PruHealth is committed to providing our members with access to high quality, affordable healthcare.
We offer our members full refund for eligible professional fees which means we will never pass on a shortfall in respect of your procedure fees.
However, we regularly undertake benchmarking reviews to identify fees that we believe are reasonable and customary for the service provided and that reflect current clinical best practice and market rates. If we believe that your fees are not in line with these guidelines, we would seek to work with you to agree reimbursement that is mutually acceptable and enables us to continue to offer the best possible service to our members.
The following pages provide further information about our benchmarking exercise, rates for specific procedures and our recognition criteria.