Committee Reports::Report No. 09 - Voluntary Health Insurance Board::26 March, 1980::Appendix

APPENDIX 2

VHI PREMIUMS AND BENEFITS, AS OF APRIL, 1979

I. DOCTORS FEES (All Subscribers)

Annual Premiums

14-unit minimum

Additional units, each

Adult, group

£10.92

78p

Adult, individual

12.18

87p

Child, groupa

3.64

26p

Child, individuala

4.06

29p

In-Patient Benefits, Per Unit

 

 

Surgeons’ fees

 

£1-£14b

Anaesthetists’ fees

 

£1-£2.50b

Physicians’ feesc

 

 

Hospital stay of up to 6 days

£1.50

Hospital stay of more than 6 days, per day

 

25p

Specialist consultations, each

 

£1

Special nursing, maximum per hospital stay

 

£20

Other professional fees, maximum per hospital stay

 

£20

II. HOSPITAL CHARGES AND OUT-PATIENT EXPENSE (Optional Plans)

Annual Premiums,

 

 

 

additional to above

Plan A

Plan B

Plan C

Adult, group

£22.60

£34.04

£51.20

Adult, individual

24.40

37.16

56.30

Child, groupa

8.20

13.48

21.40

Child, individuala

9.10

15.04

23.95

In-Patient Benefits

 

 

 

Hospital charges, in full, including maternity cared, according to plan:

Semi-private or private room in public hospital

Private room in public hospital or semi-private room in private hospital or nursing home

Private room in any hospital or nursing home

Maternity, professional fees, all plans, per unit

 

Delivery

£4

Caesarian section, surgeon’s fee

£6

Physicians’ fees

No annual limit

Out-Patient Benefits

 

General practitioner and specialist fees, and prescriptions not provided or subsidised by Health Board, fully covered, subject to annual maximum and annual deductible:

 

Annual maximum

£600

Annual deductible:

 

per family

£60

or per individual

£40

Day surgery, consultants’ fees

payableb

Other Benefits

 

Ambulance charges

In full

Convalescent home, up to two weekse

In full

a: Charged only for the first three children in a family. Additional children are covered free of charge.


b: Depending on classification in the Board’s Schedule of Procedures.


c: Non-operative cases.


d: Maternity covered if all children under 18 years are insured.


e: Following stay in acute hospital.