Out-patient costs refer to medical expenses that you pay yourself on a day-to-day basis. Each receipt you have from throughout the year is worth a certain amount towards your excess.
An excess applies to any out-patient claim on the Essential Health scheme, this means that the first €150 for an individual policy or the first €250 for a family policy must be covered by the member themselves. Any expenses in excess of this can be submitted for refund.
You can see the different expenses we cover and the amounts you can claim for each expense listed below.
However, we pay for the following treatments in full and you do not have to pay any excess.
They are:
Breast prosthesis (following in-patient treatment). For details of subsequent prosthesis please call our customer care team;
One hairpiece each year (following in-patient cancer treatment);
Home-nursing for children under 18 years (following a hospital stay of five consecutive days) - €100 per day for the first 28 days;
Manual lymph drainage for cancer patients. This advanced therapy improves the quality of life for many cancer sufferers. Members are entitled to claim up to €500 for this treatment.
DIRECT PAYMENT CENTRE LISTING - please click on the required link below .
This is the list of out-patient benefits which are subject to the out-patient excess and the amount you can claim for each
Radiologist fees: full refund.
Pathologist fees: up to €20 for each referral.
Radiology diagnostic test charges: full refund up to €500 provided tests took place at a QUINN-healthcare participating hospital or approved diagnostic centre.
Pathology diagnostic test charges: full refund provided tests took place at a QUINN-healthcare participating hospital or approved diagnostic centre.
Hospital casualty charges: up to €20 per visit.
Certain medical and surgical appliances: up to the amount shown on the QUINN-healthcare approved list (please ask for details).
Consultant fees (excluding maternity): up to €51 per consultation.
Consultant fee (for maternity): up to €400 per pregnancy.
Women's cancer screening at approved centres up to €30 each year.
Blood tests for the purpose of prostate cancer screening: up to €20 each year (at approved centres).
Emergency dental treatment for and immediately following an accidental external impact: up to €510 for restorative treatment.
Home nursing following in-patient treatment for a person aged 18 years or over (on Consultant referral): up to €40 each day for up to 40 days each year.
Sports health screening: up to €150 every 2 years
QUINN-healthcare is a registered business name of QUINN Insurance Limited (Under Administration). Your insurance is provided by QUINN Insurance Limited (Under Administration), regulated by the Financial Regulator and registered in Ireland, No 240768. QUINN-healthcare Limited acts as an agent for healthcare products for QUINN Insurance Limited (Under Administration) and is a private company limited by shares, regulated by the Financial Regulator and registered in Ireland, No 242048. The registered office of QUINN Insurance Limited (Under Administration) and QUINN-healthcare Limited is at Dublin Road, Cavan, Co Cavan.