Corporate Healthcare Core Cover

Your clients health insurance plan begins with Core Cover - then they can add cover options to create a plan that's just right for them.

In-patient and Day-patient Cover

Our core In-patient and Day-patient cover includes the following:

Hospital fees

Our cover includes:

  • Overnight stays
  • Nursing
  • Drugs your client's employees might need while in hospital
  • Intensive care treatment
  • Operating theatre charges

 

Specialist fees

As long as the employee's specialist is registered with an accredited body and recognised by us, we pay the in-patient and day-patient fees in full. So they won't be asked to make up any shortfall. We're the only health insurer to do this.

Diagnostic tests

We'll pay for any diagnostics tests that your client's employees might need while they're in hospital. 

Option flexibility for In-patient and Day-patient cover:

  • Limit of up to £2,000 in increments of £50
MRI, CT, PET scans

If your client's employees are staying in hospital, we will pay for any MRI, CT and PET scans they might need.  And we'll cover these scans as an out-patient if they are referred by their specialist.

 

Option flexibility:

  • Limit of up to £2,000 in increments of £50
Full Cancer Cover

If your client's employees are diagnosed with cancer, we'll cover them for all in-patient and out-patient costs relating to their treatment, including:

  • Radiotherapy, chemotherapy and follow-up consultations
  • Biological therapies
  • Hormone and bisphosphonate therapies
  • Cancer surgery and reconstructive surgery
  • Stem cell transplantation

 

If their cancer is no longer treatable, we will continue to provide them with the care that is needed to relieve any symptoms and to make them as comfortable as possible.

 

Everyone starts with Full Cancer Cover however your clients can downgrade this to Core Cancer Cover. 

 

Option flexibility:

  • Exclude
  • Core Cancer Cover
  • In-patient: limit up to £250,000 in increments of £1,000
  • Out-patient: limit up to £10,000 in increments of £500

 

Our cancer cover explained

NHS Hospital Cash Benefit

If your client's employees choose to have NHS treatment rather than being treated privately through their plan, they could claim back a cash amount:

  • £250 for each night they stay in an NHS hospital (up to £2,000 per plan year)
  • £125 for day-patient treatment (up to £500 per plan year)

 

Option flexibility:

  • Exclude
  • Reduce the night limit in multiples of £50 to £0
  • Reduce the per day limit in multiples of £25 to £0
  • Increase the overall limit in increments of £500 to a maximum of £10,000
Childbirth Cash Benefit

If your client's employees have a child and they've been covered on the plan for at least 10 months, we'll give them £100 whenever they have a child. We pay once per child, even if both parents are covered on the plan.

 

Option flexibility:

  • Exclude or limit up to £250 in increments of £50
Pregnancy Complications

We cover In-patient and Day-patient treatment if your client's employees suffer from:

  • ectopic pregnancy
  • miscarriage
  • missed abortion
  • still birth
  • post partum haemorrhage
  • retained placental membrane
  • hydatidiform mole

 

Option flexibility:

  • Cover for a medically necessary caesarean section in a private facility
Oral Surgery

We cover a range of surgical procedures including removal of impacted teeth, buried roots and complicated roots.

Home Nursing

If your client's employees specialist recommends it, we'll cover their home nursing costs to help them get back on their feet after a stay in hospital.

 

Option flexibility:

  • Exclude or limit up to £5,000 in increments of £100
Private Ambulance

Your client's employees are covered for a private vehicle to take them between hospitals if it's medically necessary.

 

Option flexibility:

  • Exclude or limit up to £5,000 in increments of £100
Parent Accommodation

Some of your client's employees might have a child under 14 on their plan. If the child needs to stay in hospital overnight, we pay for hospital accommodation so that a parent can stay with them.

 

Option flexibility:

  • Exclude or flex the age limit between 12 - 17 years
Assistance at Home

If your client's employees have been in hospital for more than 72 hours, for any condition eligible on their plan, they'll be entitled to Assistance at Home. From cleaning, to help getting in and out of bed, Assistance at Home will allow them to recover where they're most comfortable. The maximum benefit entitlement, subject to a needs assessment, is two weeks per hospitalisation, with up to two hours' care per day. Six weeks benefit in total is available per plan year.

Lifestyle Surgery

These benefits are available for groups of 20 employees or more and will require a member co-payment of 25% of the retail rate for the initial consultation and following treatment.

 

Corrective surgery

Procedures covered Criteria
Removal of port wine birthmarks on the face Age < 5 years - maximum of 10 treatments
Ear shaping (otoplasty) Age 5-14 years
Breast reduction BMI <27 and under 21 years of age
Gynaecomastia BMI <27 and under 21 years of age

 
Weight loss surgery

 

Cover will be available for Gastric banding and Gastric bypass

Surgery will be available to members with a BMI of 35 or greater (with a co-morbidity) or BMI 40+ (with no co-morbidity), subject to clinical approval.

Cover options

Your clients can choose other cover options for their plan. This means they can create a plan to suit their needs and budget.

Rewards for healthy living with Vitality

We help your client's employees understand their health, and suggest ways they can improve it. We make it easier and cheaper for them to get healthy. And, to keep them motivated, we give them rewards for making positive changes to their health.