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Bupa - Premier Plus

Bupa - Experience rated PMI


To keep your client's business on track, their staff need to be at work. Sickness absence poses a significant threat to any business, regardless of size.

Last year alone over 172 million working days were lost as a result of sickness, at an estimated cost to British business of £13.2 billion+

Currently there are almost 1.4 million people waiting for an operation on the NHS. Still more are waiting for consultations or treatment.++ These are just some of the reasons why Bupa cover should figure in your employee benefits package.

Company health care aims to provide an efficient, cost-effective safeguard for your client's business. It offers them the reassurance of knowing that if their employees fall ill, they can have access to eligible medical treatment at a suitable time and place.

This can help them get back to work sooner, minimising the impact on your client's business. It can also be seen as a valuable employee benefit, demonstrating their commitment to staff morale and welfare.

A number of options are available with this policy as follows :-

All options carry a cost implication.

+CBI 2002 Absence and Labour Turnover Survey
++NHS waiting list statistics (England) March 03

Benefits

Psychiatric All 28 Days 45 Days 90 Days Removed
Out-patient All £500 £1,000
NHS cash benefit All £50 £100
Over Aged Dependants All 21 years 24 in FTE 24 no FTE

Key Facts - In-patient & Day Case Charges

Hospital accommodation charges including theatre fees, nursing costs, prosthesis, in-patient drugs & dressings
Full refund for participating network hospitals (within correct scale of cover) otherwise up to Bupa specified limits
Surgeon / Consultant / Specialist & Anaesthetists fees
Full refund for partnership consultants (otherwise up to Bupa specified limits)
Physicians fees & diagnostic tests
Full refund
Cancer Treatment Costs - Chemotherapy / Radiotherapy
Full refund
Psychiatric treatment
Psychiatric - 28 Days
Up to 28 days pa Psychiatric treatment covered after 2 years membership. Cover is Discretionary. All psychiatric treatment must be pre-authorised by BUPA beforehand
Psychiatric - 45 Days
Up to 45 days pa Psychiatric treatment covered after 2 years membership. Cover is Discretionary. All psychiatric treatment must be pre-authorised by BUPA beforehand
Psychiatric - 90 Days
Up to 90 days pa Psychiatric treatment covered after 2 years membership. Cover is Discretionary. All psychiatric treatment must be pre-authorised by BUPA beforehand
Psychiatric - Removed
Cover removed

Key Facts - Out-patient Charges

Complementary medicine
Full refund
Diagnostic tests (excluding scans)
Full refund
GP referred consultations
Full refund
Physiotherapy consultant referred
Full refund
Physiotherapy GP referred
Full refund
Psychiatric cover
Psychiatric - Removed
Cover removed
Psychiatric - 28 Days
Psychiatric - 45 Days
Psychiatric - 90 Days
Discretionary benefit
Radiotherapy / Chemotherapy
Full refund
Scans - MRI / CT / PET
Full refund (also includes PET scans)

Key Facts - Additional Benefits

NHS cash benefit
NHS cash benefit - £50
£50 per night (35 nights pa)
NHS cash benefit - £100
£100 per night (35 nights pa)
Nursing at home
£600 pa. Further cover maybe available at Bupa's discretion
Parental accommodation
Full cover (for child under 12 years old)
Primary care
Not covered
Private ambulance
£80 per trip subject to annual maximum of £320

Additional Benefits

Alcohol & drug abuse
Discretionary
Annual maximum limit
No annual maximum
Children covered
Over Aged Dependants - 21 years
Up to 21 years of age
Over Aged Dependants - 24 in FTE
Up to 24 years of age if in full time education
Over Aged Dependants - 24 no FTE
Up to 24 years of age irrespective of full time education
Chiropractors & Osteopaths
Full refund
Dental treatment
Oral surgery only
Discretionary Benefit Option (DBO)
Available subject to agreement
GP minor surgery
Not covered
Hospice donation
Not covered
Infertility investigations
Not covered
Maternity cash benefit
Not covered
Out of pocket expenses
Not covered
Overseas cover
Discretionary cover
Personal & total disability benefit
Not covered
Pregnancy
Complications covered - provided mother member for 12 months
Stress counselling helpline
Not covered. EAP product available
Transplants
Not covered
 
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