Section 3 - Psychiatric cover (read in conjunction with Section 1)
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1 Table of enefits HealthPlus Choice pplicable to new registrations or renewals on/or after 1 st May, This Table of enefits must be read in conjunction with your Hospital 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) if you are planning treatment. ~ C enefit Provision Section 1 - Hospital enefit Public 1 & 2 hospitals Day care, side room, semi-private & private accommodation Private hospitals and treatment centres Private 1, 2 & 3 hospitals (other than for certain investigations & treatments referred to in Section 1c) Day care, side room, semi-private & private accommodation Radiotherapy (day care & out-patient) Private 4 hospitals (other than for certain investigations & treatments referred to in Section 1c) Day care & side room Semi-private accommodation 65% Private accommodation 55% Radiotherapy (day care & out-patient) 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 Day care non-cardiac FPPs Level 1 (other than Radiotherapy & Chemotherapy, refer to Section 1) In-patient non-cardiac FPPs Level 1 (other than Radiotherapy & 90% Chemotherapy, refer to Section 1) In-patient cardiac FPPs Level 2 Section 2 - Consultants' fees/gp procedures In-patient treatment, day-care/side room/out-patient & GP procedures Participating consultant/gp Non-participating consultant/gp Standard benefit Section 3 - Psychiatric cover (read in conjunction with Section 1) In-patient psychiatric cover 180 days 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.
2 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 Section 4 - Maternity 91 days Normal confinement Public hospital benefit (up to 3 days) Caesarean delivery (as per hospital benefits listed) Refer Section 1 Home birth benefit 3,150 In-patient maternity consultant fees (per Schedule of enefits for Professional Fees) Section 5 - Cancer care and other benefits greed 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 * 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 Mammograms in an approved mammogram centre in each 24 month period, covered in accordance with our rules (contact us for details) C Cancer care support - one night's accommodation for each treatment 100 per night D Manual lymph drainage following cancer treatment - 10 visits 50 per visit E F Clinical psychology counselling for oncology treatment (psycho oncology counselling) - 10 visits dditional cancer support benefits Wig/ hairpiece, post-mastectomy bra, swimsuit, surgical prosthesis following cancer treatment No excess applies, but subject to the benefit maximum for medical and surgical appliances set out below G Other benefits in Section 5 Convalescent care - first 14 nights Vhi Healthcare approved medical and surgical appliances - subject to an excess of 300 per member per year (contact us for details of eligible appliances) Vhi Hospital@Home Refer section 9 58 per night 6,400 per member year
3 Child home nursing - 14 days per calendar year Parent accompanying child - 14 days per calendar year, following a stay in excess of 3 days in hospital 100 per day 40 per day Vhi VisionCare Vhi VisionCare E-Screen (available through Vhi.ie/myvhi) Comprehensive eye exam carried out by a VSP eye-care professional in each 24 month period - subject to Vhi VisionCare E-Screen referral Section 6 - Transport costs Transport costs (covered in accordance with our rules) greed Section 7 - Cover outside Ireland Emergency treatment abroad 100,000 Elective treatment abroad (subject to prior approval) Surgical procedures available in Ireland (as per level of cover in Ireland) 100,000 Treatment not available in Ireland 100,000 Section 8 In-patient MRI scans (covered in accordance with Section 1) greed Out-patient MRI scans Category 1 - approved MRI centres Category 2 - approved MRI centres, agreed MRI & consultant Radiologists fees (subject to an excess of 125 per scan) C PET-CT scans (covered in accordance with our rules) greed D CT Scans (covered in accordance with our rules) Section 9 Out-patient medical expenses (benefits are per visit, per member, unless otherwise indicated) General practitioner 40 Consultant consultation 80 C Pathology - consultants fees (per referral) 80 D Radiology - consultants fees for professional services (per procedure) 80 E Pathology/Radiology or other diagnostic tests (refer to Section 8 for out-patient MRI benefits) - 50% of agreed in an approved out-patient centre. Contact us for details of eligible diagnostic tests and reimbursements 750 per year F Physiotherapist 40 G Pre- and post-natal care (combined visits) 385 H cupuncturists, Chiropractors, Osteopaths, Physical therapists, Reflexologists - 12 combined visits I Chiropodists/Podiatrists, Dieticians, Occupational therapists, Speech therapists, Orthoptists, Clinical Psychology - 12 combined visits 35 35
4 J Clinical psychology counselling for oncology treatment (psycho oncology counselling)* - 10 visits 50 per visit K ccident & emergency cover - 1 visit 75 L M Out-patient mental health therapy - 12 visits in an approved out-patient mental health centre Health screening - in each 24 month period, covered in accordance with our rules (contact us for details) * Heart check in a Vhi Medical Centre Cancer check in a Vhi Medical Centre Lifestage screening programme in a Vhi Medical Centre 350 per screen Dexa scans in an approved dexa scan centre N Dental practitioner - 1 visit 35 O 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) P Practice nurse visit 20 Q R S Cardiac Care Programme* Medfit cardiac care programme - in each 24 month period 500 Urgent cardiac care benefit 500 per year Medfit cardiac rehabilitation programme 500 per year Vhi SwiftCare exclusive benefit to Vhi customers* Initial consultation (charge is 125 you pay 25) 100 Follow-up treatment package after this consultation for x-rays, tests & medical 50% of total aids (maximum you will pay is 100 for this follow-up treatment) costs Joint Care Programme* Joint Care Screening to assess your mobility levels carried out by a Physiotherapist employed by The Physio Company in each 24 month period, covered in accordance with our rules. To make a booking, contact The Physio Company at (01) Details available at Vhi.ie/members Joint Care Physiotherapy carried out by a Physiotherapist employed by The Physio Company subject to referral from Joint Care Screening - up to 3 visits 40 80^ T Vhi Online Doctor 12 visits (available through the Vhi pp) nnual excess - per member, per year 100 nnual maximum - per member, per year 4,000 * These benefits are not subject to the annual excess or annual maximum Vhi Healthcare DC trading as Vhi Healthcare is regulated by the Central ank of Ireland. Vhi Healthcare is tied to Vhi Insurance DC for health insurance in Ireland which is underwritten by Vhi Insurance DC.
5 TOHC V22 May18 HealthPlus Choice
Section 3 - Psychiatric cover (read in conjunction with Section 1)
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Section 3 - Psychiatric cover (read in conjunction with Section 1)
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Hospital Charge Information List To better inform our patients, Norton Healthcare has prepared the following price list of our charges for some of the more common reasons for a hospital visit. They include
BONCLASSIC. Adult dependant. Child dependant. Main member R3 648 R3 132 R 900
2017 This generous savings option offers a wide range of medical benefits, in and out of hospital. Unlimited cover up to 100% in hospital Network specialists paid in full in hospital Separate benefits
Silver Extras Set Benefits
Your guide to Silver Extras Set Benefits 1800 640 159 Questions? Need Advice? Our consultants are available to help. Comparethemarket.com.au ACN 117 323 378 Level 2, 80 Jephson Street, Toowong Qld 4066