Level Health ADHD Assessment Coverage — How to Claim

Yes, on plans that include day-to-day cover. An ADHD assessment with a Consultant Psychiatrist is claimed under the Consultant visits line of Level Health's Day to Day Medical Expenses, which pays up to €150 per visit. Psychology and therapy sessions are claimed under Psychotherapy and counselling, which pays €30 to €50 per visit depending on your plan.

Level Health does not reimburse the full cost of a private ADHD assessment — it contributes a fixed amount per visit, up to a set number of visits per year. Check your own Table of Cover in the Level Health app for your figures.

Day-to-day cover is built into Plans D, E, Pro, Pro Extra and Pro+. On Plans B and C it is an optional extra you add to the plan. Plan A includes only a limited day-to-day benefit — GP, physiotherapy and psychotherapy at €30 per visit, one visit each per year — and has no consultant visit line, though consultant fees can be claimed at €50 per visit under out-patient cover once you have passed the €125 out-patient excess.

The plan-by-plan table above sets out the consultant visit and psychotherapy allowances for each plan.

You pay ADHD Now at the time of your appointment, then claim the money back yourself. Level Health's claims tool is QuickClaims in the Level Health app: photograph your receipt, choose the benefit it should be claimed under, and submit. Refunds are paid back to you directly.

There is no need to wait until your assessment is finished — each appointment produces its own receipt and can be submitted as you go, which is the safest way to stay inside the 6-month deadline.

No. Level Health's policy document does not impose a GP referral requirement on day-to-day consultant, psychotherapy or counselling claims — the process is built around paying your practitioner and submitting the receipt through QuickClaims. Referrals come into it only for certain scans and pre-authorised procedures, which is a separate part of the policy. You can book an ADHD Now assessment directly.

Six months. Level Health's policy document states that receipts submitted at the end of your policy year must be submitted within 6 months of your policy renewal or end date, and that if receipts are not received within that period the claim will not be paid.

That matches Irish Life Health and is half the window allowed by VHI and Laya. It is worth submitting after each appointment rather than saving receipts up.

This is the detail most worth planning around. Level Health pays per visit, and caps the number of visits per year — as few as 2 consultant visits on Plan B and Plan Pro, up to 6 on Plan E. A multi-appointment ADHD assessment can therefore use most or all of a year's consultant visit allowance, leaving less for medication reviews later in the same policy year.

Two things follow from that. Visits are pooled across everyone on the same policy and plan, so a family shares one allowance. And Level Health may apply a pro-rata limit if you claim early in your policy year — their own example is restricting a claim made after 3 months of cover to 3/12 of the annual limit.

No, and it is an easy one to mix up. The psychiatric treatment covered up to 100 days per calendar year line on every Level Health plan is a hospital in-patient benefit — it covers admitted psychiatric treatment, not an outpatient ADHD assessment. Assessments and consultations that take place in a clinician's rooms are claimed under your day-to-day and out-patient benefits instead.