Laya Healthcare rule changes 01.10.2020

Laya Healthcare will make 2 amendments to existing rules from the 1st of October. These rule amendments will be effective on Simply Health Starter, Control 150 Create and Prime. The new wording is outlined below:

  1.  Everyday Medical Expenses

“If you have other health expenses, like physiotherapy, GP or casualty visits, just keep your receipts. Claiming has never been easier with our Member App. You can submit your claims for everyday medical expenses through the app at any point during the year – 24 hours a day, 7 days a week. Alternatively fill in an out-patient claim form (which you can download from your Member Area or which can be posted to you if requested) include all your receipts and send to: Laya healthcare, PO Box 12679, Dublin 15.”

  2.  Treatment overseas exclusion, this exclusion clarifies Laya healthcare’s position with regards to certain overseas benefits. It advises members will not be covered abroad:

“with regards to the ‘Emergency hospital admission overseas’ and ‘Medical Evacuation’ benefits you travelled to a country which was listed at the time of travel by the Irish Department of Foreign Affairs as ‘avoid non-essential travel’ or ‘do not travel’”

 Laya Healthcare will also introduce a temporary rule change with regards treatment abroad. This will apply until the end of January 2021. Similar to the above this amendment will be effective on Simply Health Starter, Control 150 Create and Prime. This change is necessary to aid customers who are stranded abroad due to Covid-19 and unable to return to Ireland as originally planned. It is as follows:
‘Customers who remain outside Ireland for more than 180 days in the calendar year as a direct result of Covid-19 will continue to be eligible for cover outside Ireland and/or Medical Evacuation under Benefit 5 of your rules booklet until such time that it is advised as safe to travel back to Ireland and/or the regulation to complete a “passenger locator form” upon return to Ireland has expired’.

Please contact Laya Healthcare directly for further information on the above rule changes. 

The above information was sourced with the permission of the Health Insurance Authority from their website Our thanks to them for their assistance.