Insurer & Benefits | Find a broker | |||
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Key Facts - In-patient & Day Case Charges | |
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Hospital accommodation charges including theatre fees, nursing costs, prosthesis, in-patient drugs & dressings | |
Core Healthcare: Full cover |
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Surgeon / Consultant / Specialist & Anaesthetists fees | |
Core Healthcare: Full cover |
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Physicians fees & diagnostic tests | |
Core Healthcare: Full cover |
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Cancer Treatment Costs - Chemotherapy / Radiotherapy | |
Core Healthcare: Full cover |
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Psychiatric treatment | |
Psychiatric Treatment - No
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Cover not selected |
Psychiatric Treatment - Yes
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Psychiatric Treatment: Full cover for up to 28 days per plan year |
Six week option | |
NHS wait option - No
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Cover not selected |
NHS wait option - Yes
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NHS wait option By choosing the NHS wait option, it means that if the NHS can treat you promptly, you will receive your treatment from them. But if you have to wait longer than six weeks for in-patient or day-patient treatment, we will pay for treatment at a private hospital on your list. |
Key Facts - Out-patient Charges | |
Complementary medicine | |
Additional Therapies - No
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Cover not selected |
Additional Therapies - Level 1
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Additional modules: Additional Therapies: Level 1 : Up to £350 per plan year, GP or Specialist referral - Chiropractic, Osteopathy, Chiropody/Podiatry, Acupuncture, Homeopathy and two consultations with a Dietician |
Additional Therapies - Level 2
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Additional modules: Additional Therapies: Level 2 : Full cover, GP or Specialist referral - Chiropractic, Osteopathy, Chiropody/Podiatry, Acupuncture, Homeopathy and two consultations with a Dietician |
Diagnostic tests (excluding scans) | |
Out-patient Treatment - No
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Cover not selected |
Out-patient Treatment - Level 1
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Additional modules: Out-patient Treatment : Level 1 - Up to £500 per plan year |
Out-patient Treatment - Level 2
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Additional modules: Out-patient Treatment : Level 2 - Up to £1,000 per plan year |
Out-patient Treatment - Level 3
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Additional modules: Out-patient Treatment : Level 3 - Full cover |
GP referred consultations | |
Out-patient Treatment - No
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Cover not selected |
Out-patient Treatment - Level 1
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Additional modules: Out-patient Treatment : Level 1 - Up to £500 per plan year |
Out-patient Treatment - Level 2
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Additional modules: Out-patient Treatment : Level 2 - Up to £1,000 per plan year |
Out-patient Treatment - Level 3
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Additional modules: Out-patient Treatment : Level 3 - Full cover |
Physiotherapy consultant referred | |
Out-patient Treatment - No
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Cover not selected |
Out-patient Treatment - Level 1
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Additional modules: Out-patient Treatment : Level 1 - Up to £500 per plan year |
Out-patient Treatment - Level 2
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Additional modules: Out-patient Treatment : Level 2 - Up to £1,000 per plan year |
Out-patient Treatment - Level 3
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Additional modules: Out-patient Treatment : Level 3 - Full cover |
Physiotherapy GP referred | |
Out-patient Treatment - No
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Cover not selected |
Out-patient Treatment - Level 1
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Additional modules: Out-patient Treatment : Level 1 - Up to £500 per plan year |
Out-patient Treatment - Level 2
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Additional modules: Out-patient Treatment : Level 2 - Up to £1,000 per plan year |
Out-patient Treatment - Level 3
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Additional modules: Out-patient Treatment : Level 3 - Full cover |
Psychiatric cover | |
Psychiatric Treatment - No
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Cover not selected |
Psychiatric Treatment - Yes
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Psychiatric Treatment: Up to £1,500 per plan year |
Radiotherapy / Chemotherapy | |
Core Healthcare: Full cover |
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Scans - MRI / CT / PET | |
Core Healthcare: Full cover |
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Surgical Procedures | |
Out-patient Treatment - No
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Cover not selected |
Out-patient Treatment - Level 1
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Additional modules: Out-patient Treatment : Level 1 - Up to £500 per plan year |
Out-patient Treatment - Level 2
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Additional modules: Out-patient Treatment : Level 2 - Up to £1,000 per plan year |
Out-patient Treatment - Level 3
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Additional modules: Out-patient Treatment : Level 3 - Full cover |
Key Facts - Additional Benefits | |
NHS cash benefit | |
Core Healthcare: In-patient cash benefit = £250 per night (up to £2,000 per plan year) Day-patient cash benefit = £125 per day (up to £500 per plan year) |
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Nursing at home | |
Home Care - No
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Cover not selected |
Core Enhancement - Yes
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Additional modules Core Enhancement: Home nursing: full cover for up to 13 weeks per plan year. Help at home: up to 3 hours per day for max 7 days per plan year |
Home Care - Yes
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Home Care Home nursing: full cover for up to 13 weeks per plan year. Help at home: up to 3 hours per day for a maximum of 7 days per plan year |
Parental accommodation | |
Core Enhancement - No
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Cover not selected |
Core Enhancement - Yes
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Additional modules: Core Enhancement: Full cover (for you to stay with your insured child under 14 while they receive in-patient treatment) |
Private ambulance | |
Core Healthcare: Full cover (on specialist recommendation) |
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Additional Benefits | |
Alcohol & drug abuse | |
Not covered | |
Annual maximum limit | |
No annual maximum | |
Children covered | |
Up to 25 years of age (irrespective of marital or education status) | |
Chiropractors & Osteopaths | |
Additional Therapies - No
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Cover not selected |
Additional Therapies - Level 1
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Additional modules: Additional Therapies: Level 1 : Up to £350 per plan year, GP or Specialist referral - Chiropractic, Osteopathy, Chiropody/Podiatry, Acupuncture, Homeopathy and two consultations with a Dietician |
Additional Therapies - Level 2
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Additional modules: Additional Therapies: Level 2 : Full cover, GP or Specialist referral - Chiropractic, Osteopathy, Chiropody/Podiatry, Acupuncture, Homeopathy and two consultations with a Dietician |
Dental treatment | |
Cover not selected | |
Core Enhancement - Yes
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Core Enhancement: Full cover for specified oral surgical procedures |
Dental - Level 1
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Dental Cover Level 1: • Crowns new or replacement : up to £300 per plan year • Bridges/implants new or replacement : up to £200 per plan year • Root canal treatment : up to £150 per plan year • Apicectomy : up to £100 per plan year • Extractions : up to £150 per plan year • Dentures new or replacement : up to £250 per plan year • Accidental dental : up to £2,500 per claim (max four claims per plan year) • Emergency call-out fees : up to £50 per claim (max two claims per plan year) |
Dental - Level 2
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Dental Cover Level 2: • Maintenance routine examinations: up to £15 per claim (max two claims per plan year) • Maintenance routine scaling and polishing: up to £25 per claim (max two claims per plan year) • Maintenance dental x-ray up to £15 per claim (max two claims per plan year) • Treatment fillings: up to £20 per claim (max two claims per plan year) • Crowns new or replacement : up to £300 per plan year • Inlay/onlay/overlay new or replacement : up to £50 per plan year • Bridges/implants new or replacement : up to £200 per plan year • Root canal treatment : up to £150 per plan year • Apicectomy : up to £100 per plan year • Extractions : up to £150 per plan year • Dentures new or replacement : up to £250 per plan year • Accidental dental : up to £2,500 per claim (max four claims per plan year) • Emergency dental : up to £200 per claim (max two claims per plan year) • Emergency call-out fees : up to £50 per claim (max two claims per plan year) |
Dental - Level 3
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Dental Cover Level 3: • Maintenance routine examinations: up to £30 per claim (max two claims per plan year) • Maintenance routine scaling and polishing: up to £40 per claim (max two claims per plan year) • Maintenance dental x-ray: up to £40 per claim (max two claims per plan year) • Treatment fillings: up to £40 per claim (max two claims per plan year) • Crowns new or replacement : up to £400 per plan year • Inlay/onlay/overlay new or replacement : up to £100 per plan year • Bridges/implants new or replacement : up to £300 per plan year • Root canal treatment : up to £250 per plan year • Apicectomy : up to £150 per plan year • Extractions : up to £250 per plan year • Dentures new or replacement : up to £350 per plan year • Accidental dental : up to £2,500 per claim (max four claims per plan year) • Emergency dental : up to £300 per claim (max two claims per plan year) • Emergency call-out fees : up to £50 per claim (max two claims per plan year) |
Hospice donation | |
Not covered | |
Infertility investigations | |
Core Enhancement - No
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Cover not selected |
Core Enhancement - Yes
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Additional modules: Core Enhancement: Full cover per plan year subject to a 2-year qualifying period |
Maternity cash benefit | |
See Health Cash Options | |
Optional cash benefit | |
See Health Cash Options | |
Out of pocket expenses | |
Not covered | |
Overseas cover | |
Travel Cover - No
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Cover not selected |
Travel Cover - Level 1
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Travel Cover - Level 1 max 30 days per trip. Benefits are per person, per holiday / business trip unless otherwise stated. *A £50 excess applies. Overseas medical expenses: full cover up to £5 million • Healthcare cover if taken ill overseas including accommodation costs and travel expenses to remain behind with a sick member* • Repatriation expenses (if required to be flown home)* • Transfer of body or ashes back to the UK • Cost of burial or cremation outside the UK up to £1,000 Other travel benefits: • Loss or damage to personal baggage up to £1,000* • Loss of personal money up to £500* • Missed departure up to £250* • Cancelling or cutting short the trip up to £2,000* • Personal accident up to £25,000 • Personal liability up to £2 million • Loss of passport up to £250* • Delayed baggage up to £100* • Legal expenses up to £25,000 |
Travel Cover - Level 2
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Travel Cover - Level 2 max 120 days per trip Benefits are per person, per holiday / business trip unless otherwise stated. *A £50 excess applies Overseas medical expenses: full cover up to £10 million • Healthcare cover if taken ill overseas including accommodation costs and travel expenses to remain behind with a sick member* • Repatriation expenses (if required to be flown home)* • Transfer of body or ashes back to the UK • Cost of burial or cremation outside the UK up to £1,000 Other travel benefits: • Loss or damage to personal baggage up to £2,000* • Loss of personal money up to £1,000* • Delayed departure up to £100 • Missed departure up to £500* • Cancelling or cutting short the trip up to £4,000* • Personal accident up to £25,000 • Personal liability up to £2 million • Loss of passport up to £250* • Delayed baggage up to £200* • Legal expenses up to £25,000 Winter Sports Plan - 21 days per plan year (in addition to the cover above) • Loss or damage to ski or snowboarding equipment up to £500* • Loss of ski pass up to £500* • Piste closure £30 per day up to £500* • Loss of use of hired skis and ski pass due to illness or injury up to £500* |
Personal & total disability benefit | |
Not covered | |
Post hospital recovery bonus | |
See Health Cash Options | |
Pregnancy | |
Cover not selected | |
Core Enhancement - Yes
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Additional modules: Core Enhancement: Full cover for specified pregnancy complications |
Maternity Cover - Yes
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Maternity cover: Up to £3,000 per pregnancy for private ante-natal and post-natal care. Member must have been covered for two years to claim this benefit |
Transplants | |
Full cover (medically necessary transplant, cover for insured recipient only) | |
Other benefits | |
Heath Screening - Yes
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Preventative benefits Health Screening: Vi5 health assessment with Nuffield Health or £300 if the assessment is not with Nuffield Health (one screen in every two years, 18 month qualifying period) |
Member Assistance Programme - Yes
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Member Assistance Programme: Unlimited access to a 24 hour confidential telephone service. Access to face to face counselling sessions if appropriate |
Private GP - Yes
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Private GP Up to £300 per plan year towards consultations, prescriptions, minor surgery, and fees for completion of claim forms |
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