Day-to-day medical expenses
- Collate all your original receipts for each insured person on your policy for your last subscription year.
- Complete the claim form which you can download using the links below for the type of plan you hold
- Include the original receipts, as they are not returned, it is advisable to retain a copy.
- Ensure each receipt indicates the Patient’s name, date & type of treatment or service, charge amount and practitioner’s details.
- Send your completed form to Vhi Healthcare, Po Box 11530, Dublin 18.
Get Claim Forms for Plans A, B, C, D & E
Get Claim Forms for Lifestages Choices, Healthsteps and Company Plans
Tables of Benefits for these plans are available here
Hospital
We pay all hospitals directly
Vhi Healthcare has direct payment agreements with all hospitals. This means that you won’t have to settle the bills yourself before making a claim.
Instead, you simply complete the relevant section of your claim form at admission to the hospital:
- Don’t forget to bring your Vhi policy number for any planned admissions. Your policy number can be found on your Vhi card.
- We will take care of your treatment costs.
- We will send you a claims statement later to confirm the benefit paid.
- All our members should review their claims statement to ensure the bills are consistent with the treatment received, and to contact us in the event of any discrepancies.
- Unsure about the treatments or charges paid on your hospital claim? - Contact our Claims Special Investigation Unit.
For the current Directory of Hospitals & Treatment Centres which have a direct payment agreement with Vhi go to the Terms and Conditions section.
Non-direct hospital claims
In exceptional instances where we do not have a direct payment agreement with the treatment centre or convalescent home:
- You will need to settle your treatment bills with the facility.
- Submit a completed claim form to us signed by both you and your consultant.
- We will assess your claim and reimburse you directly for your eligible benefits.
- We will pay doctor’s fees directly to the doctor. This is a requirement under legislation so any doctor’s fees associated with hospital claims will always be paid directly by us.
- You can download a claim form here: Hospital Claims - Non-Direct Payment.
Emergency Cover Abroad
Your Vhi Healthcare health insurance plan covers all your eligible in-patient hospital charges up to a maximum* of €65,000 / €100,000 if you need emergency treatment while on holidays abroad.
*Check your policy documents for the maximum amount on your plan type.
To claim for eligible out-patient charges you need to complete an Out-Patient Claims form. Out patient benefits are subject to an annual excess.
Find out more...
To be eligible to claim Emergency Cover Abroad benefits you must meet the following conditions.
- You must be resident in Ireland for at least 180 days per calendar year.
To claim for Emergency Cover Abroad:
- Call the Assist helpline prior to receiving any medical treatment. In the event of an emergency or where you are physically unable to call you should appoint a relative to call for you. The relevant emergency numbers can be found on the back of your World Assist Card.
- Call the Medical Assistance/Pre-authorisation line prior to receiving any medical treatment. In the event of an emergency or where you are physically unable to call you should appoint a relative to call for you. The relevant telephone numbers can be found on the back of your World Assist card.
- We will arrange for approved hospital treatment to be paid to the hospital directly so you won’t have any bills to pay upfront.
- In the event that you do have to settle some hospital bills yourself, you can claim the money back from Vhi Healthcare by completing an Emergency Cover Abroad claim form. This can be sent out to you by post or you can print one from here.
- Keep all original receipts/invoices/accounts in relation to hospital and professional fee charges and send them to us with the completed claim form.
- You must complete part one and part two of the claim form. The attending doctor must fully complete and sign Part 3 of the claim form.
- If you were treated in a public facility in an EU member state, you should apply to your local Health Board for an EHIC* prior to submitting your claim to Vhi Healthcare. A copy of your Health Board's response must also accompany any claim.
- If you had travel/accident insurance covering your trip abroad, a copy of the policy document must accompany the claim.
* European Health Insurance Card
Maternity
Hospital claims
Like other hospital claims, we have direct payment agreements with all maternity hospitals. This means that we pay your hospital costs directly to the hospital up to the limits of the maternity benefit on your plan.
If you want to know more about the maternity benefits, check the Table of Benefits section here.
Consultant fees
We will pay a grant-in-aid contribution towards your delivery fee under your hospital claim and your pre and post natal care fees are subject to the benefit limits of your plan:
- You will need to submit an out-patient/day-to-day medical expenses claim form to us for these expenses.
- You can download this claim form here: Day-to-day medical expenses.
Non-direct hospital claims
Where we do not have a direct payment agreement with the hospital:
- You will need to settle your bills with the providers and submit a completed claim form to us.
- We will assess your claim and reimburse you directly for your eligible benefits.
- You can download a claim form here: Maternity Claims - Non-Direct Payment.
Home births
You will need to settle your midwife’s bills directly and then submit your receipted accounts to us with a completed claim form. Make sure the claim form is signed by the midwife & the account is receipted.