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 | |
Level - Key
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Key: Full refund for Partnership Network hospitals otherwise up to Bupa specified limits and, if applicable, in a room within your scale of cover for intensive care in a scheme recognised critical care unit a list of the prostheses and appliances covered is available on request (Partnership network has over 300 hospitals nationwide) |
Level - Enhanced
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Enhanced: Full refund for Partnership Network hospitals otherwise up to Bupa specified limits and, if applicable, in a room within your scale of cover for intensive care in a scheme recognised critical care unit a list of the prostheses and appliances covered is available on request (Partnership network has over 300 hospitals nationwide) |
Level - Complete
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Complete: Full refund for Participating Network hospitals and, if applicable, in a room within your scale of cover for intensive care in a scheme recognised critical care unit a list of the prostheses and appliances covered is available on request (Participating network has over 600 hospitals nationwide) |
Surgeon / Consultant / Specialist & Anaesthetists fees | |
Full Surgeon and Anaesthetist fees - Yes
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Surgeon and Anaesthetist fees Full refund for consultants’ fees for eligible out-patient, day-patient and in-patient surgical operations with a Bupa recognised consultant – irrespective of consultant partnership status – in a scheme recognised facility |
Full Surgeon and Anaesthetist fees - No
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Paid in full with a Bupa partnership consultant in a partnership facility - benefit limits apply for Bupa recognised consultants who are not partnership consultants; or with a Bupa recognised consultant - irrespective of consultant partnership status - in a partnership facility |
Physicians fees & diagnostic tests | |
Paid in full with a Bupa Partnership consultant in a specialist treatment centre or up to Bupa limits if recognised consultant | |
Cancer Treatment Costs - Chemotherapy / Radiotherapy | |
With no financial limits (when a fee assured consultant and a hospital within the chosen network is used) Cover and support at every stage of cancer | |
Psychiatric treatment | |
Up to a maximum of 45 days each membership year for mental health day-patient and in-patient treatment combined and not individually. For eligible mental health treatment in recognised facilities and with recognised consultants |
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Six week option | |
The Six Week scheme - No
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Not selected |
The Six Week scheme - Yes
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if the NHS can provide day-patient or in-patient treatment (including diagnostic procedures) within six weeks of the date the consultant recommends it, then treatment takes place in the NHS. If not, the treatment or tests will be covered by Bupa. |
Key Facts - Out-patient Charges | |
Complementary medicine | |
Level - Key
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Key: Up to £250 within your selected out-patient cover limit (overall out-patient limit of £1,000 per person per year) with a scheme recognised therapist or complementary medicine practitioner (acupuncture, chiropractic, and osteopathy only) |
Level - Enhanced
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Enhanced: Up to out-patient cover limit (overall out-patient limit of £1,500 per person per year) with a scheme recognised therapist or complementary medicine practitioner (acupuncture, chiropractic and osteopathy only) |
Level - Complete
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Complete Paid in full with a scheme recognised therapist or complementary medicine practitioner (acupuncture, chiropractic and osteopathy only) |
Diagnostic tests (excluding scans) | |
Level - Key
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Key: Up to £1,000 within out-patient cover limit (overall out-patient limit of £1,000 per person per year) with a scheme recognised consultant for out-patient consultations: * consultants who are partnership consultants - paid in full up to and from within your available out-patient benefit limits * consultants who are not partnership consultants - up to the limits of the consultant fees schedule and up to and from within your available out-patient benefit limits Otherwise - paid in full up to and from within your available out-patient benefit limits |
Level - Enhanced
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Enhanced: Up to £1,500 within out-patient cover limit (overall out-patient limit of £1,500 per person per year) with a scheme recognised consultant for out-patient consultations: * consultants who are partnership consultants - paid in full up to and from within your available out-patient benefit limits * consultants who are not partnership consultants - up to the limits of the consultant fees schedule and up to and from within your available out-patient benefit limits Otherwise - paid in full up to and from within your available out-patient benefit limits |
Level - Complete
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Complete: Paid in full with a scheme recognised consultant for out-patient consultations: * consultants who are partnership consultants - paid in full up to and from within your available out-patient benefit limits * consultants who are not partnership consultants - up to the limits of the consultant fees schedule and up to and from within your available out-patient benefit limits Otherwise - paid in full up to and from within your available out-patient benefit limits |
GP referred consultations | |
Level - Key
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Key: Up to £1,000 within out-patient cover limit (overall out-patient limit of £1,000 per person per year) with a scheme recognised consultant |
Level - Enhanced
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Enhanced: Up to £1,500 within out-patient cover limit (overall out-patient limit of £1,500 per person per year) with a scheme recognised consultant |
Level - Complete
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Complete: Paid in full with a scheme recognised consultant |
Physiotherapy consultant referred | |
Level - Key
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Key: Up to £1,000 within out-patient cover limit (overall out-patient limit of £1,000 per person per year) with a scheme recognised consultant |
Level - Enhanced
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Enhanced: Up to £1,500 within out-patient cover limit (overall out-patient limit of £1,500 per person per year) with a scheme recognised consultant |
Level - Complete
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Complete: Paid in full with a scheme recognised consultant |
Physiotherapy GP referred | |
Level - Key
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Key: Up to £1,000 within out-patient cover limit (overall out-patient limit of £1,000 per person per year) with a scheme recognised consultant |
Level - Enhanced
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Enhanced: Up to out-patient cover limit (overall out-patient limit of £1,500 per person per year) with a scheme recognised therapist or complementary medicine practitioner (acupuncture, chiropractic and osteopathy only) |
Level - Complete
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Complete: Paid in full with a scheme recognised consultant |
Psychiatric cover | |
Up to a maximum of 45 days each membership year for mental health day-patient and in-patient treatment combined and not individually. For eligible mental health treatment in recognised facilities and with recognised consultants |
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Radiotherapy / Chemotherapy | |
Paid in full (out-patient benefit limit restriction does not apply when the out-patient treatments are for eligible treatment of cancer) | |
Scans - MRI / CT / PET | |
Paid in full in a scheme recognised imaging unit for the type of scan you need | |
Surgical Procedures | |
Full Surgeon and Anaesthetist fees - Yes
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Surgeon and Anaesthetist fees Full refund for consultants’ fees for eligible out-patient, day-patient and in-patient surgical operations with a Bupa recognised consultant – irrespective of consultant partnership status – in a scheme recognised facility |
Full Surgeon and Anaesthetist fees - No
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Paid in full with a Bupa partnership consultant in a partnership facility - benefit limits apply for Bupa recognised consultants who are not partnership consultants; or with a Bupa recognised consultant - irrespective of consultant partnership status - in a partnership facility |
Key Facts - Additional Benefits | |
NHS cash benefit | |
NHS cash benefit: £50 a night for 35 nights per benefit year NHS cancer cash benefit NHS in-patient treatment for or directly related to cancer: £100 each night NHS out-patient or day-patient treatment or NHS treatment in your home for cancer: £100 each day £100 for each three-weekly interval, or part thereof, during which you take oral chemotherapy, or oral anti-hormone therapy that is not available from a GP |
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Nursing at home | |
£2,000 each year when immediately following private eligible in-patient treatment | |
Parental accommodation | |
Up to 16 paid in full for one parent | |
Primary care | |
Not covered | |
Private ambulance | |
£80 any Single trip when medically necessary and related to private eligible day-patient or in-patient treatment | |
Additional Benefits | |
Alcohol & drug abuse | |
incl in Mental health, subject to terms and approval by a Bupa | |
Annual maximum limit | |
None | |
Children covered | |
Up to 30 years and charged as a single member rate from 24 years | |
Chiropractors & Osteopaths | |
Included in selected out-patient option | |
Dental treatment | |
Specified oral surgical procedures only | |
GP minor surgery | |
Not covered | |
GP Referred Chiropody, Podiatry or Homeopathy | |
Included in selected out-patient option | |
Hospice care cash benefit | |
Not covered | |
Infertility investigations | |
Not covered | |
Maternity cash benefit | |
Optional Cash Benefit - Yes
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£200 each birth or adoption if optional cash benefits selected |
Optional Cash Benefit - No
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Not covered |
Optional cash benefit | |
Optional Cash Benefit - Yes
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* Family cash benefit up to £200 for each birth or adoption * Optical cash benefit up to £100 each 2 year benefit period * Accidental dental injury cash benefit up to £900 per year * Prescription cash benefit up to £20 each year |
Optional Cash Benefit - No
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Not covered |
Out of pocket expenses | |
Not covered | |
Overseas cover | |
Not covered | |
Personal & total disability benefit | |
Not covered | |
Post hospital recovery bonus | |
Not covered | |
Pregnancy | |
Complications covered - Includes caesarean sections which are medically necessary | |
Stress counselling helpline | |
Not available on this scheme (separate product available) | |
Transplants | |
For eligible transplant claims, benefits will be paid up to Bupa published benefit maxima. All transplant claims must have sufficient clinical reason and be pre-authorised with a Bupa clinical expert | |
Other benefits | |
Island Package - Yes
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Island cover – for residents of Jersey, Guernsey or the Isle of Man only Consultants’ fees for surgical operations only - consultants’ fees for other types of treatment are as set out in this table - Paid in full with a Bupa recognised consultant – irrespective of consultant partnership status – in a partnership facility Travel costs to the UK mainland for you to receive eligible treatment - up to £240 for a return trip - specific conditions apply – call the helpline for details Travel costs to the UK mainland for a parent, nurse or relative to accompany you when medically necessary - up to £240 for a return trip - specific conditions apply – call the helpline for details Nursing care by a qualified nurse during your journey - up to £100 each trip -specific conditions apply – call the helpline for details |
Digital GP provided by Babylon Smartphone application for diagnosis, GP appointments and prescriptions - Unlimited access to GP consultations 24/7 via phone or video call, clinical triage powered by Babylon artificial intelligence, and private prescription writing (prescription costs not included) with free delivery Bupa Anytime HealthLine Telephone service for medical advice with a qualifed nurse - Unlimited 24/7 calls and unlimited call time Bupa Family Mental HealthLine Telephone service for mental health support with a trained adviser - Unlimited calls and unlimited call time between 8am and 6pm Monday to Friday. Provides guidance to parents and carers who are concerned about their child’s emotional wellbeing and/or mental health |
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