Members on the Essential First, Essential Starter, Essential, Essential Choice, Essential Connect, Essential Health, Essential Complete, Essential Plus, Essential Plus Starter, Credit Union Starter, CompanyHealth, CompanyHealth Plus, Health Sense and HealthWise Plus schemes can put these costs towards their out-patient excess.
| Items |
What is it? |
Category |
Report required |
| Apnoea alarm |
Alarm which sounds if the patient stops breathing e.g. used at home to prevent cot deaths |
Major |
GP or consultant. Max. of one per lifetime per member |
| Artificial Eye |
|
Major |
Consultant |
| Artificial lower limbs |
|
Major |
Consultant |
| Artificial Upper limbs |
|
Major |
Consultant |
| Repair of prosthetic Limb |
|
Major |
N/A |
| Athlete supports |
|
Not covered |
N/A |
| Bath lifts |
|
Not covered |
N/A |
| Bed cage |
Support e.g. the cage acts to keep the weight of the blankets off the injured part of the body e.g. a broken leg |
Not covered |
N/A |
| Bed Hi-lo |
Specific type of bed which can be raised or lowered for people who are confined to their beds |
Not covered |
N/A |
| Bed pans |
|
Not covered |
|
| Blood Pressure Monitors (The fitting of 24-hour blood pressure monitors) |
|
Minor |
N/A |
| Body braces/casts |
Support for limbs |
Major |
Consultant |
| Bracelt SOS |
|
Not covered |
N/A |
| Breast Prosthesis |
|
Post operative yes, first one-full refund- not subject to excess. Minor. 2 subsequent prosthesis will be allowed per mbrship yr. Subject to the excess.
|
Consultant |
| Caliphers |
Attachements for shoes for supporting the lower limbs |
Minor |
Consultant |
| Catheter bags |
Connection for a catheter which holds urine drained from the bladder |
Minor |
GP or Consultant |
| Colostomy |
Bag attached on to the colon on the abdomen |
Minor |
GP or Consultant |
| Commodes |
|
Not covered |
N/A |
| Corsets for backs |
Back Supports |
Minor |
Consultant |
| Cot sides |
|
Not covered |
N/A |
| C.Pap |
Machine that provides pressured oxgyen into the body - chronic breathing problems |
Minor |
Consultant |
| Crutch |
|
Not covered |
N/A |
| Dentures |
|
Not covered |
N/A |
| Dressings |
|
Refundable through Health Board Drug Schemes |
N/A |
| Drugs |
|
Refundable through Health Board Drug Schemes |
N/A |
| Elastic stockings/ Ted stockings |
Encourages blood flow in the veins e.g. commonly used to prevent DVT's (deep vein trombosis) |
Post Operative only and Minor |
Consultant |
| Fembrace |
A device used by women to alleviate the pain associated with prolapsed uterus |
Minor |
N/A |
| Glucometer |
Machine's diabetics use to check their blood sugar levels |
Minor |
GP or Consultant |
| Hair piece/Wigs |
|
Full refund for one hairpiece per membership year following cancer treatment. Further hair pieces in the event of medical necessity are to be paid as minor. |
GP or Consultant |
| Hoists |
|
Not covered |
N/A |
| Holter Monitor |
This is a continous tape recording of a patient's ECG for 24hrs.Since it can be worn during the patients regular activities, it helps the physician correlate symptoms of dizziness,palpitations or black outs. |
Minor |
N/A |
| Incontinance pads |
Use when bowel and kidney continace is compromised |
Refundable through Health Board Drug Schemes |
|
| Incontinence sheets |
|
Refundable through Health Board Drug Schemes |
N/A |
| Jobst Pressure Garments E.G. Jobst Vest (burns) |
Garments that are used to help prevent lymphoedema from increasing/occurring |
Minor |
GP or Consultant |
| Kitchen utensils (modified) |
|
Not covered |
N/A |
| Knee brace |
|
Minor |
GP or Consultant or Physiotherapist |
| Mastectomy bra |
|
Post operative- yes. 50% of the charges eligible, not subject to excess. Minor appliance. |
Consultant |
| Mattress- Ripple |
To prevent bed sores |
Not covered |
N/A |
| Naso-gastric tubes |
Tube from nose to stomach for feeding purposes |
Minor |
GP or Consultant |
| Nebuliser |
Used to administer asthmathic medication (enhaled) |
Minor |
GP or Consultant |
| Neck Braces |
|
Not covered (usually supplied by the Hospital) |
N/A |
| Needles |
|
Refundable through Health Board Drug Schemes |
N/A |
| Nephrostomy bags |
Attached onto nephrostomy tubes drains fluids from the kidneys |
Minor |
GP or Consultant |
| Nipple shields |
|
Not covered |
N/A |
| Nostril expanders- snoring |
|
Not covered |
N/A |
| Neuromuscular Stimulator |
Stimulates muscles and nerves. |
Minor |
GP or Consultant or Physiotherapist |
| Neuro Tech 2000 Plus Machine |
Machine used for muscle rehabiliation, improving blood circulation and pain management |
Minor |
GP or Consultant or Physiotherapist |
| Orthotics |
Insoles for shoes - fallen arches |
Minor |
GP or Consultant or Physiotherapist or Chiropractor / Podiatrist / Chiropodist |
| Orthopedic shoes |
Shoes required for an orthopaedic condition. |
Minor |
GP or Consultant or Physiotherapist or Chiropractor / Podiatrist / Chiropodist |
| Orthodontics |
|
Not covered |
N/A |
| Orthopaedic Insoles |
Insoles for shoes |
Minor |
GP or Consultant or Physiotherapist |
| Orthopedic splint |
Bone support |
Minor |
GP or Consultant or Physiotherapist |
| OT Appliances |
|
Not covered |
N/A |
| Oxygen |
|
Refundable through Health Board Drug Schemes |
N/A |
| Peak flow meter |
Instrument used for measuring tidle volume in breathing - used by asmathics |
Minor |
GP or Consultant |
| Pillows |
|
Not covered |
N/A |
| Ring cushions |
|
Not covered |
N/A |
| Scrotal supports |
|
Not covered |
N/A |
| Sheep – Skins |
|
Not covered |
N/A |
| Shower aids |
|
Not covered |
N/A |
| Slip mats |
|
Not covered |
N/A |
| Stair lifts |
|
Not covered |
N/A |
| Suction pumps |
To clear mucus from airways |
Minor |
GP or Consultant |
| Support belts-Back |
|
Minor |
GP or Consultant or Physiotherapist |
| Surgical shoes |
|
Minor |
Consultant/Physiotherapist |
| Syringes |
|
Refundable through Health Board Drug Schemes |
N/A |
| Tracheostomy tubes |
Tube inserted into trache to breath through it |
Minor |
GP or Consultant |
| Tens machine |
Pulsating machine used for pain relief during labour |
Minor |
Consultant or GP or Physiotherapist |
| Trusses |
Offers support |
Minor |
Consultant |
| Walking sticks |
|
Not covered |
N/A |
| Wheelchairs |
|
Major |
Consultant |
| Zimmer frame |
|
Not covered |
N/A |