PERSONAL HEALTHCARE BENEFITS AT A GLANCE FROM VITALITYHEALTH VITALITYHEALTH.CO.UK

Transcription

1 PERSONAL HEALTHCARE BENEFITS AT A GLANCE FROM VITALITYHEALTH VITALITYHEALTH.CO.UK

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3 BENEFITS AT A GLANCE WITHIN THIS DOCUMENT YOU WILL FIND THE BENEFITS AND COVER OPTIONS YOU COULD HAVE WITH A PERSONAL HEALTHCARE PLAN FROM VITALITYHEALTH. All plans start with Core Cover, which has a variety of benefits; it also includes discounts, cashback and rewards to help you live healthier. You can tailor your plan by picking any number of optional benefits, and premiums can be reduced with a range of excess levels and a choice of hospital lists. The table, starting on page 4, provides a summary of the benefits offered by our Personal Healthcare plan. The full benefits, terms and conditions are available on request. All benefits are per insured member, per plan year, unless stated otherwise. HEALTHY LIVING DISCOUNTS AND REWARDS Vitality is insurance that rewards you for being healthy. As well as protecting you when things go wrong, it also helps you lead a healthier life. We ll help you understand your health with a free Vitality Healthcheck * and give you savings and discounts on ways to improve your health. As you use our health partner discounts to improve your health we give you Vitality points which contribute to your own Vitality status. The more Vitality points you have, the higher your Vitality status; and, to help keep you motivated we give you rewards which can increase as your Vitality status increases. To learn more about our health and reward partners read our Healthy living discounts and rewards guide or visit vitalityhealth.co.uk Details correct as at November * One adult member on a plan can have a free Vitality Healthcheck each plan year. Subsequent Vitality Healthchecks are 15. Terms and conditions apply to all our Vitality partners. Cash back and discounts can vary with a member s Vitality status. 3

4 * This is a single cash payment of 100, which we pay following the birth or adoption of a child if the plan has been in place for at least 10 months. CORE COVER IN-PATIENT AND DAY-PATIENT TREATMENT Hospital fees Specialists fees Diagnostic tests MRI / CT / PET scans OUT-PATIENT TREATMENT MRI / CT / PET scans ADDITIONAL BENEFITS NHS Hospital Cash Benefit in-patient treatment day-patient treatment Childbirth Cash Benefit Home Nursing Private Ambulance Parent Accommodation Oral Surgery Pregnancy Complications Assistance at Home 250 per night up to a total of 2, per day up to a total of per child* if recommended by a specialist where medically necessary (children under 14, one parent) for specified procedures in specified circumstances Up to 2 hours care per day for a maximum of 2 weeks for each eligible in-patient stay Maximum 6 weeks in total per plan year Your plan automatically includes one of two Cancer Cover options, these benefits are detailed below. Please check your quote document to see which has been included in your plan. Please contact us or speak to your adviser if you would like to receive a quote for the other option. CANCER COVER FULL CANCER COVER All in-patient and out-patient costs related to the treatment of cancer, once diagnosed: Radiotherapy, chemotherapy and follow-up consultations Biological therapies Hormone and bisphosphonate therapies Cancer surgery and reconstructive surgery * These limits apply for the whole of the time you are covered by VitalityHealth, whether under this plan or any other plan with us. Stem cell transplantation CORE CANCER COVER Core Cancer Cover applies a 12 month limit on the use of biological therapies. It will also apply a 3 month limit on hormone or bisphosphonate therapy when prescribed on their own*. This will result in a discount on your premium. (subject to the limits specified) 4

5 COVER OPTIONS CHOOSE ANY OF THE BELOW OPTIONAL BENEFITS OUT-PATIENT COVER Consultations, specialist fees, physiotherapy and diagnostic tests such as blood tests and x-rays (in addition to the MRI/CT/PET scans included within Core Cover) OUT-PATIENT DIAGNOSTICS for out-patient diagnostics can be added so that out-patient diagnostic tests are covered in full and only specialist consultations and physiotherapy would be subject to the Out-patient Cover limit 500 / 750 / 1,000 / 1,250 / 1,500 / THERAPIES COVER Chiropractic treatment, osteopathy, chiropody/podiatry, acupuncture, homeopathy, and two consultations with a dietician following GP or specialist referral 350 / PSYCHIATRIC COVER In-patient, day-patient and out-patient psychiatric treatment. Out-patient psychiatric treatment is covered up to 1,500 within the limit 15,000 / 20,000 PRIVATE GP HELPLINE 24 hour phone line giving access to a practising GP seven days a week An additional premium will apply if any of the Cover Options are selected. 5

6 DENTAL COVER DENTAL COVER MAJOR DENTAL TREATMENT All benefits are per insured member, per plan year unless otherwise stated MAJOR AND ROUTINE DENTAL TREATMENT Maintenance: routine examinations Maintenance: routine scaling and polishing Maintenance: dental x-ray Charges for radiography of teeth or jaw Treatment: fillings Up to 30 per claim Up to 40 per claim Up to 40 per claim Up to 40 per claim Crowns: new or replacement Up to 300 Up to 400 Inlay/onlay/overlay: new or replacement Up to 100 Bridges/implants: new or replacement Up to 200 Up to 300 Root canal treatment Up to 150 Up to 250 Apicectomy Up to 100 Up to 150 Extractions Up to 150 Up to 250 Dentures: new or replacement Up to 250 Up to 350 Accident and emergency: Accidental dental: charges made by a dentist or specialist for a dental accident Maximum of four claims per plan year Emergency dental: charges for immediate relief of severe pain, haemorrhage and/or infection. Emergency call-out fees: Maximum of two claims per plan year Up to 2,500 per claim Up to 50 per claim Up to 2,500 per claim Up to 300 per claim Up to 50 per claim To be eligible for this benefit, you must have undergone a check-up with your regular dentist in the 12 months before the start of cover and completed all recommended dental treatment. If you haven t seen a dentist in that time, then you ll need to have a check-up and complete all recommended dental treatment before you are eligible for cover. This requirement doesn t apply for routine examinations or routine scaling and polishing under Major and Routine Dental Treatment. Terms, conditions and exclusions apply and these are provided in full in the documents that you receive when the plan is taken out. 6

7 WORLDWIDE TRAVEL COVER (UP TO 120 DAYS PER TRIP) OVERSEAS MEDICAL EXPENSES Medical cover if taken ill overseas, including accommodation costs and travel expenses for one person to remain behind with the sick or injured member* Repatriation expenses* Up to 10 million Transfer of body or ashes back to the UK Cost of burial or cremation outside the UK Up to 1,000 OTHER TRAVEL EXPENSES Loss of or damage to personal belongings* Up to 2,000 Loss of personal money* Up to 1,000 Delayed departure Up to 100 Missed departure* Up to 500 Cancelling the trip or cutting it short* Up to 4,000 Personal accident Up to 25,000 Personal liability Up to 2 million Loss of passport* Up to 250 Delayed baggage* Up to 200 Legal expenses Up to 25,000 WINTER SPORTS (COVER IS LIMITED TO 21 DAYS IN TOTAL EACH PLAN YEAR) Loss of or damage to ski or snowboarding equipment * Loss of ski pass* Piste closure ( 30 a day)* Loss of use of hired skis and ski pass due to illness or injury* Up to 500 per plan year Up to 500 per plan year Up to 500 per plan year Up to 500 per plan year Benefits are per holiday/business trip unless otherwise stated. *A 50 excess applies. Terms, conditions and exclusions apply to the plan and are provided in full in the terms and conditions that you receive when the plan is taken out. PLAN OPTIONS Excess Hospital lists Underwriting basis 0, 100, 250, 500 or 1,000 Option to choose between per claim or per plan year Local, Countrywide, Premier Moratorium, full medical underwriting, continued personal medical exclusions (switch) 7

8 FIND OUT MORE VITALITYHEALTH.CO.UK VitalityHealth is a trading name of Vitality Corporate Services Limited. Registered number Registered in England and Wales. Registered office at 3 More London Riverside, London, SE1 2AQ. Vitality Corporate Services Limited is authorised and regulated by the Financial Conduct Authority. PRUHB21713 ROS JAN ENP PHC BENEFITS AT A GLANCE 1114 Part of the Discovery Group