12
13
core cover: worldwide medical insurance
Benefits
level of cover
Explanation of benefits
Rehabilitation
We
pay in full for up to 30
days each condition (which
may be
in-patient treatment
or
day-case treatment
) each
membership year
We
pay for
rehabilitation
, including room, board and therapies or combinations of therapies such as physical, occupational
and speech therapy after an event such as a stroke.
We
pay for
rehabilitation
; only when
you
have received
our
written agreement before the
treatment
starts, for up to 30
days
treatment
for each separate condition requiring
rehabilitation
. For
treatment
in
hospital
one day is each overnight
stay and for
day-case
and
out-patient
treatment
, one day is counted as any day on which
you
have one or more
appointments for
rehabilitation
treatment
.
We
only pay for
rehabilitation
where it:
{
{
starts within 30 days after the end of
your treatment
in
hospital
for a condition which is covered by
your
membership
(such as trauma or stroke), and
{
{
arises as a result of the condition which required the hospitalisation or is needed as a result of such
treatment
given for
that condition
Note: in order to give written agreement,
we
must receive full clinical details from
your
consultant; including
your
diagnosis,
treatment
given and planned, and proposed discharge date if
you
stayed in
hospital
to receive
rehabilitation
.
Note:
we
may pay for
treatment
for more than 30 days when it is needed following:
{
{
orthopaedic or
{
{
spinal or
{
{
neurological events
If this is the case, please contact
us
for prior approval. It may be necessary for
us
to seek a second opinion as part of
our
approval process.
Advanced imaging
Paid in full
We
pay for advanced imaging such as:
{
{
magnetic resonance imaging (MRI)
{
{
computed tomography (CT)
{
{
positron emission tomography (PET)
if recommended by
your specialist
to help diagnose or assess
your
condition, whether
you
need this during a
hospital
stay
overnight, as a
day-case
or as an
out-patient
.
Psychiatric treatment
overnight in
hospital
, including room, board and
treatment
costs
90 days’ lifetime limit
We
pay for
psychiatric treatment
overnight in
hospital
or as a
day-case
, to include room, board and
treatment
costs.
We
pay for a total of 90 days’
psychiatric treatment
, during
your
lifetime, for which
you
are medically required to stay
overnight in
hospital
.
This applies to all Bupa administered plans
you
have been a member of in the past, or may be a member of in the future,
even if
you
have had a break in
your
cover.
Example: if Bupa has paid for 45 days’
psychiatric treatment
in
hospital
under another Bupa administered plan, this plan
will only pay for another 45 days’
treatment
.
We
also pay for
psychiatric treatment
received as a
day-case
in
hospital
, for up to 20 days each
membership year
.
Psychiatric treatment
as a
day-case
, including room, board and
treatment
costs
Paid in full for 20 days each
membership year
