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Treatment Benefit Fees Payable



OPTICAL TREATMENTS

Standard eye exam Free to customer
Domiciliary Visit Exam, GP certification required re mobility Free to customer
Exam with Dilation Free to customer
Repeat exam, when clinically necessary Free to customer; Max of 3 repeats in frequency period
Repeat exam, with dilation, when clinically necessary Free to customer; Max of 3 repeats in frequency period
Ophthalmic Medical Exam incl Dilation (opthalmologist only) Free to customer

Spectacles

Distance Single Vision (once every 2nd calendar year) €42.37 Class 1 free to the customer; Non-scheduled require the customer to pay the balance
Reading Single Vision (once every 2nd calendar year) €42.37 Class 1 free to the customer; Non-scheduled require the customer to pay the balance
Bifocal/Varifocal complete appliances (once every 2nd calendar year) €84.19 Class 1 free to the customer; Non-scheduled require the customer to pay the balance

Contact Lenses

Contact Lenses (per pair) €42.37; Customer to pay the balance

Repairs

Lenses To Own Frames
One Single Vision Lens Distance/Reading €16.46 Class 1 free to the customer; Non-scheduled require the customer to pay the balance
Two Single Vision Lenses Distance/Reading €32.94 Class 1 free to the customer; Non-scheduled require the customer to pay the balance
One Bifocal Lens €37.43 Class 1 free to the customer; Non-scheduled require the customer to pay the balance
Two Bifocal Lenses €74.85 Class 1 free to the customer; Non-scheduled require the customer to pay the balance
Frames To Own Lenses €12.17 Class 1 free to the customer; Non-scheduled require the customer to pay the balance

Dental Treatments

Exam (once per calendar year) Free to customer
Scale and polish (once per calendar year) €42.00 Customer to pay balance if any, up to a max of €15 on top of department fee
Periodontal Treatment (if clinically necessary, once per calendar year) €42.00 Customer to pay balance

Medical and Surgical

Hearing Aids (2 aids within 4 calendar years) Up to a maximum of €500 per aid
Contact lenses on medical grounds (once every 2nd calendar year) Up to a maximum of €500
Hearing Aid Repairs One repair per aid in 4 year frequency period: Up to maximum of €100
Hair Replacement Product Non-surgical scalp product (once in a calendar year) Up to maximum of €500 (you must pay the balance if any)