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VitalityHealth - Essential Plan

Like the Essential Plus Plan, the Essential Plan covers most hospital fees, including specialist fees, plus accommodation and parental accommodation if your child is a patient and 12 years or under. However, this plan offers less cover outside of hospital. Please see the table below for a full list of cover.

For large Corporate schemes PruHealth will offer a range of flexibility on benefits such as outpatient limits, Physiotherapist limits and Maternity cash benefits. Please see your account manager for further information.

Benefits

Key Facts - In-patient & Day Case Charges

Hospital accommodation charges including theatre fees, nursing costs, prosthesis, in-patient drugs & dressings
Covered in full
Surgeon / Consultant / Specialist & Anaesthetists fees
Covered in full
Physicians fees & diagnostic tests
Covered in full
Cancer Treatment Costs - Chemotherapy / Radiotherapy
Covered in full
Psychiatric treatment
Not covered

Key Facts - Out-patient Charges

Complementary medicine
Not covered
Diagnostic tests (excluding scans)
Combined limit of £600 pa
GP referred consultations
Combined limit of £600 pa
Physiotherapy consultant referred
Combined limit of £600 pa
Physiotherapy GP referred
Combined limit of £600 pa
Psychiatric cover
Not covered
Radiotherapy / Chemotherapy
Covered in full
Scans - MRI / CT / PET
Covered in full at chosen hospital list

Key Facts - Additional Benefits

NHS cash benefit
£50 per night or £50 per day (Subject to overall £2,000 annual limit)
Nursing at home
Covered up to £3,000
Parental accommodation
Covered in full (child under 12 yrs insured on policy)
Primary care
Not covered
Private ambulance
Covered up to £60 per trip

Additional Benefits

Alcohol & drug abuse
Not covered
Annual maximum limit
No annual maximum
Children covered
Dependants up to any age are covered while the policy is in force
Chiropractors & Osteopaths
Covered in full (up to £600 pa)
Dental treatment
Oral surgery only to treat an acute medical condition
Discretionary Benefit Option (DBO)
Available subject to agreement
GP minor surgery
Not covered
Hospice donation
Donation of £100 per day up to £1,000 max
Infertility investigations
Not covered
Maternity cash benefit
£100 per child
Out of pocket expenses
Not covered
Overseas cover
Not covered
Personal & total disability benefit
Not covered
Pregnancy
Cover for ectopic pregnancy, hydatidiform mole, heavy bleeding post delivery or miscarriages only
Stress counselling helpline
24 hour, 7 day a week private GP telephone consultation service
Transplants
Not covered
 
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