| Dental and Optical |
€450* |
Included |
Included |
| Half the cost of all dental care including check-up as well as providing cash for sight tests and optical appliances (eg glasses and contact lenses). You can choose to take this benefit, for both categories, according to your own need. It is payable between all registered persons in any 12 consecutive calendar months. Benefit shown is the maximum benefit. Qualifying period: 3 months. |
| General practitioner and emergency department |
€25
per visit |
Included |
Included |
| A grant payable towards expenses surrounding a visit to a General Practitioner (Family
Doctor) or an attendance at an Accident and Emergency Department in a hospital. Limited per membership to 10 visits in any 12 consecutive calendar months, regardless of which eligible registered person is the patient. Qualifying period: 3 months. |
| Prescription |
€13
per prescription |
Included |
Included |
| A grant payable towards prescription charges. Limited per membership to 4 prescriptions
in any 12 consecutive calendar months, regardless of which eligible registered person is the patient. Qualifying period: 3 months. |
| Practitioner: physiotherapy, osteopathy, chiropractic, acupuncture, homoeopathy, chiropody/podiatry |
€650* |
Included |
Included |
| Half the cost of consultation and treatment (not including medication or appliances) by a qualified and registered practitioner up to the maximum shown. This benefit may be used according to your own need for all categories. It is payable between all registered persons in any 12 consecutive calendar months. Qualification period: 3 months. |
| Specialist and investigations |
€1,050* |
Included |
Included |
| Half the cost of specialists' consultation fees, allergy testing, health screening, pathology tests, x-rays, scans, electrocardiograms and other investigations listed in the rules, all undertaken on an outpatient basis, up to the maximum shown. It is payable between all registered persons in any 12 consecutive calendar months. Qualification period: 3 months. |
| Day case surgery and treatment |
€100
a day |
€50
a day |
€50
a day |
| For a planned admission to occupy a bed for a day in a hospital or clinic to undergo surgery, treatment or a procedure. Limited to 8 occasions within any 12 consecutive calendar months for each eligible registered person. Qualifying period: 3 months. |
|
Hospital and hospice
|
€100
a night |
€50
a night |
€50
a night |
| A hospital grant for each night you are hospitalised. |
|
General and hospice
For an inpatient admission to a hospital or hospice. Payable to each eligible registered person for up to 40 nights in any 12 consecutive calendar months. Qualifying period: 3 months.
|
|
Accident
For an inpatient admission to a hospital immediately following an accident. Payable to each eligible registered person for up to 40 nights in any 12 consecutive calendar months. No qualifying period.
|
|
Elderly and mental illness
For an inpatient admission to a hospital for elderly medical care/long stay/rehabilitation/respite/GP care or for a mental illness. Payable to each eligible registered person for up to 50 nights for elderly and 50 nights for mental illness from first registration, but not for more than 40 nights in a 12 month period. Qualifying period: 3 months.
|
|
Increased Benefit
Should a contributor and spouse/partner be inpatients at the same time (in the same or a different hospital), the contributor and not the dependant rate of hospital benefit will be paid for both for the appropriate number of nights.
|
| Recuperation - After 7 Nights |
€190 |
€95 |
€95 |
| A recuperation grant is payable for each eligible registered person following each stay in a hospital or hospice for which benefit has been paid for a minimum of 7 nights. |
| Recuperation - After 15 Nights |
€280 |
€140 |
€140 |
| A recuperation grant is payable for each eligible registered person following each stay in a hospital or hospice for which benefit has been paid for a minimum of 15 nights. |
| Birth and adoption grant |
€650 |
Included |
|
| Payable to the contributor, whether mother or father of the child, for each registered birth in hospital or at home. Hospital cover benefit is payable in addition to the grant from the sixth night onwards. The grant is also payable for a registered adoption up to the age of 10. Qualifying period: 10 months. |
| Surgical appliances and hearing aids |
€475* |
Included |
Included |
| Half the cost of a surgical appliance or hearing aid, prescribed or recommended by a doctor (or a practitioner, eg. a physiotherapist, who has treated the contributor or dependant, and the appliance forms part of that treatment), up to the maximum shown. Payable between all eligible registered persons in any 12 consecutive calendar months. Qualification period: 3 months. |
|
Personal Accident
|
up to €20,000 |
Included |
Included |
If an accident results in Permanent Disability or death the financial consequences can be enormous – quite apart from the emotional distress. Even less serious injuries can result in a lengthy period or confinement to the house. While you may be able to cope in the short term, a longer period of disability can put severe pressure on family finances.
Lump sum cash payments (shown below) when they are needed most could ease the financial burden. Contributors and their partner and dependant children are covered 24 hours a day, every day, whether at work, home or play.
A proportion of this sum will be paid depending upon the degrees of permanent disability in accordance with the following scale.
For Insured Persons under 16 and those aged 66 to 75, the benefits payable shall be reduced by 50%. For insured persons aged 76 and over the benefit payable shall be reduced by 75% and Permanent Total Disablement Benefit shall not apply.
The Personal Accident Benefits are underwritten on behalf of the HSF health plan by Chubb Insurance S.A.-N.V. one of the world's leading personal accident underwriters. See the rules for full details. |
|
Permanent disability
|
|
|
|
|
Permanent total disablement
|
€20,000 |
Included |
Included |
|
Loss of sight in one or both eyes
|
€20,000 |
Included |
Included |
|
Loss of hearing in both ears
|
€15,000 |
Included |
Included |
|
Loss of hearing in one ear
|
€3,000 |
Included |
Included |
|
Loss of use of an arm, hand or leg above the knee
|
€20,000 |
Included |
Included |
|
Loss of use of a foot or leg below the knee
|
€10,000 |
Included |
Included |
|
Loss of use of a shoulder or elbow
|
€5,000 |
Included |
Included |
|
Loss of use of a hip, knee, ankle or wrist
|
€4,000 |
Included |
Included |
|
Loss of use of a thumb
|
€4,000 |
Included |
Included |
|
Loss of use of any finger or big toe
|
€2,000 |
Included |
Included |
|
Loss of use of any other toe
|
€1,000 |
Included |
Included |
|
Accidental death
|
€10,000 |
Included |
Included |
|
Temporary disability (not applicable to children under 16)
A weekly sum payable (normally by direct credit, normally in arrears) if following an accident, you are:
– unable to take up your normal paid occupation or any other paid employment; or are
– confined to the home (applicable only if you are not in paid employment at the time of the accident
as certified by a qualified medical practitioner. Payable from the 31st day of your disability for up to 52 weeks. Odd days will be paid at one seventh of the weekly rate.
Although there is no qualifying period, the Temporary Disablement Benefit is not payable for the first 30 days of each period of temporary disablement.
|
€50 per week |
Included |
Included |
|
Fracture of the leg – ankle, tibia and fibula, kneecap, femur and hip
|
€250 |
Included |
Included |
|
Fracture of the arm – wrist, radius and ulna, humerus and shoulder
|
€130 |
Included |
Included |
|
Overall fracture limit per accident
|
€630 |
Included |
Included |
| * half the cost up to the maximum |
