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VitalityHealth - Personal healthcare "Old"

Closed to new business wef 28th February 2011

Personal healthcare offers excellent flexibility through a range of benefit and cost options to tailor your client’s cover to their lifestyle and age. Building a plan around your client’s needs and budget is easy. It’s a simple step-by-step process that starts with the Core Healthcare cover option and lets your clients choose from a great range of cover options to create their perfect plan.  With so many choices, clients only need to pay for the over they need and not for unnecessary extras.
 
 

Benefits

Cover Options (only available with core healthcare)
Out-patient Treatment All Level 1 Level 2 Level 3 No
Cover Options
Home Care All Yes No
Core Enhancement All Yes No
Additional Therapies All Level 1 Level 2 No
Psychiatric Treatment All Yes No
Member Assistance Programme All Yes No
Heath Screening All Yes No
Private GP All Yes No
Maternity Cover All Yes No
Travel Cover All Level 1 Level 2 No
Dental All Level 1 Level 2 Level 3 No
Plan Options
Hospital List All Countrywide Countrywide with London Upgrade ntrywide with Extended London Upgrade Guided Option
NHS wait option All Yes No

Key Facts - In-patient & Day Case Charges

Hospital accommodation charges including theatre fees, nursing costs, prosthesis, in-patient drugs & dressings
Core Healthcare:
Full cover
Surgeon / Consultant / Specialist & Anaesthetists fees
Core Healthcare:
Full cover
Physicians fees & diagnostic tests
Core Healthcare:
Full cover
Cancer Treatment Costs - Chemotherapy / Radiotherapy
Core Healthcare:
Full cover
Psychiatric treatment
Psychiatric Treatment - No
Cover not selected
Psychiatric Treatment - Yes
Psychiatric Treatment:
Full cover for up to 28 days per plan year
Six week option
NHS wait option - No
Cover not selected
NHS wait option - Yes
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
Cover not selected
Additional Therapies - Level 1
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
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
Cover not selected
Out-patient Treatment - Level 1
Additional modules:
Out-patient Treatment : Level 1 - Up to £500 per plan year
Out-patient Treatment - Level 2
Additional modules:
Out-patient Treatment : Level 2 - Up to £1,000 per plan year
Out-patient Treatment - Level 3
Additional modules:
Out-patient Treatment : Level 3 - Full cover
GP referred consultations
Out-patient Treatment - No
Cover not selected
Out-patient Treatment - Level 1
Additional modules:
Out-patient Treatment : Level 1 - Up to £500 per plan year
Out-patient Treatment - Level 2
Additional modules:
Out-patient Treatment : Level 2 - Up to £1,000 per plan year
Out-patient Treatment - Level 3
Additional modules:
Out-patient Treatment : Level 3 - Full cover
Physiotherapy consultant referred
Out-patient Treatment - No
Cover not selected
Out-patient Treatment - Level 1
Additional modules:
Out-patient Treatment : Level 1 - Up to £500 per plan year
Out-patient Treatment - Level 2
Additional modules:
Out-patient Treatment : Level 2 - Up to £1,000 per plan year
Out-patient Treatment - Level 3
Additional modules:
Out-patient Treatment : Level 3 - Full cover
Physiotherapy GP referred
Out-patient Treatment - No
Cover not selected
Out-patient Treatment - Level 1
Additional modules:
Out-patient Treatment : Level 1 - Up to £500 per plan year
Out-patient Treatment - Level 2
Additional modules:
Out-patient Treatment : Level 2 - Up to £1,000 per plan year
Out-patient Treatment - Level 3
Additional modules:
Out-patient Treatment : Level 3 - Full cover
Psychiatric cover
Psychiatric Treatment - No
Cover not selected
Psychiatric Treatment - Yes
Psychiatric Treatment:
Up to £1,500 per plan year
Radiotherapy / Chemotherapy
Core Healthcare:
Full cover
Scans - MRI / CT / PET
Core Healthcare:
Full cover
Surgical Procedures
Out-patient Treatment - No
Cover not selected
Out-patient Treatment - Level 1
Additional modules:
Out-patient Treatment : Level 1 - Up to £500 per plan year
Out-patient Treatment - Level 2
Additional modules:
Out-patient Treatment : Level 2 - Up to £1,000 per plan year
Out-patient Treatment - Level 3
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)
Nursing at home
Home Care - No
Cover not selected
Core Enhancement - Yes
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
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
Cover not selected
Core Enhancement - Yes
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)

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
Cover not selected
Additional Therapies - Level 1
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
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
Core Enhancement:
Full cover for specified oral surgical procedures
Dental - Level 1
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
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
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
Cover not selected
Core Enhancement - Yes
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
Cover not selected
Travel Cover - Level 1
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
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
Additional modules:
Core Enhancement:
Full cover for specified pregnancy complications
Maternity Cover - Yes
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
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
Member Assistance Programme:
Unlimited access to a 24 hour confidential telephone service. Access to face to face counselling sessions if appropriate
Private GP - Yes
Private GP
Up to £300 per plan year towards consultations, prescriptions, minor surgery, and fees for completion of claim forms
 
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