Health Insurance Explained
Health insurance exists to cover the costs of accommodation for hospital visits and to faster access to hospitals and consultants.
It is possible to make major savings by switching your private health insurer, and the switch is relatively simple. But according to research by the Health Insurance Authority, most consumers don’t know enough about their rights to take full advantage of the choices on the market.
The main considerations are:
- Whether you would like private accommodation in a public or private hospital.
- If you need lifestyle costs to be covered, such as GP,Dental and Physio.
- Maternity cover.
- Scan cover, eg MRI etc.
We have outlined some additional information below, however to get a cost on a plan that is ideal for you Contact Us Now.
Waiting Periods Explained
What is a Waiting Period?
The period of time during which you cannot claim.
Your consumer rights
You have the right to change your health insurance plan, or insurer, without penalty.
Think it’s too much hassle to switch provider?
It’s actually hassle free! You can sign up online or over the phone 01 8027670 and get covered straight away. You can also set up a monthly direct debit online or by phone.
All you need to do is cancel your old cover – send an email to your previous insurer noting what date you are cancelling your policy from (and cancel your old bank direct debit if necessary!)
Do I need to re-serve waiting periods if I’m switching from a different provider?
Once you have served your initial waiting periods with your previous insurer you do not have to re-serve them with us, so you will be covered as you would have been before for all of the benefits that you had on your previous plans.
I am mid-term in my cover with another provider – can I switch now?
Yes, you can switch your health insurance policy at any time with no new exclusions or waiting periods as long as you are not upgrading your benefits.
I have a health claim currently being processed with another provider – can I switch to a new policy now?
Yes of course, if you switch to us today, we will cover any claims incurred from today onwards so long as you have served your waiting periods. For any claims, with your current insurer, you will need to contact them directly.
What happens if I’m switching and upgrading my level of cover?
You will need to wait 2 years to access your enhanced benefits for a medical condition which you have at the time of upgrading (5 years if you’re over 65). However, this won’t apply to the benefits that you were covered for on your previous plan.
What waiting periods do I serve if I haven’t had health insurance for a while?
If you have had a break in your health insurance cover of less than 13 weeks, then you should join straight away as you won’t be subject to any new initial waiting periods. If your break in cover has been more than 13 weeks, then you do need to re-serve waiting periods.
The waiting periods that you must re- serve will depend on your age on joining a health insurance plan with Aviva. Have a look at the table below to find out which waiting periods apply to you.
How do waiting periods affect me if I have never had health insurance?
It’s never too late to start! You may have to serve initial and pre-existing waiting periods, so why not start now. The waiting periods that you will have to serve will depend on your age on joining a health insurance plan . Have a look at the table below to find out which waiting periods apply to you.
Your age on joining Aviva Accident or Injury New conditions Pre-existing Conditions Maternity Day-to-day benefits
Your age on joining Aviva | Accident or Injury | New conditions | Pre-existing Conditions | Maternity | Day-to-day benefits |
<55 years | Immediately | 26 weeks | 5 years | 1 year | Immediately |
55-59 years | Immediately | 52 weeks | 7 years | 1 year | 1 year |
60-64 years | Immediately | 52 weeks | 7 years | 1 year | 1 year |
65+ | Immediately | 104 weeks | 10 years | 1 year | 2 year |
Out-patient waiting periods only apply to health screens, G.P, dentist and physiotherapist visits. In the case of maternity benefits, you will have to wait one year to access enhanced benefits. There is a waiting period of 42 weeks for post-natal home help and cord blood stem cell preservation.