Simplyhealth (Formerly known as Groupama Healthcare) - Santé

Section 2
28 days in-patient cover per policy year

Section 1
GP referral for Osteopathy, Chiropractic, Homeopathy, Acupuncture, Reflexology and Aromotherapy within overall benefit of £750.
Specialist referral for Osteopathy, Chiropractic, Homeopathy and Acupuncture = Full refund

Section 1
GP referral for diagnostic tests (excluding MRI / CT / PET Scans) within overall benefit of £750.
Specialist referral for diagnostic tests = Full refund

Section 1
GP referred treatment (diagnostic tests and specified therapies) = £750 maximum
Specialist consultations on GP referral = Full refund

Section 1
GP referred treatment (diagnostic tests and specified therapies) = £750 maximum
Specialist consultations on GP referral = Full refund
Section 3
(Private) GP consultations = £150
Specialist consultations for chronic conditions = £150

Section 1
GP referred, included in total combined overall limit of £750 p.a

Section 2
Specialist Psychiatric treatment (out-patient) = £1,000

Section 1
Out-patient surgical procedures carried out by a Specialist = Full refund

Section 1
Out-patient surgical procedures carried out by a Specialist = Full refund
Section 3
Out-patient surgical procedures carried out by a GP in own surgery = £150

Section 1
£150.00 per night (Unlimited nights)

Section 3
£300 per night (Unlimited nights)

Section 1
Full refund (for up to 13 weeks) on recommendation by Specialist and by a qualified nurse immediately following discharge from hospital

Section 3
GP charges £150 for consultations and minor surgery & £25 per item for completion of claim forms and medical reports.
Plus City GP, access to selected London GP's for the member only

Section 1
GP referral for Osteopathy, Chiropractic, Homeopathy, Acupuncture, Reflexology and Aromotherapy within overall benefit of £750.
Specialist referral for Osteopathy, Chiropractic, Homeopathy and Acupuncture = Full refund

Section 1
Not covered

Section 2
Fees charged by a dentist or an oral-surgical specialist for treatment of an accidental dental injury.

● Up to £10,000 max (monetary limits apply to individual treatments listed below)

Examination and administrative work Up to £25
Any necessary radiographs Up to £20
Porcelain jacket crown Up to £215
Porcelain bonded to metal crown Up to £290
Bonded bridgework – per replaced tooth Up to £250
Full metal crown (non-precious) Up to £210
Full metal crown (precious) Up to £250
Laboratory made temporary bridge following tooth loss Up to £70
Laboratory constructed adhesive bridge Up to £400
All-metal bridgework (non precious) Up to £210
All-metal bridgework (gold) Up to £250
Laboratory constructed adhesive facing or veneer Up to £205
Temporary denture following tooth loss Up to £100
Permanent denture (acrylic) Up to £180
Permanent denture (metal) Up to £300
Emergency splinting Up to £60
Root canal treatment (one root) Up to £80
Root canal treatment (two roots) Up to £120
Root canal treatment (multiple roots) Up to £160
Emergency and other necessary treatment not otherwise specified Up to £340
Treatment carried out on a non-restored tooth Up to £150
Non-temporary crowns Up to £150
Fixed bridges Up to £150
Adhesive bridges and veneers (recementing work only) Up to £50
All other treatments carried out on a restored tooth Up to £50

Routine dental treatment
75% of the fees up to £1,000 for a dentist charges for the treatments listed below, but will not pay any more than the limit shown for each treatment during a single period of insurance.
Extractions (having teeth out) Up to £50 (per extraction)
Fillings Up to £40 (per filling)
Root canal treatment Up to £60 (per root)
Anaesthetics:
● nitrous oxide (gas) Up to £30 (per treatment)
● general anaesthetic Up to £60 (per treatment)
Inlays (porcelain or gold fittings to restore a decayed tooth or protect a weakened tooth) including all laboratory costs Up to £200 (per inlay)
Crown and bridge work (including all laboratory costs) Up to £300 (per prosthesis)
Dentures (including all laboratory costs) Up to £300 (per set of dentures)
We will refund 75% of the fees a dentist charges for routine dental consultations, X-rays, preventative treatment and the services of a hygienist.

Section 3
GP charges £150 for consultations and minor surgery & £25 per item for completion of claim forms and medical reports

Section 1
GP referral for Osteopathy, Chiropractic, Homeopathy, Acupuncture, Reflexology and Aromotherapy within overall benefit of £750.
Specialist referral for Osteopathy, Chiropractic, Homeopathy and Acupuncture = Full refund

Section 3
£250 per child

International business travel (employee only)
Reasonable expenses that arise (within the limits shown below) when travelling outside the UK for business purposes on behalf of the policyholder.
Cancellation (including ending the trip early) £3,000 (£50 excess applies)
Emergency medical and travel expenses £5 million (£50 excess applies)
Hospital cash benefit (£100 for each night) £2,500
Personal accident £20,000
Personal baggage £1,500 (£50 excess applies)
Delayed personal baggage £150
Missed departure £1,000
Travel delay (£25 for each 12-hour delay) £100
Passport £200
Personal money £500 (£50 excess applies)
Personal liability £2 million
Replacing business equipment £1,000 (£50 excess applies)
Replacing business documents £500 (£50 excess applies)
Replacing a business colleague £2,000 (£50 excess applies)
Length of trip
There is no limit to the number of business trips that can be made during any one period of insurance, but we will not cover trips lasting more than 30 days.

Section 2
Cover for specified maternity / pregnancy complications only