Plan 3 benefits
Plan 3 provides full cover for core in-patient benefits, out-patient CT, MRI and PET scans and radiotherapy and
chemotherapy. Cover is included for psychiatric treatment and out-patient treatment is covered up to £1,000 per
person, per policy year. Additional benefits include parent accommodation, private ambulance trips and NHS cash benefits.
There are an additional two options available on Plan 3:
Option a excludes psychiatric cover and gives a 5%
discount on Plan 3 premiums.
Option b is a six week wait plan* (excluding psychiatric cover) which means that if
the treatment required as an in-patient,
day-patient or as surgical
out-patient is not available on the NHS within six
weeks, then prompt access to treatment is available under the plan. Option b has a 25% discount on Plan 3
premiums.
| Benefits |
Covered |
Notes |
In-Patient & Day-Care
|
|
|
| Nursing & accommodation |
|
|
| Operating theatre/recovery room |
|
|
| Prescribed medicines & drugs |
|
|
| Diagnostic procedures |
|
|
| Consultations |
|
|
| Physiotherapy |
|
|
| Surgeons' & anaesthetists' fees |
|
|
| Specialist physicians' fees |
|
|
| Psychiatric services |
|
Up to a maximum of 28 days per person, per policy year |
| Parent accompanying child |
|
Up to age 16 |
| Out-Patient |
|
|
| Section a |
|
|
| CT, MRI & PET scans |
|
|
| Radiotherapy & chemotherapy |
|
|
| Section b |
|
All benefits in section b have a
combined overall limit of £1,000
per person, per policy year. |
| Consultations |
|
Within £1,000 limit |
| Diagnostic procedures |
|
Within £1,000 limit |
| Physiotherapy |
|
£250 within £1,000 limit per person, per policy year |
| Complementary medicine |
|
£250 within £1,000 limit per person, per policy year |
| Psychiatric services |
|
£500 within £1,000 limit per person, per policy year |
| Additional Benefits |
|
|
| GP minor surgery |
|
|
| Home nursing |
|
|
| Private ambulance |
|
£250 per person, per policy year |
| NHS cash benefit |
|
£100 per night, payable up to a maximum of £2,000 per year |
| NHS day-care benefit |
|
£50 per claim |
| Benefit for abnormal pregnancy |
|
|
| Twins benefit |
|
|
| Triplets benefit |
|
|
| Overseas emergency medical and repatriation |
|
|
| Options |
|
|
| Option a |
|
|
| Removal of psychiatric benefit |
|
5% discount |
| Option b |
|
|
| Six week wait & removal of psychiatric benefit |
|
25% discount |
This is only a summary of the benefits provided. Please see the individual Benefit Schedules and Plan Terms and Conditions for full details.
* Terms and conditions, six week wait definition: If your policy has a 6 week wait option, as Plan 3b, then any inpatient treatment, day patient treatment or, outpatient surgical treatment listed in your benefit table will not be covered unless it is unavailable on the NHS for a period of at least 6 weeks from the date your specialist/consultant confirms that treatment is required. |