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Aviva - Express Care (and 6)

No longer available to new business customers

Comprehensive cover for in-patient, day-patient and out-patient treatment with additional benefits such as home nursing and emergency overseas cover.

Express Care 6 provides access to prompt consultations with a Specialist should a GP refer a group member for diagnosis. And if eligible treatment as an out-patient is needed, that's covered too. You'll also be able to avoid long waiting lists if a member of staff needs treatment covered by the policy as an in-patient or day-patient. If there's an NHS delay of more than six weeks for the operation or for further eligible treatment required, there is cover for prompt access to to any of the private hospitals on our Select list.

Benefits

Key Facts - In-patient & Day Case Charges

Hospital accommodation charges including theatre fees, nursing costs, prosthesis, in-patient drugs & dressings
In full
Surgeon / Consultant / Specialist & Anaesthetists fees
Paid in full (subject to AVIVA fee guidelines for Specialists)
Physicians fees & diagnostic tests
In full
Cancer Treatment Costs - Chemotherapy / Radiotherapy
In full
Psychiatric treatment
Not covered
Six week option
Six Week Rule
With a Express Care 6 policy, benefit for in-patient or day-patient treatment will only be available if that treatment is not available (except for reasons of county of residence or of nationality) to members at an NHS Hospital within six weeks after the date on which the Specialist recommends that treatment (at or following a consultation between you and that specialist). The NHS waiting period must be determined and advised by the Specialist in charge of your treatment

Key Facts - Out-patient Charges

Complementary medicine
Not covered
Diagnostic tests (excluding scans)
In full
GP referred consultations
In full
Physiotherapy consultant referred
In full
Physiotherapy GP referred
10 sessions per condition pa combined with Osteopathy and Chiropractic
Psychiatric cover
Optional
Radiotherapy / Chemotherapy
In full
Scans - MRI / CT / PET
In full (as an out-patient CT, MRI or PET scans will only be covered at a Diagnostic Centre)
Surgical Procedures
Covered - Specialists' fees subject to AVIVA guidelines

Key Facts - Additional Benefits

NHS cash benefit
£60 per night (up to 25 nights pa)
Nursing at home
In full (following in-patient treatment or day-patient treatment - on Specialist recommendation
Parental accommodation
In full (child under 9 years of age - 1 parent only)
Primary care
Up to £150 combined per year for Consultations and Diagnostic tests for the ongoing maintenance of chronic conditions (including diabetes, epilepsy, hypertension, glaucoma), radiology and pathology or out-patient treatment by an Orthopaedic Physician on GP referral
Private ambulance
In full (reasonable charges)

Additional Benefits

Alcohol & drug abuse
Not covered
Annual maximum limit
No annual maximum
Children covered
Up to 24th birthday
Chiropractors & Osteopaths
In full - must be Specialist referred with Specialist to remain in direct control. GP referred = up to 10 sessions max pa along with Physiotherapy
Dental treatment
Oral surgery only (all other dental treatment excluded)
GP minor surgery
Up to £70 per procedure
GP Referred Chiropody, Podiatry or Homeopathy
Not covered
Hospice care cash benefit
£70 per day donation to hospice up to 10 Days
Infertility investigations
Yes (after 2 years of membership)
Maternity cash benefit
£100 per child (born) per policy year - subject to 10 month qualifying period
Optional cash benefit
Not covered
Out of pocket expenses
Not covered
Overseas cover
Up to 90 day period per policy year
Personal & total disability benefit
Not covered
Post hospital recovery bonus
Not covered
Pregnancy
Only for abnormal conditions arising at least 10 months after the date of entry
Stress counselling helpline
Telephone counselling, unlimited calls 24/7 for 16+ years only to use
Transplants
In full
 
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