| AVIVA U.K. Medical Plan | |||
|---|---|---|---|
| Deductible/Excess | |||
| You pay this amount before the plan pays. | £100 per covered member | ||
| Outpatient Treatment | |||
Consultations with a Specialist including:
| £1,500 combined per benefit year per insured person | ||
| Minor surgery by a GP | Up to £70 per approved procedure (payable to the GP) | ||
| MRI and CT scans (in AVIVA-recognized hospitals) | In full | ||
| Treatment for complications of pregnancy and/or childbirth | In full | ||
| In-patient and Day-patient Treatment (on the AVIVA Key Hospital List or in an NHS pay-bed) | |||
| Hospital Charges including accommodation and meals | In full | ||
| Nursing care, drugs and surgical dressings | In full | ||
| Specialist fees (consisting of surgeons', anaesthetists' and physicians' fees) | In full | ||
| Theatre charges; intensive and high dependency care | In full | ||
| Diagnostic Tests (pathology and X-rays) | In full | ||
| MRI and CT scans | In full | ||
| Radiotherapy/Chemotherapy | In full | ||
| Parent accommodations (accompanying child under 12 when undergoing eligible treatment; one parent only) | In full | ||
| Psychiatric | |||
| In-patient and Day-patient Treatment | In full (up to 28 days) | ||
| Specialists' fees for In-patient treatment | Up to £210 per week | ||
| Out-patient treatment by a Specialist or by a Psychiatric Therapist | Up to £1,000 per benefit year (must be referred by GP) | ||
| Other Benefits | |||
| Private Ambulance | In full when medically necessary to nearest appropriate hospital | ||
| Home Nursing | In full immediately following eligible in-patient or day-patient treatment | ||
| Hospice care | £70 per day (up to 10 days' care maximum); donation to hospice | ||
| NHS cash benefit | £200 per night (for each night spent undergoing eligible NHS in-patient treatment; maximum 28 nights per year) | ||
| NSH day-patient cash benefit | £100 per day (for each day spent as an NHS patient undergoing eligible treatment) | ||
All costs for which benefit is being claimed must be Medically Necessary. Amounts payable are subject to AVIVA's fee guidelines. A list of fee guidelines can be found online at aviva.co.uk/health/online-fee-schedule any amount above the relevant guideline figure will typically not be covered. | |||