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.
|