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Health-on-Line - Business Priority Health

Our Hospital List includes details of the hospitals where Business Priority Health members can go ahead with treatment knowing that their fees will be paid. Should you wish to use a hospital or specialist not on our list please see the Q&A at the back of this brochure. Priority Health Specialists are chosen specially to provide treatment to our customers. If you have treatment from them, you can relax knowing that their charges will be covered. You can see the full list of hospitals and specialists, in the Members’ Area of our website. Just go to: www.health-on-line.co.uk/members

Benefits

Add-on 1: Core Out-patient All Yes No
Add-on 2: Enhanced Out-patient All Yes No
Add-on 3: Full Out-patient All Yes No
Add-on 4: Therapies All Yes No
Add-on 5: Mental Health All Yes No
Add-on 6: Extra Care All Yes No
Add-on 7: Dentist and Optician Cashback All Yes No
Add-on 8: Extra Cancer All Yes No
Add-on 9: Annual Travel All Yes No
Six Week Option All Yes No
Private GP Cover All Yes No

Key Facts - In-patient & Day Case Charges

Hospital accommodation charges including theatre fees, nursing costs, prosthesis, in-patient drugs & dressings
Essentials cover - No annual maximum
Surgeon / Consultant / Specialist & Anaesthetists fees
Essentials cover - No annual maximum
Physicians fees & diagnostic tests
Essentials cover - No annual maximum
Cancer Treatment Costs - Chemotherapy / Radiotherapy
Essentials cover - No annual maximum at a hospital listed in the directory of hospitals
Psychiatric treatment
Add-on 5: Mental Health - No
Not covered
Add-on 5: Mental Health - Yes
Add-on 5 - Mental Health
Private hospital and day-patient unit fees for psychiatric treatment 3 Paid in full for up to 30 days a year
Specialist fees for psychiatric treatment 3 No yearly limit so long as you use a Priority Health specialist
Six week option
Six Week Option - No
Not covered
Six Week Option - Yes
Six week rule - if the NHS can not provide treatment within six weeks after the date on which treatment should be undertaken then private treatment can be sort.

Key Facts - Out-patient Charges

Complementary medicine
Add-on 4: Therapies - No
Not covered
Add-on 4: Therapies - Yes
Add-on 4 - Therapies
Combined overall limit £500 benefit per person pa for Physiotherapy, Osteopathy, Chiropractic treatment
Up to an overall maximum of 10 sessions in a year when your GP refers you
Further sessions (as long as we agree them first) when your specialist refers you
Diagnostic tests (excluding scans)
Not covered
Add-on 1: Core Out-patient - Yes
Add-on 1 - Standard out-patient
2 Specialist consultations with full refund diagnostic test
Add-on 2: Enhanced Out-patient - Yes
Add-on 2 - Enhanced out-patient
Paid from overall £1,000 annual out-patient limit
Add-on 3: Full Out-patient - Yes
Add-on 3 - Full out-patient
No annual maximum for Specialist consultations and diagnostic tests
GP referred consultations
Not covered
Add-on 1: Core Out-patient - Yes
Add-on 1 - Standard out-patient
2 Specialist consultations (combine overall number of consultation)
Add-on 2: Enhanced Out-patient - Yes
Add-on 2 - Enhanced out-patient
Paid from overall £1,000 annual out-patient limit
Add-on 3: Full Out-patient - Yes
Add-on 3 - Full out-patient
No annual maximum
Physiotherapy consultant referred
Add-on 4: Therapies - No
Not covered
Add-on 4: Therapies - Yes
Add-on 4 - Therapies
Combined overall limit £500 benefit per person pa for Physiotherapy, Osteopathy, Chiropractic treatment
Up to an overall maximum of 10 sessions in a year when your GP refers you
Further sessions (as long as we agree them first) when your specialist refers you
Physiotherapy GP referred
Add-on 4: Therapies - No
Not covered
Add-on 4: Therapies - Yes
Add-on 4 - Therapies
Combined overall limit £500 benefit per person pa for Physiotherapy, Osteopathy, Chiropractic treatment
Up to an overall maximum of 10 sessions in a year when your GP refers you
Further sessions (as long as we agree them first) when your specialist refers you
Psychiatric cover
Add-on 5: Mental Health - No
Not covered
Add-on 5: Mental Health - Yes
Add-on 5 - Mental Health
A combined limit of £1,000 a year:
Specialist consultations for psychiatric treatment
Psychiatric treatment by psychologists and cognitive behavioural therapists
Radiotherapy / Chemotherapy
Essentials cover
Full refund (Biological therapies covered for 12 months)
Add-on 8: Extra Cancer - Yes
Add-on 8 - Extra Cancer cover
• No time limit on biological therapies.
• Provide hormone / biophosphate therapy during active treatment
• Provide cover for experimental treatment agreed in advance in an ethically approved trial
• Cover chemotherapy as well as radiotherapy for pain relief as well as maintenance
Scans - MRI / CT / PET
Essential cover - Full refund for MRI, CT and PET scans if carried out at a scanning centre listed in the directory of hospitals
Surgical Procedures
Essentials cover - Full refund for out-patient surgery

Key Facts - Additional Benefits

NHS cash benefit
Essentials cover
£50 a day up to £2,000 a year NHS cash benefit for radiotherapy/chemotherapy
Add-on 6: Extra Care - Yes
Add-on 6 - Extra Care benefits
£50 per night (max £2,000 per person, per policy year under)
Nursing at home
Add-on 6: Extra Care - No
Not covered
Add-on 6: Extra Care - Yes
Add-on 6 - Extra Care benefits
Full refund (for administration of intravenous cytoxic chemotherapy or intravenous antibiotics which would otherwise require the member to be admitted for in-patient or day-case treatment)
Parental accommodation
Essentials cover - Full cover (child up to 16 years old)
Primary care
Not covered
Private ambulance
Essentials cover
Full refund (Between hospitals in the UK)

Additional Benefits

Alcohol & drug abuse
Not covered
Annual maximum limit
Essentials cover - No annual maximum
Children covered
21 years of age or 25 if still in full time education (or on marriage)
Chiropractors & Osteopaths
Add-on 4: Therapies - No
Not covered
Add-on 4: Therapies - Yes
Add-on 4 - Therapies
Combined overall limit £500 benefit per person pa for Physiotherapy, Osteopathy, Chiropractic treatment
Up to an overall maximum of 10 sessions in a year when your GP refers you
Further sessions (as long as we agree them first) when your specialist refers you
Dental treatment
Add-on 6: Extra Care - Yes
Add-on 6 - Extra Care benefits
No annual maximum for certain oral surgical procedures only
Not covered
Add-on 7: Dentist and Optician Cashback - Yes
Add-on 7 - Dentist and Optician Cashback Benefit
Dental: 80% of the costs up to £400 a year
GP minor surgery
Not covered
GP Referred Chiropody, Podiatry or Homeopathy
Not covered
Add-on 6: Extra Care - Yes
Add-on 6 - Extra Care benefits
Up to £150 a year So long as your chiropodist or podiatrist is qualified. If you have an excess, you do not have to pay the excess if having this treatment
Hospice care cash benefit
Not covered
Infertility investigations
Not covered
Maternity cash benefit
Not covered
Optional cash benefit
Add-on 7: Dentist and Optician Cashback - No
Not covered
Add-on 7: Dentist and Optician Cashback - Yes
Add-on 7 - Dentist and Optician Cashback Benefit
80% of the cost of prescribed glasses and contact lenses, up to £200 a year
Upto £25 a year for an eye test
Out of pocket expenses
Not covered
Overseas cover
Add-on 9: Annual Travel - No
Not covered
Add-on 9: Annual Travel - Yes
Add-on 9 -Travel
See the AXA PPP travel cover handbook for details of the benefits
Personal & total disability benefit
Not covered
Post hospital recovery bonus
Not covered
Pregnancy
Not covered
Stress counselling helpline
Essentials cover
Health at Hand 24 hour health information and counselling
Transplants
Not covered
Other benefits
Hotel accommodation for one parent while a child is in hospital
Up to £100 a night up to £500 a year
Private GP Cover - Yes
Private GP Cover Option
Fees for visits to a private GP for consultations Up to £500 a year
Doctor@Hand consultations Up to five consultations a year with a Doctor@Hand GP
Access to a GP service for online, video or telephone consultations. You need to register for this service, please go to: health-on-line.co.uk/DAH
 
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