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AXA health - Business Health Select

Business Health Select provides flexibility for you to shape a plan that is tailored to your individual business. You’ll receive the essential cover you need as standard. Simply choose the Add-ons you want for your whole scheme including the out-patient level. You can then control the premium by choosing the 6 Week Option and an excess level for each employee too.

Benefits

Add-on 1 - Core Out-patient All Yes No
Add-on 2 - Enhanced Out-patient All Yes No
Add-on 3 - Full Out-patient All Yes No
Add-on 4 - Therapies All Yes No
Add-on 5 - Mental Health All Yes No
Add-on 6 - Extra Care All Yes No
Add-on 7 - Dentist and Optician Cashback All Yes No
Add-on 8 - Extra Cancer All Yes No
Add-on 9 - Annual Travel All Yes No
Add-on 10 - Extended Cover All Yes No

Key Facts - In-patient & Day Case Charges

Hospital accommodation charges including theatre fees, nursing costs, prosthesis, in-patient drugs & dressings
Essentials cover - No annual maximum
Add-on 10 - Extended Cover - Yes
Add-on 10 - Extended cover
Extra cover for treatment at any hospital, day-patient unit or scanning centre in the UK that is not listed in the Directory of Hospitals, Paid in full up to the normal daily rates published and charged by the facility
Surgeon / Consultant / Specialist & Anaesthetists fees
Essentials cover - No annual maximum
Add-on 10 - Extended Cover - Yes
Add-on 10 - Extended cover Extra cover for Fee limited specialists
Paid in full, so long as they do not charge significantly more than they usually do for that, or similar, treatment
Physicians fees & diagnostic tests
Essentials cover - No annual maximum
Add-on 10 - Extended Cover - Yes
Add-on 10 - Extended cover Extra cover for Fee limited specialists
Paid in full, so long as they do not charge significantly more than they usually do for that, or similar, treatment
Cancer Treatment Costs - Chemotherapy / Radiotherapy
Essentials cover - No annual maximum at a hospital listed in the directory of hospitals
Psychiatric treatment
Add-on 5 - Mental Health - No
Not covered
Add-on 5 - Mental Health - Yes
Add-on 5 - Mental Health
No annual maximum at a hospital listed in the directory of hospitals
Six week option
Not covered

Key Facts - Out-patient Charges

Complementary medicine
Add-on 4 - Therapies - No
Not covered
Add-on 4 - Therapies - Yes
Add-on 4 - Therapies
No yearly limit per person per policy (Max of 10 sessions of treatment a year for GP referred treatment with a complementary practitioner or Physiotherapist) Any further treatment must be under the control of a Specialist
Diagnostic tests (excluding scans)
Not covered
Add-on 1 - Core Out-patient - Yes
Add-on 1 - Standard out-patient
Up to two specialist consultations per year for each employee
No yearly Limit on diagnostic tests when referred by a specialist
Add-on 2 - Enhanced Out-patient - Yes
Add-on 2 - Enhanced out-patient
Paid from overall £1,000 annual out-patient limit
Add-on 3 - Full Out-patient - Yes
Add-on 3 - Full out-patient
No yearly Limit on diagnostic tests when referred by a specialist
GP referred consultations
Not covered
Add-on 1 - Core Out-patient - Yes
Add-on 1 - Standard out-patient
Up to two specialist consultations per year for each employee
No yearly Limit on diagnostic tests when referred by a specialist
Add-on 2 - Enhanced Out-patient - Yes
Add-on 2 - Enhanced out-patient
Paid from overall £1,000 annual out-patient limit
Add-on 3 - Full Out-patient - Yes
Add-on 3 - Full out-patient
No yearly Limit on diagnostic tests when referred by a specialist
Physiotherapy consultant referred
Add-on 4 - Therapies - No
Not covered
Add-on 4 - Therapies - Yes
Add-on 4 - Therapies
No yearly limit per person per policy (Max of 10 sessions of treatment a year for GP referred treatment with a complementary practitioner or Physiotherapist) Any further treatment must be under the control of a Specialist
Physiotherapy GP referred
Add-on 4 - Therapies - No
Not covered
Add-on 4 - Therapies - Yes
Add-on 4 - Therapies
No yearly limit per person per policy (Max of 10 sessions of treatment a year for GP referred treatment with a complementary practitioner or Physiotherapist) Any further treatment must be under the control of a Specialist
Psychiatric cover
Add-on 5 - Mental Health - No
Not covered
Add-on 5 - Mental Health - Yes
Add-on 5 - Mental Health
Full Refund for out-patient specialist consultations including psychologists and cognitive behavioural therapists
Radiotherapy / Chemotherapy
Essentials cover
Full refund (Biological therapies covered for 12 months)
Add-on 8 - Extra Cancer - Yes
Add-on 8 - Extra Cancer cover
• No time limit on biological therapies.
• Provide hormone / biophosphate therapy during active treatment
• Provide cover for experimental treatment agreed in advance in an ethically approved trial
• Cover chemotherapy as well as radiotherapy for pain relief as well as maintenance
Scans - MRI / CT / PET
Essentials cover
Full refund for MRI, CT and PET scans if carried out at a scanning centre listed in the directory of hospitals
£50 cash benefit for CT, MRI, PET scans not in Directory
Add-on 10 - Extended Cover - Yes
Add-on 10 - Extended cover
Extra cover for treatment at any scanning centre in the UK that is not listed in the Directory of Hospitals, Paid in full up to the normal daily rates published and charged by the facility
Surgical Procedures
Essentials cover - Full refund for out-patient surgery

Key Facts - Additional Benefits

NHS cash benefit
Essentials cover
£50 a day up to £2,000 a year NHS cash benefit for radiotherapy/chemotherapy
Add-on 6 - Extra Care - Yes
Add-on 6 - Extra Care benefits
£100 per night (max £2,000 per person, per policy year under)
Nursing at home
Add-on 6 - Extra Care - No
Not covered
Add-on 6 - Extra Care - Yes
Add-on 6 - Extra Care benefits
Full refund (for administration of intravenous cytoxic chemotherapy or intravenous antibiotics which would otherwise require the member to be admitted for in-patient or day-case treatment)
Parental accommodation
Essentials cover - Full cover (child up to 16 years old)
Hotel accommodation for one parent while their child under 16 is receiving eligible treatment Up to £100 per night, up to £500 a year
Primary care
Not covered
Private ambulance
Essentials cover
Full refund (Between hospitals in the UK)

Additional Benefits

Alcohol & drug abuse
Not covered
Annual maximum limit
Essentials cover - No annual maximum
Children covered
Unmarried children can stay on the policy up to the renewal date following their 30th birthday irrespective of full-time education
Chiropractors & Osteopaths
Add-on 4 - Therapies - No
Not covered
Add-on 4 - Therapies - Yes
Add-on 4 - Therapies
No yearly limit per person, per policy year towards treatment by Physiotherapists, Chiropractors, Homeopaths, Osteopathy or Acupuncturists
Dental treatment
Not covered
Add-on 6 - Extra Care - Yes
Add-on 6 - Extra Care benefits
No annual maximum for certain oral surgical procedures only
Add-on 7 - Dentist and Optician Cashback - Yes
Add-on 7 - Dentist and Optician Cashback Benefit
Dental: 80% of the costs up to £400 a year
GP minor surgery
Add-on 10 - Extended Cover - No
Not covered
Add-on 10 - Extended Cover - Yes
Add-on 10 - Extended cover
Private GP fees for consultations, up to £500 a year
GP Referred Chiropody, Podiatry or Homeopathy
Add-on 4 - Therapies - No
Not covered
Add-on 4 - Therapies - Yes
Therapies
No yearly limit per person pa for Physiotherapy, Osteopathy, Chiropractic, Chiropody / Podiatry, Speech & Language, Acupuncture, Dietary Services, Psychology and Homeopathy overall maximum of 10 sessions per year
Hospice care cash benefit
We will make a donation of £100 for every night you spend in a hospice or have hospice at home care.
Infertility investigations
Not covered
Maternity cash benefit
Not covered
Optional cash benefit
Add-on 7 - Dentist and Optician Cashback - No
Not covered
Add-on 7 - Dentist and Optician Cashback - Yes
Add-on 7 - Dentist and Optician Cashback Benefit
* Dental care: 80% of the costs incurred will be paid, up to £400 each year
* Optical cover: 80% of the costs incurred will be paid, up to £200 every years for prescribed spectacles and contact lenses needed to correct vision
* Eye test: Up to £25 each year for an eye test
Out of pocket expenses
Not covered
Overseas cover
Add-on 9 - Annual Travel - No
Not covered
Add-on 9 - Annual Travel - Yes
Add-on 9 -Travel
See the AXA PPP travel cover handbook for details of the benefits
Add-on 10 - Extended Cover - Yes
Add-on 10 - Extended cover
Extra cover for treatment received outside of the UK.
Up to the cost AXA would pay for equivalent treatment in the UK
Personal & total disability benefit
Not covered
Post hospital recovery bonus
Not covered
Pregnancy
As pregnancy and childbirth are not medical conditions and because the NHS provides for them, our cover is limited.
We don’t cover the normal checks or other interventions, such as monitoring and screening, that you will have during pregnancy and birth. However, if you develop a medical condition while pregnant or giving birth, we may cover it.
What is covered?
We will cover the additional costs for treatment of medical conditions that arise during pregnancy or childbirth. For example:
* ectopic pregnancy (pregnancy where the embryo or foetus grows outside the womb)
* hydatidiform mole (abnormal cell growth in the womb)
* retained placenta (afterbirth retained in the womb)
* placenta praevia
* diabetes (If you have exclusions because of your past medical history related to diabetes, then you will not be covered for any treatment
* post partum haemorrhage (heavy bleeding in the hours and days immediately after
* miscarriage requiring immediate surgical treatment)
Stress counselling helpline
Essentials cover
Health at Hand 24 hour health information and counselling
Transplants
Not covered
Other benefits
Add-on 6 - Extra Care - Yes
Add-on 6 - Extra Care benefits Chiropody charges Up to £150 a year
Add-on 8 - Extra Cancer - Yes
Add-on 8 - Extra Cancer
No time limits on cancer treatment while you are a member - No yearly limit
Unproven drugs if you take part in a randomised clinical trial that the appropriate ethics committee has approved, so long as we agree it first
Your stay in hospital, including specialist fees, is paid in full, not including the drugs
Specialist consultations with the specialist treating your cancer
If you are an out-patient, post-diagnosis specialist consultations are covered
Diagnostic tests
For in-patients or day-patients, diagnostic tests are covered. For out-patients, diagnostic tests are covered when ordered by the specialist treating your cancer
Donation to a hospice where you’re having end-of-life care or a service providing hospice-at-home care
Hospice or service donation of £100 a night
The cost of wigs or external prostheses needed when you’re having treatment to kill cancer cells
Up to £5,000 a year for external prostheses Up to £150 a year for wigs
 
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