Page 39 - Εταιρικό Comprehenshive
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Be aware:
If it is medically necessary for you to use a hospital, day-patient unit or scanning centre not listed
in the UK Directory of Hospitals and we have specifically agreed to this in writing before the
treatment begins then we will pay those hospital charges.
Where can I receive eligible cataract surgical treatment in the UK?
If you require a cataract surgical procedure in the UK we will pay for eligible treatment when you
are referred directly to a facility with which we have an agreement to provide cataract surgical
procedures.
11.1
We pay for eligible:
(a)
Cataract surgical procedures in the UK following referral to a facility in the UK with which
we have an agreement for the provision of cataract surgical procedures.
(b)
Charges made in the UK by a provider we have an agreement with for the use of their
facilities on an out-patient treatment basis (which may include charges for the use of
drugs).
11.2
What we do not pay for:
(a)
In-patient treatment charges for any hospital outside the UK which are unreasonable or
excessive.
Will treatment charges made by medical practitioners, physiotherapists or
complementary practitioners in the UK be met in full?
We publish a document called the ‘schedule of procedures and fees’ which sets out what we will
pay medical practitioners, physiotherapists and complementary practitioners in the UK, for the
services they provide to our customers. We will pay eligible fees in full when a medical
practitioner, physiotherapist or complementary practitioner charges up to the level shown within
the schedule of procedures and fees.
This is available on our website:
or by contacting our Personal
Advisory Team.
We strongly advise that you call us before you receive treatment, to confirm whether we will pay
the treatment charges in full for the person you are planning to see. If we will not pay the fee in
full we will tell you how much we will pay towards the cost of your treatment.
What if an anaesthetist becomes involved in my treatment in the UK?
Before receiving surgical treatment in the UK it is advisable to establish which anaesthetist your
medical practitioner intends to use. This will mean we can tell you if that anaesthetist is one who
we pay in full or, if this is not the case, what fee we will pay (as set out in the schedule of
procedures and fees). However, if you don’t know when you call us which anaesthetist your
Please see page 52 for an explanation of words that appear in bold
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