Orthopaedic Cover

Hips, knees (and more) -here's what you need to know about

Orthopaedic Cover

We're for the tumbles, jumps and bumps in life.

That's why we are the only health insurance company in Ireland to offer full cover on specific orthopaedic procedures on many of our schemes.

 These specific procedures are listed below:

 

Code

 

Procedure Description

3660

      

Arthroplasty of hip using prosthesis, unilateral

3666

 

Metal on Metal hip resurfacing arthroplasty, unilateral

3661

 

Revision of total hip arthroplasty, acetabular and femoral components with or without autograft or allograft

3910

 

Prosthetic replacement (total) of knee joint, unilateral

3911

 

Revision of arthroplasty of knee joint, with or without allograft, one or more components

Please note: Your Consultant will let you know the code of the procedure you're due to have

 

For certain schemes we are offering 100% cover on the above listed procedures with no shortfall or excess for the following private hospitals. 

  1. Auteven (Kilkenny)
  2. Beacon Hospital (Dublin)
  3. Blackrock Clinic (Dublin)
  4. Bons Secours (Cork)
  5. Bons Secours (Dublin)
  6. Bons Secours (Galway)
  7. Bons Secours (Kerry)
  8. Bons Secours (Limerick - formerly Barringtons)
  9. Galway Clinic (Galway)
  10. Hermitage (Dublin)
  11. Mater Private (Dublin & Cork)
  12. Sport’s Surgery (Dublin)
  13. St. Francis (Westmeath)
  14. St. Vincent’s Private (Dublin)
  15. Whitfield Clinic (Waterford)

Planning a Procedure?

To check if your scheme covers these procedures please check our list of cover for specific Orthopaedic procedures

To check your cover for orthopaedic procedures, log in to your Member area, or contact our award-winning Customer Care team on 021 202 2000.

Members on the schemes listed below will have normal excesses and shortfalls or 'no cover' as per scheme rules:

Assure health, Assure protect, Company Health, Essential Assist, Future Protect Choice, Assure Ideal, Assure Vitality, Essential, Future Protect, Future Protect Plus. 

20% Shortfall exists on the following scheme:

Prime,