Insurance Plans Accepted

Private Health Insurance

Please take note of the following insurance details for the Sports Surgery Clinic Limited.

VHI

Plan C/C Option to Plan E/E option & Forward Plan full cover in both Private, Semi-Private and Day Ward accommodation.

Plan B/B Option, First Plan Plus & Family Plan Plus - Semi- Private and Day Ward accommodation only.

Plan A/A Options - 45% cover only in Private – short fall for patient of 55%, which must be payable on admission. 60% cover in Semi-Private and Day Ward – short fall for patient of 40%, which must be payable on admission.

First Plan & Family Plan – cover 50% of Semi-Private, which means a shortfall for patient of 50% and 60% cover for Day Ward, both of these shortfalls are to be paid on admission.

Plan G, J, M & Company Plan – have excess of €75.00 which means the patient must pay €75.00 on their admission.

Global Plan – Please ring the Patient Accounts Department with details.

Hibernian Healthcare

(Formerly known as VIVAS Healthcare)

There are eleven plans within Vivas Healthcare. These are as follows:

1. I
2. Me
3. We
4. Smart
5. Market
6. Nurses
7. Teachers
8. Celestica
9. Hibernian
10. AA
11. Biz

Within these eleven plans there are various levels. Please contact our Patient Accounts Department on 5262071/72 where we will be happy to assist with any queries you may have regarding your level of cover at the Sports Surgery Clinic.

Quinn Healthcare

The new hospital excesses came into effect on 1st January 2008. The excess is on a per claim basis. Each time a member is admitted for treatment they are required to pay the excess.

Important note: Please check that the patient has renewed their policy since 1st January 2008 as otherwise the old excess will still apply, i.e. patient renewing their policy in June will have the old excess up to June and the new excess thereafter. These excesses will be replacing the €80 excess for Essential Plus members,€126 excess for HealthManager members, and €150 for PersonalCare, FamilyCare and CompanyCare members. If you have any questions on these excesses you can contact the customer care department on 1890700890.

Diagnostic Imaging
Direct settlement for the DEXA Scanner

Scheme	Excess per claim (if applicable)	Surgical out-patients shortfalls, daycase or semi private	Private Shortfalls
Essential	No Excess	€243 per day	€243 per night
Essential Plus (Excess)	€125 per claim	No Shortfall	€121 per night
Essential Plus (No Excess)	No Excess	No Shortfall	€121 per night
Essential Gold	No Excess	No Shortfall	No Shortfall
HealthManager Starter	No Cover	No Cover	No Cover
HealthManager	€125 per claim	No Shortfall	No Shortfall
HealthManager Silver	No Excess	No Shortfall	No Shortfall
HealthManager Gold	No Excess	No Shortfall	No Shortfall
PersonalCare	€125 per claim	No Shortfall	€158 per night
FamilyCare	€125 per claim	No Shortfall	€158 per night
CompanyHealth	No Excess	€243 per day	€243 per night
CompanyHealth Plus (Excess)	€125 per claim	No Shortfall	€121 per night
CompanyHealth Plus (No Excess)	No Excess	No Shortfall	€121 per night
CompanyCare Starter	No Cover	No Cover	No Cover
CompanyCare	€125 per claim	No Shortfall	€105 per night
ComapnyCare Premium	€125 per claim	No Shortfall	No Shortfall

Exceptions:

• The excesses do not apply to the maternity benefit for a normal delivery in a private hospital.
• The excesses only apply once per condition, per membership year for treatment relating to haemochromatosis or for chemotherapy or radiotherapy.

Patients can contact their private health insurance to confirm their level of cover and whether they have an excess, co-payment or exclusion on their policy. In the event that they do have an excess, co-payment, or a shortfall in their level of cover, these accounts will be payable at the time of admission.

Claims for hospitalisation will be made directly to your patient’s insurance company by the Patient Accounts Department in the hospital. Depending on their health insurance, some ancillary items may appear separately on their hospital account. They will receive a separate account from the provider for items such as:

• Pharmacy.
• Other ancillary services.
• Physiotherapy sessions required after discharge.

E.S.B. Staff Medical Provident Fund

Full cover for both Private, Semi-Private and Day Ward Accommodation.

Self insured patients

Patients paying privately will be required to pay the estimated cost of hospitalisation in full ten days before admission. It is therefore necessary for you to contact the Patient Accounts Department for an estimate prior to your admission. If this account is not paid by the specified time you will be taken off the surgical list and your surgery will be cancelled. All fees for Consultants, anesthetists, physiotherapy, diagnostic services, pharmacy and other ancillary services will be billed separately.

Diagnostic Imaging Services

Patients who are being seen for diagnostic imagining services will be required to pay in full on the day of the service. If you are being admitted for a surgical procedure and you have medical insurance diagnostic imaging will be included in your claim to your medical insurer.

Garda Medical Aid Society & Prison Officers Medical Aid Society

Semi-Private and Day Ward cover only.

Please note that Prison Officers Medical Aid Society forms must be signed by the members only. Hence POMAS forms must be sent to patients prior to admission with this information.

Methods of Payment

We accept the following forms of payment:

• Cash
• Personal Cheque
• Bank Cheque
• Credit Card (Bankcard, MasterCard, Visa, Amex)
• Laser Card

Please telephone our accounts department on (01) 5262070 if you have any account queries.