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Bupa - BupaCare

BupaCare offers your clients cover for eligible private medical treatment in the UK by Bupa-recognised consultants, therapists and practitioners. It provides cover for eligible outpatient consultations, diagnostic tests and hospital inpatient and daypatient treatment, as well as for therapies and psychiatric conditions. Eligible treatment for cancer is also fully covered.

Cover for hospital treatment is at hospitals in the nationwide network of Bupa participating hospitals.

BupaCare has three cover options: scales A (the highest), B or C. The scale relates to the type of hospital accommodation you are covered for at participating hospitals and the limit of certain benefits.

What are the key benefits?


Full cover for eligible inpatient and daycase treatment by a partnership network consultant
Full cover for outpatient diagnostics and consultations
Cover for psychiatric treatment
Cover for outpatient therapies up to benefit limits
Cover available for treatment by a complementary medicine practitioner*
Cover for eligible private hospital treatment following an accident or emergency admission
Cover for organ transplants and injuries arising from dangerous hobbies

Benefits

Key Facts - In-patient & Day Case Charges

Hospital accommodation charges including theatre fees, nursing costs, prosthesis, in-patient drugs & dressings
Full refund for partnership hospitals otherwise up to Bupa specified limits
Surgeon / Consultant / Specialist & Anaesthetists fees
Full refund for partnership consultants (otherwise up to Bupa specified limits)
Physicians fees & diagnostic tests
Full refund
Cancer Treatment Costs - Chemotherapy / Radiotherapy
Full refund
Psychiatric treatment
Up to 45 days pa Psychiatric treatment covered after 2 years membership. Cover is Discretionary. All psychiatric treatment must be pre-authorised by BUPA beforehand
Six week option
Not available

Key Facts - Out-patient Charges

Complementary medicine
Complementary medicine is covered up to £250 within the overall out-patient therapies limit
Diagnostic tests (excluding scans)
Full refund for pathology
GP referred consultations
Full refund
Physiotherapy consultant referred
Band A - £800, Band B - £650, Band C - £500 pa for Physiotherapy (limit applies to all out-patient therapy)
Physiotherapy GP referred
Band A - £800, Band B - £650, Band C - £500 pa for Physiotherapy (limit applies to all out-patient therapy)
Psychiatric cover
Out-patient psychiatric: paid under out-patient benefit (full refund for consultations) Treatment up to out-patient therapy limits
Radiotherapy / Chemotherapy
Full refund
Scans - MRI / CT / PET
Full refund
Surgical Procedures
Cover provided under in-patient or out-patient benefits. Refer to those limits for details

Key Facts - Additional Benefits

NHS cash benefit
A-£30, B-£25, C-£20 per night/day (35 nights pa maximum)
Nursing at home
£600 pa. Further cover maybe available at Bupa's discretion
Parental accommodation
Full refund (child under 12 years old)
Private ambulance
Up to £60 per trip subject to an annual maximum of £120

Additional Benefits

Alcohol & drug abuse
Not covered
Annual maximum limit
No annual maximum
Children covered
21 years of age and unmarried (24 if in full time education)
Chiropractors & Osteopaths
(GP Referral) £250 pa (paid under out-patient therapist's benefit)
Dental treatment
Oral surgery only
Hospice donation
Not covered
Infertility investigations
Covered for investigation only up to the Bupa published benefit maxima to the point of diagnosis, both partners are required have been members of an eligible Bupa policy for at least two years and not have been aware of the problem prior to being a member of Bupa
Maternity cash benefit
Not covered
Optional cash benefit
Not covered
Out of pocket expenses
Not covered
Overseas cover
Not covered
Personal & total disability benefit
Not covered
Post hospital recovery bonus
Not covered
Pregnancy
Complications covered - provided the mother has been a member for 12 months. Includes caesarean sections which are medically necessary
Transplants
For eligible transplant claims, benefits will be paid up to Bupa published benefit maxima. All transplant claims must have sufficient clinical reason and be pre-authorised with a Bupa clinical expert
 
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