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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.
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In-patient and Day-patient Cover
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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
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MRI, CT, PET scans
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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
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Full Cancer Cover
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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
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NHS Hospital Cash Benefit
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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
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Childbirth Cash Benefit
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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
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Pregnancy Complications
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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
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Oral Surgery
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We cover a range of surgical procedures including removal
of impacted teeth, buried roots and complicated roots.
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Home Nursing
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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
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Private Ambulance
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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
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Parent Accommodation
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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
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Assistance at Home
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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.
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Lifestyle Surgery
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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.