|
Benefits
|
|
|
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Annual Aggregate Maximum:
Excess Options: |
€1,000,000
Nil or €500
|
€1,500,000
Nil, €50, €100,
€250 or €500
|
€5,000,000
Nil, €50, €100,
€250 or €500
|
Inpatient &
Daypatient Benefits
Room and Board
Treatment and Surgeries
Intensive Care
Anaesthetists’ and Operating Theatre Fees
Specialist, Physician and Nursing fees
Prescribed Medicine and Drugs
Diagnostic Tests and Procedures
Psychiatric
Hospital Cash Benefit |
100%
100%
100%
100%
100%
100%
100%
100% (max 30 days)
€75 per night
|
100%
100%
100%
100%
100%
100%
100%
100% (max 30 days)
€100 per night
|
100%
100%
100%
100%
100%
100%
100%
100% (max 30 days)
€150 per night
|
Outpatient
Benefits
GP Consultations
Specialist and Physician fees
Prescribed Medicine and Drugs
Diagnostic Tests and Procedures
Outpatient Surgery
Psychiatric
Home Nursing following Hospitalisation
Rehabilitation following Hospitalisation
Alternative Medicine and Treatment |
Limited to the 60 days
immediately following
a valid hospitalisation
100%
-
100% (30 days)
100% (€2,000 max)
-
|
100%
100%
100%
100%
100%
-
100% (30 days)
100% (€2,000 max)
€3,000 (10 sessions)
|
100%
100%
100%
100%
100%
€3,000 (10 sessions)
100% (30 days)
100% (€2,000 max)
€3,000 (10 sessions)
|
Additional
Benefits
Local Ambulance Service
Prosthesis
Out of Area Cover
Second (or third) opinion for Surgery |
100%
100% (€2,000 max)
30 days (€50k per trip)
100%
|
100%
100% (€2,000 max)
30 days (€50k per trip)
100%
|
100%
100% (€2,000 max)
30 days (€50k per trip)
100%
|
Special
Services
Organ Transplantations
Chronic Conditions
HIV, AIDS & ARCS |
100% (€100,000 max)
-
-
|
100% (€150,000 max)
80% (€2,000)
€50,000 lifetime
|
100% (€300,000 max)
80% (€2,000)
€50,000 lifetime
|
Assistance
Services
Emergency Medical Transportation
Expenses for accompanying Dependant
Repatriation of Mortal Remains |
100%
Round trip ticket
€5,000
|
100%
Round trip ticket
€5,000
|
100%
Round trip ticket
€15,000
|
Maternity
Benefits
Complications of Pregnancy
Routine Pre-natal Examinations
Normal Delivery
Elective Caesarean Operation
Non-elective Caesarean Operation
Home Delivery
Home Nursing following Home Delivery
New Born Care |
80% (€5,000 max)
-
-
-
-
-
-
-
|
80% (€5,000 max)
-
-
-
-
-
-
-
|
100%
100% (3 per pregnancy)
80% (€7,500 max)
80% (€7,500 max)
80% (€7,500 max)
80% (€7,500 max)
100% (5 days)
100% (€25,000)
|
Dental
Benefits
Routine Dental Treatment
Basic Restorative Dental Treatment
Major Restorative Dental Treatment
Accidental Emergency Dental Treatment |
-
-
-
100%
|
-
-
-
100%
|
80% (€500 max)
80% (€500 max)
80% (€1,000 max)
100%
|
Preventative
Services
Travel Vaccinations
Medical Check-up
Cervical Smears
Mammograms
Prostate Cancer Screening |
-
-
-
-
-
|
-
-
-
-
-
|
100%
100% (one pa)
100% (one pa)
100% (one pa age 45+)
100% (one pa age 45+)
|