Insurer & Benefits | Find a broker | |||
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Key Facts - In-patient & Day Case Charges | |
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Hospital accommodation charges including theatre fees, nursing costs, prosthesis, in-patient drugs & dressings | |
Hospital List - Key
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Core Cover Paid in full (The Key hospital list - AVIVA's standard wide range of hospitals) |
Hospital List - Extended
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Paid in full (The Extended hospital list, building on the Key list the extended Hospital list offers a wider choice, predominantly in the Greater London area.) |
Hospital List - Trust
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Paid in full (The Trust hospital list includes mostly private patient units of NHS Trust and Partnership hospitals. Please note that you must live within the catchment area of a Trust hospital to qualify for this list.) |
Surgeon / Consultant / Specialist & Anaesthetists fees | |
Expert Select - Yes
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We will pay charges in full for consultations with the specialist confirmed by us |
Expert Select - No
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If you have a hospital list: we will pay up to the limits in our fee schedule |
Physicians fees & diagnostic tests | |
Core Cover Paid in full (subject to AVIVA fee guidelines for Specialists) |
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Cancer Treatment Costs - Chemotherapy / Radiotherapy | |
Core Cover Paid in full (subject to AVIVA fee guidelines for Specialists - See AVIVA Cancer Pledge below) |
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Psychiatric treatment | |
Option 2: Psychiatric Treatment - No
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Core Cover Not covered |
Option 2: Psychiatric Treatment - Yes
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Psychiatric treatment Paid in full up to 28 days Specialists fees for in-patient or day-patient treatment - Covered (subject to AVIVA fee guidelines for Specialists) |
Six week option | |
Option 5: Six Week Option - No
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Available but not selected |
Option 5: Six Week Option - Yes
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When selected AVIVA will not pay for in-patient or day-patient treatment, or NHS cash benefit, if the treatment is available to you on the NHS within six weeks. Should you just need out-patient treatment e.g. consultations, tests or an out-patient procedure, this is unaffected by the six week rule, so AVIVA will pay for you to go privately regardless of the NHS wait. If your out-patient treatment leads to an in-patient or day-patient procedure, then the six week rule will apply to that procedure. If there is an NHS wait of six weeks or more, there is cover for prompt access to a hospital on your chosen list. If it’s found that you require emergency treatment, you’ll be admitted on the NHS within six weeks therefore treatment will not be covered by your policy. |
Key Facts - Out-patient Charges | |
Complementary medicine | |
Core Cover Paid in full for specialist referred Physio, Osteopathy and Chiropractic treatment |
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Option 1: Other Treatments & Therapies - Yes
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Other treatments and therapies Paid in full for GP referred treatment by physiotherapist,chiropractor, osteopath and acupuncturist, up to 10 sessions in combined total |
Option 4: Reduced O/P & Benefit Reduction - £500 Limit
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Reduced out-patient cover and selected benefit reduction Specialist-referred physiotherapy, osteopathy and chiropractic treatment - overall benefit limit of £500 per policy year |
Option 4: Reduced O/P & Benefit Reduction - £1,000 Limit
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Reduced out-patient cover and selected benefit reduction Specialist-referred physiotherapy, osteopathy and chiropractic treatment - overall benefit limit of £1,000 per policy year |
Option 4: Reduced O/P & Benefit Reduction - £0 Limit
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Reduced out-patient cover and selected benefit reduction Specialist referred physiotherapy, chiropractic and osteopathy treatment - Removed |
Diagnostic tests (excluding scans) | |
Option 4: Reduced O/P & Benefit Reduction - No
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Core Cover Paid in full |
Option 4: Reduced O/P & Benefit Reduction - £500 Limit
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Reduced out-patient cover and selected benefit reduction Diagnostic tests - overall out-patient benefit limit of £500 per policy |
Option 4: Reduced O/P & Benefit Reduction - £1,000 Limit
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Reduced out-patient cover and selected benefit reduction Diagnostic tests - overall out-patient benefit limit of £1,000 per policy |
Option 4: Reduced O/P & Benefit Reduction - £0 Limit
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Reduced out-patient cover and selected benefit reduction Diagnostic test benefit limit - Removed |
GP referred consultations | |
Option 4: Reduced O/P & Benefit Reduction - No
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Core Cover Paid in full |
Option 4: Reduced O/P & Benefit Reduction - £500 Limit
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Reduced out-patient cover and selected benefit reduction Specialist consultations - overall benefit limit of £500 per policy year |
Option 4: Reduced O/P & Benefit Reduction - £1,000 Limit
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Reduced out-patient cover and selected benefit reduction Specialist consultations - overall benefit limit of £1,000 per policy year |
Option 4: Reduced O/P & Benefit Reduction - £0 Limit
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Reduced out-patient cover and selected benefit reduction Specialist referred physiotherapy, chiropractic and osteopathy treatment - Removed |
Physiotherapy consultant referred | |
Option 4: Reduced O/P & Benefit Reduction - No
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Core Cover Paid in full |
Option 4: Reduced O/P & Benefit Reduction - £500 Limit
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Reduced out-patient cover and selected benefit reduction Specialist-referred physiotherapy, osteopathy and chiropractic treatment - overall benefit limit of £500 per policy year |
Option 4: Reduced O/P & Benefit Reduction - £1,000 Limit
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Reduced out-patient cover and selected benefit reduction Specialist-referred physiotherapy, osteopathy and chiropractic treatment - overall benefit limit of £1,000 per policy year |
Option 4: Reduced O/P & Benefit Reduction - £0 Limit
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Reduced out-patient cover and selected benefit reduction Specialist referred physiotherapy, chiropractic and osteopathy treatment - Removed |
Physiotherapy GP referred | |
Option 4: Reduced O/P & Benefit Reduction - No
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Core Cover Not covered |
Option 1: Other Treatments & Therapies - Yes
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Other treatments and therapies Paid in full for GP referred treatment by physiotherapist,chiropractor, osteopath and acupuncturist, up to 10 sessions in combined total |
Psychiatric cover | |
Core Cover Up to £2,000 for out-patient treatment only |
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Option 4: Reduced O/P & Benefit Reduction - £1,000 Limit
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Reduced out-patient cover and selected benefit reduction Psychiatric treatment as an out-patient - overall benefit limit of £1,000 per policy year |
Option 4: Reduced O/P & Benefit Reduction - £500 Limit
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Reduced out-patient cover and selected benefit reduction Psychiatric treatment as an out-patient - overall benefit limit of £500 per policy year |
Option 4: Reduced O/P & Benefit Reduction - £0 Limit
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Reduced out-patient cover and selected benefit reduction Psychiatric treatment as an out-patient - removed |
Radiotherapy / Chemotherapy | |
Core Cover Paid in full |
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Scans - MRI / CT / PET | |
Core Cover Paid in full when carried out at a specified diagnostic centre |
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Surgical Procedures | |
Option 1: Other Treatments & Therapies - No
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Core Cover Not covered |
Option 1: Other Treatments & Therapies - Yes
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Other treatments and therapies Up to £100 per procedure for GP minor surgery |
Key Facts - Additional Benefits | |
NHS cash benefit | |
Core Cover £100 per night (up to 30 nights per person per policy year) |
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Nursing at home | |
Core Cover Paid in full when immediately following treatment as an in-patient or day-patient that is covered by the policy; on specialist recommendation |
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Parental accommodation | |
Core Cover Paid in full for a child of 15 or under receiving treatment that is covered by the policy. One parent only |
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Private ambulance | |
Core Cover Paid in full (reasonable charges) |
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Additional Benefits | |
Alcohol & drug abuse | |
Core Cover Not covered |
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Annual maximum limit | |
No annual maximum | |
Children covered | |
Children can stay on the policy indefinitely as long as they remain financially 'dependant' | |
Chiropractors & Osteopaths | |
Option 4: Reduced O/P & Benefit Reduction - £500 Limit
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Reduced out-patient cover and selected benefit reduction Specialist-referred physiotherapy, osteopathy and chiropractic treatment - overall benefit limit of £500 per policy year |
Core Cover Paid in full for specialist referred Physio, Osteopathy and Chiropractic treatment |
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Option 1: Other Treatments & Therapies - Yes
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Other treatments and therapies Paid in full for GP referred treatment by physiotherapist,chiropractor, osteopath and acupuncturist, up to 10 sessions in combined total |
Option 4: Reduced O/P & Benefit Reduction - £1,000 Limit
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Reduced out-patient cover and selected benefit reduction Specialist-referred physiotherapy, osteopathy and chiropractic treatment - overall benefit limit of £1,000 per policy year |
Option 4: Reduced O/P & Benefit Reduction - £0 Limit
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Reduced out-patient cover and selected benefit reduction Specialist referred physiotherapy, chiropractic and osteopathy treatment - Removed |
Dental treatment | |
Option 4: Reduced O/P & Benefit Reduction - No
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Core Cover Specialists' fees for surgical procedures on the teeth performed in a hospital covered up to the limits in AVIVA's fee schedule |
Option 4: Reduced O/P & Benefit Reduction - £0 Limit Option 4: Reduced O/P & Benefit Reduction - £1,000 Limit Option 4: Reduced O/P & Benefit Reduction - £500 Limit
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Reduced out-patient cover and selected benefit reduction Surgical procedures on the teeth performed in a hospital - Removed |
Hospice donation | |
Donation to the hospice, £70 per day, up to 10 days' care maximum | |
Infertility investigations | |
Core Cover Not covered |
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Maternity cash benefit | |
£100 per baby born (subject to 10 month qualifying period) | |
Optional cash benefit | |
Option 3: Dental and Optical - No
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Core Cover Not covered |
Option 3: Dental and Optical - Yes
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Dental and Optical Up to £150 for optical benefit Up to £600 for accidental dental injury Up to £250 for routine dental treatment Cover is per person per policy year with a £50 excess separately with the optical and routine dental benefit |
Out of pocket expenses | |
Core Cover Not covered |
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Overseas cover | |
Option 4: Reduced O/P & Benefit Reduction - No
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Core Cover Emergency treatment when temporarily abroad for a period of up to 90 days |
Option 4: Reduced O/P & Benefit Reduction - £0 Limit Option 4: Reduced O/P & Benefit Reduction - £1,000 Limit Option 4: Reduced O/P & Benefit Reduction - £500 Limit
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Reduced out-patient cover and selected benefit reduction Emergency overseas cover - Removed |
Personal & total disability benefit | |
Core Cover Not covered |
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Post hospital recovery bonus | |
Core Cover Not covered |
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Pregnancy | |
Option 4: Reduced O/P & Benefit Reduction - No
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Core Cover Paid in full for treatment for complications of pregnancy and childbirth, subject to a 10 month qualification period |
Option 4: Reduced O/P & Benefit Reduction - £0 Limit Option 4: Reduced O/P & Benefit Reduction - £1,000 Limit Option 4: Reduced O/P & Benefit Reduction - £500 Limit
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Reduced out-patient cover and selected benefit reduction Treatment for complications of pregnancy and childbirth - Removed |
Transplants | |
Core Cover Paid in full for bone marrow and stem cell transplants (AVIVA do not pay for costs incurred by or treatment for a donor) |
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Other benefits | |
Option 6: Protected No Claim Discount - Yes
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Protected No Claims Discount If you have protected your NCD and make a claim, you won't move down the NCD scale at renewal, but your protection will be lost. This means if you make another new claim during the next policy year your NCD will reduce three levels. Please note that a claim made during one policy year which carries over into the following year will be treated as one claim only. The Protect NCD option is not available when the client has only been claims free for one year. |
Cancer Pledge Post surgery services: Includes specialist services immediately following surgery, such as consultations with a dietician or stoma nurse Up to £100 towards the cost of a wig if one is needed due to hair loss caused by cancer treatment, once per member, not per policy year Up to £5,000 towards the cost of the first external prosthesis following surgery for cancer Cover for Stem cell and bone marrow transplants, Including collection, storage and implantation Up to ten years monitoring and up to five years on-going needs, such as regular replacement of tubes or drains (out-patient policy limits would be applied) Preventative treatment for cancer (see policy wording for eligibility) NHS cancer cash benefit - for treatment that would have been covered by the policy we’ll pay £100 for in-patient or day-patient treatment for cancer; out-patient radiotherapy, chemotherapy, blood transfusions or surgical procedures; £100 each day for intravenous chemotherapy at home and £100 each week if you’re taking oral chemotherapy drugs at home. You can’t claim more than £100 each day End of Life care * In a hospital if it is medically necessary - covered * £100 per night, up to £10,000 - Donation to a hospice * £50 per day, up to £10,000 - Donation to a registered charity |
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Up to 2 speech therapy sessions for GP referred treatment by a speech therapist for children | |
Stress Counselling helpline Talk to trained counsellors in confidence about the issues that are troubling you. The service is available to members aged 16 or over | |
Get peace of mind with Expert Select We’ve designed Expert Select to help you access the quality care that best suits your needs. It’s a simple, hassle-free approach that see us do all the hard work so you don’t have to.You can rest assured you’ll get the quality support and treatment you need from specialists in their field. |
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Aviva Digital GP could help minimise downtime when you need a GP consultation or are seeking medical advice, giving you swift and convenient access to up to 5 GP video consultations and repeat NHS prescriptions. |
Insurer & Benefits: | Insurers, Featured Insurers |
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Find a broker: | Find a Broker |