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WPA - Professional Health

Professional Health is a unique plan, with preferential premiums, available exclusively to members of professions recognised by WPA.  Professional Health allows you to build a level of cover to suit your personal requirements. Your cover is built around a core element of either Essential or Essential Plus cover, you then have the choice of five additional benefits to increase your cover further.

Shared Responsibility allows you to take greater control of your healthcare costs and make significant savings on your premiums.  Unlike an excess we share the cost of your medical treatment as a 25:75 split, until your 25% contribution reaches your chosen Shared Responsibility limit.  Thereafter WPA will pay 100% of any eligible treatment costs until your next renewal date.

Professional Health is available to new applicants between 18 - 65 years.  Children can be covered with an insured adult.

Benefits

Step 1: Choose the base cover:
Base Cover All Essential Essential Plus
Step 2: Enhance the cover:
Out-Patient Option All Yes No
Therapy Option All Yes No
Dental Plan All Yes No
Worldwide Option All Yes No
Hospital Assist All Yes No

Key Facts - In-patient & Day Case Charges

Hospital accommodation charges including theatre fees, nursing costs, prosthesis, in-patient drugs & dressings
Base Cover - Essential
Essential - Full refund of customary and reasonable fees
Base Cover - Essential Plus
Essential Plus - Full refund of customary and reasonable fees
Surgeon / Consultant / Specialist & Anaesthetists fees
Base Cover - Essential
Essential - Full refund of customary and reasonable fees
Base Cover - Essential Plus
Essential Plus - Full refund of customary and reasonable fees
Physicians fees & diagnostic tests
Base Cover - Essential
Essential - Full refund of customary and reasonable fees
Base Cover - Essential Plus
Essential Plus - Full refund of customary and reasonable fees
Cancer Treatment Costs - Chemotherapy / Radiotherapy
Base Cover - Essential
Essential - Full refund of hospital & specialist charges, Radiotherapy & Chemotherapy drugs
Base Cover - Essential Plus
Essential Plus - Full refund of hospital & specialist charges, Radiotherapy & Chemotherapy drugs
Psychiatric treatment
Not covered
Six week option
Not available

Key Facts - Out-patient Charges

Complementary medicine
Essential only - Nil
Base Cover - Essential Plus
Essential Plus provides £400 Therapy
Therapy Option - Yes
Therapy Option provides £1,000
Therapy includes: Acupuncture, Chiropody / Podiatry, Chiropractic care, Dietary Services, Homeopathy, Osteopathy, Physiotherapy and Speech and Language Therapy
Diagnostic tests (excluding scans)
Essential only - Nil
Base Cover - Essential Plus
Essential Plus £400 Consultations with a Specialist and Diagnostic Tests
Out-Patient Option - Yes
Out-patient option provides full cover for diagnostic tests.
GP referred consultations
Essential only provides £100 per plan year
Base Cover - Essential Plus
Essential Plus £400 Consultations and diagnostic tests
Out-Patient Option - Yes
Out-patient option provides full cover for consultations with a Specialist
Physiotherapy consultant referred
Only covered in line with policy holder's benefits provided they have been on cover with WPA for three consecutive years
Physiotherapy GP referred
See Complementary Medicine benefit
Psychiatric cover
Not covered
Radiotherapy / Chemotherapy
Base Cover - Essential
Essential - Full refund of hospital & specialist charges, Radiotherapy & Chemotherapy drugs
Base Cover - Essential Plus
Essential Plus - Full refund of hospital & specialist charges, Radiotherapy & Chemotherapy drugs
Scans - MRI / CT / PET
Base Cover - Essential
Essential - MRI, CT & PET scans only
Base Cover - Essential Plus
Essential Plus - MRI, CT & PET scans only
Surgical Procedures
Base Cover - Essential
Essential - Full refund of customary and reasonable fees for diagnostic or endoscopic procedures
Base Cover - Essential Plus
Essential Plus - Full refund of customary and reasonable fees for diagnostic or endoscopic procedures

Key Facts - Additional Benefits

NHS cash benefit
Base Cover - Essential
Essential - £100 per night, maximum of £3,000 per plan year
Base Cover - Essential Plus
Essential Plus - £100 per night, maximum of £3,000 per plan year.
Nursing at home
Base Cover - Essential
Essential - Up to 4 weeks per plan year by a qualified nurse
Base Cover - Essential Plus
Essential Plus - Up to 4 weeks per plan year by a qualified nurse
Parental accommodation
Base Cover - Essential
Essential - Hospital accommodation charges provided the child is covered on the plan
Base Cover - Essential Plus
Essential Plus - Hospital accommodation charges provided the child is covered on the plan
Private ambulance
Base Cover - Essential
Essential - Full refund when this is needed for medical reasons to go to, from or between hospitals for treatment which is covered by the policy holder's plan
Base Cover - Essential Plus
Essential Plus - Full refund when this is needed for medical reasons to go to, from or between hospitals for treatment which is covered by the policy holder's plan

Additional Benefits

Alcohol & drug abuse
Not covered
Annual maximum limit
No annual maximum
Children covered
Yes - provided the child/children are on cover with an insured adult. A child cannot remain on a policy holder's plan once they marry or leave the main residence (except if going to higher education)
Chiropractors & Osteopaths
See Complementary Medicine benefit
Dental treatment
Dental Plan - No
Not covered
Dental Plan - Yes
Dental Option
£250 general dental treatment;
£1,000 dental emergencies;
£20,000 for dental injuries;
£10,000 defined oral problems - it is important to note that a 3 month qualifying period applies to the general dental and a 14 day qualifying period applies the the dental emergencies benefits
Hospice donation
Base Cover - Essential
Essential - £70 per day/night up to £700 per plan year
Base Cover - Essential Plus
Essential Plus - £70 per day/night up to £700 per plan year
Infertility investigations
Not covered
Maternity cash benefit
Not covered
Optional cash benefit
Not covered
Out of pocket expenses
Base Cover - Essential
Essential - Up to £10 per day
Base Cover - Essential Plus
Essential Plus - Up to £10 per day
Overseas cover
Worldwide Option - No
Not covered
Worldwide Option - Yes
Worldwide Option provides emergency overseas treatment, Evacuation/Repatriation and family assistance is provided for trips abroad for up to 70 days per trip subject to an annual maximum of 180 days and an annual maximum benefit of £500,000
(Not USA)
Personal & total disability benefit
Not covered
Post hospital recovery bonus
Hospital Assist - No
Not covered
Hospital Assist - Yes
Hospital Assist Option provides £200 per night up to £1,400 per plan year is available for an in-patient stay in either NHS or Private Hospital. A 3 month qualifying period applies
Pregnancy
Not covered
Transplants
No cover except for cornea transplants or skin grafts or bone marrow or stem cell transplants where this forms part of treatment for cancer.
Other benefits
 
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