Everyday Medical Costs

Your everyday medical expenses are also known as out-patient expenses. These include expenses that you pay yourself on a day-to-day basis, such as GP fees, visits to consultants or fees for physiotherapy. SimplyHealth Suite members can claim up to 50% back on everyday medical costs from a large list of approved treatment, up to a maximum payment of €7,650 each year.

bullet Direct payment centre’s e.g. MRI, CT, DEXA scans
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Participating therapists
bullet Well woman centres
bullet Appliance List

Treatment The amount you can claim
Speech and language therapy (on GP or Consultants referral) Up to €20 per visit for 8 visits per year
Speech and language therapy (on GP or Consultants referral) 50% of costs-8 visits & 1 assessment up to €60
Reflexology (including baby reflexology), physical therapy, orthoptics 50% of costs-8 visits
Radiologist fees for Consultants in the full cover scheme 50% of costs
Pathologist fees 50% of costs
Hospital casualty charge 50% of costs up to €50 per visit
Physiotherapy 50% of costs-25 visits
General Practitioner 50% of costs
Approved complementary therapies – acupuncture, homeopathy, chiropractic, and osteopathy 50% of costs-12 visits
Occupational therapy 50% of costs-5 visits & 1 assessment up to €60
Dietician, chiropody/podiatry 50% of costs-5 visits
Certain medical and surgical appliances Full or partial refund for appliances on the Laya Healthcare approved list (please ask us for details)
Consultant fees 50% of costs
Home nursing following in-patient treatment for a person aged 18 years or over (on Consultant referral) 50% of costs up to €950
Men's / Women’s cancer screening (at approved centres) 50% refund of costs
Dental visit 50% of costs up to €300 per year for SimplyHealth
50% of costs up to €25 per year for SimplyHealth Starter
Emergency dental treatment for, and which immediately follows (i.e. within five days), a dental injury caused by an accidental external impact 50% of costs per year up to €510 for SimplyHealth
50% of costs per year up to €300 for SimplyHealth Starter
Adult counselling (over 18) by a clinical psychologist 50% of costs up to €40 per visit - 8 visits

Note 1: We will deduct €1 per year from claims made under this benefit.
Note 2: Please confirm with us that your medical provider or therapist is registered with the relevant association before attending consultations.

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