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AXA health - Platinum

Platinum is a prestige individual medical insurance plan, which is unbanded and out of network.

Benefits

Key Facts - In-patient & Day Case Charges

Hospital accommodation charges including theatre fees, nursing costs, prosthesis, in-patient drugs & dressings
No annual maximum
Surgeon / Consultant / Specialist & Anaesthetists fees
No annual maximum
Physicians fees & diagnostic tests
No annual maximum
Cancer Treatment Costs - Chemotherapy / Radiotherapy
No annual maximum
Psychiatric treatment
No annual maximum
Six week option
Not available

Key Facts - Out-patient Charges

Complementary medicine
No annual maximum
For GP referred physiotherapy and/or complementary therapy
Diagnostic tests (excluding scans)
No annual maximum
GP referred consultations
No annual maximum
Physiotherapy consultant referred
No annual maximum
Physiotherapy GP referred
No annual maximum
For GP referred physiotherapy and/or complementary therapy
Psychiatric cover
No annual maximum
Radiotherapy / Chemotherapy
No annual maximum - rules relating to chronic conditions for the treatment of cancer do not apply. Nor will unlicensed drugs for cancer be considered as ineffective or experimental
Scans - MRI / CT / PET
Paid in full
Surgical Procedures
No annual maximum

Key Facts - Additional Benefits

NHS cash benefit
Day-patient and out-patient radiotherapy and chemotherapy £50 per day plus £50 per night in-patient stay (up to £2,000 per year)
Nursing at home
Paid in full (for the administration of intravenous chemotherapy for the treatment of cancer or intravenous antibiotics which otherwise would require you to be admitted for in-patient treatment or day-patient treatment)
Parental accommodation
Paid in full (child up to age 14 who is covered by the policy and receiving eligible treatment. Benefit is paid from the child’s benefits)
Private ambulance
Paid in full

Additional Benefits

Alcohol & drug abuse
Not covered
Annual maximum limit
No annual maximum
Children covered
No age limit - must be unmarried
Chiropractors & Osteopaths
No annual maximum
For GP referred physiotherapy and/or complementary therapy
Dental treatment
Oral surgery only (Denplan care included if their dentist offers Denplan. If not for accidental damage to teeth and emergency dental treatment is covered)
Hospice donation
£100 a night to a hospice charity when terminal patients are receiving hospice care. No maximum.
Infertility investigations
Not covered
Maternity cash benefit
Not covered
Optional cash benefit
Up to £30 each year for eye tests and £350 for prescribed glasses or prescribed contact lenses
Out of pocket expenses
Not covered
Overseas cover
Travel Insurance included
Personal & total disability benefit
Not covered
Post hospital recovery bonus
Not covered
Pregnancy
Normal pregnancy and childbirth charges beginning after the policyholder's third consecutive renewal of the policy plus treatment of a medical condition which is due to and occurs during pregnancy or childbirth providing not occurred during a previous pregnancy.
Transplants
Reasonable costs incurred for a live donor to donate an organ or tissue provided that:
• the operations to both the donor and the recipient are carried out simultaneously; and either
• both the donor and the recipient are immediate relatives (ie parent, child or sibling) and either the donor or the recipient is covered on this policy; or
• both the donor and the recipient are members of AXA PPP healthcare at the time the operations are carried out and both have been members since before the recipient developed the medical condition requiring the transplant
Other benefits
Heart and Cancer Commitment
* £5,000 for external prostheses (such as limbs) and up to £150 for wigs.
* Axa PPP will consider requests for experimental surgery which will be reviewed by our clinical team.
* If experimental drug treatment is needed then we will cover it if it is part of an ethical trial and pre agreed by us. In addition injectable hormone treatment and bisphosphonate treatment used to manage cancer will be fully covered while active treatment is being received.
* Access to a dedicated heart nurse
* No time limits for ongoing check ups following heart surgery
* Full refund on palliative care
 
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