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Bupa - Select (Pre- June 2012)

New The Six Week scheme (G) - WEF 1st April 2011
Treatment, if available, will be within six weeks of the recommended treatment date at an NHS hospital. If
the NHS waiting list is longer than six weeks, eligible treatment will be at a Bupa approved private hospital

Bupa Select is made up of an extensive core of health cover benefits and a suite of options that lets you adjust cover to match your clients requirements. This means that we can design a solution to suit your clients needs and help to provide the most suitable cover for their employees at every level of their organisation.

Bupa Select offers company health insurance that can be tailored for a business of 2 to 250 employees. If you're looking to cover more than 250 employees view the details of health cover for large businesses.

Bupa Select core cover offers:
£1000 towards out-patient consultations, treatment and diagnostic tests, including £250 towards complementary medicine

* extensive cancer cover – funding for cancer treatment at every stage
* up to 45 days of psychiatric treatment¹
* private ambulance charges – up to £80 per trip
* £50 NHS cash benefit to cover each night in an NHS hospital †
* Access to Bupa’s 24-hour Bupa HealthLine
* Positive Health at no extra cost²

Benefits

Hospital Upgrade All Participating Network No
Out-patient Limit All £250 £500 £750 £1000 £1000 (no comp medicine limit) £1500 (no comp medicine limit) Full Refund (no comp med limit) Full Refund (existing clients only)
Mental Health All Yes No
Full Refund (Surgeons & Anaesthetist) All Yes No
Cash package (Maternity, paternity & adoption) All Yes No
Cash package (Optical, Dental) All Yes No
Island Package All Yes No
2 year fixed price All Yes No
The Six Week scheme All Yes No

Key Facts - In-patient & Day Case Charges

Hospital accommodation charges including theatre fees, nursing costs, prosthesis, in-patient drugs & dressings
Hospital Upgrade - No
 Core: Full refund for Partnership Network hospitals otherwise up to Bupa specified limits
Hospital Upgrade - Participating Network
 Full refund in a Participating Network hospital, if hospital access upgrade option chosen
Surgeon / Consultant / Specialist & Anaesthetists fees
Full Refund (Surgeons & Anaesthetist) - Yes
Paid in full for a BUPA partnership consultant in a Network Hospital.
Up to BUPA limits for non partnership consultants
Full Refund (Surgeons & Anaesthetist) - No
 Paid in full for Bupa recognised consultant in a Network Hospital
Physicians fees & diagnostic tests
Paid in full with a Bupa Partnership consultant in a specialist treatment centre or up to Bupa limits if recognised consultant
Cancer Treatment Costs - Chemotherapy / Radiotherapy
Paid in full with a Bupa Partnership consultant in a specialist treatment centre or up to Bupa limits if recognised consultant
Psychiatric treatment
Mental Health - Yes
 Mental Health cover available with no waiting period
Mental Health - No
 Not covered
Six week option
The Six Week scheme - No
 Not selected
The Six Week scheme - Yes
The Six Week scheme
Treatment, if available, will be within six weeks of the recommended treatment date at an NHS hospital. If the NHS waiting list is longer than six weeks, eligible treatment will be at a Bupa approved private hospital

Key Facts - Out-patient Charges

Complementary medicine
Out-patient Limit - £250
 £250 per year aggregate total out-patient benefit, including complementary medicine (Osteopathy, Acupuncture & Chiropractic treatment)
Out-patient Limit - £500
 £500 per year aggregate total out-patient benefit, including £250 for complementary medicine (Osteopathy, Acupuncture & Chiropractic treatment)
Out-patient Limit - £750
 £750 per year aggregate total out-patient benefit, including £250 for complementary medicine (Osteopathy, Acupuncture & Chiropractic treatment)
Out-patient Limit - £1000
 Core: £1,000 per year aggregate total out-patient benefit, including £250 for complementary medicine (Osteopathy, Acupuncture & Chiropractic treatment)
Out-patient Limit - £1000 (no comp medicine limit)
 £1,000 per year aggregate total out-patient benefit, including no maximum for complementary medicine (Osteopathy, Acupuncture & Chiropractic treatment)
Out-patient Limit - £1500 (no comp medicine limit)
 £1,500 per year aggregate total out-patient benefit, including no maximum for complementary medicine (Osteopathy, Acupuncture & Chiropractic treatment)
Out-patient Limit - Full Refund (no comp med limit)
 Paid in full, no maximum for complementary medicine (Osteopathy, Acupuncture & Chiropractic treatment)
Out-patient Limit - Full Refund (existing clients only)
 Paid in full for consultations, tests & investigations, up to £1,000 for therapies maximum £250 for complementary medicine (Osteopathy, Acupuncture & Chiropractic treatment) - Only available to existing Bupa clients
Diagnostic tests (excluding scans)
Out-patient Limit - £250
 £250 per year aggregate total out-patient benefit
Out-patient Limit - £500
 £500 per year aggregate total out-patient benefit
Out-patient Limit - £750
 £750 per year aggregate total out-patient benefit
Out-patient Limit - £1000
 Core: £1,000 per year aggregate total out-patient benefit
Out-patient Limit - £1000 (no comp medicine limit)
 £1,000 per year aggregate total out-patient benefit
Out-patient Limit - £1500 (no comp medicine limit)
 £1,500 per year aggregate total out-patient benefit
Out-patient Limit - Full Refund (no comp med limit)
 Paid in full
Out-patient Limit - Full Refund (existing clients only)
 Paid up to £1,000 - Only available to existing Bupa clients
GP referred consultations
Out-patient Limit - £250
 £250 per year aggregate total out-patient benefit
Out-patient Limit - £500
 £500 per year aggregate total out-patient benefit
Out-patient Limit - £750
 £750 per year aggregate total out-patient benefit
Out-patient Limit - £1000
 Core: £1,000 per year aggregate total out-patient benefit
Out-patient Limit - £1000 (no comp medicine limit)
 £1,000 per year aggregate total out-patient benefit, including no maximum for complementary medicine (Osteopathy, Acupuncture & Chiropractic treatment)
Out-patient Limit - £1500 (no comp medicine limit)
 £1,500 per year aggregate total out-patient benefit, including no maximum for complementary medicine (Osteopathy, Acupuncture & Chiropractic treatment)
Out-patient Limit - Full Refund (no comp med limit)
 Paid in full
Out-patient Limit - Full Refund (existing clients only)
 Paid up to £1,000 - Only available to existing Bupa clients
Physiotherapy consultant referred
Out-patient Limit - £250
 £250 per year aggregate total out-patient benefit
Out-patient Limit - £500
 £500 per year aggregate total out-patient benefit
Out-patient Limit - £750
 £750 per year aggregate total out-patient benefit
Out-patient Limit - £1000
 Core: £1,000 per year aggregate total out-patient benefit
Out-patient Limit - £1000 (no comp medicine limit)
 £1,000 per year aggregate total out-patient benefit, (inc no maximum for complementary medicine)
Out-patient Limit - £1500 (no comp medicine limit)
 £1,500 per year aggregate total out-patient benefit, (inc no maximum for complementary medicine)
Out-patient Limit - Full Refund (no comp med limit)
 Paid in full
Out-patient Limit - Full Refund (existing clients only)
 Paid up to £1,000 - Only available to existing Bupa clients
Physiotherapy GP referred
Out-patient Limit - £250
 £250 per year aggregate total out-patient benefit
Out-patient Limit - £500
 £500 per year aggregate total out-patient benefit
Out-patient Limit - £750
 £750 per year aggregate total out-patient benefit
Out-patient Limit - £1000
 Core: £1,000 per year aggregate total out-patient benefit
Out-patient Limit - £1000 (no comp medicine limit)
 £1,000 per year aggregate total out-patient benefit, (inc no maximum for complementary medicine)
Out-patient Limit - £1500 (no comp medicine limit)
 £1,500 per year aggregate total out-patient benefit, (inc no maximum for complementary medicine)
Out-patient Limit - Full Refund (no comp med limit)
 Paid in full
Out-patient Limit - Full Refund (existing clients only)
 Paid up to £1,000 - Only available to existing Bupa clients
Psychiatric cover
Mental Health - No
 Excluded if Mental Health cover option is not retained
Mental Health - Yes
 Mental Health benefit taken from chosen out-patient benefit limit
Radiotherapy / Chemotherapy
Paid in full
Scans - MRI / CT / PET
Paid in full
Surgical Procedures
Covered subject to rules and benefits

Key Facts - Additional Benefits

NHS cash benefit
£50 a night for 35 nights per benefit year
Nursing at home
£2,000 each year
Parental accommodation
Up to 16 paid in full for one parent
Primary care
Not covered
Private ambulance
£80 any Single Trip

Additional Benefits

Alcohol & drug abuse
Mental Health - No
 Discretionary
Mental Health - Yes
 Inc in Psychiatric
Annual maximum limit
None
Children covered
Up to age 24
Chiropractors & Osteopaths
Included in selected out-patient option
Dental treatment
Specified oral surgical procedures only
GP minor surgery
Not covered
GP Referred Chiropody, Podiatry or Homeopathy
Not covered
Out-patient Limit - £1000
Out-patient Limit - £1000 (no comp medicine limit)
Out-patient Limit - £1500 (no comp medicine limit)
Out-patient Limit - £250
Out-patient Limit - £500
Out-patient Limit - £750
Out-patient Limit - Full Refund (existing clients only)
Out-patient Limit - Full Refund (no comp med limit)
 Included in selected out-patient option
Hospice care cash benefit
Not covered
Infertility investigations
Not covered
Maternity cash benefit
Cash package (Maternity, paternity & adoption) - No
 Not covered
Cash package (Maternity, paternity & adoption) - Yes
 £200 each birth or adoption if optional cash benefits selected
Optional cash benefit
Cash package (Maternity, paternity & adoption) - No
 Not covered
Cash package (Maternity, paternity & adoption) - Yes
* Family cash benefit up to £200 for each birth or adoption
* Optical cash benefit up to £100 each 2 year benefit period
* Accidental dental injury cash benefit up to £900 per year
* Prescription cash benefit up to £20 each year
Out of pocket expenses
Not covered
Overseas cover
Not covered
Personal & total disability benefit
Not covered
Post hospital recovery bonus
Not covered
Pregnancy
Complications covered - Includes caesarean sections which are medically necessary
Stress counselling helpline
Not available on this scheme (separate product available)
Transplants
For eligible transplant claims, benefits will be paid up to Bupa published benefit maxima. All transplant claims must have sufficient clinical reason and be pre-authorised with a Bupa clinical expert
 
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