Health Insurance (Amendment) Act 2015
Acts of the Oireachtas
Source: Acts of the Oireachtas

num: 1
paragraphs: In this Act “Principal Act” means the Health Insurance Act 1994 .
num: 2
paragraphs: (1) Section 6A(1) of the Principal Act is amended—
(a) by the substitution of the following definition for the definition of “hospital bed utilisation credit”:
“ ‘hospital utilisation credit’ means the relevant amount payable from the Fund in respect of each hospital stay (whether on an overnight accommodation or day case basis) in private hospital accommodation, on or after 31 March 2013 if the stay is on an overnight accommodation basis and on or after 1 March 2016 if the stay is on an overnight accommodation or day case basis, by a person who is an insured person under a health insurance contract effected for any period commencing on or after the date concerned;”,
(b) by the substitution of the following definition for the definition of “private hospital accommodation”:
“ ‘private hospital accommodation’ means—
(a) accommodation in a private hospital, whether or not in a hospital bed, or
(b) accommodation in a publicly funded hospital where a charge is payable under section 55 of the Health Act 1970 ;”,
and
(c) in the definition of “relevant amount”, by the substitution of the following paragraph for paragraph (a):
num: 3
paragraphs: Section 11C of the Principal Act is amended, in subsection (1)(b), by the substitution of “1 March 2016” for “1 March 2015”.
num: 4
paragraphs: (1) Schedule 3 to the Principal Act is amended by the substitution of the following for “€90.00”:
“1. For the provision of in-patient services on overnight accommodation basis - €90.00 per night.
num: 2
paragraphs: For the provision of in-patient services on day case basis - €30.00.”.
num: 5
paragraphs: Schedule 4 to the Principal Act is amended by the substitution of the following Table for Table 2:
“TABLE 2
Amounts Applicable on or after 1 March 2016
Class of Insured Person
Amount of premium to be paid from Fund
Male aged 50 years and over but less than 55 years on the date the relevant contract (being a relevant contract (non-advanced cover)) is renewed or entered into, as the case may be
Nil
Male aged 50 years and over but less than 55 years on the date the relevant contract (being a relevant contract (advanced cover)) is renewed or entered into, as the case may be
Nil
Female aged 50 years and over but less than 55 years on the date the relevant contract (being a relevant contract (non-advanced cover)) is renewed or entered into, as the case may be
Nil
Female aged 50 years and over but less than 55 years on the date the relevant contract (being a relevant contract (advanced cover)) is renewed or entered into, as the case may be
Nil
Male aged 55 years and over but less than 60 years on the date the relevant contract (being a relevant contract (non-advanced cover)) is renewed or entered into, as the case may be
Nil
Male aged 55 years and over but less than 60 years on the date the relevant contract (being a relevant contract (advanced cover)) is renewed or entered into, as the case may be
Nil
Female aged 55 years and over but less than 60 years on the date the relevant contract (being a relevant contract (non-advanced cover)) is renewed or entered into, as the case may be
Nil
Female aged 55 years and over but less than 60 years on the date the relevant contract (being a relevant contract (advanced cover)) is renewed or entered into, as the case may be
Nil
Male aged 60 years and over but less than 65 years on the date the relevant contract (being a relevant contract (non-advanced cover)) is renewed or entered into, as the case may be
Nil
Male aged 60 years and over but less than 65 years on the date the relevant contract (being a relevant contract (advanced cover)) is renewed or entered into, as the case may be
Nil
Female aged 60 years and over but less than 65 years on the date the relevant contract (being a relevant contract (non-advanced cover)) is renewed or entered into, as the case may be
Nil
Female aged 60 years and over but less than 65 years on the date the relevant contract (being a relevant contract (advanced cover)) is renewed or entered into, as the case may be
Nil
Male aged 65 years and over but less than 70 years on the date the relevant contract (being a relevant contract (non-advanced cover)) is renewed or entered into, as the case may be
€575.00
Male aged 65 years and over but less than 70 years on the date the relevant contract (being a relevant contract (advanced cover)) is renewed or entered into, as the case may be
€1,125.00
Female aged 65 years and over but less than 70 years on the date the relevant contract (being a relevant contract (non-advanced cover)) is renewed or entered into, as the case may be
€375.00
Female aged 65 years and over but less than 70 years on the date the relevant contract (being a relevant contract (advanced cover)) is renewed or entered into, as the case may be
€800.00
Male aged 70 years and over but less than 75 years on the date the relevant contract (being a relevant contract (non-advanced cover)) is renewed or entered into, as the case may be
€900.00
Male aged 70 years and over but less than 75 years on the date the relevant contract (being a relevant contract (advanced cover)) is renewed or entered into, as the case may be
€1,800.00
Female aged 70 years and over but less than 75 years on the date the relevant contract (being a relevant contract (non-advanced cover)) is renewed or entered into, as the case may be
€675.00
Female aged 70 years and over but less than 75 years on the date the relevant contract (being a relevant contract (advanced cover)) is renewed or entered into, as the case may be
€1,300.00
Male aged 75 years and over but less than 80 years on the date the relevant contract (being a relevant contract (non-advanced cover)) is renewed or entered into, as the case may be
€1,175.00
Male aged 75 years and over but less than 80 years on the date the relevant contract (being a relevant contract (advanced cover)) is renewed or entered into, as the case may be
€2,550.00
Female aged 75 years and over but less than 80 years on the date the relevant contract (being a relevant contract (non-advanced cover)) is renewed or entered into, as the case may be
€850.00
Female aged 75 years and over but less than 80 years on the date the relevant contract (being a relevant contract (advanced cover)) is renewed or entered into, as the case may be
€1,900.00
Male aged 80 years and over but less than 85 years on the date the relevant contract (being a relevant contract (non-advanced cover)) is renewed or entered into, as the case may be
€1,550.00
Male aged 80 years and over but less than 85 years on the date the relevant contract (being a relevant contract (advanced cover)) is renewed or entered into, as the case may be
€3,375.00
Female aged 80 years and over but less than 85 years on the date the relevant contract (being a relevant contract (non-advanced cover)) is renewed or entered into, as the case may be
€1,100.00
Female aged 80 years and over but less than 85 years on the date the relevant contract (being a relevant contract (advanced cover)) is renewed or entered into, as the case may be
€2,375.00
Male aged 85 years and over on the date the relevant contract (being a relevant contract (non-advanced cover)) is renewed or entered into, as the case may be
€1,775.00
Male aged 85 years and over on the date the relevant contract (being a relevant contract (advanced cover)) is renewed or entered into, as the case may be
€4,150.00
Female aged 85 years and over on the date the relevant contract (being a relevant contract (non-advanced cover)) is renewed or entered into, as the case may be
€1,250.00
Female aged 85 years and over on the date the relevant contract (being a relevant contract (advanced cover)) is renewed or entered into, as the case may be
€2,775.00
”.
num: 6
paragraphs: Section 125A of the Stamp Duties Consolidation Act 1999 is amended by the substitution of the following definition for the definition of “specified rate”:
“ ‘specified rate’ means—
(a) in respect of relevant contracts renewed or entered into on or after 1 January 2016 and on or before 29 February 2016—
(i) €80.00 in respect of an insured person aged less than 18 years insured under a relevant contract which provides for non- advanced cover,
(ii) €135.00 in respect of an insured person aged less than 18 years insured under a relevant contract which provides for advanced cover,
(iii) €240.00 in respect of an insured person aged 18 years or over insured under a relevant contract which provides for non- advanced cover, and
(iv) €399.00 in respect of an insured person aged 18 years or over insured under a relevant contract which provides for advanced cover,
and
(b) in respect of relevant contracts renewed or entered into on or after 1 March 2016—
(i) €67.00 in respect of an insured person aged less than 18 years insured under a relevant contract which provides for non- advanced cover,
(ii) €134.00 in respect of an insured person aged less than 18 years insured under a relevant contract which provides for advanced cover,
(iii) €202.00 in respect of an insured person aged 18 years or over insured under a relevant contract which provides for non- advanced cover, and
(iv) €403.00 in respect of an insured person aged 18 years or over insured under a relevant contract which provides for advanced cover.”.
num: 7
paragraphs: (1) This Act may be cited as the Health Insurance (Amendment) Act 2015.
(2) Sections 2 , 3 , 4 and 5 come into operation on 1 March 2016 and section 6 comes into operation on 1 January 2016.
(3) The Health Insurance Acts 1994 to 2014 and this Act (other than section 6 ) may be cited together as the Health Insurance Acts 1994 to 2015 and shall be construed together as one Act.