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Private Medical Insurance

What is Private Medical Insurance?

Private Medical Insurance (PMI), which covers the cost of private treatment for “acute conditions” that begin after your policy has begun, is designed to protect you.

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There are many levels of PMI coverage available. Different premiums can be purchased to suit different customer needs. You can choose the type of treatment you want, the level of coverage, the location, and what contribution you are willing to make towards the treatment cost (called the ‘excess’).

Cover typically includes:

  • Hospital admission costs
  • Diagnostic tests such as MRI or CT scans
  • Surgery
  • Consultations costs
  • Nursing care and accommodation in hospitals
  • Some polices will contain drugs not available on the NHS that can be used to treat cancer

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Other coverage options include:

  • Consultations for outpatients
  • Treatment options for mental health
  • Complementary therapies
  • Physiotherapy and Chiropody

Private Medical Insurance: Why?

PMI is a supplement to the NHS’s services. It provides coverage for the cost of private treatment and can also provide access to drugs and other services that are not available on the NHS.

Access to healthcare at any time:

  • Refer a consultant immediately
  • Private hospital quick admission
  • You can have treatment at your convenience

You have the option of choosing from a variety of healthcare options:

  • Consultations for direct care
  • Advanced treatment options such as accessing certain cancer drugs that aren’t available on the NHS, may be available.

Hospital accommodation and private clinics of high quality:

  • Privacy in an en-suite room
  • Television is one of the home amenities.
  • Comfort and cleanliness

Private medical treatment can be provided for acute conditions that occur after your policy has begun. Acute conditions are a condition that can quickly respond to treatment.

Most insurers will not cover chronic conditions. These are conditions that require long-term monitoring, control, or relief of symptoms. They also include injuries, diseases, or illnesses that have one or more characteristics.

Normally, you won’t be covered for any illness that you have or are currently suffering from. You may be eligible for coverage for preexisting conditions if you pay a supplementary premium or meet certain criteria.

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Understanding the cover

Read the policy conditions to ensure you fully understand your coverage and the limitations that apply in the event of a claim. You can ask the insurer any questions you may have about the coverage available to you.

These options include:

  • If possible, return to the NHS and get the treatment you need.
  • Return to the NHS for alternative treatment
  • You can pay for the treatment privately through a self-pay arrangement

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Different types of policies:

  • Individual Policy

You will need to give some information to the insurer if you apply for an individual policy. To the best of your knowledge, you must answer all questions accurately and fully. Insurers only want to know information relevant to the coverage you are applying for. Insurers use two main methods to approve your PMI application.

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