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AXA health - Advance

Corporate Health Plan is a medical insurance plan for large corporates with 50+ employees

Benefits

Options
6 week option	All Yes No
cancer options	All Enhanched Standard Diagnosis Only

Key Facts - In-patient & Day Case Charges
Hospital accommodation charges including theatre fees, nursing costs, prosthesis, in-patient drugs & dressings
	No annual maximum
Surgeon / Consultant / Specialist & Anaesthetists fees
	No annual maximum
Physicians fees & diagnostic tests
	No annual maximum
Cancer Treatment Costs - Chemotherapy / Radiotherapy
cancer options - Enhanched	Cancer Cover - Enhanced cancer cover – offered as standard
cancer options - Standard	Cancer Cover - Standard cancer cover – with a time limit of 12 months for biological therapies
cancer options - Diagnosis Only	Cancer Cover - Cover for cancer diagnosis only
Psychiatric treatment
	No annual maximum
Six week option
6 week option - Yes	Six week rule - if the NHS can not provide treatment within six weeks after the date on which treatment should be undertaken then private treatment can be sort.
6 week option - No	Available but not selected
Key Facts - Out-patient Charges
Complementary medicine
	No annual maximum For GP referred Physiotherapy and/or complementary therapy Cover level 1 = max of 20 sessions pa Cover level 2 = max of 10 sessions pa
Diagnostic tests (excluding scans)
	No annual maximum
GP referred consultations
	No annual maximum
Physiotherapy consultant referred
	No annual maximum
Physiotherapy GP referred
	No annual maximum For GP referred Physiotherapy and/or complementary therapy Cover level 1 = max of 20 sessions pa Cover level 2 = max of 10 sessions pa
Psychiatric cover
	No annual maximum
Radiotherapy / Chemotherapy
cancer options - Enhanched	Cancer Cover - Enhanced cancer cover – offered as standard
cancer options - Standard	Cancer Cover - Standard cancer cover – with a time limit of 12 months for biological therapies
cancer options - Diagnosis Only	Cancer Cover - Cover for cancer diagnosis only
Scans - MRI / CT / PET
	Paid in full
Key Facts - Additional Benefits
NHS cash benefit
	Day-patient and out-patient radiotherapy and chemotherapy £50 per day plus £50 per night in-patient stay (up to £5,000 per year)
Nursing at home
	Paid in full (for administration of intravenous chemotherapy or intravenous antibiotics which would otherwise require the member to be admitted for in-patient or day-case treatment)
Parental accommodation
	Paid in full (child under 14)
Primary care
	Not covered
Private ambulance
	Paid in full
Additional Benefits
Alcohol & drug abuse
	Paid in full
Annual maximum limit
	No annual maximum
Children covered
	Unmarried children cannot stay on the policy after the renewal date following their 21st birthday
Chiropractors & Osteopaths
	No annual maximum For GP referred Physiotherapy and/or complementary therapy Cover level 1 = max of 20 sessions pa Cover level 2 = max of 10 sessions pa
Dental treatment
	Specified oral surgical procedures only
Discretionary Benefit Option (DBO)
	Not applicable
GP minor surgery
	No annual maximum
GP Referred Chiropody, Podiatry or Homeopathy
	No annual maximum For GP referred Physiotherapy and/or complementary therapy Cover level 1 = max of 20 sessions pa Cover level 2 = max of 10 sessions pa
Hospice donation
	£100 a night to a hospice charity when terminal patients are receiving hospice care. No maximum.
Infertility investigations
	Not covered
Maternity cash benefit
	Not covered
Optional cash benefit
	Not covered
Out of pocket expenses
	Not covered
Overseas cover
	Paid in full (overseas evacuation or repatriation service) Overseas immediate emergency in-patient treatment cover up to £40,000 pa (cover level 2) and £100,000 pa (cover level 1)
Personal & total disability benefit
	Not covered
Post hospital recovery bonus
	Not covered
Pregnancy
	Limited conditions
Stress counselling helpline
	Telephone counselling, unlimited calls
Transplants
	Not covered
Other benefits
	Heart and Cancer Commitment * £5,000 for external prostheses (such as limbs) and up to £150 for wigs. * Axa PPP will consider requests for experimental surgery which will be reviewed by our clinical team. * If experimental drug treatment is needed then we will cover it if it is part of an ethical trial and pre agreed by us. In addition injectable hormone treatment and bisphosphonate treatment used to manage cancer will be fully covered while active treatment is being received. * Access to a dedicated heart nurse * No time limits for ongoing check ups following heart surgery * Full refund on palliative care
	AXA PPP publish a document called the ‘schedule of procedures and fees’ which sets out what they will pay specialists, complementary practitioners and clinical practitioners, for the services they provide to their customers. AXA PPP will pay eligible fees in full when a specialist, complementary practitioner or clinical practitioner charges up to the level shown within the schedule of procedures and fees. This is available on their website: www.axappphealthcare.co.uk or by contacting their Personal Advisory Team

Key Facts - In-patient & Day Case Charges

Hospital accommodation charges including theatre fees, nursing costs, prosthesis, in-patient drugs & dressings

No annual maximum

Surgeon / Consultant / Specialist & Anaesthetists fees

No annual maximum

Physicians fees & diagnostic tests

No annual maximum

Cancer Treatment Costs - Chemotherapy / Radiotherapy

cancer options - Enhanched

Cancer Cover - Enhanced cancer cover – offered as standard

cancer options - Standard

Cancer Cover - Standard cancer cover – with a time limit of 12 months for biological therapies

cancer options - Diagnosis Only

Cancer Cover - Cover for cancer diagnosis only

Psychiatric treatment

No annual maximum

Six week option

6 week option - Yes

Six week rule - if the NHS can not provide treatment within six weeks after the date on which treatment should be undertaken then private treatment can be sort.

6 week option - No

Available but not selected

Key Facts - Out-patient Charges

Complementary medicine

No annual maximum
For GP referred Physiotherapy and/or complementary therapy
Cover level 1 = max of 20 sessions pa
Cover level 2 = max of 10 sessions pa

Diagnostic tests (excluding scans)

No annual maximum

GP referred consultations

No annual maximum

Physiotherapy consultant referred

No annual maximum

Physiotherapy GP referred

No annual maximum
For GP referred Physiotherapy and/or complementary therapy
Cover level 1 = max of 20 sessions pa
Cover level 2 = max of 10 sessions pa

Psychiatric cover

No annual maximum

Radiotherapy / Chemotherapy

cancer options - Enhanched

Cancer Cover - Enhanced cancer cover – offered as standard

cancer options - Standard

Cancer Cover - Standard cancer cover – with a time limit of 12 months for biological therapies

cancer options - Diagnosis Only

Cancer Cover - Cover for cancer diagnosis only

Scans - MRI / CT / PET

Paid in full

Key Facts - Additional Benefits

NHS cash benefit

Day-patient and out-patient radiotherapy and chemotherapy £50 per day plus £50 per night in-patient stay (up to £5,000 per year)

Nursing at home

Paid in full (for administration of intravenous chemotherapy or intravenous antibiotics which would otherwise require the member to be admitted for in-patient or day-case treatment)

Parental accommodation

Paid in full (child under 14)

Primary care

Not covered

Private ambulance

Paid in full

Additional Benefits

Alcohol & drug abuse

Paid in full

Annual maximum limit

No annual maximum

Children covered

Unmarried children cannot stay on the policy after the renewal date following their 21st birthday

Chiropractors & Osteopaths

No annual maximum
For GP referred Physiotherapy and/or complementary therapy
Cover level 1 = max of 20 sessions pa
Cover level 2 = max of 10 sessions pa

Dental treatment

Specified oral surgical procedures only

Discretionary Benefit Option (DBO)

Not applicable

GP minor surgery

No annual maximum

GP Referred Chiropody, Podiatry or Homeopathy

No annual maximum
For GP referred Physiotherapy and/or complementary therapy
Cover level 1 = max of 20 sessions pa
Cover level 2 = max of 10 sessions pa

Hospice donation

£100 a night to a hospice charity when terminal patients are receiving hospice care. No maximum.

Infertility investigations

Not covered

Maternity cash benefit

Not covered

Optional cash benefit

Not covered

Out of pocket expenses

Not covered

Overseas cover

Paid in full (overseas evacuation or repatriation service) Overseas immediate emergency in-patient treatment cover up to £40,000 pa (cover level 2) and £100,000 pa (cover level 1)

Personal & total disability benefit

Not covered

Post hospital recovery bonus

Not covered

Pregnancy

Limited conditions

Stress counselling helpline

Telephone counselling, unlimited calls

Transplants

Not covered

Other benefits

Heart and Cancer Commitment
* £5,000 for external prostheses (such as limbs) and up to £150 for wigs.
* Axa PPP will consider requests for experimental surgery which will be reviewed by our clinical team.
* If experimental drug treatment is needed then we will cover it if it is part of an ethical trial and pre agreed by us. In addition injectable hormone treatment and bisphosphonate treatment used to manage cancer will be fully covered while active treatment is being received.
* Access to a dedicated heart nurse
* No time limits for ongoing check ups following heart surgery
* Full refund on palliative care

AXA PPP publish a document called the ‘schedule of procedures and fees’ which sets out what they will pay specialists, complementary practitioners and clinical practitioners, for the services they provide to their customers. AXA PPP will pay eligible fees in full when a specialist, complementary practitioner or clinical practitioner charges up to the level shown within the schedule of procedures and fees. This is available on their website: www.axappphealthcare.co.uk or by contacting their Personal Advisory Team


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