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Bupa - BUPA by You

Treatment and Care is for people who are happy to get diagnosis by the NHS but would like to receive treatment privately. Once you've been diagnosed, we will cover the cost of treatment by a private consultant and aftercare at a private hospital.

Comprehensive is for people who want real peace of mind. No matter what life throws at you, you know that diagnosis of your condition, treatment and aftercare for your medical needs will be taken care of as set out under your policy. Where we state a combined out-patient limit, this is in relation to out-patient consultations, diagnostics tests and out-patient therapies.

Benefits

Cover All Treatment & Care Comp 500 Comp 750 Comp1000 Comp
Cancer All Cancer Cover NHS Cancer Cover Plus No Cancer Cover
Add Scan & Test to Treatment and Care All Yes No
Complementry Therapies All Yes No
Health Expenses All Health Expences 10 Health Expences 20 No
Dental Cash All Dental Cover 10 Dental Cover 20 No

Key Facts - In-patient & Day Case Charges

Hospital accommodation charges including theatre fees, nursing costs, prosthesis, in-patient drugs & dressings
Paid in full
Surgeon / Consultant / Specialist & Anaesthetists fees
Paid in full
Physicians fees & diagnostic tests
Cover - Treatment & Care
Treatment & Care
No Cover
Cover - Comp 500
Comprehensive 500
Up to your annual combined out-patient benefit limit of £500 applicable to out-patient treatment for eligible mental health treatment from a consultant or mental health and wellbeing therapist.
Cover - Comp1000
Comprehensive 1000
Up to your annual combined out-patient benefit limit of £1000 applicable to out-patient treatment for eligible mental health treatment from a consultant or mental health and wellbeing therapist.
Cover - Comp
Comprehensive
Paid in full for eligible mental health treatment from a consultant or mental health and wellbeing therapist.
Cancer Treatment Costs - Chemotherapy / Radiotherapy
Cancer - Cancer Cover
Cancer Cover option
Paid in full for eligible treatment such as surgery, chemotherapy, radiotherapy and bone marrow and stem cell transplants.
Cancer - NHS Cancer Cover Plus
NHS Cancer Cover Plus
Paid in full for when cancer treatment such as radiotherapy, chemotherapy or surgical operation you need to treat your cancer is not available to you under the NHS.
Cancer - No Cancer Cover
Not covered
Psychiatric treatment
Limited to 28 days in-patient or day-patient care (combined) each year for eligible treatment on your core health insurance, paid in full up to your chosen out-patient benefit limit (if any) when you use a facility from your chosen Bupa network and a Bupa recognised consultant who agrees to charge within Bupa limits (a fee assured consultant)
Six week option
Not available

Key Facts - Out-patient Charges

Complementary medicine
Complementry Therapies - No
Not covered
Complementry Therapies - Yes
Up to a total combined amount of £350 each year (no separate limit per individual treatment) for.Acupuncture, osteopathy and chiropractic services
Diagnostic tests (excluding scans)
Cover - Treatment & Care
Treatment & Care
Diagnostic tests following treatment
Will pay the hospital or clinic charges for eligible tests in full, whilst you are being treated as an out-patient, day-patient or in-patient and within six months of the discharge date of your hospital treatment. Included in this are any charges for interpreting the results of your tests.
Cover - Comp 500
Comprehensive 500
Up to your annual combined out-patient benefit limit of £500 applicable for pre and post diagnostic consultations from a consultant for eligible treatment on your core health insurance, when you use a facility from your chosen Bupa network and a Bupa recognised consultant who agrees to charge within Bupa limits (a fee assured consultant).
Cover - Comp 750
Comprehensive 750
Up to your annual combined out-patient benefit limit of £750 applicable for pre and post diagnostic consultations from a consultant for eligible treatment on your core health insurance, when you use a facility from your chosen Bupa network and a Bupa recognised consultant who agrees to charge within Bupa limits (a fee assured consultant).
Cover - Comp1000
Comprehensive 1000
Up to your annual combined out-patient benefit limit of £1000 applicable for pre and post diagnostic consultations from a consultant for eligible treatment on your core health insurance, when you use a facility from your chosen Bupa network and a Bupa recognised consultant who agrees to charge within Bupa limits (a fee assured consultant).
Cover - Comp
Comprehensive
Paid in full applicable for pre and post diagnostic consultations from a consultant for eligible treatment on your core health insurance, when you use a facility from your chosen Bupa network and a Bupa recognised consultant who agrees to charge within Bupa limits (a fee assured consultant).
GP referred consultations
Cover - Treatment & Care
Not covered
Cover - Comp 500
Comprehensive 500
Up to your annual combined out-patient benefit limit of £500 applicable for pre and post diagnostic consultations from a consultant for eligible treatment on your core health insurance, when you use a facility from your chosen Bupa network and a Bupa recognised consultant who agrees to charge within Bupa limits (a fee assured consultant).
Cover - Comp 750
Comprehensive 750
Up to your annual combined out-patient benefit limit of £750 applicable for pre and post diagnostic consultations from a consultant for eligible treatment on your core health insurance, when you use a facility from your chosen Bupa network and a Bupa recognised consultant who agrees to charge within Bupa limits (a fee assured consultant).
Cover - Comp1000
Comprehensive 1000
Up to your annual combined out-patient benefit limit of £1000 applicable for pre and post diagnostic consultations from a consultant for eligible treatment on your core health insurance, when you use a facility from your chosen Bupa network and a Bupa recognised consultant who agrees to charge within Bupa limits (a fee assured consultant).
Cover - Comp
Comprehensive
Paid in full applicable for pre and post diagnostic consultations from a consultant for eligible treatment on your core health insurance, when you use a facility from your chosen Bupa network and a Bupa recognised consultant who agrees to charge within Bupa limits (a fee assured consultant).
Physiotherapy consultant referred
Treatment & Care
No Cover
Cover - Comp 500
Comprehensive 500
Up to your annual combined out-patient benefit limit of £500 applicable for pre and post diagnostic consultations from a consultant for eligible treatment on your core health insurance, when you use a facility from your chosen Bupa network and a Bupa recognised consultant who agrees to charge within Bupa limits (a fee assured consultant).
Cover - Comp 750
Comprehensive 750
Up to your annual combined out-patient benefit limit of £750 applicable for pre and post diagnostic consultations from a consultant for eligible treatment on your core health insurance, when you use a facility from your chosen Bupa network and a Bupa recognised consultant who agrees to charge within Bupa limits (a fee assured consultant).
Cover - Comp1000
Comprehensive 1000
Up to your annual combined out-patient benefit limit of £1000 applicable for pre and post diagnostic consultations from a consultant for eligible treatment on your core health insurance, when you use a facility from your chosen Bupa network and a Bupa recognised consultant who agrees to charge within Bupa limits (a fee assured consultant).
Cover - Comp
Comprehensive
Paid in full applicable for pre and post diagnostic consultations from a consultant for eligible treatment on your core health insurance, when you use a facility from your chosen Bupa network and a Bupa recognised consultant who agrees to charge within Bupa limits (a fee assured consultant).
Physiotherapy GP referred
Cover - Treatment & Care
Paid in full
Cover - Comp 500
Comprehensive 500
Up to your annual combined out-patient benefit limit of £500 applicable for pre and post diagnostic consultations from a consultant for eligible treatment on your core health insurance, when you use a facility from your chosen Bupa network and a Bupa recognised consultant who agrees to charge within Bupa limits (a fee assured consultant).
Cover - Comp 750
Comprehensive 750
Up to your annual combined out-patient benefit limit of £750 applicable for pre and post diagnostic consultations from a consultant for eligible treatment on your core health insurance, when you use a facility from your chosen Bupa network and a Bupa recognised consultant who agrees to charge within Bupa limits (a fee assured consultant).
Cover - Comp1000
Comprehensive 1000
Up to your annual combined out-patient benefit limit of £1000 applicable for pre and post diagnostic consultations from a consultant for eligible treatment on your core health insurance, when you use a facility from your chosen Bupa network and a Bupa recognised consultant who agrees to charge within Bupa limits (a fee assured consultant).
Cover - Comp
Comprehensive
Paid in full applicable for pre and post diagnostic consultations from a consultant for eligible treatment on your core health insurance, when you use a facility from your chosen Bupa network and a Bupa recognised consultant who agrees to charge within Bupa limits (a fee assured consultant).
Psychiatric cover
Cover - Treatment & Care
Treatment & Care
Paid in full for eligible treatment on your core health insurance when you use a facility from your chosen Bupa network and a Bupa recognised consultant who agrees to charge within Bupa limits (a fee assured consultant)
Cover - Comp 500
Comprehensive 500
Up to your annual combined out-patient benefit limit of £500 applicable to out-patient treatment for eligible mental health treatment from a consultant or mental health and wellbeing therapist.
Cover - Comp 750
Comprehensive 750
Up to your annual combined out-patient benefit limit of £750 applicable to out-patient treatment for eligible mental health treatment from a consultant or mental health and wellbeing therapist.
Cover - Comp1000
Comprehensive 1000
Up to your annual combined out-patient benefit limit of £1000 for eligible mental health treatment from a consultant or mental health and wellbeing therapist.
Cover - Comp
Comprehensive
Paid in full for eligible mental health treatment from a consultant or mental health and wellbeing therapist.
Radiotherapy / Chemotherapy
Cancer - Cancer Cover
Cancer Cover option
Paid in full for eligible treatment such as surgery, chemotherapy, radiotherapy and bone marrow and stem cell transplants.
NHS Cancer Cover Plus
Paid in full for when cancer treatment such as radiotherapy, chemotherapy or surgical operation you need to treat your cancer is not available to you under the NHS.
Cancer - No Cancer Cover
Not covered
Scans - MRI / CT / PET
Cover - Treatment & Care
Treatment & Care - MRI, CT and PET scans
These are scans that your consultant may ask for to help them determine or inform your treatment. We will pay scanning facility charges for eligible MRI, CT and PET scans whilst you are being treated as an out-patient, day-patient or in-patient and within six months of the discharge date of your hospital treatment. Included in this are any charges for interpreting the results of your tests and scans
Cover - Comp
Cover - Comp1000
Cover - Comp 500
Cover - Comp 750
Paid in Full when using a recognised scanning facility charges for MRI, CT and PET scans. Included in this are any charges for interpreting the results of your scans

Key Facts - Additional Benefits

NHS cash benefit
Cover - Treatment & Care
NHS Cash Benefit
For in-patient treatment, you will receive £50 per night. Up to 35 nights
NHS Cancer Cover Cash Benefit
- £100 for each night of in-patient stay that you receive radiotherapy, chemotherapy or a surgical operation;
- £100 for each day you receive radiotherapy in a hospital setting;
- £100 for each day you receive IV-chemotherapy and for each three-weekly interval of oral chemotherapy or part thereof;
- £100 on the day of your surgical operation.
Cover - Comp
Cover - Comp1000
Cover - Comp 500
Cover - Comp 750
NHS Cash Benefit
For in-patient treatment, you will receive £50 per night up to 35 nights per year.
NHS Cancer Cover Cash Benefit
- £100 for each night of in-patient stay that you receive radiotherapy, chemotherapy or a surgical operation;
- £100 for each day you receive radiotherapy in a hospital setting;
- £100 for each day you receive IV-chemotherapy and for each three-weekly interval of oral chemotherapy or part thereof;
- £100 on the day of your surgical operation.
Nursing at home
Paid in full following private in-patient treatment that is covered under your policy. This benefit is subject to your consultant’s and Bupa’s approval
Certain eligible treatment such as chemotherapy could potentially be administered at your home instead of in a hospital. This benefit is subject to your consultant’s and Bupa’s approval. Paid in full
Parental accommodation
Up to 16 paid in full for one parent
Private ambulance
Up to £60 per journey with no annual limit for travel by private road ambulance if you need private day-patient treatment or in-patient treatment, and it is medically necessary for you to travel by ambulance.

Additional Benefits

Alcohol & drug abuse
Up to BUPA benefit limits & using a fee-assured consultant
Annual maximum limit
Up to BUPA benefit limits & using a fee-assured consultant
Children covered
21 years of age and unmarried (24 if in full time education)
Chiropractors & Osteopaths
Complementry Therapies - No
Not covered
Complementry Therapies - Yes
Up to a total combined amount of £350 each year (no separate limit per individual treatment) for.Acupuncture, osteopathy and chiropractic services
Dental treatment
Dental Cash - No
Not covered
Dental Cash - Dental Cover 10
Dental Cover 10

100% reimbursement for all NHS treatment charges for dental services: carried out in the UK by a dental professional: routine examination/check-up; X-rays; and scale and polish onsultations, including simple scale and polish and chronic periodontal treatment

100% reimbursement for all NHS treatment charges for dental treatment carried out in the UK by a dental professional: fillings (amalgam, composite anterior, composite posterior); root canal treatment; surgical treatment (extraction, surgical, extraction flap raised, apicectomy, incising of abscess, simple gingivectomy) crowns and bridges (inlay/onlay, veneer, full gold crown, porcelain crown, porcelain bonded to metal crown, bridge, adhesive bridge, cast post and core, prefabricated post and core, re-fix or re-cement of existing crown, re-cement of adhesive bridge, re-cement of any other bridge); dentures – acrylic/metal; partial/full; upper/lower (reline denture, addition of tooth, repair denture, occlusal splint); including anaesthetics fees.

100% reimbursement for all NHS treatment charges for temporary emergency dental treatment carried out in the UK by a dental professional, which is urgently required in order to alleviate pain, an inability to eat or any acute dental condition which presents an immediate and serious threat to general health: examinations; X-rays; extractions; root canal extirpation; initial relief treatment of dental or gingival infection; temporary filling, or provision of permanent filling if a temporary filling is not required; construction of temporary crown/bridge/veneer; recement of crown/inlay/bridge/veneer; temporary post and core, repair or replacement of orthodontic appliance; repair or adjustment to denture; other temporary emergency dental treatment as determined by the dentist.

100% reimbursement for all NHS treatment charges for Dental injury treatment that is carried out in the UK and is required as a result of an external impact.

Paid in full for Oral cancer treatment

Waiting periods apply:- Dental treatment and dental injury 4 months, Emergency dental treatment 14 days, Treatment for oral cancer 6 months
Dental Cash - Dental Cover 20
Dental Cover 20

Up to £150 each year dental services: carried out in the UK by a dental professional: routine examination/check-up; X-rays; and scale and polish onsultations, including simple scale and polish and chronic periodontal treatment

Up to 75% of your treatment costs to a total of £700 each year for dental treatment carried out in the UK by a dental professional: fillings (amalgam, composite anterior, composite posterior); root canal treatment; surgical treatment (extraction, surgical, extraction flap raised, apicectomy, incising of abscess, simple gingivectomy) crowns and bridges (inlay/onlay, veneer, full gold crown, porcelain crown, porcelain bonded to metal crown, bridge, adhesive bridge, cast post and core, prefabricated post and core, re-fix or re-cement of existing crown, re-cement of adhesive bridge, re-cement of any other bridge); dentures – acrylic/metal; partial/full; upper/lower (reline denture, addition of tooth, repair denture, occlusal splint); including anaesthetics fees.

Up to £600 per year for temporary emergency dental treatment carried out in the UK by a dental professional, which is urgently required in order to alleviate pain, an inability to eat or any acute dental condition which presents an immediate and serious threat to general health: examinations; X-rays; extractions; root canal extirpation; initial relief treatment of dental or gingival infection; temporary filling, or provision of permanent filling if a temporary filling is not required; construction of temporary crown/bridge/veneer; recement of crown/inlay/bridge/veneer; temporary post and core, repair or replacement of orthodontic appliance; repair or adjustment to denture; other temporary emergency dental treatment as determined by the dentist.

Up to £5,000 each year for dental injury treatment that is carried out in the UK and is required as a result of an external impact.

Paid in full for Oral cancer treatment

Waiting periods apply:- Dental treatment and dental injury 4 months, Emergency dental treatment 14 days, Treatment for oral cancer 6 months
Hospice donation
Not covered
Infertility investigations
Refer to you BUPA members guide
Maternity cash benefit
Not covered
Optional cash benefit
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
Exception 1: We pay for eligible treatment of the following conditions:
* miscarriage or when the foetus has died and remains with the placenta in the womb
* still birth
* hydatidiform mole (abnormal cell growth in the womb)
* foetus growing outside the womb (ectopic pregnancy)
* heavy bleeding in the hours and days immediately after childbirth (post-partum haemorrhage)
* afterbirth left in the womb after delivery of the baby (retained placental membrane)
* complications following any of the above conditions
Exception 2: We may pay for the delivery of a baby by caesarean section only when the life of the member (mother) is in immediate danger or would be put at direct risk by vagina delivery. However, we need full clinical details from your consultant before we can give our decision.
Exception 3: We pay for eligible treatment of an acute condition of the member (mother) that relates to pregnancy or childbirth but only if all the following apply:
* the treatment is required due to a flare-up of the medical condition, and
* the treatment is likely to lead quickly to a complete recovery or to you being restored fully to your state of health prior to the flare-up of the condition without you needing to receive prolonged treatment.
Transplants
Not covered
Other benefits
 
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