Key Facts - In-patient & Day Case Charges |
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| Hospital accommodation charges including theatre fees, nursing costs, prosthesis, in-patient drugs & dressings |
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Full refund (within Groupama's fee schedule limits) |
| Surgeon / Consultant / Specialist & Anaesthetists fees |
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Full refund (within Groupama's fee schedule limits) |
| Physicians fees & diagnostic tests |
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Full refund |
| Cancer Treatment Costs - Chemotherapy / Radiotherapy |
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Full refund |
| Psychiatric treatment |
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Up to 35 days for in-patient Psychiatric pa |
Key Facts - Out-patient Charges |
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| Complementary medicine |
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Full refund for Chiropractic, Osteopathy and Podiatry (only after GP referral to Consultant / Specialist) max 12 sessions |
| Diagnostic tests (excluding scans) |
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Full refund |
| GP referred consultations |
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Full refund (GP referral required) |
| Physiotherapy consultant referred |
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Full refund (GP referral required) |
| Physiotherapy GP referred |
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Full refund (GP referral required) |
| Psychiatric cover |
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£1,000 per person (pa) |
| Radiotherapy / Chemotherapy |
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Full refund |
| Scans - MRI / CT / PET |
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Full refund |
| Surgical Procedures |
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Full refund on Specialist referral |
Key Facts - Additional Benefits |
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| NHS cash benefit |
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£150 per night (all bands) - maximum 28 days pa |
| Nursing at home |
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Full refund up to a max of 13 weeks (on Specialist recommendation) |
| Parental accommodation |
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Child under 16 - All bands £80 per night |
| Private ambulance |
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Full refund |
Additional Benefits |
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| Alcohol & drug abuse |
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Not covered |
| Annual maximum limit |
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No annual maximum |
| Children covered |
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Up to age 25 and unmarried |
| Chiropractors & Osteopaths |
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Full refund for Acupuncture, Homeopathy, Chiropractic, Osteopathy and Podiatry (GP referred) - max of 12 sessions pa |
| Dental treatment |
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Oral surgery only - Full refund for in-patient. |
| Hospice donation |
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Not covered |
| Infertility investigations |
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Not covered |
| Maternity cash benefit |
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£200 per child |
| Optional cash benefit |
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Not covered |
| Out of pocket expenses |
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Not covered |
| Overseas cover |
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Not covered |
| Personal & total disability benefit |
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Not covered |
| Post hospital recovery bonus |
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Not covered |
| Pregnancy |
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Cover for specified abnormalities of pregnancy and childbirth |
| Transplants |
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Covered for bone marrow and stem cell transplants as part of our cancer cover |
| Other benefits |
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GP completing claim forms and medical reports - £25 per item |
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£150 pa for Specialist monitoring of a chronic condition |
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£100 per procedure for GP minor surgery |
Registration 
