Why choose this private medical insurance policy

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Not all private medical insurance policies are the same. This policy offers high levels of benefits at competitive premiums and the longer you remain on the scheme the cheaper (relatively) the policy will become.

Age limits on joining

To be eligible for our private medical insurance cover you must be a UK resident aged between 18 and 64 at the commencement date of the policy.

Children under 18 years of age may be included on a family policy. Unmarried children in full time education may continue at child rate up to age 25.

How often can I Claim

There are no limits on the number of claims you make on our private medical insurance policy.

Will my premium increase if I make a claim

Premiums will be reviewed regularly, any increases will reflect the latest developments in medical expertise and technology and also the claims from all policyholders.

Can I choose to have treatment on the NHS

Yes: if you decide to have treatment on the NHS you may be eligible to claim for a cash benefit for each night you spend in a NHS hospital - see Policy Benefits

Will I have to pay for treatment myself and then claim it back?

You may if you wish, although direct settlement facilities are in place with most major hospitals and providers. If you choose to pay for treatment yourself then all valid costs will be reimbursed direct.

Is there a time limit for submitting my claim/ invoice

Yes. All original claim forms and invoices must be submitted within 90 days of issue date.

Main Exclusions (full details on request)

Pre-existing conditions and policy transfer/ underwriting

A pre existing condition is any disease, illness or injury which has been diagnosed, or which you have experienced symptoms, received medication, advice or treatment for, prior to commencement of the policy.

If you already have private medical insurance and are considering moving policies you should consider your position carefully as your current policy will probably cover continuing treatment should these conditions re-occur.

You may select one of two ways of applying for cover.

The moratorium route

If you have not had insurance declined, refused, special terms imposed or cancelled, suffered from cancer, tumours, heart, artery or vein problems including haemorrhoids, varicose veins, high or low blood pressure, long term or recurrent physical, mental or congenital disorders, psychiatric illness e.g. stress/ anxiety/ depression, phobias, eating disorders or drug, alcohol or other addictions or behavioural problems, back, neck, disorders, including whiplash, slipped disc or similar then you can select the moratorium route: conditions for which you have received advice or had symptoms in the past five years will not be covered until you have been two years continuously on cover without treatment, medical advice or symptoms. You may choose:-

Fully medical underwritten route.

If you fail to qualify for the moratorium route, or prefer a fully medical underwritten policy then you must proceed  through the fully medically underwritten route.A full medical questionnaire is completed and the underwriters will look at each condition and may may cover the condition subject to conditions and exclusions

.The Excess

You can either have a policy with NIL medical excess or take a voluntary excess of £100, £150, £250 or £500. The excess is applied per person per year not per claim. The excess can only be taken under Plan 1 or Plan 2.

Loyalty Bonus

You will not experience any age-related premium increase - a benefit of our private medical insurance policy. Currently a 29 year old might pay £47.00 per month and a 60 year old £126.00. If rates do not alter then when the 29 year old is 60 they would still be paying £47.00 per month and the 60 year old (by then 91 of course) £126.00. (figures approximate).

Complaints

Occasionally things can go wrong. You should voice your concerns in writing to Healthcare 4 life Ltd, Fryern House, 125 Winchester Road, Chandlers Ford, Eastleigh, SO53 2DR. In the event of the problem remaining unresolved then contact Criterion Insurance Company Ltd, Swan Court, Swan Street, Petersfield, Hants, gU32 3AF. Failing that the Insurance Ombudsman is located at South Quay Plaza, 183 Marsh Wall, London, E14 9SR - 0845 6006666

PMI policy benefits

The policy comes in 4 main sections (ABCD) and you choose one of 4 plans - each of which covers a different combination. 

Section A - 
Hospitalisation in patient and day-patient treatment
Hospital Charges
Consultant's and Specialists fees
Diagnostic tests
Radiotherapy/ chemotherapy
Acute Psychiatric treatment
NHS Cash Benefit (No Excess)

Included in
Plan 1
Plan 2
Plan 3
Plan 4

Section B - 
Pre-hospitalisation out-patient treatment
Consultations with a Consultant/ Specialist
Diagnostic tests
Radiotherapy/ chemotherapy
Acute Psychiatric treatment
Physiotherapy

Included in
Plan 1
Plan 2

Section C - 
Post-hospitalisation and out-patient treatment
Consultations with a Consultant/ Specialist
Diagnostic tests
Radiotherapy/ chemotherapy
Acute Psychiatric treatment
Physiotherapy
Nursing at Home

Included in
Plan 1
Plan 2
Plan 3
Plan 4

Section D - Additional benefits
NB Any Excess selected will NOT apply
Private Ambulance
Parent Accommodation
Additional NHS Cash Benefit
Day-care NHS cash benefit
Maternity cash benefit
General Practitioner's surgery
Alternative or complementary Medicine

Included in
Plan 1
Plan 3

Clicking the Obtain Quotation  button will open the quotation module in a new window so you can easily refer to the benefits each private medical insurance plan offers.

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