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Level 2 Family Health

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Level 2  Family Health Premium Government Levy Total
Adult €927.90 €280.00 €1,207.90
Children 0-4 €132.00 €96.00 €228.00
Children 5-12 €132.00 €96.00 228.00
Children 13-17 €132.00 €96.00 228.00
Student €202.90 €280.00 €482.90
Fourth and next:
Child No premium €96.00 €96.00
Student
No premium €280.00 €280.00
Newborn Free until next renewal No levy Free until next renewal

Consultants fees Covered
Inpatient scans Covered
Public hospital  
Semi-private room Covered
Private room Semi-private rate
Day case Covered
Private hospital  
Semi-private room Covered subject to €75 excess and a €2,000 co-payment on certain orthopaedic procedures.
Private room Covered at semi-private rate subject to a €75 excess and a €2,000 co-payment on certain orthopaedic procedures
Day case Covered subject to a €75 excess
High-tech Hospital  
Semi-private room 50% cover.
Private room Cover for 50% of semi-private rate.
Day case Covered subject to  €75 excess
Listed cardiac procedures 90% cover.
Listed special procedures 90% cover subject to €2,000 co-payment on certain orthopaedic procedures.
A&E abroad  
Hospital bill for inpatient treatment Covered up to €100,000
Repatriation expenses Covered up to €1 million
Expenses for companion who remains with you Covered up to €1,000
Companion repatriation expenses Covered up to €1,000
24 hour telephone assistance Yes
Elective overseas referral  
Benefit abroad for surgical procedures that are not available in Ireland Yes – up to the amount for the most similar surgical procedure to treat the same condition in Ireland
Benefit abroad for surgical procedures that are available in Ireland Yes - subject to level of cover available in Ireland
Psychiatric treatment  
Not related to substance abuse 100 days
Related to substance abuse 91 days per 5 years
Other inpatient benefits  
Oncotype DX Covered
Convalescence benefits €30 x 16 days
Point of Care: Day case procedure for Rheumatology & Chemotherapy Covered
Cancer Support Benefit (for accommodation expenses when travelling more than 50km) Up to €100 per day for up to a maximum of €1500 per calendar year
Child home nursing €100 x 14 days (following an inpatient stay of minimum 5 days)
Parent accompanying child €40 x 14 days (not payable for the first 3 days)
Medicall ambulance costs Covered, if certified as being medically necessary

Please note:

All prices are net of tax relief at the standard rate and inclusive of age related tax credits, health levy and discretionary group discount. Prices correct as at 31st March 2013. Terms and conditions apply. Aviva Health Insurance Ireland Limited is regulated by the Central Bank of Ireland. Students must be under 21 and in full-time education at the date of last renewal.

Waiting periods may apply. Please note that early maternity hospital discharge benefit and PNHH cannot be claimed together.

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