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Private Medical Insurance

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Comments

  • Registered Users, Registered Users 2 Posts: 1,464 ✭✭✭baldshin


    Hi Ruddy! Would also appreciate your opinions if possible! Family of 4 (male 39, female 37 and a 3 and 4 year old). Currently with VHI on their PMI 04 10 plan. Due to renew in a few weeks but trying to reduce costs if possible as funds are tight as a single income family at the moment.

    Wife has migraine issues which are currently being managed by a high tech injection paid through the Drug Payment Scheme. I'm due a sleep study in 2 weeks to determine if I have sleep apnoea. Kids are generally very healthy, though we have claimed for an adenoidectomy and grommets for one of them last year.

    I would maybe see a GP once a year, wife maybe 4-5 times. Don't think maternity cover is of importance to us any more!

    Would appreciate if you could recommend alternative plans as we're currently paying about e360 a month.



  • Registered Users, Registered Users 2 Posts: 703 ✭✭✭ruddy1987


    Your current plan is an entry level plan and no cheaper cover available. If you want to cover Private hospitals you would be needing to double your spend. The other point to note is that even with this spending their will be still large shortfalls on orthopaedic procedures on these plans. The key for your husband will be move to a plan 2 years before he needs the treatment as he will need to be on higher plan for 2 years. You would be looking around €2,500 k for plan with full ortho cover in private hospitals. It might be worth trying to consider getting the procedure in a public hospital "privately" but this is becoming more challenging.



  • Registered Users, Registered Users 2 Posts: 17 M0030


    Thanks Ruddy for the reply, I didn't know there would be a 2 year waiting period. Disregarding orthopaedic procedures, could you recommend a plan to increase our cover for than what we currently have?



  • Registered Users, Registered Users 2 Posts: 75 ✭✭BottomBurp


    Hi Ruddy,

    Single old fart here, in my mid 50s on Laya Essential Health 300. I had to downgrade from a higher Laya plan last year as premiums were getting unmanageable. Would you recommend sticking with it, or moving to another plan, all things being equal?



  • Registered Users, Registered Users 2 Posts: 73 ✭✭banham


    Hi Ruddy,

    Thank you for the great work you are doing here.

    I am male 70 no health issues and i am on Irish life Health 4D Health 2 which has jumped by about €500 to €2438. I have never claimed off it or used the personalised packages. I've always taken out the travel insurance. What would you suggest as a good alternative at a reduced price. Thank you in advance.



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  • Registered Users, Registered Users 2 Posts: 20,867 ✭✭✭✭cormie


    Screenshot 2026-05-15 102345.png

    This is out of control! I think my premium when I first took this policy out was around €800 and it's been getting more crazy each year. It's due for renewal now at €2323!This is Laya healthcare plan: Total Health Complete 175

    I'd consider myself very health conscious and a low risk for diet and lifestyle related conditions. I would be happy to have a full health check and be assessed on this to reduce my premium, but from what I've been told, doing this would be classed as discrimination. So I guess health insurance is essentially better value the more unhealthy your diet and lifestyle is 🤔

    Is it possible at all to get health insurance somewhere else in Europe that would assess ones health and offer far more reasonable pricing?

    I understand health insurers will only cover certain procedures if you've been with them 5 years or so, so I'm not sure if moving insurer then puts you out of cover should anything happen within those 5 years?

    Any feedback would be appreciated!



  • Registered Users, Registered Users 2 Posts: 7 eastmeathcoast


    Hi Cormie, unfortunately you can't get a lower premium outside the state. Any provider selling health insurance here must follow the community rating system, which means the same premium applies regardless of health status or lifestyle. That said, the plan you're on is a classic renewal trap, premium inflation has made this a poor plan now, and better plans have been introduced. Laya's "Inspire Access" covers essentially the same benefits (different excesses) but is around 570 euro p.a. cheaper. You don't even need to leave Laya to save significantly. Worth comparing all your options at www.medplan.ie .

    On waiting periods, switching insurer won't reset your cover as long as your new plan covers the same benefits as your current one. Continuity of cover is protected under Irish law provided there's no gap in membership.



  • Registered Users, Registered Users 2 Posts: 20,867 ✭✭✭✭cormie


    Hey thanks so much for that! I'll definitely look into Inspire Access and see how it compares!

    I see there's a possibility to get international health insurance, but the premiums are meant to be even higher than the standard plan premiums in Ireland, so I guess there's not much option than to seek out a more competitive plan in Ireland for anyone living here.

    Great to know about the continuity of cover too, thanks again!



  • Registered Users, Registered Users 2 Posts: 1,778 ✭✭✭peejay1986


    Hey. Wondering if someone could give me advice on this. I'm looking at signing up to our first family private plan.

    Two adults (39 and 38) with no existing health issues (although I am exploring some mental health assessments) and one child, aged 3.

    I’m a sole director/employee of an Irish LTD company and have been told there may be options to do a director's plan or something - I don't really know.

    Our priorities are:

    • good MRI and orthopaedic options
    • decent consultant contribution
    • online/digital GP access
    • really just giving a 'security blanket' feel over our healthcare

    Target budget is ideally around €100–€150 per month total, though slightly above may be possible for strong value. I'm stretching myself to even be considering this financially so it really needs to work for us. May not be doable.

    Anyone able to (a) shed light on how the director's thing could work, if at all, and (b) tell me if there's anything out there that could work and not be a waste of money?

    Appreciate any guidance on this.



  • Registered Users, Registered Users 2 Posts: 20 clivejpk


    Morning Ruddy - you helped me last year on my mothers renewal; my one is up currently with VHI - I'm on plan PMI3112 and its gone up by 200 this year again - I'm a male 58 this year never claimed off VHI ; healthy want a fairly comprehensive plan not just basic cover any suggestions? Called VHI they suggested PMI3914 was good alternative and slightly cheaper - any ideas - Many thanks



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  • Registered Users, Registered Users 2 Posts: 703 ✭✭✭ruddy1987


    if VHI you are looking at an enhanced care plan, Irish life my plan or level health plan b or with Laya access health



  • Registered Users, Registered Users 2 Posts: 703 ✭✭✭ruddy1987


    Lots of good options here, if ok with losing personalised packages health guide 2 a good plan, there is also health action 3/4 or a new plan health action plus. Lots of strong alternatives to save a lot of money.



  • Registered Users, Registered Users 2 Posts: 703 ✭✭✭ruddy1987


    Have a look at inspire choice with Laya , new plan from 1st of June.

    I see east Meath responded on other query no options other than Irish insurers



  • Registered Users, Registered Users 2 Posts: 703 ✭✭✭ruddy1987


    a few points here:

    is that budget for full family? If so only the most basic entry level plans will fall into that, you’re looking at something like first cover with Irish life health. It covers MRI’s and online doctor but only public hospitals. You will not get any decent plan that fully covers ortho for less than €2.5k so no chance in your budget.

    Other point to note is you will have LCR Loading to pay 2% extra premium for every year over 34.



  • Registered Users, Registered Users 2 Posts: 1,778 ✭✭✭peejay1986


    Unfortunately, yes.

    Really we're just looking to hopefully cut waiting times and have access to online doctor.

    We've had a couple of instances over past two years we're waiting list times have meant we've been forced to pay elsewhere and I'm looking to safeguard against this.

    Not really bothered about private hospitals unless that's essential for the shorter waiting times.

    Suppose I'm wondering - is it a complete waste going for the basic plans? Irish Life Health First Cover Extra is one that caught my eye, but it may be pointless.

    Appreciate your response.



  • Registered Users, Registered Users 2 Posts: 20,867 ✭✭✭✭cormie


    Hey thanks very much! My renewal actually falls on June 1st exactly, so I'll need to give them a call asap and see how Inspire Choice compares and if it's possible to switch to it if it's only being released the same day my renewal is due.

    I wonder how it will compare to Inspire Access which East Meath recommended 🤔



  • Registered Users, Registered Users 2 Posts: 703 ✭✭✭ruddy1987


    no it’s good to get on the ladder essentially. You will get immediate access to the digital doctor and then in time you can upgrade cover as you need. It will also stop your LCR loading increasing which is another big advantage.

    First cover for the adults anyways, could argue maybe your child might not need cover.



  • Registered Users, Registered Users 2 Posts: 703 ✭✭✭ruddy1987


    inspire access is cheaper but inspire choice has private room cover and better day to day cover, so you can decide if that’s worth the extra.

    Yes you can call Laya up and switch to either plans.



  • Registered Users, Registered Users 2 Posts: 768 ✭✭✭6ix


    Hi Ruddy, amazing advice you are giving here, thank you.

    We have been fortunate enough to have employer-provided health insurance for many years, but this will no longer be available due to a job change and I need to look at options from later in the summer.

    We're currently on VHI PMI 61 10. 2 adults, early 40s, 3 kids under 7.

    No major ongoing health issues, although we have made use of the policy for a one-off elective cardiac procedure, various scans, GP/Consultant fees, online doc and the urgent care clinic. Current policy is €4.7k a year for all of us, so hoping to get something a bit cheaper if we can. Any suggestions of where to start gratefully received.

    Should kids be on a separate policy? No maternity/fertility cover needed. Probably would lean towards Laya or VHI as both have clinics near us.

    I've had a look at the HIA comparison site but the sheer volume of policies is ridiculous. 



  • Registered Users, Registered Users 2 Posts: 743 ✭✭✭sue97


    Hi Ruddy, I would also like advice. We are paying health insurance for four adults - 20 year old, 24 year old (still in college), two fifty somethings.

    We are currently with VHI on PMI 35 13. We pay for the odd consultant but mostly GP visits thankfully. Any suggestions on a better package. My husbands is paid by his work so he is stuck with VHI. The rest of us could move to another provider.

    Thanks,

    Sue



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  • Registered Users, Registered Users 2 Posts: 20 clivejpk


    Hi Ruddy - thanks for all of the great work here - I dropped you a PM and also posted here on the 15th May my renewal - would you mind taking a look if you can Thanks



  • Registered Users, Registered Users 2, Paid Member Posts: 2,300 ✭✭✭Appletart Upsetter


    Hi Ruddy.

    It's amazing you provide such great info on health insurance. I doubt I'll ever get a handle on it.

    We're a family of 4 (45, 33, 3 & 3 months) on Enhanced 350 from VHI. Very little medical expenses but would like some private cover should we require it. No need for maternity, fertility, urgent care. The renewal is coming in at €2,860 for the 4 of us (include LCR of €140.00 for me).

    Any way we can be a little more thrifty and still be well covered?



  • Registered Users, Registered Users 2 Posts: 20,867 ✭✭✭✭cormie


    Thanks again for the recommendations above. For anyone else in the same boat, these are the premiums I was quoted with Laya for each plan (prices include 3% fee for paying monthly).

    Inspire - 1842.61
    153.56

    Inspire Access - 1733.98
    144.48

    Inspire Choice - 1910.65
    159.23

    Inspire Care - 1720 ish
    143ish


    This is compared to the 2,323.15 price for Total Health Complete 175.

    I'll need to look through the comparison tables properly and decide. I rang back asking if there's any plans that don't give any cover for maternity, fertility or any children/family orientated issues and was told no, that it's mandatory for all plans to give some level of cover.

    I really just want unexpected/urgent cover so it's another community rating woe :(



  • Registered Users, Registered Users 2 Posts: 24,030 ✭✭✭✭mickdw


    Hi Ruddy,

    I'm in my 1st year on private health insuriance. I took out vhi enhanced care 350.

    I'm 47 no particular issues but wanted cover for private scans etc and private hospital cover should i need any procedures either day case or inpatient. I'm paying additional loading too due to not having cover until now.

    Is this a decent policy in general for what I need.

    Thanks and you need to be charging for all the advice here.



  • Registered Users, Registered Users 2 Posts: 703 ✭✭✭ruddy1987


    firstly apologies for delay I was away for a few days.

    The plan you are on is actually a very good value plan for the cover. A few flags it doesn’t have swiftcare and excludes hospital in Kilkenny and Kerry.

    PMI 10 11 is a little better as slightly cheaper and a slightly Lower excess. Only point to note is this plan excludes Kilkenny and Waterford private hospitals.


    no advantage on separating them unless complete different needs.



  • Registered Users, Registered Users 2 Posts: 703 ✭✭✭ruddy1987


    I would be looking at PMI 43 16. It’s cheaper and has better outpatient cover (no caps on cash back on GP/consultants)


    https://www.hia.ie/comparison-tool/results/3AARpjE1NjEuNqc0MDQ4Ni42wpCQAaEwozY1MACTzQfqBRPCkzo7MJUHBAUJBpCTk6VBZHVsdAACk6tZb3VuZyBhZHVsdBQBk6tZb3VuZyBhZHVsdBgBw8M=



  • Registered Users, Registered Users 2 Posts: 703 ✭✭✭ruddy1987


    I would be looking at PMI 43 16 , cheaper and better cover imo. 39 14 has lower caps than I would like for outpatient but if you need to bring premium down not a bad option.

    https://www.hia.ie/comparison-tool/results/3AARozQ4OKUxMTkzOMKQkAGhMKM2NTAAk80H6gUTwpNDOzKVBwQFCQaQkZOlQWR1bHQAAcPD



  • Registered Users, Registered Users 2 Posts: 703 ✭✭✭ruddy1987


    that’s a fairly well priced plan.

    Best alternative likely level health plan B. If you want to stay with VHI not many alternatives.

    Level health also have 10% of plan b currently.



  • Registered Users, Registered Users 2 Posts: 703 ✭✭✭ruddy1987


    That’s a fairly good mid level plan, best alternative currently would be level health plan b with 10% discount.

    My advise would be keep on this good mid level type cover until your loadings are over and then look to upgrade your cover once loading is over (10 years 🙈).



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  • Registered Users, Registered Users 2, Paid Member Posts: 2,300 ✭✭✭Appletart Upsetter


    Thanks a million.

    I'll probably stick with VHI so. Level Health have a terrible rating on Trust Pilot.



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