Insurer & Benefits | Find a broker | |||
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Key Facts - In-patient & Day Case Charges | |
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Hospital accommodation charges including theatre fees, nursing costs, prosthesis, in-patient drugs & dressings | |
No annual maximum (Six week rule applies) | |
Surgeon / Consultant / Specialist & Anaesthetists fees | |
No annual maximum (Six week rule applies) | |
Physicians fees & diagnostic tests | |
No annual maximum (Six week rule applies) | |
Cancer Treatment Costs - Chemotherapy / Radiotherapy | |
No annual maximum (Six week rule applies) | |
Psychiatric treatment | |
No annual maximum (Six week rule applies) | |
Six week option | |
Six week rule - if the NHS can not provide treatment within six weeks after the date on which treatment should be undertaken then private treatment can be sort. Immediate cover - AXA will pay for the following surgical procedures on an in-patient basis regardless of the fact that treatment could be obtained on the NHS within six weeks of the specialist confirming that this is needed: * varicose veins surgery * tonsillectomy * insertion of grommets * removal of bunions (hallux valgus) * removal of gall bladder - (laparoscopic chlolecystectomy) * haemorrhoidectomy * adenoidectomy * correction of squint * cataract surgery |
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Key Facts - Out-patient Charges | |
Complementary medicine | |
No annual maximum For GP referred Physiotherapy and/or complementary therapy Cover level 1 = max of 20 sessions pa Cover level 2 = max of 10 sessions pa |
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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 Cover level 1 = max of 20 sessions pa Cover level 2 = max of 10 sessions pa |
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Psychiatric cover | |
No annual maximum | |
Radiotherapy / Chemotherapy | |
No annual maximum | |
Scans - MRI / CT / PET | |
Paid in full within cover level | |
Surgical Procedures | |
No annual maximum (Six week rule applies) | |
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 Cover level 1 = max of 20 sessions pa Cover level 2 = max of 10 sessions pa |
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Dental treatment | |
Specified oral surgical procedures only | |
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 | |
Not covered | |
Out of pocket expenses | |
Not covered | |
Overseas cover | |
Overseas evacuation or repatriation costs paid in full. Overseas immediate emergency in-patient treatment cover up to £40,000 pa for Cover level 2 and £100,000 for Cover level 1 when related to an evacuation or repatriation arranged by AXA PPP healthcare. | |
Personal & total disability benefit | |
Not covered | |
Post hospital recovery bonus | |
Not covered | |
Pregnancy | |
The following conditions would be considered for treatment: • ectopic pregnancy (where the foetus is growing outside the womb) • hydatidiform mole (abnormal cell growth in the womb) • retained placenta (afterbirth retained in the womb) • placenta praevia • eclampsia (a coma or seizure during pregnancy and following pre-eclampsia) • diabetes (If you have exclusions because of your past medical history which relate to diabetes, then you will not be covered for any treatment for diabetes during pregnancy) • post partum haemorrhage (heavy bleeding in the hours and days immediately after childbirth) • miscarriage requiring immediate surgical treatment • failure to progress in labour |
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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 |
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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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