Comprehensive Medical Insurance & Private Hospitals

March 30th, 2011

What private hospitals can you use when you have comprehensive medical insurance?  You would think that you had access to most of the private hospitals in the UK, wouldn’t you?  The answer is yes …. and no.

private hospital doctor

If you live outside of London then you would probably be correct.  Regional hospitals tend to be less expensive than London hospitals and so your medical insurance company will probably include these within your hospital list.  Naturally, most people in the UK live outside of London so this may suit them.

If you are with a health insurer that has a treatment network, such as BUPA, then you would be restricted to the hospitals and treatment centres on their list.  They have been in the press recently where they were the subject of complaints by treatment providers who could not treat patients under the BUPA scheme, despite complying with and attaining the necessary criteria to be within the network.  The OFT is also investigating treatment networks to see if they are a constraint on consumers.  So, with treatment networks you are restricted to those hospitals within that network.

If you live within London, then the private hosptials are more expensive and this may be covered within your medical insurance policy either by a loading according to your address – which is what some providers do – or by having an option to select ‘London Hospitals’ when you take out your policy.

Even within London, there are top hospitals which charge a premium.  These are hospitals such as The Cromwell , the London Clinic and the Hosptial of St John and St Elizabeth.  These can be selected if you specifically wish to be treated in these locations.  There are other premier London hospitals that may be included by your health insurer.

As with every aspect of private medical insurance, it is imperative to ensure that you are fully covered for everything you think you or your loved ones may require.  This may be cancer, physiotherapy or psychiatric treatment.  Or it may be that you know that you would like the option to be treated at the Cromwell or another London premier hospital.  In which case, it is vital that you take out these options when you get your medical insurance cover.

Freedom Healthnet offers two types of policies.

  1. A cashplan, which you can then use to self-pay in a hospital of your choice, subject to approval of inpatient claim.  You arrange the price directly with the hospital so there may be a shortfall or there may be an excess amount left over after treatment – depending upon the hosptial you choose to be treated in.
  2. A comprehensive medical insurance policy which has 3 hospital lists.
    1. The ’standard’ hospital list which covers most private hospitals in the regions and a selection of London private hospitals
    2. The ‘Plus’ Hospital list which covers additional London hospitals such as the Harley Street Clinic, Portland Hospital; Princess Grace Hospital and the Wellington and Lister Hospitals
    3. The London Premier Hospital List.  This includes all of the aforementioned hospitals plus the BUPA Cromwell, London Clinic and the Hospital of St John & St Elizabeth.  This list is included with the executive level of medical cover.

What is the most important advice about medical insurance and private hospitals?

  1. Decide what level of cover you need
  2. Do you require London hospital cover
  3. Select the level of London cover
  4. Read the policy carefully to make sure that you have everything you need.

Find out more about private medical insurance and what it covers. Or get a quote for comprehensive medical cover and select all options for London premier hospitals.

The Cromwell hospital is one of the London premier treatment centres that hits the news as many well known people opt for treatment there.  This list includes the Queen Mother, George Best, Cheryl Cole and Margaret Thatcher.

Medical Insurance with Pre-existing Conditions

March 20th, 2011

Can you get medical insurance cover if you have a pre existing condition?  What is a pre-existing condition and why is it not insured?

A pre-existing condition is an illness that has received medication or advice or treatment or you have suffered symptoms of this in the 5 years previous.  If you have a history of an illness within this time frame there is a possibility of it reoccurring.  Therefore, this is not covered for two years after starting your medical policy.  Depending upon the condition, after that time it should be covered.

So, for example, if someone applying for a medical insurance policy had a serious condition 8 years ago and had been symptom and treatment-free for all of that time, any recurrence of that condition could be covered. This person could be covered by the health insurance provider on a moratorium basis.  This is cover for the cost of the treatment of acute conditions which arise after the commencement of the medical policy.  It excludes treatment of pre-existing conditions (see above).  Any conditions related to the previous condition would not be covered, either, until the whole condition becomes eligible after the correct amount of time has elapsed.

However, if the condition had occured in the more recent past then it would be necessary for the policy-holder to take out a different type of health insurance.  This is known as FMU – full medical underwriting.  This means that you can be accepted for medical insurance but you would need to disclose certain health information and exclusions would be applied to the policy.

It is always imp0rtant to communicate as much information as possible to the medical insurance advisor so that they can best advise you.  The medical insurer cannot cover you for pre-existing conditions.  How happy would you be if you took out a policy and then tried to claim for a pre-exiting condition only to be told that you are not covered?   If you do take out a moratorium policy (the most common type) then you do not have to disclose anything.  You do need to be aware, however, that in the event of a claim for that condition you would not be covered.

Do people still take out private medical insurance even if they have a serious condition?  Yes, they do.  Even if a person has diabetes or asthma, for instance, they could take out cover for other conditions.  The NHS provides effective treatment for diabetes and for asthma.  Your private medical insurance would then c0ver you for any (non-related) conditions that develop.

Yes, you can get medical cover even if you have a pre-existing condition.  But, it may have conditions attached to it.

Going Private on the NHS – Restrictions

February 25th, 2011

As from April 2011, NHS patients are less likely to be able to choose to have private providers to do their operations, according to the Cooperation and Competition Panel.

The report noted that the NHS was restricting patient choice in a number of ways, such as reducing the number of procedures private providers could offer.

Increasing numbers of patients are choosing to go with providers other than their local NHS to undergo procedures, as per their rights within the NHS constitution.  Over the last 12 months, the numbers of NHS procedures undertaken in private hospitals has grown by 10% on average each month.  This is now worth £40 million per month.

With moves to restrict this and the national contract between the NHS and private hospitals coming to an end on 31 March 2011, patients will find that their choice and the early availability of treatment will be significantly reduced.  The NHS states that financial pressures have resulted in these moves to restrict patient choice.

People often move to taking out health insurance after they have had experience of the NHS so increasing numbers of people disappointed with the state provision will choose to take out their own private medical insurance policy to avoid delays in treatment.

Health Insurance for the Self Employed

February 7th, 2011

Working for yourself brings many benefits but there are also drawbacks. When you work for a company you have rights. If you fall ill and you have been with a company for over a year you can get sick pay. If you work for yourself and you cannot manage your business or do the jobs you normally do then you are vulnerable. This is where health insurance comes in.

If you are self-employed and fall ill the most important factor is getting better as quickly as possible so that you can continue in your business. Relying on the NHS is not always the best possible way to achieve this. Waiting lists can be long and  rehabilitation services can be patchy in many postcode areas.

Private medical insurance can help to speed things along. You can be seen as quickly as you need and assessed and booked in for any treatment or operation that you may require. In private health care waiting times are short. The standard targets for NHS waiting lists are 18 weeks. This is a long time when your medical condition is affecting the ability to work on your business to the best of your ability.

For some people having private health insurance can mean the difference between continuing with their business or having to throw in the towel particularly if cash flow has been tight. This applies in particular to self-employed people who do not have other employees. When you are the only person working on your business and you fall ill you may need to take time off.  Loosing your business’ momentum and missing out on income can be a disaster for you and your family. Getting back to full health as quickly as possible is imperative.

An additional benefit to having medical insurance is the flexibility that it provides. Having health insurance also allows you to plan treatments around your work commitments. You can have appointments to suit your business needs. You don’t have to rely on hospital timetables.  Additionally you will not have to waste valuable time sitting around in NHS waiting rooms when you would rather be working on your business.

Feedom Healthnet health insurance provide several policies that can help you stay on top of unexpected health problems if you are self-employed.

3 Reasons to Have Company Health Insurance

February 3rd, 2011

Employee health insurance is well worth considering. Some employers believe that its something that is too expensive and do not even look into the possibility. However Freedom Healthnet provides cheap health insurance for companies looking to cover their employees in times of need. But what are the benefits of getting medical insurance for your staff?

1) Attract good staff
Attracting and keeping good staff is a mainstay in any business. Health cover is considered to be a very valuable perk when people are looking for new jobs. People with families are often particularly attracted when companies include partners and children in their medical insurance provision. It can provide the practical as well as psychological security that people want for themselves and their family.

Health cover provision suggests that a company is stable and willing to invest in the wellbeing of their staff. This is attractive to people looking for work.

2) Protect key staff members
Illness is an inevitable part of life. No one can guarantee good health at all times and all businesses suffer from absenteeism due to ill health. The problem for all businesses is that when key members of staff fall ill it can have a very detrimental effect. Staff have to be temporarily replaced or, as is most usual, other workers have to try and take up the slack. This is sometimes very difficult if the person who is ill has a very key role in the company. Sometimes their skills and knowledge prove very difficult to replace.

Employment laws quite rightly mean that a person’s job has to be held open until they are fit to return to work. What workers and their employees want is to get back to normal as soon as possible. Having health insurance means that you can help your staff to get seen and treated as quickly as possible.

3) Show people you care
Studies show that people who work in a caring environment are less likely to suffer from stress and illness. Responsible employers do everything within their power to make sure that their staff are as happy and comfortable in the workplace as possible. Having company health insurance can be part of this caring environment. It sends signals out to employees that the working environment is a two way thing.

Studies have shown that earning more money is not the only incentive for people to work for any particular company. One of the elements that motivate people is a feeling that they are ‘part of something.’ Having company health insurance in place shows that you are seeing your employees, not just as workers, but as individuals that have wider needs.

What’s Not Covered by Health Insurance?

January 24th, 2011

When people talk about health insurance they normally mention the wonderful benefits and reassurance that it can provide but what is seldom talked about is what it does not cover. Its important to know about this so that you have realistic expectations and also so that when you go to make a claim you can be happy in the knowledge that you know your policy well and there will be no surprises.

The Freedom Healthnet Elite health insurance policy is slightly different in that is does provide cover in ways that other health insurance policies do not and this is what makes it unique.

Pre-existing conditions
Normally medical insurance will not cover you for a pre-existing condition. You have to be free of symptoms of a past condition for five years from the date you take up your health cover.

Chronic conditions
Chronic conditions are those that are long term and need managing. For example asthma or arthritis. However sometimes policies can provide cover for unusual ‘flare ups’ that need to be controlled for you to carry on leading a normal life again even if your condition is chronic.  Additionally if you present with a new acute condition that ends up being a chronic condition you are normally covered for your initial investigations.

With Freedom Elite comprehensive medical  insurance however you are covered for chronic conditions under their Executive Option.

Emergency medicine
Medical insurance is not designed to cover emergency medicine. However after a visit to an emergency NHS department you can be moved to a private hospital once your condition has stabilised.

Addictions
Private health insurance is not designed to cover problems that are related to drug, solvent or alcohol abuse.

Cosmetic Surgery
Health cover is not designed to cover cosmetic surgery that is elective. Sometimes policies will provide cover for cosmetic procedures that are related to your condition. For example, if a person had to have a mastectomy then a breast reconstruction done during that surgery would be covered. Conversely if you then decided later on that you wanted to have the other breast done for cosmetic reasons, that would not be covered.

No GP referral
Any treatment that you undertake without GP referral will not be covered under the terms of your health insurance. The GP is the first port of call when it comes to health care insurance. This protects you and the insurer.

Self-inflicted injuries
Even though self-harm may be triggered by an acute psychiatric attack it is not covered by any health policies. If you have psychiatric cover you can be treated for psychological problems but not if they have been preceded by a self-harm incident.

Professional sports injuries
Normal health insurance cover does not treat professional sports injuries. The risk for insurance companies is too great in this area.

HIV/AIDS
These conditions are taken to be chronic conditions and are not covered by any health insurer.

The above is not a comprehensive list of exclusions. Policy documents should always be referred to when looking into private health insurance.

Freedom Launches Comprehensive Health Insurance

January 17th, 2011

Freedom Healthnet has always provided affordable health insurance with an original twist. With their cashplan health insurance policies they deposit cash into your bank account instead of paying directly for your inpatient treatment themselves. Freedom have now launched a new, extra, medical insurance offering which provides a more traditional kind of cover, but again …. with a twist.

Freedom Elite, as the new policy is called, is very much about private health insurance options. You can choose various elements to make up the kind of medical insurance that suits you. The range of options is very large and puts you, the customer in control of what you want and need. Here is an overview of the different choices that you have:

Core In-Patient Benefit

This is the starting block of your health insurance. Extras are added this. This cover includes the following: Accommodation charges, Drugs and dressings, Theatre Charges, Specialist fees, Diagnostic Tests, Oncology MRI & CT Scans

Out-patient Cover
Cover for specialist consultations and treament fees, Xrays, pathology, diagnostic tests & proceedures, physiotherapy. Two levels of cover are available.

Alternative Therapy Cover
Cover for Osteopath, Chiropractor, Acupuncturist, Homeopath and Chiropodist/podiatrist treatment. Two levels of cover are available.

Psychiatric Cover
Cover for In-Patient and Out-Patient psychiatric treatment

GP, Dental and Optical Cover
Cover for routine and accidental dental care, Private GP, Optical consultations and prescriptions

Supplementary Benefits
Cover for Home nursing, Rehabilitation, Pregnancy complications and infertility diagnostics. There is also a Cash Benefit available for NHS Day-Patient and InPatient stays.

Executive Option
Cover for External Prosthesis, Chronic Conditions, Wellbeing Assessment, Maternity, Second Specialist Opinion, NHS Prescriptions and London Premier Hospitals.

As you can see from this list, you have a lot of options some of which are very unusual in the health insurance industry. The Executive Option, for example, is unique in the medical insurance field.

As well as the different cover options that the Freedom Elite Health Insurance offers you also have other choices which can make your plan more personal:

Choice of Hospital List
You can choose from three hospital lists: Standard, Plus and London Premier

Choice of Excess
The more excess you are prepared to pay with Freedom Elite the less you pay on your monthly premiums. You can reduce these by up to 25% if you are happy to pay an excess of £1000 towards the cost of your treatment when you make a claim.

The brochure that Freedom Healthnet shows you the specific details of your cover and over the next few weeks we will explore the Elite policy in more detail here on this site.

Making a Medical Insurance Claim

January 13th, 2011

Making a health insurance claim is easy and certainly following the correct steps in the right order can help to speed up your claim. If you are concerned about being ill and you have been referred to a consultant the last thing you want to do is worry about the ins and out of how to make a claim.

Each health insurance company will have a specific claims policy. Its important to familiarise yourself so that you are prepared  should you need to make an insurance claim. If you have cash payout health insurance with Freedom Healthnet Insurance this is easy:

Communication is the Key

  1. Tell Freedom as soon as your GP has referred you to a consultant: the number to ring is 08703 50 40 30
  2. Download your claim form
  3. Make your claim – your form can be posted or emailed to Freedom
  4. Freedom will assess your claim and let you know if it is authorised
  5. Once your claim is authorised you should receive cash funds into your account within five working days. You can choose how you spend this money.
  6. If you need help arranging your treatment Freedom can help you to choose where you want to go.
  7. For outpatients appointments Freedom will do one of two things:
    Either reimburse you after you have been for your authorised appointment or
    Pay the medical establishment you have attended either over the phone or online on the day of your treatment

The Benefits of Health Insurance

January 10th, 2011

Health insurance is one of those things that people sometimes see as an ‘extra’ that they can’t afford but medical insurance from Freedom Healthnet is surprisingly affordable. With this in mind, what are the real benefits of health insurance?

Benefits of Health Insurance

• Quicker access to private consultants
• Quicker treatment times than with the NHS
• Longer time spent with consultants in order to cover things properly and enable you to ask any questions you need to
• A private room in which to enjoy your recovery
• High levels of hygiene control in private hospitals

Benefits of Freedom Healthnet Private Medical Insurance

• Freedom offers surprisingly cheap health insurance compared to other companies
• Freedom gives you a cash lump sum which gives you more choice about your outpatient care
• You can stay with the NHS and keep the cash
• You can go for private medical treatment with the knowledge that you have great financial bargaining power to get cheaper deals
• You could even have cheaper private treatment abroad
• Freedom Healthnet provides you with add-on options that enable you to pick and choose different elements of cover
• Freedom Healthnet does not restrict where and with whom you have your treatment. The choice is yours.

GPs Role in Medical Insurance

January 8th, 2011

The NHS GP is most people’s first port of call when it comes to ill health. GP’s diagnose and then refer patients on either to NHS departments or to private consultants if a patient has health insurance.

The GP is pivotal in private health care. Without a GP referral a patient cannot use their private health insurance to cover any private treatment. The general practitioner aims to treat a patient themselves if the cause and treatment of illness is clear and straightforward. If not then they can refer patients to see a consultant for further treatment or investigation.

Most GP surgeries will charge a fee to write letters or fill in private medical insurance forms but usually this is nominal.

The GP surgery holds the patient’s full health history which is also important if you have medical insurance. Health insurance companies usually need to look at your medical history in order to process a claim. Chronic illness, for example, is not covered by health insurance and companies need to process your claim with all the facts before they can issue you with approval for treatment or cash reimbursement.

At the moment health records are confidential and a GP needs your permission to pass on information to a third party. On the other hand you could be refused a claim if you are unwilling to offer up that  information.

It is possible for patients to access their own patient records. Surgeries normally need some advanced warning in order to prepare records for patient viewing. However not many of us do access our own records and therefore most of us are not fully aware of everything that is written in our notes. There is evidence that 60% of patients would like full access to their medical records online.

There are concerns that the role of the GP is being diminished with the advent of online medical advise. It could create a dangerous environment in which patients are self-diagnosing and dismissing vital signs of serious illness. A recent survey showed that 73% of people in the UK go online for medical information and 58% self-diagnose. This is clearly a potentially dangerous practice.

The GP should be our first port of call if we have health issues that we want answers too. Clearly they are trained to look after our wellbeing and refer us on to the appropriate specialists if needs be.