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AXA health - Health For You

AXA PPP's Personal Health also features a range of options, including:

• Choice of Out-patient Options, offering unlimited or up to three specialist consultations a year
• Therapies Option - for out-patient treatment by physiotherapists, osteopaths and chiropractors
• Mental Health Option - for psychiatric treatment
• Dentist and Optician Cashback Option
• Extended Cover Option - with new benefits such as up to £500 per year for private GP consultations
• European or Worldwide Travel Cover Options.

The policy offers telephone access to information and guidance from AXA PPP's team of nurses, pharmacists, midwives and counsellors

Benefits

Options
Standard Out-patient Table All Yes No
Full Out-patient Table All Yes No
Therapies Table All Yes No
Mental Health Table All Yes No
Private GP Cover Option All Yes No
Dentist and Optician Cashback All Yes No
NHS Cancer Support All Yes No
Annual Travel All Yes No
Six Week Option All Yes No

Key Facts - In-patient & Day Case Charges

Hospital accommodation charges including theatre fees, nursing costs, prosthesis, in-patient drugs & dressings
Paid in full so long as you use a hospital or day-patient unit in your Directory of Hospitals
Surgeon / Consultant / Specialist & Anaesthetists fees
Paid in full so long as you use a hospital or day-patient unit in your Directory of Hospitals
Physicians fees & diagnostic tests
Paid in full so long as you use a hospital or day-patient unit in your Directory of Hospitals
Cancer Treatment Costs - Chemotherapy / Radiotherapy
NHS Cancer Support - No
Paid in full so long as you use a hospital or day-patient unit in your Directory of Hospitals
NHS Cancer Support - Yes
NHS Cancer Support
Use the NHS for cancer treatment.
-If you have NHS Cancer Support we will not pay for the treatment of cancer. You will need to use the NHS, or pay for the costs of treatment yourself.
-If however you are having NHS treatment and your specialist wants you to have a licensed cancer drug which the NHS won’t pay for, we will pay for that drug and the cost of the drug to be given to you.
Psychiatric treatment
Mental Health Table - No
Not covered
Mental Health Table - Yes
Psychiatric treatment, including accommodation, diagnostics tests and drugs, are paid for 30 days a year at a hospital or day-patient unit in our hospital list.
Six week option
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.
Immediate cover - AXA will pay for the following surgical procedures on an in-patient basis regardless of the fact that treatment could be obtained on the NHS within six weeks of the specialist confirming that this is needed:
* varicose veins surgery
* tonsillectomy
* insertion of grommets
* removal of bunions (hallux valgus)
* removal of gall bladder - (laparoscopic chlolecystectomy)
* haemorrhoidectomy
* adenoidectomy
* correction of squint
* cataract surgery
Six Week Option - No
Available but not selected

Key Facts - Out-patient Charges

Complementary medicine
Therapies Table - No
Not covered
Therapies Table - Yes
No yearly limit (up to an overall max of 10 sessions in a year when your GP refers you for treatment with a complementary practitioner or Physiotherapist) Further sessions can be granted (as long as AXA agree them first) when your specialist refers you.
Diagnostic tests (excluding scans)
Standard Out-patient Table - Yes
Standard out-patient
3 Specialist consultations (combine overall number of consultation)
Full Out-patient Table - Yes
Add-on 3 - Full out-patient
No annual maximum for Specialist consultations and diagnostic tests
GP referred consultations
Standard Out-patient Table - Yes
Standard out-patient
3 Specialist consultations (combine overall number of consultation)
Full Out-patient Table - Yes
Add-on 3 - Full out-patient
No annual maximum
Physiotherapy consultant referred
Therapies Table - No
Not covered
Therapies Table - Yes
No yearly limit per person per policy (Max of 10 sessions of treatment a year for GP referred treatment with a complementary practitioner or Physiotherapist Chiropractors, Osteopathy) Any further treatment must be under the control of a Specialist
Physiotherapy GP referred
Therapies Table - No
Not covered
Therapies Table - Yes
£500 yearly limit (up to an overall max of 10 sessions in a year when your GP refers you for treatment with a complementary practitioner or Physiotherapist) Further sessions can be granted (as long as AXA agree them first) when your specialist refers you.
Psychiatric cover
Mental Health Table - No
Not covered
Mental Health Table - Yes
Combined yearly limit of £1,000 for:
-Specialist consultations for psychiatric treatment
-Psychiatric treatment by psychologists and cognitive behavioral therapists, so long as a specialist refers you.
Radiotherapy / Chemotherapy
NHS Cancer Support - No
Paid in full so long as you use a hospital or day-patient unit in your Directory of Hospitals
NHS Cancer Support - Yes
NHS Cancer Support
Use the NHS for cancer treatment.
-If you have NHS Cancer Support we will not pay for the treatment of cancer. You will need to use the NHS, or pay for the costs of treatment yourself.
-If however you are having NHS treatment and your specialist wants you to have a licensed cancer drug which the NHS won’t pay for, we will pay for that drug and the cost of the drug to be given to you.
Scans - MRI / CT / PET
Full refund for MRI, CT and PET scans if carried out at a scanning centre listed in the directory of hospitals
£50 cash benefit for CT, MRI, PET scans not in Directory
Surgical Procedures
Full refund for out-patient surgery

Key Facts - Additional Benefits

NHS cash benefit
£50 a day up to £2,000 a year NHS cash benefit for radiotherapy/chemotherapy
Nursing at home
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
Full cover (child up to 16 years old)
Private ambulance
Paid in full If you are having private in-patient or day-patient treatment and it is medically necessary to use a road ambulance to transport you to another medical facility.

Additional Benefits

Alcohol & drug abuse
Not covered
Annual maximum limit
No annual maximum
Children covered
21 years of age or 25 if still in full time education (or on marriage)
Chiropractors & Osteopaths
Therapies Table - No
Not covered
Therapies Table - Yes
£500 yearly limit (up to an overall max of 10 sessions in a year when your GP refers you for treatment with a complementary practitioner or Physiotherapist) Further sessions can be granted (as long as AXA agree them first) when your specialist refers you.
Dental treatment
Dentist and Optician Cashback - No
Not covered
Dentist and Optician Cashback - Yes
Add-on 7 - Dentist and Optician Cashback Benefit
Dental: 80% of the costs up to £400 a year
Hospice donation
Charitable donation to a hospice of £100 a night for end of life care as an in-patient or at home. We will pay for external prostheses, up to £5,000 a year, and wigs up to £150 a year
Infertility investigations
Not covered
Maternity cash benefit
Not covered
Optional cash benefit
Dentist and Optician Cashback - No
Not covered
Dentist and Optician Cashback - Yes
Add-on 7 - Dentist and Optician Cashback Benefit
* Dental care: 80% of the costs incurred will be paid, up to £400 each year
* Optical cover: 80% of the costs incurred will be paid, up to £200 every years for prescribed spectacles and contact lenses needed to correct vision
* Eye test: Up to £25 each year for an eye test
Out of pocket expenses
Not covered
Overseas cover
Annual Travel - No
Not covered
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
Transplants
Not covered
Other benefits
Private GP Cover Option - Yes
Private GP Cover Option
- Up to £500 a year for fees for visits to a private GP for consultations
- Up to five consultations a year with a Doctor@Hand GP
 
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