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PHC - HealthCover 4 Life (Plan 4)

Four plans are available providing a choice of uncomplicated yet comprehensive insurance to suit your clients' needs in terms of both cover and budget. We provide our group clients with even greater flexibility by offering a number of options with each plan.

Clients can chose between different levels of benefits, excesses, hospitals, and travel insurance and these options can even be different for each employee. Starting with the comprehensive cover of the Plan 1 through to the budget option of Plan 4.

Benefits

Key Facts - In-patient & Day Case Charges

Hospital accommodation charges including theatre fees, nursing costs, prosthesis, in-patient drugs & dressings
Full cover
Surgeon / Consultant / Specialist & Anaesthetists fees
Full cover - subject to fees being reasonable and customary
Physicians fees & diagnostic tests
Full cover
Cancer Treatment Costs - Chemotherapy / Radiotherapy
Full cover
Psychiatric treatment
Not covered
Six week option
Not available

Key Facts - Out-patient Charges

Complementary medicine
Up to £500 per person per year (limited to 10 sessions pa for GP-referred treatment after that referrals must be made by a specialist/consultant) - part of the overall £500 limit for Physiotherapy treatment, and Therapies.
Diagnostic tests (excluding scans)
Full cover
GP referred consultations
Up to £500 per person per year (limited to 10 sessions pa for GP-referred treatment after that referrals must be made by a specialist/consultant) - part of the overall £500 limit for Physiotherapy treatment, and Therapies.
Physiotherapy consultant referred
Up to £500 per person per year (limited to 10 sessions pa for GP-referred treatment after that referrals must be made by a specialist/consultant) - part of the overall £500 limit for Physiotherapy treatment, and Therapies.
Physiotherapy GP referred
Up to £500 per person per year - part of the overall £500 limit for Physiotherapy treatment (limited to 6 sessions pa for GP referred treatment thereafter referrals must be made by a specialist / consultant)
Psychiatric cover
Not covered
Radiotherapy / Chemotherapy
Not covered
Scans - MRI / CT / PET
Paid in full (specialist must refer you.) CT = Computerised Tomography MRI = Magnetic Resonance Imaging PET = Positron Emission Tomography
Surgical Procedures
Full cover

Key Facts - Additional Benefits

NHS cash benefit
£100 per night (following treatment as an NHS patient* up to a maximum of £2,000 pa) NHS day care benefit £50 per claim*
Nursing at home
Not covered
Parental accommodation
Full cover for a parent to accompany a child up to age 16. Plus £100 a night up to 5 nights for a close relative stay in a hotel
Primary care
Not covered
Private ambulance
Not covered

Additional Benefits

Alcohol & drug abuse
Not covered
Annual maximum limit
No annual maximum
Children covered
children can be covered as dependants on a policy until the renewal date following their 25th birthday
Chiropractors & Osteopaths
Not covered
Dental treatment
Specified oral procedures only in hospital
GP minor surgery
Not covered
GP Referred Chiropody, Podiatry or Homeopathy
Not covered
Hospice care cash benefit
Not covered
Infertility investigations
Not covered
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
Full cover for specified abnormal pregnancy conditions
Stress counselling helpline
24-hour claims stress counselling and medical advice line. Only available to members aged 16 years or over
Transplants
Not covered
Other benefits
Health at Hand
Unlimited video or telephone consultations through the AXA Doctor at Hand service, an online, private GP.
 
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