Slim,
I remember a case in recent years, also highlighted on Liveline at the time regarding a new drug called 'Ipilimubab'.
http://www.independent.ie/lifestyle...lled-after-aviva-refuses-to-pay-30276207.html
Regarding health insurance plans, I queried same with Laya and their position is, 'you will be covered for anything that is medically necessary,
your entitlement to the same treatments would not be restricted in any way if you were on a cheaper plan. The only difference being the choice of
hospitals you would be able to attend according to the cover on your plan.
So if Laya approve a certain new drug, its available on all plans, no restrictions apply, once its medically necessary.
I just enquired with Laya, as I'm currently insured with them.
It's a very interesting debate which only comes to light when a row erupts over funding or a lack of decision making.
The private health insurance side of things never really comes to light at all, so its good to know the details.
Regards, Snowyb