI 02 10





Applicable to new registrations or renewals on/or after 1st July, 2018.






Private 1, 2 & 3 hospitals (other than for certain investigations & treatments referred to in Section 1c) Day care, side room, semi-private & private accommodation Full cover


Private 4 hospitals (other than for certain investigations & treatments referred to in Section 1c) Day care, side room & semi-private accommodation Full cover

Private accommodation- Mater Private Hospital, Dublin Semi-private

rate, 100% technical charges

- Blackrock Clinic 80% private rate, 100% technical charges





Full cover

In-patient cardiac FPPs Level 2 Full cover




PMI 03 10




period91 days

D Out-patient mental health treatment (in an approved out-patient mental health centre) Mental health assessment in every 12 month period €100 per






Agreed charges



Section 5A Convalescent care - first 14 nights €70 per nightB Cancer care support - one night’s accommodation up to €100, for each treatment €1,500 per

calendar yearC Vhi Healthcare approved medical and surgical appliances - subject to an excess of

€300 per member per year (contact us for details of eligible appliances)€6,500 per

member yearD Vhi Hospital@Home Full coverE Child home nursing - 28 days per calendar year €100 per dayF Parent accompanying child - 14 days per calendar year, following a stay in excess

of 3 days in hospital€100 per day

G Return home benefit €100 per claim

H Vhi VisionCare Vhi VisionCare E-Screen (available through Vhi.ie/myvhi) Full cover


Full cover

Section 6 - Transport costs

PMI 03 10

A Transport costs (covered in accordance with our rules) Agreed charges

Section 7 - Cover outside IrelandA Emergency treatment abroad €100,000B Elective treatment abroad (subject to prior approval)







Full cover






€1,000 per year

F Pre- and post-natal care (combined visits) €2,500G Physiotherapist - 20 visits €80H Optical – eye tests and glasses/contact lenses – 100% of charges in each 12

month period (^Payment will be made directly to the provider if attending a VSP network provider, and will not be subject to the annual excess or the annual maximum)

€150^

I Clinical Psychologist – 20 visits €120J Hearing test in each 12 month period Full coverK Health screening - in each 12 month period, covered in accordance with our rules

(contact us for details) * Lifestage screening programme in a Vhi Medical Centre Full cover

Dexa scans in an approved dexa scan centre Full cover

Mammograms in an approved mammogram centre Full cover

L Accident & emergency cover - 10 visits €100

PMI 03 10

M Child counselling - 8 visits €30N Baby massage classes, in the year of the birth €100 per childO Foetal screening, in the year of the birth €200 per

pregnancyP Antenatal course, in the year of the birth €75Q Breastfeeding consultations, 2 visits in the year of the birth €30R Travel vaccinations €100 per yearS Prescription costs – per individual or per family, subject to an excess of €10 per

month€134 per

monthT Strength & Conditioning Coach – 3 visits €80U Vhi SwiftCare exclusive benefit to Vhi customers*



50% of total costs



V Vhi paediatric clinic* Initial Consultant consultation 75%


50% of total costs

W Paediatrician benefit in addition to the Vhi paediatric clinic benefit listed above - 1 visit in the year of the birth

€150







TOBPMI 0310 V4 Jul18














Semi-private & private accommodation 0%






Full cover




Private 1, 2 & 3 hospitals - Orthopaedic procedures Day care, side room & semi-private accommodation 60%


Hospital excess (per claim) None

PMI 04 10

Private 1, 2 & 3 hospitals - Ophthalmic procedures Day care, side room & semi-private accommodation 80%



Private 4 hospitals - Orthopaedic procedures Day care & side room 60%



Private 4 hospitals - Ophthalmic procedures Day care & side room 80%



When carried out as a Fixed Price Procedure (contact us for details) - Orthopaedic procedures Private 3 & 4 hospitals 60%


When carried out as a Fixed Price Procedure (contact us for details) - Ophthalmic procedures Private 3 & 4 hospitals 80%








period91 days



Section 4 - Maternity & BabyA Normal confinement

Public hospital benefit (up to 3 days) Full cover

PMI 04 10

Caesarean delivery (as per hospital benefits listed) Refer Section 1

Home birth benefit €3,400


Agreed charges





at point of sale







€40 per session


* These benefits are co-funded by Vhi and the Vhi Participating Fertility Treatment Centre

E Maternity & Baby Bundle Maternity Yoga and Pilates classes 75% cover up

One maternity scan to a combined

Breast-feeding consultations limit of €500

Baby massage classes and

Baby swim classes no excess

Ante natal courseSection 5 - Cancer care and other benefits


Full cover

B Cancer care support - one night's accommodation for each treatment €100 per night C Manual lymph drainage following cancer treatment - 10 visits €50 per visit D Clinical psychology counselling for oncology treatment (psycho oncology

counselling) - 10 visitsRefer section


PMI 04 10


Full cover


F Other benefits in Section 5 Convalescent care - first 14 nights €25 per night






€100 per day




Full cover










Full cover


D CT Scans (covered in accordance with our rules) Full coverSection 9 – Day-to-day medical expenses (benefits are per visit, per member, unless otherwise indicated)

A General practitioner - 25 visits €30B Consultant consultation - 25 visits €75

PMI 04 10

C Pathology - consultants’ fees (per referral) €75D Radiology - consultants’ fees for professional services (per procedure) €75E Pathology/Radiology or other diagnostic tests (refer to Section 8 for out-patient


€500 per year

F Pre- and post-natal care (combined visits) €500G Newborn baby programme in Vhi SwiftCare Clinics, Dublin, in the first 3 months

after the birth *€300

H Child check-up in Vhi SwiftCare Clinics, Dublin – 1 visit per child, per year for *: General Paediatric visit (up to 16 years) or €180

Developmental check-up (up to 5 years)I STI screening Up to €100J Dental practitioner - 25 visits €30K Physiotherapist - 25 visits €30L Acupuncturists, Chiropractors, Osteopaths, Physical therapists, Reflexologists - 12


M Chiropodists/Podiatrists, Dieticians, Occupational therapists, Speech therapists, Orthoptists - 12 combined visits

€30

N Optical – eye tests and glasses/contact lenses – in each 24 month period (^Payment will be made directly to the provider if attending a VSP network provider, and will not be subject to the annual excess or the annual maximum)

€150^

O Clinical Psychologist – 12 visits €30P Hearing test in each 2 year period €40Q Health screening - in each 24 month period, covered in accordance with our rules

Female & male screening €250 per member

Dexa scans in an approved dexa scan centre (contact us for details) * 50% cover

R Accident & emergency cover - 2 visits €75S Vhi SwiftCare exclusive benefit to Vhi customers*



50% of total costs

T Child counselling - 8 visits €30U Clinical psychology counselling for oncology treatment (psycho oncology


V Paediatrician benefit - 1 visit in the year of the birth €75W Foetal screening, in the year of the birth €100 per

pregnancyX Travel vaccinations €100 per yearY Post natal home help, within 6 weeks of the birth €100Z Strength & Conditioning Coach – 3 visits €30

PMI 04 10

AA

Emergency dental treatment Up to €750 per accident




Section 10A Fitness screening, carried out in the Sports Surgery Clinic, Santry (1 visit per 3

year period)Full cover




Additional notesA Hospitals not covered on this plan - Bon Secours Hospital Cork, Blackrock Clinic,

Bon Secours Hospital Galway, Galway Clinic and Bon Secours Hospital Tralee


TOBPMI04 10 V3 Oct18



















Full cover








PMI 05 11








period91 days







Agreed charges





at point of sale




PMI 05 11




€40 per session


* These benefits are co-funded by Vhi and the Vhi Participating Fertility Treatment CentreSection 5

A Convalescent care - first 14 nights €30 per nightB Cancer care support - one night’s accommodation up to €100, for each treatment €1,500 per








Full cover










Full cover

PMI 05 11






€1,000 per year

F Pre- and post-natal care (combined visits) €500G STI screening Up to €100H Dental practitioner - 16 visits €40I Physiotherapist - 16 visits €40J Acupuncturists, Chiropractors, Osteopaths, Physical therapists, Reflexologists -

unlimited visits75%

K Chiropodists/Podiatrists, Dieticians, Occupational therapists, Speech therapists, Orthoptists - unlimited visits

75%

L Optical – eye tests and glasses/contact lenses – 75% of charges in each 24 month period (^Payment will be made directly to the provider if attending a VSP network provider, and will not be subject to the annual excess or the annual maximum)

€150^

M Clinical Psychologist – 12 visits €40N Hearing test in each 2 year period €50O Health screening - in each 24 month period, covered in accordance with our rules




P Accident & emergency cover - 2 visits €75Q Child counselling - 8 visits €30R Baby massage classes, in the year of the birth €100 per childS Foetal screening, in the year of the birth €200 per

pregnancyT Antenatal course, in the year of the birth €75U Breastfeeding consultations, 2 visits in the year of the birth €30V Travel vaccinations €100 per yearW Strength & Conditioning Coach – 3 visits €40X Vhi SwiftCare exclusive benefit to Vhi customers*

PMI 05 11



50% of total costs






50% of total costs


75%









Additional notesA Please note that some of the benefits included in Section 9 are now payable as a

% of the total charge rather than a fixed monetary amount and limits on the number of visits have also been removed.

B Hospitals not covered on this plan - Mater Private Hospital Cork and Bon Secours Hospital Galway























Full cover






PMI 06 10














period91 days







Agreed charges





PMI 06 10



at point of sale






€40 per session








Ante natal courseF Additional Maternity & Baby Benefits

Female and male mental health counselling - 10 sessions €40 per session

Section 5 - Cancer care and other benefitsA Genetic testing for cancer

Initial consultation for genetic testing for cancer * 50% cover

Genetic test - for specified genetic mutations to be carried out in an approved clinic *

Full cover

Preventative (Prophylactic) treatment following on from the genetic test Covered up to the levels for

hospital treatment listed in

Section 1* These benefits are available immediately for existing Vhi customers with no waiting periods. There is a 26 week new conditions waiting period for new joiners and a two year waiting period for transfers from another insurer

B Mammograms in an approved mammogram centre in each 24 month period, covered in accordance with our rules (contact us for details)

Full cover

C Cancer care support - one night's accommodation for each treatment €100 per night

PMI 06 10

D Manual lymph drainage following cancer treatment - 10 visits €50 per visitE Clinical psychology counselling for oncology treatment (psycho oncology


9F Additional cancer support benefits


Full cover


G Other benefits in Section 5







€100 per day




Full cover










Full cover



PMI 06 10




€500 per year

F Pre- and post-natal care (combined visits) €350G Dental practitioner - 7 visits €25H Practice nurse - unlimited visits 50%I STI screening Up to €100 J Physiotherapist - 7 visits €25K Clinical Psychologist – 7 visits €25L Acupuncturists, Chiropractors, Osteopaths, Physical therapists, Reflexologists -

unlimited visits50%

M Chiropodists/Podiatrists, Dieticians, Occupational therapists, Speech therapists, Orthoptists - unlimited visits

50%


Up to €150^

O Hearing test in each 2 year period €25P Health screening - in each 24 month period, covered in accordance with our rules



Q Accident & emergency cover - 2 visits €75R Clinical psychology counselling for oncology treatment (psycho oncology


S Child counselling - 7 visits €25T Foetal screening, in the year of the birth €100 per

pregnancyU Travel vaccinations €60 per yearV Strength & Conditioning Coach – 3 visits €25W Vhi SwiftCare exclusive benefit to Vhi customers*



50% of total costs

Vhi SwiftCare appointment services*

PMI 06 10

Consultant consultation (orthopaedic, oral maxillofacial & sports medicine) 50%



X Vhi paediatric clinic* Initial Consultant consultation 50%


50% of total costs

Y Paediatrician benefit Paediatrician benefit in addition to the Vhi paediatric clinic benefit listed above

- 1 visit in the year of the birth50%









TOBPMI06 10 V3 Oct18












Hospital excesses - except maternity & certain cancer treatments- Hospital excess per claim - day care & side room €50- Hospital excess per claim - in-patient admissions (payable only on the first

in-patient admission per member per renewal year under Section 1b, 1c and 1d)

€150

Private 4 hospitals (other than for certain investigations & treatments referred to in Section 1c & 1d) Day care & side room Full Cover






€150



Day care non-cardiac FPPs Level 1 (other than Radiotherapy and Chemotherapy, refer to Section 1B)

Full cover

In-patient non-cardiac FPPs Level 1 (other than Radiotherapy and Chemotherapy, refer to Section 1B)

90%

PMI 07 10




€150




Hospital excesses- Hospital excess per claim - day care & side room €50- Hospital excess per claim - in-patient admissions (payable only on the first


€150






€150




€150





A In-patient psychiatric cover 100 days

PMI 07 10

B Day care psychiatric treatment for approved day care programmes Contact us for further details

C In-patient treatment for alcoholism, drug or other substance abuse in any 5 year period

91 days







Agreed charges





at point of sale







€40 per session





PMI 07 10





A Genetic testing for cancer Initial consultation for genetic testing for cancer * 50% cover


Full cover





Full cover

C Cancer care support - one night's accommodation for each treatment €100 per nightD Manual lymph drainage following cancer treatment - 10 visits €50 per visitE Clinical psychology counselling for oncology treatment (psycho oncology




Full cover









€105 per day



PMI 07 10


Full cover










Full cover


D CT Scans (covered in accordance with our rules) Full coverSection 9 – Day-to-day medical expenses (benefits are per visit, per member, unless otherwise indicated)

A General practitioner - unlimited visits 50%B Consultant consultation - unlimited visits 50%C Pathology - consultants’ fees 50%D Radiology - consultants’ fees for professional services 50% E Pathology/Radiology or other diagnostic tests (refer to Section 8 for out-patient


€500 per year


per accidentI Practice nurse - unlimited visits 50%J STI screening Up to €100K Physiotherapist - 10 visits €25L Clinical Psychologist – 10 visits €25M Acupuncturists, Chiropractors, Osteopaths, Physical therapists, Reflexologists -

unlimited visits50%

PMI 07 10

N Chiropodists/Podiatrists, Dieticians, Occupational therapists, Speech therapists, Orthoptists - unlimited visits

50%

O Optical – eye tests and glasses/contact lenses – 75% of charges in each 24 month period (^Payment will be made directly to the provider if attending a VSP network provider, and will not be subject to the annual excess or the annual maximum)

€120^

P Hearing test in each 2 year period €40Q Health screening - in each 24 month period, covered in accordance with our rules



R Accident & emergency cover - 2 visits €75S Clinical psychology counselling for oncology treatment (psycho oncology


T Child counselling - 7 visits €25U Foetal screening, in the year of the birth €100 per

pregnancyV Travel vaccinations €60 per yearW Vhi SwiftCare exclusive benefit to Vhi customers*



50% of total costs






50% of total costs

Y Paediatrician benefit Paediatrician benefit in addition to the Vhi paediatric clinic benefit listed above








PMI 07 10


TOBPMI0710 V2 Oct18













Private 4 hospitals (other than for certain investigations & treatments referred to in Section 1c & 1d) Day care, side room, semi-private & private accommodation 0%

Radiotherapy (day care & out-patient) 0%




0%








PMI 08 11



Private 4 hospitals - Orthopaedic & Ophthalmic procedures Day care, side room, semi-private & private accommodation 0%








period91 days







Agreed charges





at point of sale

PMI 08 11







€40 per session










Full cover





Full cover








€100 per day

PMI 08 11










Full cover





MRI benefits) - 50% of agreed charges in an approved out-patient centre. Contact us for details of eligible diagnostic tests.

€300 per year

F Pre- and post-natal care (combined visits) €250G Practice nurse - unlimited visits 50%H STI screening Up to €100I Dental practitioner - 7 visits €25J Physiotherapist - 7 visits €25K Acupuncturists, Chiropractors, Osteopaths, Physical therapists, Reflexologists -

unlimited visits 50%

L Chiropodists/Podiatrists, Dieticians, Occupational therapists, Speech therapists, Orthoptists - unlimited visits

50%

M Clinical Psychologist – 7 visits €25N Optical – eye tests and glasses/contact lenses – 75% of charges in each 24 month

period€55

O Hearing test in each 2 year period €25

PMI 08 11

P Health screening - in each 24 month period, covered in accordance with our rules (contact us for details) * Lifestage screening programme in a Vhi Medical Centre €100 per


Q Accident & emergency cover - 2 visits €75R Vhi SwiftCare exclusive benefit to Vhi customers*



50% of total costs

S Child counselling - 7 visits €25T Clinical psychology counselling for oncology treatment (psycho oncology


U Paediatrician benefit - 1 visit in the year of the birth 50%V Travel vaccinations €60 per year






B Hospitals not covered on this plan - Bon Secours Hospital Cork, Bon Secours Hospital Galway and Bon Secours Hospital Tralee























Full cover






PMI 10 11














period91 days







Agreed charges





PMI 10 11



at point of sale






€40 per session











Full cover





Full cover



9

PMI 10 11

F Additional cancer support benefits Wig/ hairpiece, post-mastectomy bra, swimsuit, surgical prosthesis following

cancer treatmentFull cover









€100 per day



Comprehensive eye exam carried out by a VSP eye-care professional in each month period - subject to Vhi VisionCare E-Screen referral

Full cover










Full cover




PMI 10 11

A General practitioner - unlimited visits 50%B Consultant consultation - unlimited visits 50%C Pathology - consultants’ fees (per referral) - unlimited visits 50%D Radiology - consultants’ fees for professional services (per procedure) - unlimited

visits50%

E Pathology/Radiology or other diagnostic tests (refer to Section 8 for out-patient MRI benefits) - 50% of agreed charges in an approved out-patient centre. Contact us for details of eligible diagnostic tests and reimbursements

€250 per year


unlimited visits50%


50%


€50^

N Clinical Psychologist – 7 visits €25O Hearing test in each 2 year period €25P Health screening - in each 24 month period, covered in accordance with our rules



Q Accident & emergency cover - 2 visits €75R Child counselling - 7 visits €25S Clinical psychology counselling for oncology treatment (psycho oncology

counselling)* - 10 visits€50

T Foetal screening, in the year of the birth €100 per pregnancy

U Travel vaccinations €60 per yearV Vhi SwiftCare exclusive benefit to Vhi customers*



50% of total costs




PMI 10 11

W Vhi paediatric clinic* Initial Consultant consultation 50%


50% of total costs

X Paediatrician benefit in addition to the Vhi paediatric clinic benefit listed above - 1 visit in the year of the birth

50%




Additional notesA Hospitals not covered on this plan - Aut Even Hospital Kilkenny and Whitfield

Clinic Waterford























Full cover






PMI 12 11














period91 days







Agreed charges





PMI 12 11



at point of sale






€40 per session











Full cover



Section 1 * These benefits are available immediately for existing Vhi customers with no

waiting periods. There is a 26 week new conditions waiting period for new joiners and a two year waiting period for transfers from another insurer


Full cover



9

PMI 12 11






€6500 per member year





€100 per day


Vhi VisionCare E-Screen (available through Vhi.ie/myvhi) Full cover


Full cover










Full cover




A General practitioner - unlimited visits 50%

PMI 12 11

B Consultant consultation - unlimited visits 50%C Pathology - consultants’ fees (per referral) €60D Radiology - consultants’ fees for professional services (per procedure) €60E Pathology/Radiology or other diagnostic tests (refer to Section 8 for out-patient


€500 per year

F Pre- and post-natal care (combined visits) €500G Practice nurse - unlimited visits 50%H STI screening up to €100I Dental practitioner - 7 visits €25J Physiotherapist - 7 visits €25K Acupuncturists, Chiropractors, Osteopaths, Physical therapists, Reflexologists* -

unlimited visits50%

L Chiropodists/Podiatrists, Dieticians, Occupational therapists, Speech therapists, Orthoptists* - unlimited visits

50%


€100^


(contact us for details)* Lifestage screening programme in a Vhi Medical Centre €150 per





U Travel vaccinations €60 per yearV Strength & Conditioning Coach – 3 visits €25W Vhi SwiftCare exclusive benefit to Vhi customers*



50% of total costs




PMI 12 11



50% of total costs

Y Paediatrician benefit in addition to the Vhi paediatric clinic benefit listed above - 1 visit in the year of the birth

€60













Applicable to new registrations or renewals on/or after 1st September, 2018.









Hospital excess (per claim - except maternity, certain cancer treatments & private accommodation which is subject to a daily hospital excess*)

€100









Full cover






PMI 15 11

Hospital excess (per claim – except private accommodation which is subject to a daily hospital excess*)

€100













period91 days







Agreed charges





PMI 15 11



at point of sale

IUI - one treatment per lifetime, female members only €450 per treatment*



€40 per session











Full cover





Full cover




PMI 15 11


Full cover









€100 per day




Full cover










Full cover




A Consultant consultation - unlimited visits 50%B Pathology - consultants’ fees 50%

PMI 15 11

C Radiology - consultants’ fees for professional services 50%D Pathology/Radiology or other diagnostic tests (refer to Section 8 for out-patient


€250 per year

E Pre- and post-natal care (combined visits) €250F STI screening Up to €100G Health screening - in each 24 month period, covered in accordance with our rules



H Clinical psychology counselling for oncology treatment (psycho oncology counselling)* - 10 visits

€50 per visit

I Acupuncturists, Dieticians* - unlimited visits 75%J Strength & Conditioning Coach – 3 visits €25K Vhi SwiftCare exclusive benefit to Vhi customers*



50% of total costs


L Vhi paediatric clinic* Initial Consultant consultation 50%


50% of total costs




Section 10 - LifeStage benefitsA Child counselling - 8 visits €30B Foetal screening, in the year of the birth €100 per

pregnancyC Travel vaccinations €60 per yearD Paediatrician benefit in addition to the Vhi paediatric clinic benefit listed above - 1

visit in the year of the birth€75

Annual excess - per member per year €1



Section 12 - Workplace benefits

PMI 15 11

A Employee Assistance Programme Telephone counselling, 6 sessions per issue Full cover


Additional notesA Hospitals not covered on this plan - Bon Secours Hospital Cork, Mater Private

Hospital Cork, Aut Even Hospital Kilkenny and Whitfield Clinic Waterford


TOBPMI 1511 V23 Sep18
















Private 3 hospitals Day care & in-patient cardiac FPPs Level 1 Full cover


Full cover




Day care & in-patient non-cardiac FPPs Level 1 Full cover





PMI 18 11



Private 4 hospitals Day care, side room, semi-private & private accommodation 0%









period91 days







Agreed charges




Fertility benefit - benefit per member, towards the cost of specified Fertility tests and treatments carried out in a Vhi Participating Fertility Treatment Centre

PMI 18 11



at point of sale






€40 per session











Full cover





Full cover



9

PMI 18 11











€100 per day



Full cover










Full cover




A General practitioner - unlimited visits 50%B Consultant consultation - unlimited visits 50%

PMI 18 11

C Pathology - consultants’ fees 50%D Radiology - consultants’ fees for professional services 50%E Pathology/Radiology or other diagnostic tests (refer to Section 8 for out-patient


€300 per year


unlimited visits50%


50%


€50^






T Travel vaccinations €60 per yearU Vhi SwiftCare exclusive benefit to Vhi customers*



50% of total costs






50% of total costs

PMI 18 11


50%







Additional notesA Hospitals not covered on this plan - Hermitage Medical Clinic Dublin and Galway

Clinic























Full cover






PMI 19 11














period91 days







Agreed charges





PMI 19 11



at point of sale




€40 per session











Full cover





Full cover




PMI 19 11


Full cover









€100 per day




Full cover










Full cover




A General practitioner - unlimited visits 50%B Consultant consultation - unlimited visits 50%

PMI 19 11

C Pathology - consultants’ fees 50%D Radiology - consultants’ fees for professional services 50%E Pathology/Radiology or other diagnostic tests (refer to Section 8 for out-patient


€500 per year

F Pre- and post-natal care (combined visits) €350G Practice nurse - unlimited visits 50%H Dental practitioner - 7 visits €25I Physiotherapist - 7 visits €25J Acupuncturists, Chiropractors, Osteopaths, Physical therapists, Reflexologists* -

unlimited visits50%

K Chiropodists/Podiatrists, Dieticians, Occupational therapists, Speech therapists, Orthoptists* - unlimited visits

50%

L Clinical Psychologist – 7 visits €25M Optical – eye tests and glasses/contact lenses – 75% of charges in each 24 month

period€100




P STI screening Up to €100Q Accident & emergency cover - 2 visits €75R Child counselling - 7 visits €25S Clinical psychology counselling for oncology treatment (psycho oncology



U Travel vaccinations €60 per yearV Vhi SwiftCare exclusive benefit to Vhi customers*



50% of total costs





PMI 19 11


50% of total costs


50%







Additional notesA Hospitals not covered on this plan - Bon Secours Hospital Cork, Mater Private

Hospital Cork, Bon Secours Hospital Dublin and Bon Secours Hospital Tralee





Applicable to new registrations or renewals on/or after 1st August, 2018.


















Full cover






PMI 21 11














period91 days







Agreed charges



Section 5A Convalescent care - first 14 nights €30 per night

PMI 21 11

B Cancer care support - one night’s accommodation up to €100, for each treatment €1,500 per calendar year

C Vhi Healthcare approved medical and surgical appliances - subject to an excess of €300 per member per year (contact us for details of eligible appliances)


D Vhi Hospital@Home Full coverE Child home nursing - 28 days per calendar year €100 per dayF Parent accompanying child - 14 days per calendar year, following a stay in excess












Full cover






€500 per year

F Pre- and post-natal care (combined visits) €350G Dental practitioner - 7 visits €25H Physiotherapist - 7 visits €25

PMI 21 11

I Acupuncturists, Chiropractors, Osteopaths, Physical therapists, Reflexologists - 7 combined visits

€25


€25


period€100





O Accident & emergency cover - 2 visits €75P Child counselling - 7 visits €25Q Baby massage classes, in the year of the birth €100 per childR Foetal screening, in the year of the birth €100 per

pregnancyS Antenatal course, in the year of the birth €75T Breastfeeding consultations, 2 visits in the year of the birth €30U Travel vaccinations €60 per yearV Vhi SwiftCare exclusive benefit to Vhi customers*



50% of total costs






50% of total costs


€60





PMI 21 11




TOBPMI 2111 V19 Aug18













€125









Full cover






PMI 22 11


€125













period91 days







Agreed charges



Section 5A Convalescent care - first 14 nights €30 per night

PMI 22 11

B Cancer care support - one night’s accommodation up to €100, for each treatment €1,500 per calendar year

C Vhi Healthcare approved medical and surgical appliances - subject to an excess of €300 per member per year (contact us for details of eligible appliances)


D Vhi Hospital@Home Full coverE Child home nursing - 28 days per calendar year €100 per dayF Parent accompanying child - 14 days per calendar year, following a stay in excess












Full cover






€1,000 per year

F Pre- and post-natal care (combined visits) €500G Dental practitioner - 12 visits €40H Physiotherapist - 12 visits €40

PMI 22 11

I Acupuncturists, Chiropractors, Osteopaths, Physical therapists, Reflexologists - 12 combined visits

€40


€40


period€150






pregnancyS Antenatal course, in the year of the birth €75T Breastfeeding consultations, 2 visits in the year of the birth €30U Travel vaccinations €100 per yearV Strength & Conditioning Coach – 3 visits €40W Vhi SwiftCare exclusive benefit to Vhi customers*



50% of total costs






50% of total costs


€100




PMI 22 11


























Full cover








PMI 23 11








period91 days







Agreed charges








PMI 23 11











Full cover






€1,000 per year




€40


period€150

M Hearing test in each 2 year period €50

PMI 23 11

N Health screening - in each 24 month period, covered in accordance with our rules (contact us for details) * Lifestage screening programme in a Vhi Medical Centre €150 per




pregnancyS Antenatal course, in the year of the birth €75T Breastfeeding consultations, 2 visits in the year of the birth €30U Travel vaccinations €100 per yearV Strength & Conditioning Coach – 3 visits €40W Vhi SwiftCare exclusive benefit to Vhi customers*



50% of total costs






50% of total costs


€100







PMI 23 11














€75









Full cover






PMI 25 11


€75













period91 days







Agreed charges





PMI 25 11



at point of sale






€40 per session










Full cover





Full cover








PMI 25 11


€100 per day




Full cover










Full cover




A General practitioner - unlimited visits 75% B Consultant consultation - unlimited visits 75%C Pathology - consultants’ fees 75%D Radiology - consultants’ fees for professional services 75%E Pathology/Radiology or other diagnostic tests (refer to Section 8 for out-patient


€1,000 per year

F Pre- and post-natal care (combined visits) €500G Practice nurse - unlimited visits 75%H STI screening Up to €100I Dental practitioner - 12 visits €40J Physiotherapist - 12 visits €40

PMI 25 11

K Acupuncturists, Chiropractors, Osteopaths, Physical therapists, Reflexologists - unlimited visits

75%


75%


€150^







U Travel vaccinations €100 per yearV Strength & Conditioning Coach – 3 visits €40W Vhi SwiftCare exclusive benefit to Vhi customers*



50% of total costs






50% of total costs


75%




Section 10

PMI 25 11

A Fitness screening and Personalised Exercise Programme, carried out in the Sports Surgery Clinic, Santry (1 visit per 3 year period)

Full cover



























Full cover







PMI 26 12




Private 4 hospitals - Orthopaedic procedures Day care & side room 60%



Private 4 hospitals - Ophthalmic procedures Day care & side room 80%



When carried out as a Fixed Price Procedure (contact us for details) - Orthopaedic procedures Private 3 & 4 hospitals 60%


When carried out as a Fixed Price Procedure (contact us for details) - Ophthalmic procedures Private 3 & 4 hospitals 80%








period91 days





PMI 26 12




Agreed charges





at point of sale







€40 per session










Full cover

B Cancer care support - one night's accommodation for each treatment €100 per night C Manual lymph drainage following cancer treatment - 10 visits €50 per visit D Clinical psychology counselling for oncology treatment (psycho oncology



PMI 26 12


Full cover








€100 per day




Full cover










Full cover




A General practitioner - 25 visits €30B Consultant consultation - 25 visits €75

PMI 26 12

C Pathology - consultants’ fees (per referral) €75D Radiology - consultants’ fees for professional services (per procedure) €75E Pathology/Radiology or other diagnostic tests (refer to Section 8 for out-patient

MRI benefits) - 50% of agreed charges in an approved out-patient centre. Contact us for details of eligible diagnostic tests.

€500 per year

F Pre- and post-natal care (combined visits) €500G Newborn baby programme in Vhi SwiftCare Clinics, Dublin, in the first 3 months

after the birth *€300

H Child check-up in Vhi SwiftCare Clinics, Dublin – 1 visit per child, per year for *: General Paediatric visit (up to 16 years) or €180

Developmental check-up (up to 5 years)I STI screening Up to €100J Dental practitioner - 25 visits €30K Physiotherapist - 25 visits €30L Acupuncturists, Chiropractors, Osteopaths, Physical therapists, Reflexologists - 12


M Chiropodists/Podiatrists, Dieticians, Occupational therapists, Speech therapists, Orthoptists - 12 combined visits

€30


€150^

O Clinical Psychologist – 12 visits €30P Hearing test in each 2 year period €40Q Health screening - in each 24 month period, covered in accordance with our rules

Female & male screening €250 per member

Dexa scans in an approved dexa scan centre (contact us for details) * 50% cover

R Accident & emergency cover - 2 visits €75S Child counselling - 8 visits €30T Clinical psychology counselling for oncology treatment (psycho oncology


U Foetal screening, in the year of the birth €100 per pregnancy

V Travel vaccinations €100 per yearW Post natal home help, within 6 weeks of the birth €100X Strength & Conditioning Coach – 3 visits €30Y Emergency dental treatment Up to €750

per accidentZ Vhi SwiftCare exclusive benefit to Vhi customers*


PMI 26 12


50% of total costs




AA

Vhi paediatric clinic*

Initial Consultant consultation 75%


50% of total costs

AB

Paediatrician benefit in addition to the Vhi paediatric clinic benefit listed above - 1 visit in the year of the birth

€75




Section 10A Fitness screening, carried out in the Sports Surgery Clinic, Santry (1 visit per 3

year period)Full cover




Additional notesA Hospitals not covered on this plan - Bon Secours Hospital Cork, Blackrock Clinic,

Bon Secours Hospital Galway, Galway Clinic and Bon Secours Hospital Tralee


TOBPMI2612 V21 Oct18













€100








Full cover


90%






PMI 29 12


€100












period91 days







Agreed charges





PMI 29 12



at point of sale






€40 per session











Full cover





Full cover



9

PMI 29 12











€100 per day




Full cover










Full cover




PMI 29 12

A Consultant consultation - unlimited visits 50%B Pathology - consultants’ fees (per referral) - unlimited visits 50%C Radiology - consultants’ fees for professional services (per procedure) - unlimited

visits50%

D Pathology/Radiology or other diagnostic tests (refer to Section 8 for out-patient MRI benefits) - 50% of agreed charges in an approved out-patient centre. Contact us for details of eligible diagnostic tests and reimbursements

€300 per year

E Pre- and post-natal care (combined visits) €250F STI screening Up to €100G Optical – eye tests and glasses/contact lenses – 75% of charges in each 24 month


€100^

H Health screening - in each 24 month period, covered in accordance with our rules (contact us for details) * Lifestage screening programme in a Vhi Medical Centre €100 per


I Clinical psychology counselling for oncology treatment (psycho oncology counselling)* - 10 visits

€50 per visit

J Acupuncturists, Dieticians* - 5 combined visits €40K Strength & Conditioning Coach – 3 visits €25L Vhi SwiftCare exclusive benefit to Vhi customers*



50% of total costs


M Vhi paediatric clinic* Initial Consultant consultation 50%


50% of total costs





pregnancyC Travel vaccinations €65 per yearD Paediatrician benefit in addition to the Vhi paediatric clinic benefit listed above - 1

visit in the year of the birth50%

PMI 29 12


Section 11A Fitness screening and Personalised Exercised Programme, carried out in the

Sports Surgery Clinic, Santry (1 visit per 3 year period) *subject to an excess of €50 per visit

*Full cover




Additional notesA Hospitals not covered on this plan - Mater Private Hospital Cork, Bon Secours

Hospital Tralee, Aut Even Hospital Kilkenny and Whitfield Clinic Waterford























Full cover






PMI 31 12














period91 days







Agreed charges





PMI 31 12



at point of sale






€40 per session




Full cover





Full cover









€100 per day




Full cover

PMI 31 12










Full cover






€500 per year




€25

K Clinical Psychologist – 7 visits €25L Optical – eye tests and glasses/contact lenses – 100% of charges in each 24


€100^

M Hearing test in each 2 year period €40

PMI 31 12

N Health screening - in each 24 month period, covered in accordance with our rules (contact us for details) * Lifestage screening programme in a Vhi Medical Centre €150 per



pregnancyS Antenatal course, in the year of the birth €75T Breastfeeding consultations, 2 visits in the year of the birth €30U Clinical psychology counselling for oncology treatment (psycho oncology


Travel vaccinations €60 per year

V Strength & Conditioning Coach – 3 visits €25W Vhi SwiftCare exclusive benefit to Vhi customers*



50% of total costs






50% of total costs


€70









PMI 31 12























Full cover






PMI 32 12














period91 days







Agreed charges





PMI 32 12



at point of sale




€40 per session



E Vaccinations for Meningitis B and Chicken Pox - up to two inoculations for each per lifetime

€50 per inoculation









Full cover






Section 8

PMI 32 12

A In-patient MRI scans (covered in accordance with Section 1) Agreed charges

B Out-patient MRI scans Category 1 - approved MRI centres Full cover


Full cover






€300 per year




€25



€100^






pregnancy

PMI 32 12

S Antenatal course, in the year of the birth €75T Breastfeeding consultations, 2 visits in the year of the birth €30U Travel vaccinations €75 per yearV Vhi SwiftCare exclusive benefit to Vhi customers*



50% of total costs






50% of total costs


€60

















Private 1, 2 & 3 hospitals (other than for certain investigations & treatments referred to in Section 1c) Day care, side room, semi-private & private accommodation Full cover


Private 4 hospitals (other than for certain investigations & treatments referred to in Section 1c) Day care, side room & semi-private accommodation Full cover

Private accommodation- Mater Private Hospital, Dublin Semi-private

rate, 100% technical charges

- Blackrock Clinic 80% private rate, 100% technical charges





Full cover

In-patient cardiac FPPs Level 2 Full cover




PMI 34 13




period91 days







Agreed charges











Full cover

Section 6 - Transport costs

PMI 34 13

A Transport costs (covered in accordance with our rules) Agreed charges

Section 7 - Cover outside IrelandA Emergency treatment abroad €100,000B Elective treatment abroad (subject to prior approval)







Full cover






€1,000 per year

F Pre- and post-natal care (combined visits) €2,500G Physiotherapist - 20 visits €80H Optical – eye tests and glasses/contact lenses – 100% of charges in each 12


€100^

I Clinical Psychologist – 20 visits €120J Hearing test in each 2 year period €50K Health screening - in each 24 month period, covered in accordance with our rules


screen Dexa scans in an approved dexa scan centre Full cover


L Accident & emergency cover - 10 visits €100

PMI 34 13

M Child counselling - 8 visits €30N Baby massage classes, in the year of the birth €100 per childO Foetal screening, in the year of the birth €200 per

pregnancyP Antenatal course, in the year of the birth €75Q Breastfeeding consultations, 2 visits in the year of the birth €30R Travel vaccinations €100 per yearS Prescription costs – per individual or per family, subject to an excess of €50 per

month€144 per

monthT Strength & Conditioning Coach – 3 visits €80U Vhi SwiftCare exclusive benefit to Vhi customers*



50% of total costs





50% of total costs


€150




























Full cover






PMI 35 13














period91 days







Agreed charges





PMI 35 13



at point of sale






€40 per session











Full cover





Full cover



9

PMI 35 13











€100 per day




Full cover










Full cover




PMI 35 13



€500 per year

F Pre- and post-natal care (combined visits) €350G Dental practitioner - 7 visits €25H Practice nurse - unlimited visits 50%I STI screening Up to €100J Physiotherapist - 7 visits €25K Clinical Psychologist – 7 visits €25L Acupuncturists, Chiropractors, Osteopaths, Physical therapists, Reflexologists -

unlimited visits50%


50%

N Optical – eye tests and glasses/contact lenses – 75% of charges in each 24 month period (^Payment will be made directly to the provider if attending a VSP network provider, and will not be subject to the annual excess or the annual maximum)

€110^




Q Accident & emergency cover - 2 visits €75R Child counselling - 7 visits €25S Foetal screening, in the year of the birth €100 per

pregnancyT Travel vaccinations €60 per yearU Clinical psychology counselling for oncology treatment (psycho oncology


V Vhi SwiftCare exclusive benefit to Vhi customers* Initial consultation (charge is €125 – you pay €50) €75


50% of total costs




PMI 35 13



50% of total costs

X Paediatrician benefit Paediatrician benefit in addition to the Vhi paediatric clinic benefit listed above
































Full cover






PMI 36 13














period91 days







Agreed charges





PMI 36 13



at point of sale






€40 per session











Full cover





Full cover



9

PMI 36 13











€100 per day




Full cover










Full cover




PMI 36 13



€500 per year

F Pre- and post-natal care (combined visits) €350G Dental practitioner - 7 visits €25H Practice nurse - unlimited visits 50%I STI screening Up to €100J Physiotherapist - 7 visits €25K Clinical Psychologist – 7 visits €25L Acupuncturists, Chiropractors, Osteopaths, Physical therapists, Reflexologists -

unlimited visits50%


50%

N Optical – eye tests and glasses/contact lenses – 75% of charges in each 24 month period (^Payment will be made directly to the provider if attending a VSP network provider, and will not be subject to the annual excess or the annual maximum)

€90^




Q Accident & emergency cover - 2 visits €75R Child counselling - 7 visits €25S Foetal screening, in the year of the birth €100 per

pregnancyT Travel vaccinations €60 per yearU Clinical psychology counselling for oncology treatment (psycho oncology


V Vhi SwiftCare exclusive benefit to Vhi customers* Initial consultation (charge is €125 – you pay €50) €75


50% of total costs




PMI 36 13



50% of total costs

X Paediatrician benefit Paediatrician benefit in addition to the Vhi paediatric clinic benefit listed above
























€100









Full cover






PMI 37 13


€100













period91 days







Agreed charges





PMI 37 13



at point of sale






€40 per session











Full cover



Section 1 * These benefits are available immediately for existing Vhi customers with no waiting periods. There is a 26 week new conditions waiting period for new joiners and a two year waiting period for transfers from another insurer


Full cover



9

PMI 37 13











€100 per day











Full cover




A Consultant consultation - 25 visits €60B Pathology - consultants’ fees (per referral) €60C Radiology - consultants’ fees for professional services (per procedure) €60

PMI 37 13

D Pathology/Radiology or other diagnostic tests (refer to Section 8 for out-patient MRI benefits) - 50% of agreed charges in an approved out-patient centre. Contact us for details of eligible diagnostic tests and reimbursements

€500 per year

E Pre- and post-natal care (combined visits) €240F Health screening - in each 24 month period, covered in accordance with our rules



G Acupuncturists, Dieticians* - 5 combined visits €40H Clinical psychology counselling for oncology treatment (psycho oncology


I Strength & Conditioning Coach – 3 visits €25J Vhi SwiftCare exclusive benefit to Vhi customers*



50% of total costs


K Vhi paediatric clinic* Initial Consultant consultation 50%


50% of total costs





pregnancyC Travel vaccinations €100 per yearD Paediatrician benefit


€75





PMI 37 13























Full cover








PMI 38 14








period91 days







Agreed charges





at point of sale




PMI 38 14




€40 per session

Fertility support services - Acupuncturists & Dieticians visits Refer section 9










Full cover





Full cover





Full cover



PMI 38 14







€125 per day




Full cover










Full cover




A General practitioner - unlimited visits 75%B Consultant consultation - 12 visits €130C Pathology - consultants’ fees 75%D Radiology - consultants’ fees for professional services 75%

PMI 38 14

E Pathology/Radiology or other diagnostic tests (refer to Section 8 for out-patient MRI benefits) - 75% of agreed charges in an approved out-patient centre. Contact us for details of eligible diagnostic tests and reimbursements

€1,000 per year

F Pre- and post-natal care (combined visits) €500G Dental practitioner - 12 visits €40H Practice nurse - unlimited visits 75%I STI screening Up to €100J Physiotherapist - 12 visits €40K Acupuncturists, Chiropractors, Osteopaths, Physical therapists, Reflexologists -

unlimited visits75%


75%


€200^


(contact us for details) Female & male screening €250 per

member Dexa scans in an approved dexa scan centre (contact us for details) * 50% cover

P Accident & emergency cover - 2 visits €75Q Child counselling - 12 visits €30R Foetal screening, in the year of the birth €200 per

pregnancyS Clinical psychology counselling for oncology treatment (psycho oncology


T Travel vaccinations €100 per yearU Strength & Conditioning Coach – 3 visits €40V Post natal home help, within 6 weeks of the birth €100W Child speech and language therapy €40 x 2 visitsX Vhi SwiftCare exclusive benefit to Vhi Customers*



50% of total costs





PMI 38 14


50% of total costs


75%






Section 11 - Sports injury coverA Emergency care treatment in an approved Vhi Swiftcare Clinic for a sports injury -

2 visits per member per yearFull cover (subject to €75 excess per claim)

B Approved treatment programmes for a sports injury in the Sports Surgery Clinic, Santry, subject to referral by a GP, Consultant or Physiotherapist (contact us for details of these) Surgical procedures Full cover

(subject to €75 excess per claim)

Non-surgical procedures – up to a maximum of 2 claims per member per year Full cover (subject to €75 excess per claim)

Section 12 - Workplace benefitsA Emotional wellbeing services provided by Imagine Health (subject to the day-to-

day medical expenses annual excess and maximum) - 12 visitsUp to €150 (per visit)

Additional notesA Hospitals not covered on this plan - Bon Secours Hospital Cork, Bon Secours

Hospital Galway and Bon Secours Hospital Tralee



















Day care & in-patient non-cardiac FPPs Level 1 (other than Radiotherapy and Chemotherapy, refer to Section 1B)- Hermitage Medical Clinic Full cover- Blackrock Clinic, Mater Private Hospital Dublin, Beacon Hospital & Galway

Clinic0%







PMI 39 14


When carried out as a Fixed Price Procedure (contact us for details) Private 3 & 4 hospitals- Hermitage Medical Clinic 80%- Blackrock Clinic, Mater Private Hospital Dublin, Beacon Hospital & Galway

Clinic0%








period91 days







Agreed charges





PMI 39 14



at point of sale






€40 per session




calendar yearC Manual lymph drainage following cancer treatment - 10 visits Up to €50 per

visitD Vhi Healthcare approved medical and surgical appliances - subject to an excess of


member yearE Vhi Hospital@Home Full coverF Child home nursing - 28 days per calendar year €100 per dayG Parent accompanying child - 14 days per calendar year, following a stay in excess




Full cover






Section 8

PMI 39 14




Full cover






€300 per year




€30



€55^





O Accident & emergency cover - 2 visits €75P Child counselling - 7 visits €30Q Baby massage classes, in the year of the birth €100 per childR Travel vaccinations €80 per yearS Vhi SwiftCare exclusive benefit to Vhi customers*

PMI 39 14



50% of total costs




T Vhi paediatric clinic* Initial Consultant consultation 75%


50% of total costs

U Paediatrician benefit in addition to the Vhi paediatric clinic benefit listed above - 1 visit in the year of the birth

€60




















Hospital excesses - except maternity & certain cancer treatments- Hospital excess per claim - day care & side room €50- Hospital excess per claim - in-patient admissions €75






0%


Hospital excesses - except maternity & certain cancer treatments- Hospital excess per claim - day care €50- Hospital excess per claim - in-patient admissions €75



0%



PMI 40 15




Hospital excesses- Hospital excess per claim - day care & side room €50- Hospital excess per claim - in-patient admissions €75









period91 days







Agreed charges


PMI 40 15




at point of sale







€40 per session









H Manual Lymph Drainage following cancer treatment - 10 visits Up to €50 per visit





PMI 40 15






Full cover




A Consultant consultation - 25 visits €60B Pathology - consultants’ fees (per referral) €60C Radiology - consultants’ fees for professional services (per procedure) €60D Pathology/Radiology or other diagnostic tests (refer to Section 8 for out-patient


€500 per year

E Pre- and post-natal care (combined visits) €250F Health screening - in each 24 month period, covered in accordance with our rules




G Emergency dental treatment Up to €750 per accident

H Acupuncturists, Dieticians* - 5 combined visits €40I Vhi SwiftCare exclusive benefit to Vhi customers*



50% of total costs


J Vhi paediatric clinic* Initial Consultant consultation 50%


50% of total costs


PMI 40 15



Section 10 - LifeStage benefitsA Child counselling - 8 visits €30B Baby massage classes, in the year of the birth €100 per childC Foetal screening, in the year of the birth €100 per

pregnancyD Antenatal course, in the year of the birth €75E Breastfeeding consultations, 2 visits in the year of the birth €30F Travel vaccinations €100 per yearG Paediatrician benefit in addition to the Vhi paediatric clinic benefit listed above - 1


H Post-natal home help, within 6 weeks of the birth €100


*These benefits are not subject to the annual excess

Additional notesA Note 1: Manual Lymph Drainage

We will pay the benefit listed in your Table of Benefits towards the cost of Manual Lymph Drainage following cancer treatment, provided the person giving the care is a Physiotherapist or Physical Therapist.























Full cover


Hospital excesses - except maternity & certain cancer treatments- Hospital excess per claim - day care €50- Hospital excess per claim - in-patient admissions €75

PMI 41 15








Hospital excesses- Hospital excess per claim - day care and side room €50- Hospital excess per claim - in-patient admissions €75









period91 days





PMI 41 15




Agreed charges





at point of sale







€40 per session










I Vhi VisionCare

PMI 41 15

Vhi VisionCare E-Screen (available through Vhi.ie/myvhi) Full cover


Full cover










Full cover






€500 per year




€25

K Clinical Psychologist – 7 visits €25

PMI 41 15

L Optical – eye tests and glasses/contact lenses – 75% of charges in each 12 month period (^Payment will be made directly to the provider if attending a VSP network provider, and will not be subject to the annual excess or the annual maximum)

€100^

M Hearing test in each 12 month period €50N Health screening - in each 24 month period, covered in accordance with our rules





pregnancyS Antenatal course, in the year of the birth €75T Breastfeeding consultations, 2 visits in the year of the birth €30U Travel vaccinations €100 per yearV Emergency dental treatment Up to €750

per accidentW Post natal home help, within 6 weeks of the birth €100X Vhi SwiftCare exclusive benefit to Vhi customers*



50% of total costs






50% of total costs


€60





PMI 41 15






















Full cover








PMI 42 15








period91 days







Agreed charges





at point of sale




PMI 42 15




€40 per session



A Convalescent care - first 14 nights €75 per nightB Cancer care support - one night’s accommodation for each treatment Up to €100

per nightC Vhi Healthcare approved medical and surgical appliances - subject to an excess of






I Vhi VisionCare Vhi VisionCare E-Screen (available through Vhi.ie/myvhi) Full cover


Full cover









PMI 42 15


Full cover






€1,000 per year




€40



€150^

M Hearing test in each 12 month period €50N Health screening - in each 24 month period, covered in accordance with our rules





pregnancyS Antenatal course, in the year of the birth €75T Breastfeeding consultations, 2 visits in the year of the birth €30U Travel vaccinations €100 per year

PMI 42 15

V Emergency dental treatment Up to €750 per accident

W Strength & Conditioning Coach – 3 visits €40X Post natal home help, within 6 weeks of the birth €100Y Vhi SwiftCare exclusive benefit to Vhi customers*



50% of total costs




Z Vhi paediatric clinic* Initial Consultant consultation 75%


50% of total costs

AA


€100






























Full cover


90%


Hospital excesses - except maternity & certain cancer treatments- Hospital excess per claim - day care & side room €50

PMI 43 16

- Hospital excess per claim - in-patient admissions €150

















period91 days



Section 4 - Maternity & Baby

PMI 43 16

A Normal confinement Public hospital benefit (up to 3 days) Full coverCaesarean delivery (as per hospital benefits listed) Refer Section



Agreed charges





at point of sale







€40 per session










Full cover

B Cancer care support - one night's accommodation for each treatment €100 per nightC Manual lymph drainage following cancer treatment - 10 visits €50 per visit

PMI 43 16

D Clinical psychology counselling for oncology treatment (psycho oncology counselling) - 10 visits

Refer Section 9

E Additional cancer support benefits Wig/ hairpiece, post-mastectomy bra, swimsuit, surgical prosthesis following









€105 per day




Full cover










Full cover



PMI 43 16




€500 per year


per accidentI Physiotherapist - 7 visits €25J Clinical Psychologist – 10 visits €25K Acupuncturists, Chiropractors, Osteopaths, Physical therapists, Reflexologists -

unlimited visits50%


50%


€100^




P Accident & emergency cover - 2 visits €75Q Child counselling - 7 visits €25R Foetal screening, in the year of the birth €100 per

pregnancyS Clinical psychology counselling for oncology treatment (psycho oncology


Travel vaccinations €60 per year

T Vhi SwiftCare exclusive benefit to Vhi customers* Initial consultation (charge is €125 – you pay €50) €75


50% of total costs


PMI 43 16



U Vhi paediatric clinic* Initial Consultant consultation 50%


50% of total costs

V Paediatrician benefit in addition to the Vhi paediatric clinic benefit listed above - 1 visit in the year of the birth

50%



















Private 1, 2 & 3 hospitals (other than for certain investigations & treatments referred to in Section 1c & 1d) Day care, side room, semi-private & private accommodation Full cover











Full cover




Private 1, 2 & 3 hospitals Day care, side room, semi-private & private accommodation 80%



PMI 44 16












period91 days







Agreed charges





at point of sale

PMI 44 16







€40 per session



A Convalescent care - first 14 nights €60 per nightB Cancer care support - one night’s accommodation for each treatment €100 per nightC Vhi Healthcare approved medical and surgical appliances - subject to an excess of






I Vhi VisionCare Vhi VisionCare E-Screen (available through Vhi.ie/myvhi) Full cover


Full cover






Section 8

PMI 44 16




Full cover




A Consultant consultation - 25 visits €60B Pathology - consultants’ fees (per referral) €60C Radiology - consultants’ fees for professional services (per procedure) €60D Pathology/Radiology or other diagnostic tests (refer to Section 8 for out-patient


€500 per year

E Pre- and post-natal care (combined visits) €240F Optical – eye tests and glasses/contact lenses – 75% of charges in each 24 month


€50^

G Health screening - in each 24 month period, covered in accordance with our rules (contact us for details) * Lifestage screening programme in a Vhi Medical Centre €150 per



H Accident & emergency cover - 2 visits €75I Acupuncturists, Dieticians* - 5 combined visits €40J Strength & Conditioning Coach – 3 visits €25K Vhi SwiftCare exclusive benefit to Vhi customers*



50% of total costs


L Vhi paediatric clinic* Initial Consultant consultation 50%


50% of total costs


PMI 44 16



Section 10 - LifeStage benefitsA Child counselling - 8 visits €30B Baby massage classes, in the year of the birth €100 per childC Foetal screening, in the year of the birth €200 per

pregnancyD Antenatal course, in the year of the birth €75E Breastfeeding consultations, 2 visits in the year of the birth €40F Travel vaccinations €100 per yearG Paediatrician benefit in addition to the Vhi paediatric clinic benefit listed above - 1












table of benefits – pmi 01 10 - irish health insurance · table of benefits – pmi 01 10...

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