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CIGNA HealthCare UK - Smart Health

Includes additional benefits: Access to CIGNAs Diabetes Programme (can be removed under FLEX DOWN option to remove Health Management benefits including Stress Helpline) Optical cash benefit of £100 (75% reimbursement) Excess options: £0, £100, £150 and £200

Benefits

Psychiatric All Yes No
FLEX Down Option All Yes No
FLEX Up Option All Pearl Cover Diamond Cover No
FLEX Up Travel All Yes No

Key Facts - In-patient & Day Case Charges

Hospital accommodation charges including theatre fees, nursing costs, prosthesis, in-patient drugs & dressings
Paid in full
Surgeon / Consultant / Specialist & Anaesthetists fees
Paid in full
Physicians fees & diagnostic tests
Paid in full
Cancer Treatment Costs - Chemotherapy / Radiotherapy
Paid in full
Psychiatric treatment
FLEX Down Option - No
Included up to maximum cover of £10,000
FLEX Down Option - Yes
FLEX Down Option - Psychiatric cover removed
Six week option
Not available

Key Facts - Out-patient Charges

Complementary medicine
FLEX Down Option - No
Paid in full, no maximum for complementary medicine
FLEX Down Option - Yes
FLEX Down Option - Restricted to overall out-patient limit of £1,200 pa
Diagnostic tests (excluding scans)
Paid in full
GP referred consultations
FLEX Down Option - No
Paid in full
FLEX Down Option - Yes
FLEX Down Option - Restricted to overall out-patient limit of £1,200 pa
Physiotherapy consultant referred
FLEX Down Option - No
Paid in full
FLEX Down Option - Yes
FLEX Down Option - Restricted to overall out-patient limit of £1,200 pa
Physiotherapy GP referred
FLEX Down Option - No
Paid in full
FLEX Down Option - Yes
FLEX Down Option - Restricted to overall out-patient limit of £1,200 pa
Psychiatric cover
FLEX Down Option - No
Included up to maximum cover of £10,000
FLEX Down Option - Yes
FLEX Down Option - Psychiatric cover removed
Radiotherapy / Chemotherapy
Paid in full
Scans - MRI / CT / PET
Paid in full
Surgical Procedures
Paid in full

Key Facts - Additional Benefits

NHS cash benefit
£100 per night up to maximum of 35 nights
Nursing at home
Cover limited up to 180 days per policy year
Parental accommodation
Up to 30 days per annum (child under 12 years old)
Primary care
Not covered
Private ambulance
Paid in full

Additional Benefits

Alcohol & drug abuse
FLEX Down Option - No
If you opt for our psychiatric cover, the only costs we'll pay for addictions and alcoholism are to cover diagnosis and the first alcohol or addictions programme after diagnosis. We may cover up to three attempts at detoxification before starting a formal outpatient addictions programme. We won't pay for any more claims for recovery programmes if it's a direct result of the addiction
FLEX Down Option - Yes
FLEX Down Option - Not covered
Annual maximum limit
No annual maximum
Children covered
Unmarried dependant children covered up to 21 or 25 if in full time education
Chiropractors & Osteopaths
FLEX Down Option - No
Paid in full
FLEX Down Option - Yes
FLEX Down Option - Restricted to overall out-patient limit of £1,200 pa
Dental treatment
FLEX Up Option - No
We only cover dental or orthodontic surgical procedures included in the CIGNA Fee Schedule which are specifically covered
FLEX Up Option - Pearl Cover
FLEX Up Option: Pearl Cover - Annual benefit of up to £1,500 which includes, 2 x examinations, 2 x scale & polish, 4 x X-ray, 4 x quadrants of periodontal treatment
Plus additional £300 for accidental & emergency pain relief (including overseas)
FLEX Up Option - Diamond Cover
FLEX Up Option: Diamond Cover - Annual Benefit of up to £2,000 which includes, 2 x examinations, 2 x scale & polish, 4 x X-ray, 4 x quadrants of periodontal treatment.
* Plus £300 for sports injuries
* Plus Additional £300 for accidental & emergency pain relief (including overseas)
GP minor surgery
Paid in full
GP Referred Chiropody, Podiatry or Homeopathy
FLEX Down Option - No
Paid in full, no maximum for complementary medicine
FLEX Down Option - Yes
FLEX Down Option - Restricted to overall out-patient limit of £1,200 pa
Hospice care cash benefit
Not covered
Infertility investigations
Not covered
Maternity cash benefit
Not covered
Optional cash benefit
75% up to £100 per year towards optical costs
Out of pocket expenses
Not covered
Overseas cover
FLEX Up Travel - Yes
FLEX Up Option - to include CIGNA's comprehensive travel plan
FLEX Up Travel - No
Limited to a cumulative total of 90 nights in any one year of insurance. Costs will be paid only up to limits in the list of benefits and will be paid in pounds sterling using a suitable exchange rate chosen by us. If the Foreign and Commonwealth Office has advised against travel to a particular country or area, or if you are already there but have been advised to leave, we will not pay for treatment whilst there unless you received prior written authority from us.
Personal & total disability benefit
Not covered
Post hospital recovery bonus
Not covered
Pregnancy
Pregnancy or childbirth is not covered, unless it is affected by an acute medical condition or requires a specified obstetric procedure
Stress counselling helpline
FLEX Down Option - Yes
FLEX Down Option - Stress counselling Helpline & Diabetes Programme
FLEX Down Option - No
Access to telephonic helpline and 6 sessions of face-to-face counselling
Transplants
Not covered
 
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