Hospital claims
We pay the hospital directly
Most hospitals bill us directly so you can focus on getting better. This is called a direct pay agreement. You need to provide your policy number on admission to facilitate this. You can find this by logging in to your member's account, MyVhi or Vhi App.
There may be an excess to pay, depending on your plan. In this instance, you will need to pay it on admission. If you would like to check this, or your hospital accommodation benefits, log in to MyVhi, select the 'Document' section and open the Table of Benefits. It is also worth noting the following:
Additional criteria
Some hospital procedures have special notices, payment conditions and/or clinical indicators/medical criteria which need to be met in order for the procedure to be covered. Your Consultant will be aware of any criteria associated with your treatment.
Review statements
You should review your claims statement to ensure the bills are consistent with the treatment you received, and contact us in the event of any discrepancies.
You can view this in MyVhi. Simply log in and select the 'Documents' section. You will find the relevant documents here.
Here is the current Directory of Hospitals and Treatment Centres, which have a direct payment agreement.
Exceptions... I've received a bill!
There are a small number of medical facilities that we do not have a direct payment agreement with. This is called a non-direct claim. In this instance, you will need to pay the hospital, and then submit a claim to us. Here's how it works:
Submit a claim
Submit a completed claim form to us, signed by both you and your Consultant. This is a non-direct payment form. You can send it to: Vhi, PO Box 10143, Dublin 18.
Assessment of claim
Your claim will be assessed for eligibility. Once successful, you will be reimbursed directly.
Doctors fees
Doctors' fees associated with hospital claims are paid directly by us, as is the legislative requirement.
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