Plus Option
Maternity Benefits
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Effective 1 January 2024
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Members and their dependants are entitled to the following benefits, subject to the provisions of the rules of the Scheme, and in particular the provisions of the statutory Prescribed Minimum Benefits (PMBs).
This summary is for information purposes only and does not supersede the rules of the Scheme. In the event of any discrepancy, the rules will prevail.
| Benefits | Description | |
|---|---|---|
| Confinements | Unlimited Subject to Pre-authorisation by 36 weeks of pregnancy |
100% of Agreed Rate at a Preferred Provider 140% of Scheme Rate at a non-preferred provider. Co-payments may apply at a non-preferred provider |
| Maternity benefits (out of hospital) | Subject to registration on the Scheme's Maternity Management Programme; Tel: 0860 767 633 |
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| General practitioner consultations | 1 antenatal consultation per pregnancy | 150% of Scheme Rate |
| Obstetrician or gynaecologist consultations |
7 antenatal consultations per pregnancy |
200% of Scheme Rate at a Preferred Provider 155% of Scheme Rate at a non-Preferred Provider. Co-payments may apply at a non-preferred Provider |
| 2-dimensional ultrasounds |
2 scans per pregnancy |
100% of Scheme Rate or Agreed Rate |
| Routine blood tests for abnormalities |
1 of each of the following tariff codes will be allowed per pregnancy per |
100% of Scheme Rate or Agreed Rate |