In-patient and day-patient treatment
In-patient and day-patient treatment
Hospital fees - Full cover
- Includes overnight stays, nursing and any drugs you might need while in hospital. We also cover the costs of intensive care treatment and operating theatre charges.
Consultants’ fees - Full cover
- As long as your consultant is recognised by us, we pay your in-patient and day-patient consultant fees in full, including your surgeons’ and anaesthetists’ fees, physicians’ fees and other consultant appointments.
Diagnostic tests - Full cover
- If you’re admitted to hospital as an in-patient or a day-patient, we pay for the diagnostic tests you need – things like blood tests and x-rays. We also pay for any MRI, CT and PET scans if required.
Out-patient surgical procedures - Full cover
- We pay for surgical procedures covered by your plan where you’re treated as an out-patient.
|NHS Hospital Cash Benefit||If you choose to be treated on the NHS, rather than privately through your plan, we give you a cash amount.||£250 per night (up to a maximum of £2,000) for in-patient treatment and £125 per day (up to a maximum of £500) for day-patient treatment.|
|Home Nursing||To help you get back on your feet after a stay in hospital. If your consultant recommends home nursing instead of more in-patient treatment, we pay for it.||Full cover|
|Private ambulance||The use of a private ambulance for transfer between hospitals, whether NHS or private, if a consultant says it’s medically necessary.||Full cover|
|Mental Health||Cognitive Behavioural Therapy (CBT) or counselling, undertaken as an out-patient and arranged through our Mental Health Panel.||Up to 8 sessions per plan year|
|Oral Surgery||The surgical removal of impacted or partially erupted teeth, complicated roots, surgical drainage of a facial swelling, removal of jaw cysts and apicectomy. If you have an accident, we can also cover some kinds of dental surgery.||Full cover in specified circumstances|
|Rehabilitation||Rehabilitation treatment following a stroke or serious brain injury.||Up to 21 days|
|Pregnancy Complications||We cover in-patient and day-patient treatment if you suffer from ectopic pregnancy, miscarriage, missed abortion, stillbirth, post-partum haemorrhage, retained placental membrane and hydatidiform mole.||Full cover for specified procedures|
|Parent Accommodation||If you have a child under 14 on your plan and they need to stay overnight in hospital, we pay for hospital accommodation so that a parent can stay with them.||Full cover|
|Childbirth Cash Benefit||As long as you’ve had your plan for 10 months, we’ll give you a cash payment following the birth or adoption of a child. We pay once per child, even if both parents are covered by the plan. The 10-month waiting period doesn’t apply to adoption.||£100 per child|
|Weight loss surgery||If you have a BMI of 35 or greater (with co-morbidity) or BMI 40+ (with no co-morbidity), we cover gastric banding, a gastric sleeve or a gastric bypass subject to clinical approval.||You’ll need to pay a 25% contribution to the cost of consultations and package of treatment.|
|Corrective Surgeries||Procedures covered||Eligibility criteria||You’ll need to pay a 25% contribution to the cost of consultations and package of treatment, and have been on cover with us for a minimum of one year.|
|Removal of port wine birthmarks on the face||Age under 5 years - maximum of 10 treatments|
|Ear reshaping (pinnaplasty)||Age 5-14 years|
|Breast reduction||BMI less than 27 and under 21 years of age|
|Gynaecomastia||BMI less than 27 and under 21 years of age|
All benefits are per insured member, per plan year, unless stated otherwise and subject to further terms and conditions. You must be treated at a hospital eligible under your plan.
Frequently asked questions
Here are a few of the questions we’ve answered for our members
What's the difference between in-patient, day-patient and out-patient treatment?
Out-patient treatment is when you don’t need to occupy a hospital bed for the day, but go to hospital for a few hours for a consultation, test or minor procedure.
Although Core Cover includes all eligible in-patient and day-patient procedures, as well as out-patient surgical procedures, you can also get extra out-patient cover by adding other Cover Options to your plan.
Is there anything not covered by in-patient and day-patient treatment?
Can I choose where I'm treated?
But if you want to be treated at a particular hospital, you can also select a hospital list to add to your plan. Whichever hospital list you choose, you should only go to a hospital on that list.
If you use a hospital that’s not on your list, you’ll need to pay 40% of treatment costs, excluding consultant fees. To avoid this, pick another hospital on your list. If the hospital you choose doesn’t offer the treatment you need, get in touch and we’ll find an alternative for you.