Private Medical Insurance

Nothing is more important to you than your health and the health of your family. If you or your loved ones were to experience worrying symptoms, Private Medical Insurance can give you some control over the situation. With this form of cover, diagnosis and treatment can be dealt with almost immediately so you can concentrate on getting well sooner.

Private Medical Insurance (PMI) ensures that the costs for private healthcare are met by the insurance company.

It is important to note that PMI will only cover non pre-existing acute conditions. An acute condition is one that has a start date and, potentially, an end date. If you are told the condition is terminal, the insurance company will continue to pay for treatment if they have already started to.

The NHS will still deal with emergency treatment, so if you are rushed to hospital, it will be the NHS that treats you. Once you are well enough to be transferred to a private hospital, this will be done.

Cavendish Online aim to reduce the cost of your Protection policies, and so after the policy has been live for one year Cavendish Online will return to you a percentage of any initial commission received.*

There are four key areas to consider when choosing your PMI cover:

Hospital Availability (click to expand)

There are many private medical facilities across the UK and each one may be considered a general hospital or may specialise in certain areas of medicine; for example, London is home to the National Hospital for Neurology, the British Hernia Centre and the more famous Great Ormond Street Children’s Hospital.

Many providers arrange the hospitals available to you into lists and although they may use different terms for these groupings, they are generally distinguished as Local, Countrywide and Premier.

Excess

As with other forms of insurance like for your home or car, to reduce the monthly cost of the cover, there is the option to add or increase the excess payable. While many insurers offer an annual excess option some also offer the option to pay the excess per claim.

Underwriting Type

All providers will exclude cover for an illness or injury which you are currently receiving treatment for and are likely to require this treatment long term or a condition whereby symptoms are expected to arise in the future – these are known as chronic conditions.

Outside of this, you can opt to have either:

  • Full medical underwriting: this is where, at the point of application, the provider reviews your full medical history to decide whether there is anything they may exclude from the cover; or
  • Moratorium underwriting: this is where, at the point of application, minimal information is required and the cover automatically excludes any condition for which you have seen a medical practitioner or received treatment in the last five years. The excluded condition may then be covered at a later date assuming no treatment or review has occurred within two years from when the policy commenced.

Please note that all providers have general exclusions applied to their policies whereby they will not cover such things as cosmetic surgery, child birth or self-harm. Please see the provider’s Key Features Document for a full list of these general exclusions.

A medical condition that pertains to your history alone that may be excluded from the cover beyond these general exclusions is referred to as a personal exclusion.

If you have an existing PMI policy then there is also the option to use Continued Personal Medical Exclusion (CPME) underwriting. This allows you to transfer any personal exclusions in place on your current policy and does not add any new ones. A copy of your most recent insurance certificate would be required and it is at the insurers’ discretion as to whether this option can be used.

Cover Options

All PMI providers cover the following:

  • In-patient care
  • Cancer cover (depending on the level of cover selected)
  • Private Ambulance
  • Surgery fees
  • Oral Surgery (non-dental)
  • Diagnostic tests and consultations

 

Many providers also offer options that can be added to the cover or they include as part of their more comprehensive plans:

  • Increased cancer cover
  • Out-patient cover
  • Alternative therapies or physiotherapy cover
  • Psychiatric cover
  • Prostheses
  • NHS Hospital cash benefit
  • Parent accomodation
  • Maternity cash benefit
  • Home help cash benefit
  • Home nursing
  • GP helpline
  • Prescriptions
  • Dental cover
  • Optical care
  • Worldwide Travel cover.

Please note that these lists are not definitive for all providers and there may be the option to remove benefits to reduce cost. The insurer’s Key Features Document should be reviewed for full details.

To talk to an adviser about the products available please call 03456 442 540

 


*The exact amount of commission and sum to be returned to you by cheque will be confirmed after commencement of the policy. Only an indication of this figure can be provided before this time. Please note, the percentage to be returned will not change, however until full underwriting and start date have been applied to the policy, we cannot be sure of the exact commission amount.

 

We can offer cover through the following Insurers:

  • BUPA
  • VitalityHealth
  • Aviva Health
  • Universal Provident
  • April UK
  • Freedom Health
  • AXA

To talk to an Insurance Adviser please call: 
03456 442 540