Can I make a claim for X-rays and Ultrasound scans?
To be eligible for a claim, the scan must be carried out by a consultant radiologist in a Vhi approved out-patient centre. You can find the approved medical centres in our hospital directory.
You will need to pay upfront and claim back after, using Snap & Send in MyVhi or Vhi App. Simply select 'Radiology' as the treatment category.
If you attend a Vhi 360 Health Centre/SwiftCare, you will need to pay an excess on the day, and the Centre will bill us directly.
If you would like to check your cover, simply log in to your MyVhi member’s account and select the ‘Documents’ section. Here, a document called a ‘Table of Benefits’ provides a breakdown of your benefits.
Are CT and Dexa Scans covered?
Yes, depending on your plan.
Many medical facilities have an agreement to bill us directly. This is called a ‘direct pay’ centre. If you choose a centre with this agreement in place, then you won’t need to worry about the bills.
You can check our ‘Facility Finder’ for a list of direct pay facilities. You simply complete the direct payment form when attending for your scan.
If you attend a facility that does not have this in place i.e. a direct pay facility, then you will need to pay upfront and claim back after your scan using Snap & Send.
In order to claim full benefit on this, you should attend a Vhi approved medical facility. If you attend a centre that is not on the approved list, you can claim for the professional benefit i.e. radiologist using Snap & Send, once the receipt has a breakdown of the care provided.
If you would like to check your cover, log in to your MyVhi member’s account and select the ‘Documents’ section. Here, a document called a ‘Table of Benefits’ provides a breakdown of your benefits.
Do you cover Mammograms?
Yes, depending on your plan. First, you need to ensure that you have a referral from a GP or Consultant for this.
Many medical facilities have an agreement to bill us directly. This is called a ‘direct pay’ centre. If you choose a centre who has this agreement in place, then you won’t need to worry about the bills. You can check our ‘Facility Finder’ for a list of direct pay facilities. On many plans, one mammogram is fully covered and paid directly to the approved centre per renewal year. You simply complete the direct payment form when attending for your scan.
Pay and claim back
If you attend a facility that does not bill us directly, you will need to pay upfront and claim back after your scan using Snap & Send. In order to claim benefit on this, you will need to attend a Vhi approved medical facility.
If you attend a centre that is not on the approved list, you can claim for the professional benefit i.e. radiologist using Snap & Send, once the receipt has a breakdown of the care provided.
If you would like to check your cover, log in to your MyVhi member’s account and select the ‘Documents’ section. Here, a document called a ‘Table of Benefits’ provides a breakdown of your benefits.
Do you provide cover for an MRI?
Yes, depending on your plan. First, you need to ensure the following are in place:
- You must be referred by a Consultant or GP.
- You must attend an approved MRI centre.
- The clinical indicator must be one that is approved by us.
Many medical facilities have an agreement to bill us directly. This is called a ‘direct pay’ centre. If you choose a centre who has this agreement in place and you have the applicable referral, then you won’t need to worry about the bills. You can check our ‘Facility Finder’ for a list of direct pay facilities.
If you attend a facility that does not have a direct pay agreement in place, then you will need to pay upfront and claim back after your scan on the eligible benefits. A €125 excess applies to all pay and clam back MRI claims. To claim benefit on this, you will need to attend a Vhi approved MRI centre.
To claim back you must complete a non-direct MRI claim form.
Can I claim for a PET-CT scan?
Yes, depending on your plan. All approved PET centres have an agreement to bill us directly. This is called a ‘direct pay’ centre. You will find a list of approved centres in our Directory of Hospitals.
Your Consultant will submit an application on your behalf outlining the detail required.
Claims are subject to the following criteria:
- All scans must be prior approved.
- You must be referred by a Consultant.
- PET-CT is carried out in a PET_CT centre covered by your plan, and specified in our PET-CT directory.
- The PET-CT scan is carried out for an approved clinical indicator.
