Private Medical Insurance
Provider: Simply Health
Background: Private Medical Insurance (PMI) is designed to cover the costs of a range of medical treatments up to prescribed limits for certain acute conditions. As a private patient, referred by your GP, you can often choose when treatment will take place and the hospital (from the list provided by the insurance company). Although this benefit is comprehensive, it is not designed to treat accidents and emergencies. You must visit your GP, who will decide on an appropriate course of treatment. If this involves a referral then you will have to contact the provider to obtain authorisation to take the treatment required and find out what cover you have for the treatment. Under Flexible Benefits you can select to cover yourself, your partner and/or your children. If you do not take cover for yourself you will not be able to cover your partner or children.
If you have previously selected PMI, your coverage will continue based on your earlier selection.
Flexible benefit options: The HSA product has four distinct modules, each covering a different aspect of healthcare:
Module 1 – Find out what’s wrong
Module 2 – Get surgery quickly
Module 3 – Get complementary therapy fast
Module 4 – Treatment for cancer and heart conditionsFull details of each module can be found in the scheme brochure, see link below.
Children qualify on the basis they permanently live with the policyholder up to and including age 20 – extended to 23 if children are unmarried and in full-time education.
Rates are based on your age and if selected, your partner’s age, with a standard rate for children. A full costings breakdown can be found here.
Amendments to Benefit: Following your annual selection you can only choose or make amendments to your cover if you experience a Life Event.
Tax and NI implications: This is operated by salary sacrifice. You will save NI on this benefit.
Savings: Assuming that you and your partner are in your 30s and that you had a salary of £25,000, selecting Module 1 & 2 for yourself and your partner would save approximately £7.05 per month.
How do I get this benefit? After submitting your selection, Simply Health will send details of your policy directly to your home address.