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AXA health - Business Health

With Business Health, you build your plan around the benefits that are right for your business and your budget. So there’s no paying for cover you don’t want*. Below is a summary of our cover.

Benefits

Treatment Option All Yes No
Diagnostics Only All Yes No
Standard Out-patient All Yes No
Enhanced Out-patient All Yes No
Full Out-patient All Yes No
Therapies All Yes No
Mental Health All Yes No
Dentist and Optician Cashback All Yes No
Cancer Cover All Comprehensive NHS Cancer Support No Covered
Annual Travel All WorldWide Europe No
Extended Cover All Yes No
Private GP All Yes No
Employee Assistance Program All Essential Premier No

Key Facts - In-patient & Day Case Charges

Hospital accommodation charges including theatre fees, nursing costs, prosthesis, in-patient drugs & dressings
Treatment Option - Yes
Paid in full, as long as your employee uses a hospital or day-patient unit in our Directory of Hospitals
Extended Cover - Yes
Extended Cover
Extra cover for treatment at any hospital, day-patient unit or scanning centre in the UK that’s not listed in our Directory of Hospitals. Paid in full up to the normal daily rates published and charged by the facility
Diagnostics Only - Yes
Not covered
Surgeon / Consultant / Specialist & Anaesthetists fees
Treatment Option - Yes
No annual maximum
Extended Cover - Yes
Extended Cover
Extra cover for a wider choice of fee-limited specialists, paid in full
Diagnostics Only - Yes
Not covered
Physicians fees & diagnostic tests
Treatment Option - Yes
Paid in full, as long as your employee uses a hospital or day-patient unit in our Directory of Hospitals
Extended Cover - Yes
Extended Cover
Extra cover for a wider choice of fee-limited specialists, paid in full
Diagnostics Only - Yes
Not covered
Cancer Treatment Costs - Chemotherapy / Radiotherapy
Cancer Cover - Comprehensive
Comprehensive Cancer
includes treatment of cancer including surgery, radiotherapy and chemotherapy
Cancer Cover - NHS Cancer Support
NHS Cancer Support
Does not cover private cancer treatment so you'll use the NHS instead, or pay for the treatment yourself. During treatment, if your specialist wants to use a licensed cancer drug which is approved for your treatment but the NHS won't pay for, we'll pay for that drug and the cost of giving you the drug. (This doesn't include out-patient drugs as they aren't covered).
Cancer Cover - No Covered
Not available
Psychiatric treatment
Mental Health - No
Not covered
Mental Health - Yes
Private hospital and day-patient unit fees for psychiatric treatment, including accommodation, diagnostic test and drugs, Paid in full at hospital or day-patient unit in our Directory of Hospitals. Specialist fees for psychiatric treatment, no yearly limit
Six week option
Not covered

Key Facts - Out-patient Charges

Complementary medicine
Therapies - No
Not covered
Therapies - Yes
Therapies
Fees for out-patient treatment by a therapist (physiotherapist, osteopath or chiropractor), homeopath or acupuncturist No yearly limit:
Up to a maximum of 10 sessions in a year when your GP refers you, or for physiotherapist, osteopath and chiropractor treatment when you have treatment through our Working Body team. Further sessions (as long as we agree them first) when the specialist refers you or your employee
Diagnostic tests (excluding scans)
Diagnostics Only - Yes
Diagnostic tests when your specialist refers you, No yearly limit
Standard Out-patient - Yes
Enhanced Out-patient - Yes
Full Out-patient - Yes
Diagnostic tests when your specialist refers you, No yearly limit
GP referred consultations
Diagnostics Only - Yes
GP Referred specialist consultations, Up to 2 consultations a year
Standard Out-patient - Yes
GP Referred specialist consultations, Up to 2 consultations a year
Enhanced Out-patient - Yes
GP Referred specialist consultations, Up to 4 consultations a year
Full Out-patient - Yes
GP Referred specialist consultations, No yearly limit
Physiotherapy consultant referred
Therapies - No
Not covered
Therapies - Yes
Therapies
Fees for out-patient treatment by a physiotherapist No yearly limit:
Up to a maximum of 10 sessions in a year when your GP refers you, or for physiotherapist,treatment when you have treatment through our Working Body team. Further sessions (as long as we agree them first) when the specialist refers you or your employee
Physiotherapy GP referred
Therapies - No
Not covered
Therapies - Yes
Therapies
Fees for out-patient treatment by a physiotherapist No yearly limit:
Up to a maximum of 10 sessions in a year when your GP refers you, or for physiotherapist,treatment when you have treatment through our Working Body team. Further sessions (as long as we agree them first) when the specialist refers you or your employee
Psychiatric cover
Mental Health - No
Not covered
Mental Health - Yes
Specialist consultations for psychiatric treatment, no yearly limit
Psychiatric treatment by psychologists and cognitive behavioral therapists, no yearly limit
Counselling sessions through Stronger Minds – full details can be found in the members hand book
Radiotherapy / Chemotherapy
Cancer Cover - No Covered
Not available
Cancer Cover - Comprehensive
Comprehensive Cancer
includes treatment of cancer including surgery, radiotherapy and chemotherapy
Cancer Cover - NHS Cancer Support
NHS Cancer Support
Does not cover private cancer treatment so you'll use the NHS instead, or pay for the treatment yourself. During treatment, if your specialist wants to use a licensed cancer drug which is approved for your treatment but the NHS won't pay for, we'll pay for that drug and the cost of giving you the drug. (This doesn't include out-patient drugs as they aren't covered).
Scans - MRI / CT / PET
Treatment Option - Yes
Paid in full at a scanning centre, or a hospital listed as a scanning centre, in our Directory of Hospitals
Diagnostics Only - Yes
Paid in full at a scanning centre, or hospital listed as a scanning centre, in our Directory of Hospitals
Paid for a scanning centre not in our Directory of Hospitals up to the normal daily rates
Extended Cover - Yes
Extended Cover
Extra cover for treatment at any hospital, day-patient unit or scanning centre in the UK that’s not listed in our Directory of Hospitals. Paid in full up to the normal daily rates published and charged by the facility
Surgical Procedures
Diagnostics Only - Yes
Full refund for out-patient surgery
Treatment Option - Yes
Full refund for out-patient surgery, as long as your employee uses a hospital or day-patient unit in our Directory of Hospitals

Key Facts - Additional Benefits

NHS cash benefit
Diagnostics Only - Yes
Not available
Treatment Option - Yes
Cash payment when you have free in-patient treatment under the NHS, £100 a night up to £2,000 a year
Cancer Cover - Comprehensive
Cash payment for out-patient or day-patient radiotherapy or chemotherapy free on the NHS (Comprehensive Cancer Cover only), £50 a day up to £2,000 a year
Nursing at home
Treatment Option - Yes
Paid in full (for the administration of intravenous chemotherapy for the treatment of cancer or intravenous antibiotics which otherwise would require you to be admitted for in-patient treatment or day-patient treatment)
Treatment Option - No
Not covered
Parental accommodation
Diagnostics Only - Yes
Not covered
Treatment Option - Yes
Hospital accommodation for one parent when their child under 16 is covered by the plan and is receiving eligible treatment, Paid in full
Primary care
Private GP - Yes
Private GP Option
Fees for visits to a private GP for consultations, up to £500 a year
Unlimited video or telephone consultations with Doctor@Hand, an online private GP – this service is provided by Doctor Care Anywhere
Private ambulance
Treatment Option - Yes
Ambulance transport to another medical facility if your employee is receiving private treatment, Paid in full
Diagnostics Only - Yes
Not available

Additional Benefits

Alcohol & drug abuse
Not covered
Annual maximum limit
No annual maximum within your overall policy benefit allowance
Children covered
Unmarried children can stay on the policy up to the renewal date following their 30th birthday irrespective of full-time education
Chiropractors & Osteopaths
Therapies - No
Not covered
Therapies - Yes
Therapies
Fees for out-patient treatment by a therapist (osteopath or chiropractor) No yearly limit:
Up to a maximum of 10 sessions in a year when your GP refers you, or for osteopath and chiropractor treatment when you have treatment through our Working Body team. Further sessions (as long as we agree them first) when the specialist refers you or your employee
Dental treatment
Not covered
Dentist and Optician Cashback - Yes
Dentist and Optician Cashback Benefit
Dental: 80% of the costs up to £400 a year
Treatment Option - Yes
Paid in full so long as you use a facility that we have an agreement with covering oral surgery
Extended Cover - Yes
Paid in full at a facility we don’t have an agreement with, up to the normal daily rate.
GP minor surgery
Private GP - No
Not covered
Private GP - Yes
Private GP Option
Fees for visits to a private GP for consultations, up to £500 a year
GP Referred Chiropody, Podiatry or Homeopathy
Therapies - No
Not covered
Therapies - Yes
Therapies
Fees for out-patient treatment by a therapist (physiotherapist, osteopath or chiropractor), homeopath or acupuncturist No yearly limit:
Up to a maximum of 10 sessions in a year when your GP refers you, or for physiotherapist, osteopath and chiropractor treatment when you have treatment through our Working Body team. Further sessions (as long as we agree them first) when the specialist refers you or your employee
Hospice care cash benefit
Not covered
Extended Cover - Yes
We will make a donation of £100 for every night you spend in a hospice or have hospice at home care.
Infertility investigations
Not covered
Maternity cash benefit
Not covered
Optional cash benefit
Dentist and Optician Cashback - No
Not covered
Dentist and Optician Cashback - Yes
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 - Europe
Travel Cover
European including cover for private medical and travel insurance for employees who travel abroad for business or leisure.
A comprehensive range of medical and travel-related benefits, including cover for on-piste skiing
* Any costs incurred when travelling against Foreign and Commonwealth Office advice
* The member must be fit to travel. Claims relating to a member’s psychiatric illness or terminal illness are not covered. Most other pre-existing conditions are covered. Please see the membership handbook for full detail
Annual Travel - WorldWide
Travel Cover
Worldwide including cover for private medical and travel insurance for employees who travel abroad for business or leisure.
A comprehensive range of medical and travel-related benefits, including cover for on-piste skiing
* Any costs incurred when travelling against Foreign and Commonwealth Office advice
* The member must be fit to travel. Claims relating to a member’s psychiatric illness or terminal illness are not covered. Most other pre-existing conditions are covered. Please see the membership handbook for full detail
Extended Cover - Yes
Extended Cover
Extra cover for planned, pre-approved treatment outside of the UK, Up to the cost we would pay for equivalent treatment in the UK
Personal & total disability benefit
Not covered
Post hospital recovery bonus
Not covered
Pregnancy
As pregnancy and childbirth are not medical conditions and because the NHS provides for them, our cover is limited.
We don’t cover the normal checks or other interventions, such as monitoring and screening, that you will have during pregnancy and birth. However, if you develop a medical condition while pregnant or giving birth, we may cover it.
What is covered?
We will cover the additional costs for treatment of medical conditions that arise during pregnancy or childbirth. For example:
* ectopic pregnancy (pregnancy where the embryo or foetus grows outside the womb)
* hydatidiform mole (abnormal cell growth in the womb)
* retained placenta (afterbirth retained in the womb)
* placenta praevia
* diabetes (If you have exclusions because of your past medical history related to diabetes, then you will not be covered for any treatment
* post partum haemorrhage (heavy bleeding in the hours and days immediately after
* miscarriage requiring immediate surgical treatment)
Stress counselling helpline
Employee Assistance Program - No
Not available
Employee Assistance Program - Essential
EAP Essential
Unlimited 24/7 access to phone support for psychological and mental-health conditions, including a fully qualified counsellor just a phone call away or on email
Access to our LifeManagementTM services for help with everyday struggles like debt, childcare provision, relationship problems and legal issues, or for support during life-changing events like bereavement
Online information and guidance for your team through a dedicated website
Employee Assistance Program - Premier
EAP Premier
Unlimited 24/7 access to phone support for psychological and mental-health conditions, including a fully qualified counsellor just a phone call away or on email
Access to our LifeManagementTM services for help with everyday struggles like debt, childcare provision, relationship problems and legal issues, or for support during life-changing events like bereavement
Online information and guidance for your team through a dedicated website
plus:
* Up to eight sessions of face-to-face counselling with a clinical specialist per team member
* Structured online live-chat counselling
* Referral to a psychologist in complex cases
* Support for your managers to help them to meet day-to-day team challenges
Transplants
Not covered
Other benefits
Extended Cover - Yes
Extended Cover
Routine management of specified chronic conditions including: asthma, diabetes, epilepsy, high blood pressure, osteoarthritis, rheumatoid arthritis, thyroid problems, angina, ulcerative colitis and heart valve problems
 
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