Table of Benefits CORPORATE GROUP SCHEMES. Corporate Healthcare Plan for the Channel Islands Valid from 1st November 2017
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1 Corporte Helthcre Pln for the Chnnel Islnds Vlid from 1st November 2017 CORPORATE GROUP SCHEMES Tble of Benefits Avilble for corporte groups of three employees or more.
2 REASONS TO CHOOSE US Single point of contct for portfolio of products including Helth, Life & Disbility nd Helth nd Protection Services Tilor-mde plns for lrge corporte groups Effective, proven cost continment nd frud prevention methods Comprehensive medicl provider network One of the most comprehensive oncology benefits on the mrket 24/7 multilingul Helpline nd Emergency Assistnce services Innovtive MyHelth pp Finncilly strong compny POLICY TERMS AND CONDITIONS This Tble of Benefits provides n outline of the cover we provide under ech pln. Cover is subject to our policy terms nd conditions, s detiled in our Employee Benefit Guide. Detils of our Tretment Gurntee process cn lso be found in this guide, which is vilble on our website
3 CORE PLAN In-ptient benefits Tretments nd costs mrked with n sterisk (*) require pre-pprovl through submission of Tretment Gurntee Form. Core Pln Benefits Mximum pln benefit GBP ( ) 1,245,000 In-ptient benefits Hospitl ccommodtion* Intensive cre* Prescription drugs nd mterils* (in-ptient nd dy-cre tretment only) (prescription drugs re those which leglly cn only be purchsed when you hve doctor s prescription) Surgicl fees, including nesthesi nd thetre chrges* Physicin nd therpist fees* (in-ptient nd dy-cre tretment only) Surgicl pplinces nd mterils* Dignostic tests* (in-ptient nd dy-cre tretment only) Psychitry nd psychotherpy* (in-ptient nd dy-cre tretment only) (10 month witing period pplies) Accommodtion costs for one prent stying in hospitl with n insured child under 12* (where tretment is crried out in the UK or in Frnce, cover is provided for children under 18) Privte room Other benefits Dy-cre tretment* Kidney dilysis* Out-ptient surgery* Nursing t home or in convlescent home* (immeditely fter or insted of hospitlistion) Locl mbulnce Mternity/pternity csh benefit (mother/fther hs to be covered by the policy for t lest 10 months before the bby is born) Emergency tretment outside re of cover (for trips of mximum period of six weeks) CT nd MRI scns (in-ptient nd out-ptient tretment) PET* nd CT-PET* scns (in-ptient nd out-ptient tretment) Oncology* (in-ptient, dy-cre nd out-ptient tretment) Purchse of wig, prosthetic br or other externl prosthetic device for cosmetic purposes In-ptient csh benefit (per night) (where tretment hs been received free of chrge) Trvel costs* to nother Chnnel Islnd/UK/Frnce for hospitl in-ptient or dy-cre tretment s well s for pre- nd post-opertive tretment, when the Helth nd Socil Services Deprtment is not providing this service nd where: Your specilist confirms tht privte tretment is not vilble loclly You hve contcted the Helth nd Socil Services Deprtment who hve confirmed tht they will not cover the costs The costs hve been greed by us prior to trvel (this benefit is lso vilble for one prent to ccompny n insured child under the ge of 18) Pllitive cre* 100 per birth, per insured prent Sme s policy cover t home, but only in the event of n emergency 165 per lifetime 156, mx. 99 nights 310 per return journey, includes stndrd rte ir, trin, underground nd bus fres nd mx. of 25 per txi trip
4 Additionl Core Pln Benefits Employee Assistnce Progrmme** (provided by Morneu Shepell) offers ccess to rnge of 24/7 multilingul support services s follows: Confidentil professionl counselling (in-person, phone, video, on-line cht nd emil) Legl nd finncil support services Criticl incident support Wellness website ccess Trvel Security Services*** (provided by red24) offers 24/7 ccess to personl security informtion nd dvice for ll your trvel sfety queries. This includes: Emergency Security Assistnce Hotline Country intelligence nd security dvice Dily security news nd trvel sfety lerts Benefits mrked with re covered in full, subject to the Mximum pln benefit. *Require pre-pprovl. **The Employee Assistnce Progrmme Services re mde vilble through AWP Helth & Life Services Limited ( AWP ) nd provided by Morneu Shepell Limited, subject to your cceptnce of AWP s terms nd conditions. ***The Trvel Security Services re mde vilble through AWP Helth & Life Services Limited ( AWP ) nd provided by red24 Opertions Limited, subject to your cceptnce of AWP s terms nd conditions. OUT-PATIENT PLAN Out-ptient Pln Benefits Mximum pln benefit Medicl prctitioner fees Specilist fees Dignostic tests Prescribed cupuncture, chiropody, chiroprctic tretment, homeopthy, osteopthy nd poditry If referred by medicl prctitioner If referred by specilist (mx. 12 sessions per condition for chiroprctic tretment nd mx. 12 sessions per condition for osteopthic tretment, subject to the benefit limit) Prescribed physiotherpy If referred by medicl prctitioner If referred by specilist No limit 625 Full refund 310 Full refund, mx. 10 visits Eye test 50% refund, mx. 33 Prescribed glsses nd contct lenses 50% refund, mx. 187 Psychitry nd psychotherpy (10 month witing period pplies) Full refund, mx. 45 visits DENTAL PLAN Out-ptient Pln Benefit Dentl tretment 50% refund, up to 250
5 AREA OF COVER We offer rnge of options in reltion to geogrphicl cover. The re of cover cn be tilored for lrge group schemes. Jersey Guernsey UK Rest of Europe MYHEALTH APP Our pioneering MyHelth pp hs been developed to give you esy nd convenient ccess to your cover, no mtter where you re. Access the following fetures from your mobile device: MY CONTACTS MY POLICY MY CLAIMS Access our 24/7 multilingul Helpline nd locl emergency numbers Access your policy documents nd your Membership Crd on the go Submit your clims in 3 simple steps nd view your clims history SYMPTOM CHECKER For quick nd esy evlution of your symptoms FIND A HOSPITAL Locte medicl providers nerby nd get GPS directions Other Services: look up the locl equivlent nmes of brnd nme drugs nd trnslte common ilments into one of 17 lnguges. All personl dt within the MyHelth pp is encrypted for dt protection, plus most fetures re ccessible even when offline. For more informtion, plese visit:
6 Tlk to us, we love to help! If you hve ny queries, plese do not hesitte to contct us: Helpline: Fx: sles@llinzworldwidecre.com Allinz Prtners 15 Joyce Wy Prk West Business Cmpus Nngor Rod Dublin 12 Irelnd plus.google.com/+llinzworldwidecre DOC-TOB-CH-EN-0817 AWP Helth & Life SA, cting through its Irish Brnch, is limited compny governed by the French Insurnce Code. Registered in Frnce: No RCS Bobigny. Irish Brnch registered in the Irish Compnies Registrtion Office, registered No.: , ddress: 15 Joyce Wy, Prk West Business Cmpus, Nngor Rod, Dublin 12, Irelnd. Allinz Prtners is registered business nme of AWP Helth & Life SA.
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