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PHC - HealthCover 4 Life (Plan 3) - option a

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 individual clients with even greater flexibility by offering a number of options with each plan.

Clients can chose between different levels of benefits, excesses and hospitals. 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 £250 for Acupuncture, Chiropractic, Homeopathy and Osteopathy - This is part of the overall out-patient limit of £1,000
Diagnostic tests (excluding scans)
Up to £1,000 - This is part of the overall out-patient limit of £1,000
GP referred consultations
Up to £1,000 - This is part of the overall out-patient limit of £1,000
Physiotherapy consultant referred
Up to £250 - This is part of the limit for Physiotherapy treatment of £250 and the overall out-patient limit of £1,000
Physiotherapy GP referred
Up to £250 - This is part of the limit for Physiotherapy treatment of £250 and the out-patient limit of £1,000 (limited to 6 sessions pa for GP referred treatment thereafter referrals must be made by a specialist / consultant)
Psychiatric cover
Not covered
Radiotherapy / Chemotherapy
Full cover
Scans - MRI / CT / PET
Full cover
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
Full cover with consultant's approval only if following a period of covered in-patient treatment (Limitations apply refer to member guide)
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
Private ambulance
£250 per person per policy year for transport to / from a hospital for medical reasons

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
Up to £250 - This is part of the overall out-patient limit of £1,000
Dental treatment
Specified oral procedures only in hospital
Hospice donation
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
Transplants
Not covered
Other benefits
Cancer Enhancements
Comprehensive cover enhancments when associated with cancer treatment:
* up to £5,000 per policy year - Provision of external prosthesis
* up to £150 per policy year - Purchase of wigs
* New/experimental procedures - these will now be reviewed by the clinical team and considered for benefit
* Experimental drug treatment - will be covered if part of an ethical trial and pre-agreed by us
* Cancer follow-ups - No limit on cancer follow ups.
* Radiotherapy and chemotherapy cash benefit - £50 up to £2,000 per year when you receive free treatment that would have been eligible for benefit privately
* all out-patient consultations or diagnostic tests for cancer will not count towards the £1,000 out-patient limit on Plan 3.
 
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