Laya Healthcare will amend benefits on all of their plans to include some, or all of the following additional benefits; Cancer Care benefits, Pre and Post Natal benefits and Counselling Support benefits.
The benefit changes and the effected plans can be found hereLaya benefit changes 01.07.2018.xlsx.
21 plans will also have further benefit changes:
Company Care Plus
• The plan will cover a private room in a private hospital
• The shortfall in hi tech hospitals will reduce from €175 per night to €100 per night
• The Beacon Hospital will now be fully covered up to a private room
• Maternity outpatient consultations will increase to €600 subject to the annual outpatient excess
• Cover for the infertility benefit will increase and will be available to use up to 3 times per lifetime
• The cap on the pre and post-natal package of benefits will increase to €500
• GPlive consultations will increase to 10
• The plan will now cover 3 HSE Out of hours GP visits
• Physiotherapy benefit will increase to 75% back for up to 25 visits
• The cover in the Dean Clinic will increase to 75% back for up to 12 visits
• The cover in the Lois Bridges will increase to 75% back for up to 12 visits
Simply Health Excess
• The plan will now fully cover 2 HSE Out of hours GP visits
• The number of free GPlive consultations will increase to 7
• The cap on the pre and post-natal package of benefits will increase to €385
• The cover for the infertility benefit will increase and will now be available to use up to 2 times per lifetime
• The Beacon Hospital will now be fully covered up to a semi private room with a €125 excess. The shortfall for a private room in this hospital will reduce from €175 per night to €165 per night.
Simply Health Plus
• The plan will now fully cover 4 HSE Out of hours GP visits
• The cover for maternity outpatient consultations will increase to €500 subject to the annual outpatient excess
• The number of free GPlive consultations will increase to 7
• The capping on the pre-and post-natal package of benefits will increase to €385
• The cover for the infertility benefit will increase and will now be available to use up to 2 times per lifetime
Connect Care
• The plan will now fully cover 2 HSE Out of hours GP visits
• The number of free GPlive consultations will increase to 8
• The cap on the pre-and post-natal package of benefits will increase to €385
• The cover for the infertility benefit will increase and will now be available to use up to 2 times per lifetime
• The plan will now fully cover a private room in a private hospital
Connect Care 100
• The plan will now fully cover 2 HSE Out of hours GP visits
• The capping on the pre-and post-natal package of benefits will increase to €385
• The number of free GPlive consultations will increase to 6
• The cover for the infertility benefit will increase and will now be available to use up to 2 times per lifetime
Simply Health Choice
• The plan will now fully cover 2 HSE Out of hours GP visits
• The cover for maternity outpatient consultations will increase to €450 subject to the annual outpatient excess
• The number of free GPlive consultations will increase to 4
• The capping on the pre-and post-natal package of benefits will increase to €325
• The cover for the infertility benefit will increase and will now be available to use up to 2 times per lifetime
• The Beacon hospital will now be fully covered to a semi private room with an excess of €175 per claim. If a private room in this hospital is occupied the shortfall will be €165 per night
Total Health Plus
• The plan will now fully cover 2 HSE Out of hours GP visits
• The number of free GPlive consultations will increase to 6
• The cover for the infertility benefit will increase and will now be available to use up to 2 times per lifetime
• The Beacon hospital will now be fully covered to a semi private room with an excess of €100 per claim (payable a maximum of twice per member per contract year (private & hi-tech excess combined). If a private room in this hospital is occupied the shortfall will be €50 per night
Control 150 Create
• The plan will now fully cover 2 HSE Out of hours GP visits
• The number of free GPlive consultations will increase to 7
• The cover for the infertility benefit will increase and will now be available to use up to 2 times per lifetime
• The benefit for Maternity in-patient hospital delivery/homebirth costs will increase from €3,200 to €3,500
Simply Health Starter
• The plan will now fully cover 2 HSE Out of hours GP visits
• The number of free GPlive consultations will increase to 5
• The cap on the pre-and post-natal package of benefits will increase to €385
• The cover for the infertility benefit will increase and will now be available to use up to 2 times per lifetime
Connect Choice
• The plan will now fully cover 2 HSE Out of hours GP visits
• The number of free GPlive consultations will increase to 7
• The cover for the infertility benefit will increase and will now be available to use up to 2 times per lifetime
• The cap on the pre-and post-natal package of benefits will increase to €385
360 Care
• The plan will now fully cover 3 HSE Out of hours GP visits •
The number of visits to the Dean Clinic allowed under this plan will increase from 12 to 24
• The number of visits to the Lois Bridges allowed under this plan will increase from 12 to 24
• The executive health check will now be available to use once every year as opposed to once every 2 years
360 Care Select
• The plan will now fully cover 3 HSE Out of hours GP visits
• The number of visits to the Dean Clinic allowed under this plan will increase from 12 to 24
• The number of visits to the Lois Bridges allowed under this plan will increase from 12 to 24
• The executive health check will now be available to use once every year as opposed to once every 2 years
Simply Connect
• The cover for maternity outpatient consultations will increase to €450 subject to the annual outpatient excess
• The number of free GPlive consultations will increase to 4
• The cap on the pre-and post-natal package of benefits will increase to €325
• The cover for the infertility benefit will increase and will now be available to use up to 2 times per lifetime
Simply Connect Plus
• The cover for maternity outpatient consultations will increase to €500 subject to the annual outpatient excess
• The number of free GPlive consultations will increase to 5
• The capping on the pre-and post-natal package of benefits will increase to €385
• The cover for the infertility benefit will increase and will now be available to use up to 2 times per lifetime
Total Health Extra
• The capping on the pre-and post-natal package of benefits will increase to €385
• The cover for the infertility benefit will increase and will now be available to use up to 2 times per lifetime
• The plan will now fully cover a private room in a private hospital (including the Beacon Hospital)
• The number of free GPlive consultations will increase to 8
Simply Health Connect
• The cap on the pre-and post-natal package of benefits will increase to €500
• The number of free GPlive consultations will increase to 5
• The shortfall in hi tech hospital will reduce to €165 per night
• The Convalescence Care benefit will increase from €50 per night to €65 per night
Health Secure Plus
• The cover for the infertility benefit will increase and will now be available to use up to 2 times per lifetime
• The number of free GPlive consultations will increase to 9
Care Select
• The cover for the infertility benefit will increase and will now be available to use up to 2 times per lifetime
• The number of free GPlive consultations will increase to 8
Total Health Complete
• The cover for the infertility benefit will increase and will now be available to use up to 2 times per lifetime
Total Health Complete 175
• The cover for the infertility benefit will increase and will now be available to use up to 2 times per lifetime
Simplicity
• The Convalescence Care benefit will increase from €50 per night to €55 per night
These changes apply to all new and renewing customers from this date
The above information was sourced with the permission of the Health Insurance Authority from their website www.hia.ie. Our thanks to them for their assistance.