Health Insurance Comparison HIA: Health Insurance Authority

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Health Insurance Comparison HIA: Health Insurance Authority"

Transcription

1 Health Insurance Comparison HIA: Health Insurance Authority Your Comparison VHI Healthcare Company Plan Extra Advantage 125 Choice Prices per Annum Date current version of plan commenced Adult 1, , Child Child Child Child Young Adult Newborn

2 In Patient Private Patient in a multioccupancy (which may include semi-private) room in a public hospital and day case. Public Hospital Private Room Semi-private rate Private Hospital Semi Private Room with 125 excess per claim in selected private hospitals. Private Hospital Private Room Yes; 50 per night; 80% cover for certain orthopaedic and ophthalmic Shortfall of 200 per night in selected private hospitals and 125 excess per claim. No shortfall in Mater Private Cork. The Blackrock Clinic, the Mater Private and the Beacon Hospital, certain Cardiac Procedures The Blackrock Clinic, the Mater Private and the Beacon Hospital, certain Special Procedures except for listed orthopaedic in the Blackrock Clinic and Mater Private, which are covered with no co-payment The Blackrock Clinic, the Mater Private and the Beacon Hospital other than Cardiac and Special 50% semi-private; 40% private; Beacon full cover semiprivate but 80% cover for certain orthopaedic and ophthalmic Day Case Private Hospitals with 50 excess per claim in selected private hospitals. Day Case The Blackrock Clinic, the Mater Private and the Beacon Hospital Convalescence 30 x x 14 Cancer Support Benefit 100 for 1 night's accommodation for each treatment; Wig/hairpiece, mastectomy bra, swimsuit, surgical prosthesis (no excess, but subject to the maximum for medical and surgical appliances of 6,500) 100 per night-unlimited nights Maternity Hospital Costs Up To 3 Nights Full Cover Full Cover Home Births 3,500 3,200

3 Delivery Consultant Fees up to agreed charges incurred on day of delivery for participating consultants up to agreed charges incurred on day of delivery for participating consultants Out Patient Maternity Consultant Care See pre/post natal care Up to 500 subject to 1 excess Post Natal Home Help Alternative Amount To Post Natal Home Help Post Natal Home Nursing 1,300 following 1 nights stay or 650 following 2, no excess 1200 for up to two nights Child Home Nursing 100 x x 28 Pre Post Natal Care 250; 125 Excess Child Healthcare Benefit Child Counselling 30 x 8; Paediatrician 75; Baby Massage 100 per child; Foetal screening 200; 1 excess 250 for outpatient expenses if child is in hospital for more than 3 nights. Parent Accompanying Child 100 X 14 not incl. first 3 days, no excess 80 x 14 Partner Benefit Breastfeeding Consultancy 30 X 2 Other Maternity Benefits Antenatal course 75; 1 excess; Fertility Programme carried out in Vhi participating fertility treatment centre: Initial Consultations 100 discount; AMH & Semen Analysis tests 100 discount; IUI 450 once per lifetime; IVF or ICSI 1,000 per treatment twice per lifetime; Fertility Counselling 40 per session, 4 sessions per treatment. Out-patient Benefits Individual Excess 1, but where stated 125 excess for some out-patient benefits 1 Family Excess 1, but where stated 125 excess per person for some out-patient benefits 1 Consultant Fees 65 x 25; 125 excess 60 per visit GP Visits 30 per visit; 3 consultations for online GPLive or Prescription Consultation Service Physiotherapist 25 per visit; Physioline

4 Emergency Dental Care 450 for restorative treatment within 5 days Non Emergency Dental 60 per year Home Nursing Full cover for Vhi Homecare benefit for certain and upon referral from certain hospitals 50 x 40 A & E Charge Vhi Swiftcare 75 towards initial consultation ( 50 member co-payment); follow-up treatment package 50% cover subject to maximum member co-payment of unlimited visits 60 per visit Alternative Medicines Acupuncture Chiropractor Osteopath Acupuncture 40 x 5 visits combined with Dietitian benefit below 30 x 12 for Osteopath & Chiropractor Dietician Occupational Therapist Chiropodist Speech Therapist Dietitian 40 x 5 visits combined with Acupuncture benefit above 20 x 5 for Occupational Therapist & Chiropodist Psycho Onchology Counselling 50 X 10 visits Manual Lymph Drainage 50 X not subject to outpatient excess Hearing Test Optical 30 per year Prescription Costs Employee assistance programme Full EAP service including telephone and face to face counselling is provided Other Day To Day Practitioners Healthcoach online assessment and personalised programmes - unlimited use; Healthcoach face-to-face consultation - full cover for 1 consultation every 2 years. Child Speech And Language Therapy Travel Vaccinations 120; 1 excess 50 per year Out Patient Policy Limit 3,200 6,500 Out-patient Radiology Approved Centres CT covered under Radiology, subject to excess; oncology patients of certain hospitals full cover. PET-CT no excess; MRI covered, no excess for category 1, with 125 excess for category 2, see rules. Direct payment-covered except cardiac CT's which are covered by non-direct payment terms; Non-direct payment-covered up to 200 per year

5 Non Approved Centres Not Radiology Consultants Fees 60 per procedure 50 per visit Radiology Test Fees 50% of charges to a max of 650 per year 50 per test Health Screening Lifestages Screening Programme 150 per screen every 2 years; 100% cover for Mammograms and 75% for Dexa scans every 2 years; Full cover 1 Fitness screening every 3 years; no excess Full cover for Mammograms and Dexa scans in certain centres.women's Cancer Screening up to 60; Men's Cancer Screening up to 50. Up to 250 for Executive Health Check every two years. Full cover for 'HeartBeat' cardiac screening, no excess Overseas Benefit Abroad For Surgical Procedures Available In Ireland 100,000 in the EU subject to approval Benefit Abroad For Surgical Procedures Not Available In Ireland 100,000 in the EU subject to approval Hospital Bill 100, ,000 Repatriation Expenses 2,000,000 Companion Repatriation Expenses 1,000 1, Hour Telephone Assistance Expenses For Companion 1,000 Psychiatric Cover In Patient Psychiatric Non Alcohol Drug 180 days 100 days In Patient Psychiatric Alcohol Related 91 days per 5 years 91 days per 5 years Out Patient Psychiatric Care Mental health assessment 100 per 2 yrs; Mental health therapy 30 X 12; no excess. Child counselling 30 x 8; 1 excess 30 x 8 for child counselling; 50 x 12 Mental Health Consultations in Dean Clinic; Clinical Psychologist 40 x 8; 50 x 12 eating disorder consultations in Lois Bridges all subject to outpatient excess Hospital lists Private Hospital Semi Private Room

6 Advantage 125 Choice Private Hospitals Aut Even Kilkenny Barringtons Hospital Limerick Beacon, Dublin 18 (Cardiac Only) Blackrock Clinic, Co. Dublin (Cardiac Only) Bons Secours Galway Cahercalla Hospital, Clare Clane General Hospital, Kilkenny Hermitage Clinic, Dublin Mater Private Cork Mater Private Dublin 1 (Cardiac only) Private Hospitals Not Bon Secours Dublin 9 Bon Secours Tralee Bons Secours Cork Galway Clinic Hampstead Acute Unit, Dublin 9 Highfield Private Hospital, Dublin 9 North West Independent, Derry St John of God, Co. Dublin St. Vincent's Private, Dublin 4 Ulster Independent, Belfast National MS Care Centre, Dublin 6 Park West Clinic, Dublin 12 Sports Surgery Clinic, Dublin 9 St. Edmundsbury, Lucan, Co. Dublin St. Patrick's Hospital, Dublin 8 St. Joseph's Garden Hill, Sligo St. Francis Mullingar, Westmeath Whitfield Clinic, Waterford Private Hospital Private Room Advantage 125 Choice Private Hospitals Aut Even Kilkenny Barringtons Hospital Limerick Beacon, Dublin 18 (Cardiac Only) Blackrock Clinic, Co. Dublin (Cardiac Only) Bons Secours Galway Cahercalla Hospital, Clare Clane General Hospital, Kildare Hermitage Clinic, Dublin 20 Mater Private Cork

7 Mater Private Dublin 1 (Cardiac only) National MS Care Centre, Dublin 6 Park West Clinic, Dublin 12 Sports Surgery Clinic, Dublin 9 St. Edmundsbury, Lucan, Co. Dublin St. Patrick's Hospital, Dublin 8 St. Joseph's Garden Hill, Sligo St. Francis Mullingar, Westmeath Whitfield Clinic, Waterford Private Hospitals Not Bon Secours Dublin 9 Bon Secours Tralee Bons Secours Cork Galway Clinic Hampstead Acute Unit, Dublin 9 Highfield Private Hospital, Dublin 9 North West Independent, Derry St John of God, Co. Dublin St. Vincent's Private, Dublin 4 Ulster Independent, Belfast Day Case Private Hospitals Advantage 125 Choice Private Hospitals Aut Even Kilkenny Barringtons Hospital Limerick Beacon, Dublin 18 (Cardiac Only) Blackrock Clinic, Co. Dublin (Cardiac Only) Bons Secours Galway Cahercalla Hospital, Clare Clane General Hospital, Kilkenny Hermitage Clinic, Dublin Mater Private Cork Mater Private Dublin 1 (Cardiac only) Private Hospitals Not Bon Secours Dublin 9 Bon Secours Tralee Bons Secours Cork Galway Clinic Hampstead Acute Unit, Dublin 9 Highfield Private Hospital, Dublin 9 North West Independent, Derry St John of God, Co. Dublin St. Vincent's Private, Dublin 4 Ulster Independent, Belfast National MS Care Centre, Dublin 6 Park West Clinic, Dublin 12 Sports Surgery Clinic, Dublin 9 St. Edmundsbury, Lucan, Co. Dublin St. Patrick's Hospital, Dublin 8 St. Joseph's Garden Hill, Sligo St. Francis Mullingar, Westmeath Whitfield Clinic, Waterford

Table of Benefits PMI 36 13

Table of Benefits PMI 36 13 Table of enefits PMI 36 13 pplicable to new registrations or renewals on/or after 1 st March, 2018. This Table of enefits must be read in conjunction with your Company Plan Terms and Conditions and the

More information

Table of Benefits First Plan Plus Level 1

Table of Benefits First Plan Plus Level 1 Table of enefits First Plan Plus Level 1 pplicable to new registrations or renewals on/or after 1 st November, 2017. This Table of enefits must be read in conjunction with your Hospital Plan Terms and

More information

Table of Benefits Company Plan Extra Level 2

Table of Benefits Company Plan Extra Level 2 Table of enefits ompany Plan Extra Level 2 pplicable to new registrations or renewals on/or after 31 st ecember, 2017. This Table of enefits must be read in conjunction with your ompany Plan Terms and

More information

Table of Benefits Company Plan Plus Select

Table of Benefits Company Plan Plus Select Table of enefits ompany Plan Plus Select pplicable to new registrations or renewals on/or after 1 st November, 2017. This Table of enefits must be read in conjunction with your ompany Plan Terms and onditions

More information

Table of Benefits Company Plan Extra Select

Table of Benefits Company Plan Extra Select Table of enefits ompany Plan Extra Select pplicable to new registrations or renewals on/or after 1 st November, 2017. This Table of enefits must be read in conjunction with your ompany Plan Terms and onditions

More information

Table of Benefits PMI 42 15

Table of Benefits PMI 42 15 Table of enefits PMI 42 15 pplicable to new registrations or renewals on/or after 1 st November, 2016. This Table of enefits must be read in conjunction with your ompany Plan Terms and onditions and the

More information

Lists of Medical Facilities Health Plans

Lists of Medical Facilities Health Plans A. Hospitals Hospital type Direct List 1 List 2 List 3 List 4 Cavan Cavan General Hospital Public hospital Yes Covered Covered Covered Covered Cork Bantry General Hospital Public hospital Yes Covered Covered

More information

Directory of Hospitals and Treatment Centres

Directory of Hospitals and Treatment Centres Cavan Cavan General Hospital, Cavan Public hospital Public 1 Clare Clare Mid Western Hospital, Ennis Public hospital Public 1 See notes (16)(17) Clare Bushypark Treatment Centre, Ennis Private treatment

More information

Table of Benefits - Plan C

Table of Benefits - Plan C Table of enefits - Plan pplicable to new registrations or renewals on/or after 1 st February, 2011. This Table of enefits must be read in conjunction with your Plans -E and Plans - Option Rules Terms and

More information

Table of Benefits - Plan E

Table of Benefits - Plan E Table of enefits - pplicable to new registrations or renewals on/or after 1 st February, 2011. This Table of enefits must be read in conjunction with your Plans -E and Plans - Option Rules Terms and onditions,

More information

Healthcare Portfolio

Healthcare Portfolio Healthcare Portfolio We are in business for over 120 years and are currently working in Ireland, UK, Europe and the Middle East. Healthcare Overview Jones Engineering Group has an unequalled track record

More information

Healthcare Portfolio

Healthcare Portfolio Healthcare Portfolio We are in business for over 120 years and are currently working in Ireland, UK, Europe and the Middle East Healthcare Overview Jones Engineering Group have been unequalled track record

More information

HSE Employers Agency. National Survey. Nursing Resources

HSE Employers Agency. National Survey. Nursing Resources HSE Employers Agency National Survey of Nursing Resources October 2005 NATIONAL SURVEY OF NURSING RESOURCES JUNE 2005 This report provides national data and analysis in relation to the nursing workforce

More information

Focus on the Ingwe Option

Focus on the Ingwe Option Focus on the Ingwe Option The Ingwe Option provides affordable access to entry-level cover. You have cover for hospitalisation up to R1 000 000 for your family per year. For your hospitalisation cover,

More information

National Survey. Nursing Resources

National Survey. Nursing Resources National Survey on Nursing Resources February 2005 NATIONAL SURVEY ON NURSING RESOURCES DECEMBER 2004 This report provides national data and analysis in relation to the nursing workforce based upon a survey

More information

Full Benefit Care

Full Benefit Care Full Care - 2018 FULL BENEFIT CARE This care option offers comprehensive cover and generous benefits to cover families and individuals who need access to unlimited hospitalisation at any private hospital.

More information

Benefit Schedule 2016

Benefit Schedule 2016 Benefit Schedule 2016 At the heart of healthcare. CONTENTS WHY CHOOSE Bomaid? EMERGENCY MEDICAL SERVICES MATERNITY PROGRAM PREMIUM WAIVER FUNERAL BENEFIT SEVERE ILLNESS BENEFIT SCREENING AND PREVENTION

More information

BENEFIT BROCHURE. #caring4life

BENEFIT BROCHURE. #caring4life BENEFIT BROCHURE 2017 #caring4life WHY SIZWE? We offer a range of medical aid products, starting with a network healthcare product ideal for lower-income earners right up to premium medical aid products

More information

HIV PEP Availability in Ireland October 2016*

HIV PEP Availability in Ireland October 2016* HIV PEP Availability in Ireland October 2016* HIV post exposure prophylaxis (PEP) is a course of HIV medication that aims to prevent HIV infection following a recent exposure to HIV, for example following

More information

Staffing Levels in Specialist Palliative Care in Ireland, 2007 A Baseline Study Review

Staffing Levels in Specialist Palliative Care in Ireland, 2007 A Baseline Study Review Staffing Levels in Specialist Palliative Care in Ireland, 2007 A Baseline Study Review Introduction In October 2001 the Department of Health and Children published the Report of the National Advisory Committee

More information

AXIS. CompCare Wellness Medical Scheme. Information and Benefit Guide 2018

AXIS. CompCare Wellness Medical Scheme. Information and Benefit Guide 2018 GRITY WELLNESS INNOVATION INTEGRITY DETERMINED PERFORMANCE MOTIVATED AXIS CompCare Wellness Medical Scheme Information and Benefit Guide 2018 WELLNESS INNOVATION INTEGRITY DETERMINED PERFORMANCE MOTIVATED

More information

Healthlink Celebrate Delivering 10 Million Messages in 2014

Healthlink Celebrate Delivering 10 Million Messages in 2014 Volume 1, Issue XIX May 2015 Statistical Update May 2015 Hospitals/Clinical Centres: 61 Welcome to the nineteenth edition of the Healthlink newsletter. I am happy to take this opportunity to update you

More information

SUMMARY OF BENEFITS. Hamilton County Department of Education Network Copay Plan. Connecticut General Life Insurance Co.

SUMMARY OF BENEFITS. Hamilton County Department of Education Network Copay Plan. Connecticut General Life Insurance Co. SUMMARY OF BENEFITS Connecticut General Life Insurance Co. Hamilton County Department of Education Annual deductibles and maximums Lifetime maximum Pre-Existing Condition Limitation (PCL) Coinsurance All

More information

AXIS. d t. i Ef f i c i e n c y D. CompCare Wellness Medical Scheme. Information and Benefit Guide Di s -C hem. tc a

AXIS. d t. i Ef f i c i e n c y D. CompCare Wellness Medical Scheme. Information and Benefit Guide Di s -C hem. tc a / DYNAMIC / EVOLVING / PROGRESSIVE / CHAMPIONS / WINNING / SUCCESS / ENERGY / INSPIRATION / AXIS Di s -C hem Pharmacists who care CompCare Wellness Medical Scheme Yo u Ne re in tc a re saf e ha nds Information

More information

Our benefits Marketing Brochure 2018

Our benefits Marketing Brochure 2018 Our benefits Marketing Brochure 2018 Financial adviser call centre 0800 43 25 84 Member call centre 0860 11 78 59 Emergency evacuation 082 911 Fraud hotline 0800 00 66 72 Email for queries member@momentumhealth.co.za

More information

marketing brochure 2017

marketing brochure 2017 marketing brochure 2017 Broker call centre 0800 43 25 84 Member call centre 0860 11 78 59 Emergency evacuation 082 911 Fraud hotline 0800 00 66 72 Email for queries member@momentumhealth.co.za Email for

More information

Report on Hand Hygiene Compliance in Acute Hospitals

Report on Hand Hygiene Compliance in Acute Hospitals Report on in Acute Hospitals Period 5, May/June 2013 Summary This report should be reviewed by hospital management teams in conjunction with alcohol based hand rub surveillance reports, mandatory hand

More information

Specialist Referrals. Statistical Update September Hospitals/Clinical Centres: 84

Specialist Referrals. Statistical Update September Hospitals/Clinical Centres: 84 Volume 2, Issue IV September 2016 Statistical Update September 2016 Hospitals/Clinical Centres: 84 GPs using HealthlinkOnline: 3955 Practices: 1499 Inside this Issue Specialist Referrals New Services &

More information

Blue Choice. Hospital/$50, Physician's Office/Lesser of $50 or 20%; physician $40, facility $50. $35/trip $100/trip $50/trip $100/trip $100/trip

Blue Choice. Hospital/$50, Physician's Office/Lesser of $50 or 20%; physician $40, facility $50. $35/trip $100/trip $50/trip $100/trip $100/trip HOSPITAL SERVICES Hospital Inpatient : Paid in full No cost No cost No cost No cost Hospital Outpatient Hospital $40 or $60 per visit, : $20 per visit Hospital/$50, Physician's Office/Lesser of $50 or

More information

SECTION II YOUR HEALTH BENEFITS

SECTION II YOUR HEALTH BENEFITS 54 SECTION II YOUR HEALTH BENEFITS A. Participating Providers Member Choice Panel Providers B. Using Your Benefits Wisely 1199SEIU Care Review Ambulatory/Outpatient Surgery Pre-Certification Managed Care

More information

Benefits Guide

Benefits Guide Guide - 2018 A Brief Sizwe Medical Fund and In the late 1960s, Black (African) doctors in the Rand, which consisted of Johannesburg, Pretoria, the Eastrand, and Vereeniging, formed themselves into The

More information

TRADITIONAL PPO PLAN FT. LAUDERDALE $10/20%/40% RX PROVIDED BY AETNA LIFE INSURANCE COMPANY EFFECTIVE JANUARY 1, 2018 AETNA INC.

TRADITIONAL PPO PLAN FT. LAUDERDALE $10/20%/40% RX PROVIDED BY AETNA LIFE INSURANCE COMPANY EFFECTIVE JANUARY 1, 2018 AETNA INC. TRADITIONAL PPO PLAN FT. LAUDERDALE $10/20%/40% RX PROVIDED BY AETNA LIFE INSURANCE COMPANY EFFECTIVE JANUARY 1, 2018 AETNA INC. CPOS II DEDUCTIBLE, COPAYS/COINSURANCE AND DOLLAR MAXIMUMS and Aligned Deductible

More information

Surprisingly affordable health insurance

Surprisingly affordable health insurance Priority Health Surprisingly affordable health insurance Build your own health insurance to suit your needs and your pocket Introducing Priority Health Priority Health is a new, affordable way of getting

More information

Benefits Guide

Benefits Guide Guide - 2018 A Brief history of Sizwe Medical Fund and Sechaba Medical Solutions In the late 1960s, black (African) doctors in the Rand, which consisted of Johannesburg, Pretoria, the Eastrand and Vereeniging

More information

ANNEX III MEDICAL BENEFITS

ANNEX III MEDICAL BENEFITS 19 ANNEX III MEDICAL BENEFITS Expenses incurred in respect of any of the acts listed in the following table, unless otherwise stated and subject to the provisions of rules VIII.4 to VIII.8, shall be reimbursed

More information

CO-PAYMENT BOOK Las Vegas Blvd. South Suite 107 Las Vegas, NV

CO-PAYMENT BOOK Las Vegas Blvd. South Suite 107 Las Vegas, NV CO-PAYMENT BOOK 1901 Las Vegas Blvd. South Suite 107 Las Vegas, NV 89104 702-733-9938 www.culinaryhealthfund.org Revised January 2018 (Replaces Co-Payment Book dated June 2017) TABLE OF CONTENTS 4 5 6

More information

Anthem Blue Cross Your Plan: Custom Premier HMO 10/100% Your Network: California Care HMO

Anthem Blue Cross Your Plan: Custom Premier HMO 10/100% Your Network: California Care HMO Anthem Blue Cross Your Plan: Custom Premier HMO 10/100% Your : California Care HMO This summary of benefits is a brief outline of coverage, designed to help you with the selection process. This summary

More information

FREEDOM BLUE PPO R CO 307 9/06. Freedom Blue PPO SM Summary of Benefits and Other Value Added Services

FREEDOM BLUE PPO R CO 307 9/06. Freedom Blue PPO SM Summary of Benefits and Other Value Added Services FREEDOM BLUE PPO R9943 2007 CO 307 9/06 Freedom Blue PPO SM Summary of Benefits and Other Value Added Services Introduction to Summary of Benefits for Freedom Blue January 1, 2007 - December 31, 2007 California

More information

PREFERRED CARE. combination of family members; however no single individual within the family will be subject to more than the individual

PREFERRED CARE. combination of family members; however no single individual within the family will be subject to more than the individual PLAN FEATURES Deductible (per plan year) $500 Individual $1,000 Family Unless otherwise indicated, the Deductible must be met prior to benefits being payable. The family Deductible is a cumulative Deductible

More information

Activities of Irish Psychiatric Units and Hospitals 2016 Main Findings

Activities of Irish Psychiatric Units and Hospitals 2016 Main Findings HRB Statistics Series 35 Activities of Irish Psychiatric Units and Hospitals 2016 Main Findings Antoinette Daly and Sarah Craig Research. Evidence. Action. Free as a bird by Maureen Buckley Winner of the

More information

Health Insurance. Visitors Health Cover

Health Insurance. Visitors Health Cover Health Insurance Visitors Health Cover At Bupa, it s our purpose that makes us different helping our members to live longer, healthier, happier lives. So whatever your reason for visiting Australia, you

More information

This package provides comprehensive hospital cover and cover for essential extras services, with no excess. Yes. Yes. Yes. Yes

This package provides comprehensive hospital cover and cover for essential extras services, with no excess. Yes. Yes. Yes. Yes Private Plus Hospital - no excess & Basic Extras as at 1 January 2017 one way to go Mail: Locked Bag 25, Wollongong NSW 2500 - Phone: 1800 148 626 - Fax: 1300 673 406 Email: info@onemedifund.com.au - Web:

More information

Summary of Benefits Prominence Preferred Health Insurance Small Group Health Plan

Summary of Benefits Prominence Preferred Health Insurance Small Group Health Plan Calendar Year Deductible (CYD) 2 $1,000 Single / $3,000 Family $3,000 Single / $9,000 Family Coinsurance - Member responsibility 20% coinsurance 50% coinsurance Out-of-Pocket Maximum 3 - Deductibles, coinsurance

More information

YOU RE ALL ABOUT THEM WE RE ALL ABOUT YOU TOPHOSPITAL

YOU RE ALL ABOUT THEM WE RE ALL ABOUT YOU TOPHOSPITAL YOU RE ALL ABOUT THEM WE RE ALL ABOUT YOU Our Hospital products provide benefits for a range of services received when you are admitted to hospital as an in-patient. TOPHOSPITAL Top Hospital is our premium

More information

PLAN FEATURES PREFERRED CARE

PLAN FEATURES PREFERRED CARE PLAN DESIGN & BENEFITS - "HMO" PLAN FEATURES Deductible (per calendar year) $200 Individual $400 Family All covered expenses, excluding prescription drugs, accumulate toward the preferred Deductible. Unless

More information

Smart Combination Hospital and Extras Cover Level of cover with Cover Excess Australian Unity availability options $250 $500

Smart Combination Hospital and Extras Cover Level of cover with Cover Excess Australian Unity availability options $250 $500 Hospital and Extras Cover Effective from 15 September 2017 Level of cover with Australian Unity Cover availability Excess options $250 $500 HOSPITAL TOP EXTRAS MID SINGLE COUPLE FAMILY EXCESS EXCESS Australian

More information

FCPS BENEFITS COMPARISON FOR PLAN YEAR 2018 Active Employees and Retirees Under 65

FCPS BENEFITS COMPARISON FOR PLAN YEAR 2018 Active Employees and Retirees Under 65 BENEFIT Medical Lifetime Maximum Unlimited Unlimited Unlimited Unlimited Unlimited Individual Annual Deductible $250 $500 $250 $500 None Family Annual Deductible $500 $1,000 $500 $1,000 None Medical Plan

More information

Optional PREFERRED CARE. Covered 100%; deductible waived. Covered 100%; deductible waived

Optional PREFERRED CARE. Covered 100%; deductible waived. Covered 100%; deductible waived PLAN FEATURES Deductible (per calendar year) $1,500 Individual $1,500 Individual $3,000 Family $3,000 Family All covered expenses, including prescription drugs, accumulate toward both the preferred and

More information

Covered Benefits Rhody Health Partners ACA Adult Expansion

Covered Benefits Rhody Health Partners ACA Adult Expansion Covered s Rhody Health Partners ACA Adult Expansion Abortion Services Adult Day Services AIDS Medical and Non-Medical Case Management Alcohol and Substance Abuse Treatment Cosmetic Surgery Dental Care

More information

AETNA PPO PLAN COVERED DEPENDENTS UNDER 65

AETNA PPO PLAN COVERED DEPENDENTS UNDER 65 AETNA PPO PLAN COVERED DEPENDENTS UNDER 65 Plan Deductible (per calendar year; applies to all covered services; excludes deductible carryover.) $300 Individual $600 Family $600 Individual $1200 Family

More information

Page 1 CONTRA COSTA COMMUNITY COLLEGE DISTRICT October 2013 SUMMARY OF HEALTH PLAN BENEFITS

Page 1 CONTRA COSTA COMMUNITY COLLEGE DISTRICT October 2013 SUMMARY OF HEALTH PLAN BENEFITS Page 1 CONTRA COSTA COMMUNITY COLLEGE DISTRICT October 2013 Hospital Room Services Hospital Outpatient Surgery Maternity Skilled Nursing Facility Lab, Xray and Diagnostic Testing Home Health Care Mental

More information

RSNA EMPLOYEE BENEFIT TRUST PLAN II S2502 NON GRANDFATHERED PLAN BENEFIT SHEET

RSNA EMPLOYEE BENEFIT TRUST PLAN II S2502 NON GRANDFATHERED PLAN BENEFIT SHEET BENEFIT SHEET GENERAL PLAN INFORMATION Coordination of Benefits Standard COB Dependents Children birth to age 26 Filing Limit 1 year from date of service Mailing Address & PPO Company. Remit claims to:

More information

Business Health Select handbook

Business Health Select handbook Business Health Select handbook What you need to know April 2017 Call FAST TRACK APPOINTMENTS on 0800 206 1808 to get a fast, hassle free specialist appointment. See the Making a Claim section inside before

More information

Covered Benefits Rhody Health Partners

Covered Benefits Rhody Health Partners Covered s Rhody Health Partners s Covered by UnitedHealthcare Community Plan As member of UnitedHealthcare Community Plan, you are covered for the following services. (Remember to always show your current

More information

PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED

PLAN DESIGN & BENEFITS ADMINISTERED BY AETNA LIFE INSURANCE COMPANY - SELF FUNDED PLAN FEATURES IN-NETWORK OUT-OF-NETWORK Deductible (per calendar year) None Individual $250 Individual None Family $750 Family Unless otherwise indicated, the deductible must be met prior to benefits being

More information

CA Group Business 2-50 Employees

CA Group Business 2-50 Employees PLAN FEATURES Network Primary Care Physician Selection Deductible (per calendar year) Member Coinsurance Copay Maximum (per calendar year) Lifetime Maximum Referral Requirement PHYSICIAN SERVICES Primary

More information

Central Care Plan Medical and Prescription Plan Comparison Grid

Central Care Plan Medical and Prescription Plan Comparison Grid Medical Plan Carrier/Network Annual Deductible (Benefit Plan Year: 7/1-6/30) Coinsurance (Percent Copays) Note: Coinsurance s apply once the has been met. Flat Dollar Copays Central Care Plan $200 per

More information

Cigna Summary of Benefits Open Access Plus Copay Plan (OAP10)

Cigna Summary of Benefits Open Access Plus Copay Plan (OAP10) Cigna Care Network (CCN) Cigna Summary of Benefits Open Access Plus Copay Plan (OAP10) Cigna Care Network (CCN) Your employer has selected a Cigna Care Network (CCN) plan. When you need specialty care,

More information

Shield Spectrum PPO SM

Shield Spectrum PPO SM Shield Spectrum PPO SM Combined Evidence of Coverage and Disclosure Form City of Los Angeles Effective Date: January 1, 2014 An independent member of the Blue Shield Association NOTICE This Evidence of

More information

CONRAD INDUSTRIES, INC. S2489 NON GRANDFATHERED PLAN BENEFIT SHEET

CONRAD INDUSTRIES, INC. S2489 NON GRANDFATHERED PLAN BENEFIT SHEET BENEFIT SHEET GENERAL PLAN INFORMATION Coordination of Benefits Standard COB Dependents Children to age 26 Filing Limit 12 months from date of service Mailing Address & PPO Company. PPO Co.: PPO CIGNA

More information

Looking after the backbone of Britain Business Health Select. Private healthcare for small and medium businesses

Looking after the backbone of Britain Business Health Select. Private healthcare for small and medium businesses Looking after the backbone of Britain Business Health Select Private healthcare for small and medium businesses Jack of all trades card V1-09.04.14 Cornerstone V1-09.04.14 ack of all trades J ack of all

More information

1199SEIU Greater New York Benefit Fund OVERVIEW OF YOUR BENEFITS

1199SEIU Greater New York Benefit Fund OVERVIEW OF YOUR BENEFITS 1199SEIU Greater New York Benefit Fund OVERVIEW OF YOUR BENEFITS I HOSPITAL CARE This benefit is for the hospital s charge for the use of its facility only. Coverage for services rendered by doctors, labs,

More information

Super Blue Plus 2000 WVHTC High Option-B (Non-Grandfathered) $200 Deductible

Super Blue Plus 2000 WVHTC High Option-B (Non-Grandfathered) $200 Deductible BENEFIT HIGHLIGHTS 1 Super Blue Plus 2000 WVHTC High Option-B (Non-Grandfathered) $200 Group Effective Date December 1, 2017 Benefit Period (used for and Coinsurance limits) January 1 through December

More information

Avenue Healthcare s. Jamii Medical Schemes Booklet

Avenue Healthcare s. Jamii Medical Schemes Booklet Avenue Healthcare s Jamii Medical Schemes Booklet 2015 Avenue s Healthcare s Jamii Schedule of Benefits Avenue Healthcare s Jamii Medical Plans provide families (minimum family size member plus 1) with

More information

1.6 Time of Discharge: 1.7 Reimbursement Method: FPP PP PER DIEM HRS PUBLIC GOVT. LEVY ONLY. Ward Name/Number: Room Name/Number: Bed Number:

1.6 Time of Discharge: 1.7 Reimbursement Method: FPP PP PER DIEM HRS PUBLIC GOVT. LEVY ONLY. Ward Name/Number: Room Name/Number: Bed Number: Hospital Claim Form Direct Payment Section 1: Hospital Details - for completion by Hospital Administration Staff (Please place X in required boxes) 1.1 Hospital Code: 1.2 Hospital Name: 1.3 Date of Admission:

More information

Classic Plan (HMO-POS) Value Plan (HMO) Rewards Plan (HMO)

Classic Plan (HMO-POS) Value Plan (HMO) Rewards Plan (HMO) January 1, 2016 December 31, 2016 Classic Plan Value Plan Rewards Plan SECTION I INTRODUCTION This booklet gives you a summary of what we cover and what you pay. It doesn't list every service that we cover

More information

i visit better Overseas Visitors Health Cover

i visit better Overseas Visitors Health Cover i visit better Overseas Visitors Health Cover 2 Welcome to Medibank Planning to visit Australia? 5 Why do 3.8 million members choose Medibank? 6 Medibank s extensive health provider network 8 What is Medibank

More information

Good health is part of the plan.

Good health is part of the plan. Good health is part of the plan. Presbyterian Health Plan has a long tradition of providing quality health care to State of New Mexico employees and their families. For 108 years, Presbyterian has been

More information

Explorer Plan (HMO-POS) SunSaver Plan (HMO-POS)

Explorer Plan (HMO-POS) SunSaver Plan (HMO-POS) January 1, 2016 December 31, 2016 Explorer Plan SunSaver Plan SECTION I INTRODUCTION This booklet gives you a summary of what we cover and what you pay. It doesn't list every service that we cover or list

More information

Your Out-of-Pocket Type of Service

Your Out-of-Pocket Type of Service Calendar Year Deductible (CYD) 1 $0 single/ 3x family Out-of-Pocket Maximum - Deductibles, coinsurance and copays all accrue toward the outof-pocket maximum. With respect to family plans, an individual

More information

Your Simply Cash Plan

Your Simply Cash Plan 1 Your Simply Cash Plan Policy document Part 1 benefits and exclusions The accompanying Part 2 for this policy document is Part 2 general terms and conditions for monthly paid cash plans 2015 Your table

More information

Schedule of Benefits Harvard Pilgrim Health Care, Inc.

Schedule of Benefits Harvard Pilgrim Health Care, Inc. Schedule of Benefits Harvard Pilgrim Health Care, Inc. THE HARVARD PILGRIM-LAHEY SELECT HMO OOA MASSACHUSETTS 6-SPF, 01/13 MD0000002737 Please Note: In this plan, Member s have access to network benefits

More information

Craigavon Area Hospital Profile

Craigavon Area Hospital Profile Craigavon Area Hospital Profile 2012 Craigavon Area Hospital Profile Craigavon Area Hospital is located in Craigavon, County Armagh and is an essential part of the hospital network provided by the Southern

More information

PROFESSIONAL SERVICES. 1199SEIU VIP Premier (HMO) Medicare INPATIENT HOSPITAL SERVICES. 1199SEIU VIP Premier (HMO) Medicare

PROFESSIONAL SERVICES. 1199SEIU VIP Premier (HMO) Medicare INPATIENT HOSPITAL SERVICES. 1199SEIU VIP Premier (HMO) Medicare PROFESSIONAL SERVICES PCP office visits Specialist office visits Annual physical exam/preventive care Physical, speech & occupational therapy Flu and pneumonia vaccinations Diagnostic services including

More information

Cover for pregnancy and childbirth

Cover for pregnancy and childbirth Cover for pregnancy and childbirth 2017 How we cover pregnancy and childbirth in 2017 The Maternity Benefit covers day-to-day and in-hospital medical expenses for expectant mothers and newborns. Overview

More information

HMO Basic (HMO) / HMO 40 (HMO) / HMO 20 (HMO) Summary of Benefits

HMO Basic (HMO) / HMO 40 (HMO) / HMO 20 (HMO) Summary of Benefits / / Summary of Benefits January 1, 2015 December 31, 2015 Call toll-free 1-800-965-4022 8 a.m. to 8 p.m. daily October 1 to February 15 and 8 a.m. to 8 p.m. weekdays the rest of the year. TTY/TDD 711 HealthAllianceMedicare.org

More information

Kaiser Permanente Washington - Pre-Authorization requirements:

Kaiser Permanente Washington - Pre-Authorization requirements: Kaiser Permanente Washington - Pre-Authorization requirements: Kaiser Permanente Washington requires pre-authorization for most services to be covered. The information below outlines pre-authorization

More information

Report on Hand Hygiene Compliance in HSE Acute Hospitals Period 2, October 2011

Report on Hand Hygiene Compliance in HSE Acute Hospitals Period 2, October 2011 Report on in HSE Acute Hospitals, October 2011 Executive summary Improving hand hygiene compliance by healthcare workers is a priority for the Health Service Executive (HSE). Measuring hand hygiene compliance

More information

Must meet specific criteria. Prior authorization required. Must meet specific criteria

Must meet specific criteria. Prior authorization required. Must meet specific criteria MIDWEST HEALTH Acupuncture NOT A BENEFIT NOT A BENEFIT NOT A BENEFIT Acute Care Observation Post Operative Emergency Room Allergy Testing/Allergy Injections Ambulance-Emergency Land Plan Notification Not

More information

INTRODUCING OUR RANGE OF BUSINESS HEALTH PLANS A COLLABORATION BETWEEN TWO OF THE MOST RESPECTED NAMES IN GLOBAL HEALTHCARE

INTRODUCING OUR RANGE OF BUSINESS HEALTH PLANS A COLLABORATION BETWEEN TWO OF THE MOST RESPECTED NAMES IN GLOBAL HEALTHCARE INTRODUCING OUR RANGE OF HEALTH PLANS A COLLABORATION BETWEEN TWO OF THE MOST RESPECTED NAMES IN GLOBAL HEALTHCARE 1st January 2017 TWO OF THE BIGGEST, MOST TRUSTED NAMES IN GLOBAL HEALTHCARE Bupa Global

More information

Choice PPO Retired Employees Health Program Non-Medicare Eligible Retired Members

Choice PPO Retired Employees Health Program Non-Medicare Eligible Retired Members Choice PPO Retired Employees Health Program Non-Medicare Eligible Retired Members DEDUCTIBLE (per calendar year) Annual in-network deductible must be paid first for the following services: Imaging, hospital

More information

Blue Cross provides administrative claims services only. Your employer or plan sponsor is financially responsible for claims.

Blue Cross provides administrative claims services only. Your employer or plan sponsor is financially responsible for claims. HOPE COLLEGE - HOURLY ORANGE 007013084/0011/0012/0013/0014/0015/0016/0017 Simply Blue PPO HSA ASC Effective Date: On or after July 2018 Benefits-at-a-glance This is intended as an easy-to-read summary

More information

Schedule of Benefits

Schedule of Benefits SN, 10/09 Schedule of Benefits Services listed are covered when Medically Necessary. Please see your Benefit Handbook for details. Your Plan offers two levels of coverage: and. Coverage coverage applies

More information

Covered Services List

Covered Services List CAREPLUS Covered Services List For CeltiCare Health with MassHealth CarePlus Coverage This is a list of all covered services and benefits for MassHealth CarePlus enrolled in CeltiCare Health. The list

More information

Daisy Hill Hospital Profile

Daisy Hill Hospital Profile Daisy Hill Hospital Profile 2012 Daisy Hill Hospital Profile Mairead McAlinden, Southern Trust Chief Executive, and Chair Roberta Brownlee welcome Health Minister Edwin Poots on a recent visit to Daisy

More information

Your life Your health Your benefts

Your life Your health Your benefts Bu~ MEMBER SUMMARY Your life Your health Your benefts Bupa HSBC Channel Islands and the Isle of Man Healthcare Plan Efective from 1 January 2018 bupa.co.uk In association with HSBCID ~ You re in safe hands

More information

Business Health Select handbook

Business Health Select handbook Business Health Select handbook What you need to know October 2016 Call FAST TRACK APPOINTMENTS on 0800 206 1808 to get a fast, hassle free specialist appointment. See the Making a Claim section inside

More information

Blue Shield of California

Blue Shield of California An independent member of the Blue Shield Association City of San Jose Custom ASO PPO 100 90/70 Active Employees Benefit Summary (For groups of 300 and above) (Uniform Health Plan Benefits and Coverage

More information

Blue Shield PPO Plan

Blue Shield PPO Plan Blue Shield PPO Plan Benefit Booklet Stanford University Group Number: 170292, 976182 & 976183 Effective Date: January 1, 2014 An independent member of the Blue Shield Association Claims Administered by

More information

See Covered Benefits below. None. $2,000 per Member per calendar year $4,000 per family per calendar year

See Covered Benefits below. None. $2,000 per Member per calendar year $4,000 per family per calendar year Schedule of s Harvard Pilgrim Health Care, Inc. THE HARVARD PILGRIM HMO MAINE ID: MD0000002653_F2 X This Schedule of s summarizes your s under The Harvard Pilgrim HMO (the Plan) and states the Member Cost

More information

UNIVERSITY OF THE CUMBERLANDS MEDICAL BENEFITS SCHEDULE

UNIVERSITY OF THE CUMBERLANDS MEDICAL BENEFITS SCHEDULE November 1, 2016 UNIVERSITY OF THE CUMBERLANDS MEDICAL BENEFITS SCHEDULE NETWORK NON-NETWORK Lifetime Maximum Benefit Unlimited Unlimited Annual Deductible (Single/Family) $500/$1,000 $1,000/$2,000 Maximum

More information

STRATIFICATION GUIDE 2H2017

STRATIFICATION GUIDE 2H2017 STRATIFICATION GUIDE 2H2017 The ACHS, in collaboration with relevant medical colleges, associations and specialty societies have developed the following stratification variables to enable like organisations

More information

Benefits at a Glance. Vectrus Systems Corporation Policy Number: 04804A. OAP Global Plan

Benefits at a Glance. Vectrus Systems Corporation Policy Number: 04804A. OAP Global Plan Benefits at a Glance Vectrus Systems Corporation Policy Number: 04804A OAP Global Plan Vectrus Systems Corporation Long Benefits at a Glance Policy # 04804A Effective Date January 1, 2016 Vectrus Systems

More information

Services Covered by Molina Healthcare

Services Covered by Molina Healthcare Services Covered by Molina Healthcare Because you are covered by Medicaid, you pay nothing for covered services. As a Molina Healthcare member, you will continue to receive all medically necessary Medicaid-covered

More information

Platinum Trio ACO HMO 0/20 OffEx

Platinum Trio ACO HMO 0/20 OffEx Platinum Trio ACO HMO 0/20 OffEx Benefit Summary (For groups 1 to 100) (Uniform Health Plan Benefits and Coverage Matrix) Blue Shield of California Effective January 1, 2017 THIS MATRIX IS INTENDED TO

More information

Mental Health Services 2012

Mental Health Services 2012 Mental Health Services 2012 Child and Adolescent Mental Health Services HSE AREA EXECUTIVE CATCHMENT AREA COUNTIES POPULATION UNDER 18 YEARS NUMBER OF TEAMS APPROVED CENTRES South Kildare Dublin Mid-Leinster

More information

Construction Market Review Q A Comprehensive Overview of Current and Pipeline Activity for the Irish Construction Market

Construction Market Review Q A Comprehensive Overview of Current and Pipeline Activity for the Irish Construction Market Construction Market Review Q2 2017 A Comprehensive Overview of Current and Pipeline Activity for the Irish Construction Market Table of Contents Introduction to the CIS Construction Market Review...3 Overview

More information

SUMMARY OF BENEFITS. Your Valley Health System Network and CIGNA HealthCare Open Access Plus In-Network plan

SUMMARY OF BENEFITS. Your Valley Health System Network and CIGNA HealthCare Open Access Plus In-Network plan SUMMARY OF BENEFITS Your Valley Health System Network and CIGNA HealthCare Open Access Plus In-Network plan Features that Add Value Your plan offers the convenience of referral-free access to doctors,

More information

Medicare & Medicare Supplemental Insurance (Medigap)

Medicare & Medicare Supplemental Insurance (Medigap) Elder Law Basics Medicare & Medicare Supplemental Insurance (Medigap) Steven A. Kass, Esq., CELA Law Office of Steven A. Kass, PC 105 Maxess Road, Suite N116 Melville, New York 11747 What is Medicare?

More information