Private healthcare for small and medium businesses - AXA PPP healthcare
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Looking after the backbone of Britain Business Health Select Private healthcare for small and medium businesses
Jack of all trades card V1 - 09.04.14 Jack of all trades You’re the first through the door, and the last to leave. The jack of all trades and the master too. Jack of all trades Small businesses are the fuel that powers Britain. You’re the Cornerstone V1 - 09.04.14 future employment prospects for millions, the cornerstone of our recovery, and the backbone of our economy. The cornerstone of our recovery And it’s our job to keep you healthy. We can help you build a healthcare plan that’s as unique as your business. A plan to fast track you and your people with access to diagnosis and treatment. And to support you all back to health, and back to work as quickly as possible. We’re committed to working together with you to ensure your business healthcare scheme is tailored to your business and that you and your employees are supported every step of the way. 2
Contents Benefits of healthcare cover for your business . . . . . . 4 Support for you to help ease the pressure . . . . . . . . 16 Building a plan for your business . . . . . . . . . . . . . . . 6 Support for your team as part of your membership . . 18 Manage the cost of your plan . . . . . . . . . . . . . . . . . . 8 Your choices explained . . . . . . . . . . . . . . . . . . . . . 20 What you can expect from us . . . . . . . . . . . . . . . . . 11 Your options explained . . . . . . . . . . . . . . . . . . . . . 23 Our Heart and Cancer Commitment . . . . . . . . . . . . 14 Start small – think big . . . . . . . . . . . . . . . . . . . . . . 30 3
Nothing compares to the independence of managing a business, but it can be tough too. You have to wear all the hats, juggle all the balls (and budgets), and keep going long after everyone else has downed tools for the night. One thing is certain, it’s a lot easier to keep all the plates spinning when you and your team are fit and healthy. We’ve thought of everything we can do to help get you better and back to work fast. Benefits of healthcare for your business 4
Benefits of healthcare for your business • Build a healthcare plan as personal • See an experienced specialist or • Added value to your team with our as your business practitioner every time member offers We offer a wide range of flexible choices that can Know that you’re always seeing someone who’s an You and your team will have access to member be tailored to suit the needs of your business and expert in their field, someone with all the specialist discounts at health clubs across the UK making your budget. knowledge, skills and training needed for your keeping fit and healthier a lot easier. And you diagnosis and treatment. can also get money off expert lifestyle health assessments so you know just how well you’re We work with over 24,000 experienced specialists • Get appointments that fit around looking after yourself. and practitioners. work and remove the hassle You need to be in work, not waiting in queues feeling • Expert help • Meeting your duty of care unwell. With our Fast Track Appointments service, we can save you precious time and trouble by We’ll help to keep your employees as fit and healthy Imagine having a medical expert you could call booking your appointments fast. as possible so that they’re able to work productively anytime you or your team have a health worry, big for your business. When your GP refers you or one of your team for or small. Our nurses and counsellors are available treatment, just ask for an open referral (which is a by phone 24/7 to give health information and help The services included with your healthcare plan can referral that doesn’t name an individual specialist) support your team whenever they need it. also help towards meeting your duty of care. and we’ll arrange and book everything to suit you, With health constantly in the news and all over the including the right time, the right location (near web, it’s tough knowing what to trust. Our online health home or work) and even outside of normal working centres bring together the latest information and facts • And it costs less than you may think hours. We aim to have booked your appointment by from our own doctors and nurses, leading medical A healthcare plan probably costs much less than you the end of the next working day. authorities, specialist charities and NHS resources so may think. For many of our members, subscriptions you get straight to the information you need. are less than everyday costs like mobile bills, a daily visit to the coffee shop, or even printer cartridges. • Fast telephone access to expert Your budget is an important part of all the points we physiotherapy services • Dedicated Heart and Cancer Nurses consider and we can easily talk you through your As a member of AXA PPP healthcare, with our at the end of the phone choices so you get healthcare at a price that suits you. Working Body service you can arrange a phone call If you or one of your team should fall ill with cancer with a physiotherapist about all types of conditions or a heart condition, one of our qualified nurses that affect bones, joints and muscles, to make sure will support them and their family, offering expert you're getting the advice and treatment that's right guidance on treatment, side effects, feelings and for you. And there's no need to see your GP first. even how to talk to friends and family about their condition. 5
With such a wide range of flexible choices there’s a healthcare Building a plan for plan just waiting to be created for every business and budget. your business You can tailor everything from the kinds of treatments you want to cover to how you pay. 6
Building a plan for your business 1. Start with the Core plan 2. Add or take away these options until you get a plan that fits your business Core Plan Out-patient Standard Enhanced Full options out-patient or out-patient or out-patient See ‘Your choices explained’ on page 20. Your choice More Mental Extended Extra Cancer of Employee Therapies Extra care options health cover cover Assistance Programmes Additional Dentist and Travel options Optician Cover Cashback 3. Manage the cost of your plan Six week Excess How to pay Two year fix option • Six or more of you? • Add the family too • Let us help You can create a plan that Add family members to get If this is the first time you’ve provides different levels of cover healthcare cover at business rates. looked at buying healthcare for different groups of people. insurance, there can seem a lot to Some businesses provide more take in. The best way to work out cover for their management teams what’s right for you is to call us on or other key staff. 0800 38 77 54. 7 To find out more about your core plan and other options go to page 20.
Manage the cost of your plan Control your subscriptions in a Your underwriting options: number of ways: • Choose an excess • Two-year moratorium • Fully underwritten You can choose an excess of £100, £250 or £500 as How members are covered for How members are covered for a way of controlling your subscription. pre-existing conditions pre-existing conditions If they have experienced symptoms or been treated Pre-existing medical conditions will be excluded from for a medical condition in the last five years, they'll cover where necessary. • The six week option only be covered for that condition after: Medical declaration form needed – we may ü If you’re comfortable using the NHS but worry • they’ve been covered by us for two consecutive also ask for a GP medical report. about potentially long waiting times, then the six years (this is the moratorium period) week option could be for you. If eligible treatment • they’ve been completely free of any form of is available on the NHS within six weeks from the treatment, investigations, medical advice, drugs date it should take place, then you will use the NHS. • Medical history disregarded or medicines or special diets relating to that However if the wait for treatment is more than six condition for a consecutive one-year period How members are covered for weeks from when it should take place, then you can pre-existing conditions go private straight away. Medical declaration form not needed. • Cover is provided for treatment of previous medical As a guide, choosing this option for each of your conditions, subject to the membership terms. employees could save you up to 20% off your Only available if you cover 15 or more people. annual subscription. • Continued medical exclusions How members are covered for Medical declaration form not needed. • pre-existing conditions • Choose how you want to pay Continued medical exclusions is usually an option You can save 5% by paying your subscription yearly. if you switch to us from another health insurer. This means that in most cases, we will give you the option to continue any medical underwriting that was applied by your previous insurer. • Choose to fix your subscription for When you switch, remember that our membership two years terms will start to apply to your plan and these You can choose the reassurance of knowing what are likely to be different to those of your previous subscription you’ll pay for each employee for the next insurer. If you’re not sure how this might affect your two years. cover, please call us on 0800 38 77 54. Medical declaration form not needed in most • circumstances.* *Please note a medical declaration form will 9 be required for groups of 1-2 members.
What you can create These are four fictional businesses created to show how flexible cover and costs are. The businesses are based in Guildford, Surrey, each with six employees aged 25, 30, 35, 40, 45 and 50. •D aisychain •A ppletree •B luebell Wood •C loverfield The businesses all have core cover Holdings Trading Enterprises Associates and Extra Cancer cover as standard. We chose an excess of £100, a In addition to core cover Appletree Trading has Bluebell Wood wanted Cloverfield Associates Daisychain Holdings opted to include the to give their employees has unlimited out‑patient two-year moratorium and annual included two out-patient Standard Out‑patient the options of cover for consultations. payment for all four. consultations a year. Option with their private GP consultations Their work is in a high core cover. and using any hospital Whilst diagnosis is pressured industry Plan costs are representative as carried out privately, Because their work is in the UK, so extended and things can get cover was added. of October 2016. members will use the physically demanding stressful now and then NHS for treatment when cover for physiotherapy They also have the so mental health and Here are some examples of how we available within six weeks of when it should was also included. standard out-patients option and therapies extra care cover was added too. tailored a plan to suit their business. take place. Equivalent weekly subscription: included. Equivalent weekly Equivalent weekly £38.55 or Equivalent weekly subscription: subscription: £6.43 per employee subscription: £54.30 or £28.34 or £47.34 or £9.06 per employee £4.72 per employee £7.89 per employee 10
What you can expect from us 11
Your access to specialists and private healthcare We hope you’ll never need to see • Over 250 hospitals and 250 inside a private hospital, but if you scanning centres Means you’re never far from where you need to be. do, you can be sure you’re putting your health in the hands of expert specialists. • With access to over 24,000 specialists You’ll also appreciate just how the You can relax knowing that you will be seen by an little things like eating great food expert in their field. and having your own room make such a big difference to getting you • You’ll usually have your own room, back to health, and work, faster. with a TV, an en-suite bathroom and usually Wi-Fi Everything is designed to help you get To help you stay connected. better, whether your stay is long or short. You’ll also find that the nurses • No restrictions on visiting hours and staff have that extra time needed So your friends and family can visit you whenever to make you feel at home. you want. 12
What you can expect from us Fast Track Appointments When your GP refers you or one of your team for treatment, we can find the right specialist, at the right time and place for you. All you need to do We’ll do the rest To find the right specialist for you: • We’re ready to help you, just call us Your GP gives you an open referral (which is a If you need to see a specialist, ask your GP for an referral that doesn’t name the specialist you open referral, and then call us. We’ll tell you what should see). you’re covered for, and help you make the most of your membership by taking care of everything for you. Just call us and we’ll check where and when will suit you best and book your appointment for you, making it simple and hassle free. • We’ll make sure you see the right specialist. Alternatively if you’d prefer, we can provide All of our recognised specialists have a you with the names of up to three specialists, consultancy level which means they can provide all experts in their field, who you can advice and treatment for the most complex and contact directly. challenging health conditions. • We’ll make it quick, convenient and easy We’ll make sure your appointment is at a time and place that’s convenient to you, so you won’t In fact, with our Fast Track have to worry about travelling further away than Appointments service, on average necessary. our members with an open referral • We’ll act with urgency are seen twice as fast as those If you were to call us with suspected cancer or a heart condition, the moment we get off the phone members whose GPs have referred with you we’ll act with urgency to get you an them to a named specialist.* appointment with an appropriate specialist. *based on 2015 AXA PPP healthcare data. 13
We are committed to better care and support for the conditions that worry our members most: heart disease and cancer. Despite all the advances of modern medicine, these are still the words you never want to hear from your doctor. They are also two conditions that have seen dramatic improvements in treatment and survival rates over the last few years, with new treatments and drugs constantly making headlines. With these advances and changes to the way people are treated, the needs of our members have changed too. With increasing survival times*, people are more likely to need treatment and care for longer. It’s vital our private healthcare cover reflects this. That’s why we’ve enhanced our cover with our Heart and Cancer Commitment and also give you the choice of extending your cover for cancer when you take out your plan. Our Heart and Cancer Commitment extensive cover and care *Source: www.ons.gov.uk 14
Our Heart and Cancer Commitment Our heart cover Extra cover and care for heart conditions. Members diagnosed with a heart condition will now have access to our successful Dedicated Nurse service which will be available by phone throughout their treatment and recovery: listening, understanding and giving information, with the time to give the member and their family all the support they need. Our cancer support ur Dedicated Nurses have a lot of experience and O expertise in supporting our members who have been diagnosed with cancer. It means there’s a consistent, reliable person at the end of the phone there for members and their families to talk to about everything from eating well during chemotherapy to how to cope at home after surgery. This is the kind of long-term, committed help that we know members value. 15
Support for you to help ease the pressure 16
Support for you With Working Body, we’re We know how busy work keeps you, helping to keep businesses so whenever you need to call us like yours moving about your plan, you’ll get straight through to an Account Manager Life can be tough on your body. It’s no surprise that from our small business team. musculoskeletal conditions like back, neck and muscle problems cause more prolonged work absences than any others*. • Company membership information et busy working people can often put off going to see Y that’s always to hand Work related Musculoskeletal Disorders a doctor about their conditions until it starts to impact You can check and manage your business represent 44% of all work related illness** membership at our secure online site. You can their daily lives. That’s understandable when you’ve got lots to do, and aren’t able to take time out of your day access membership documents such as your Group for arranging appointments and visiting a GP. Secretary Guide, membership handbook and our Directory of Hospitals. So we’ve made things much easier. ith Working Body, we’re helping to keep businesses W like yours moving. With quick access to diagnosis and treatment this could really benefit your business and 55% • Take a look at our Business Health Centre your team. reated specifically for small businesses, with a host C of articles, videos and tips to help support the health s part of your core cover, you or your team can call A of you and your employees at work. and speak to one of our physiotherapists without 55%† of SME business decision makers agree that needing to see a GP first. employees don’t generally take time off work axappphealthcare.co.uk/bhc when they have back problems. You can also sign up to our monthly business If a course of hands-on treatment is what’s needed, healthcare e-bulletin. they’ll let you know if you’re covered and make the arrangements for you to see someone who’s a convenient distance from work or home. PEN GP O pm to 5 9am 76%† of SME businesses agree that there aren’t enough out of hours GP appointments. *Labour Force Survey, Office for National Statistics 2013. ** Work Related Musculoskeletal Disorder Statistics in GB 2014/15, Health and Safety Executive. †One Poll Survey, September 2014 17
Your team will have online access to their membership and should they need to make a claim our Personal Advisers are ready to help. • Employee membership made easy – for you and your team Each member of your scheme gets their own secure online member area called Customer Online where they can contact us, check details of their cover, find out how they go about claiming, and see the range of services and benefits available to them. There’s also a link to our online health information services so they can find out more about health and wellbeing issues, or look up any health issue that’s troubling them. Support for your team as part of your membership 18
Support for your team • Claims made simple • Member offers We ask members to always call us before they We can help make it easier for people to be healthier go ahead with any kind of treatment they plan to and well. With AXA Fitness Works, they’ll be able to claim for. access a range of discounts at gyms nationwide, including discounted annual PureGym membership. All they need to do is call our expert Personal Advisers with details of their proposed treatment. Our Personal Advisers have lots of experience and training, and can access your specific plan details • Our Second Opinion Service immediately. This means they can usually confirm We want to make sure that you are completely the cover that’s available there and then. Pre-authorising treatment like this means that you happy with any experience you have with us. Our and your employees can be confident of knowing Second Opinion Service provides you with extra whether they are covered before treatment. reassurance if you’re uncertain about a diagnosis or treatment plan. Where you have an out-patient option on your plan we’ll pay for all eligible costs • Expert help – just ask, any time of involved with the second opinion, such as the initial appointment with the new consultant and any new the day tests needed. This ensures that we help get you Imagine having a medical expert in the family. back to health and work as quickly as possible. Someone your team could call anytime they have a health worry, big or small. That’s exactly what Health at Hand gives them. They can call our medical experts any time of the day or night. They will also have access to our online Health Centres which bring together the latest information, facts and figures from experts and NHS resources so they can find everything they might need to know quickly and easily. Your team will also be able to put questions to our panel of experts at our regular live online discussions. 19
If your business involves manual labour you may want to include therapies cover, or if you operate Your choices explained in a high pressure environment mental health care may be important. It’s all entirely up to you. 20
Your choices explained Your core plan Here’s what’s included for everyone on your plan. Your benefits What we pay If you’re an in-patient or day-patient • P rivate hospital and day-patient unit fees including accommodation, Paid in full so long as you use a hospital or day-patient unit in our Directory diagnostic tests, using the operating theatre, drugs and dressings, of Hospitals radiotherapy and chemotherapy and surgical appliances that the specialist uses during surgery • Specialist fees including surgeons, anaesthetists and physicans No yearly limit • H ospital accommodation for one parent while a child under 16 is Paid in full receiving eligible treatment • H otel accommodation for one parent while a child under 16 is £100 per night up to £500 a year receiving eligible treatment If you’re are an out-patient • Surgery No yearly limit so long as you use a hospital or day-patient unit in our Directory of Hospitals • We will cover the cost of CT, MRI or PET scans referred by a specialist Paid in full at a scanning centre, or a hospital listed as a scanning centre, in our Directory of Hospitals › 21
Your core plan continued › Other benefits • Ambulance transport to transfer you to another medical facility if you are Paid in full receiving private treatment • Cash payment if you have out-patient or day-patient chemotherapy or £50 a day up to £2,000 a year radiotherapy free on the NHS • Expert Help Direct access to healthcare experts for members 24/7 What’s not covered As with most private healthcare plans, there are some general exclusions and limitations. The plan does not cover members for: • Medical conditions that existed prior to joining unless you have transferred on a Continued Medical Exclusions or Medical History Disregarded basis • Routine pregnancy and childbirth • Long term chronic conditions for example diabetes or asthma • Cosmetic treatment e’ll make you aware of all the key exclusions when we speak to you or in W the literature so there are no surprises. 22
Your options explained 23
Out-patient options Here’s what’s included in the out-patient options you choose. Your benefits What we pay Standard out-patient option • S pecialist consultations Up to two consultations a year • Diagnostic tests when your specialist refers you No yearly limit Enhanced out-patient option • S pecialist consultations A combined yearly limit of £1,000 • Diagnostic tests when your specialist refers you • P ractitioner fees including nurses, dieticians, orthoptists and speech therapists Full out-patient option • Specialist consultations No yearly limit • Diagnostic tests when your specialist refers you • Practitioner fees including nurses, dieticians, orthoptists and speech 24 therapists 24
Your options explained Options Here’s what’s included in the option you choose. Your benefits What we pay Therapies option • Fees for out-patient treatment by physiotherapists, acupuncturists, No yearly limit on fees: homeopaths, osteopaths or chiropractors • up to an overall maximum of 10 sessions in a year when your GP refers • Access to Working Body (for more information see page 17) you, or when you have therapist treatment through our Working Body team • further sessions (as long as we agree them first) when your specialist refers you. Mental Health option If you're an in-patient or day-patient • Private hospital and day-patient unit fees for psychiatric treatment, Paid in full at a hospital or day-patient unit in our Directory of Hospitals including accommodation, diagnostic tests and drugs • Specialist fees for psychiatric treatment No yearly limit If you’re an out-patient • Specialist consultations for psychiatric treatment No yearly limit • Psychiatric treatment by psychologists and cognitive behavioural therapists No yearly limit › 25
Options continued › Extra Care option • Nurse to give you chemotherapy or antibiotics by intravenous drip at home Paid in full • Cash payment when you have free in-patient treatment under the NHS. £100 a night up to £2,000 a year You can also receive this cash payment if you have treatment in an NHS Intensive Therapy or Intensive Care unit, whether it follows private treatment or not. • Oral surgery so long as your dentist refers you Paid in full so long as you use a facility that we have an agreement with covering oral surgery • Chiropody fees so long as as your chiropodist is qualified Up to £150 a year › Extended cover option • E xtra cover for treatment at any hospital, day-patient unit or scanning centre Paid in full up to the normal daily rates published and charged by the facility in the UK that is not listed in our Directory of Hospitals • Extra cover for treatment received outside of the UK Up to the cost we would pay for equivalent treatment in the UK • Extra cover for fee limited specialists Paid in full • Private GP fees for consultations Up to £500 a year • D octor@Hand consultations Up to five on-line, video or telephone consultations a year with a Doctor@Hand GP 26
Your options explained Extra Cancer Cover option Here’s what’s included. Due to the nature of cancer we cover it a little differently to other conditions. You can increase your benefits to include: Your benefits What we pay • No time limits on cancer treatment No yearly limit • E xperimental drugs if you take part in a randomised clinical trial that the Your stay in hospital, including specialist fees, is paid in full appropriate ethics committee has approved, so long as we agree it first • S pecialist consultations with the specialist treating your cancer even if you Consultations not deducted from out-patient limits don’t have an out-patient option on your plan • D iagnostic tests as an out-patient even if you don’t have an out-patient The tests are not deducted from out-patient limits option on your plan • H ospice donation Donation to a hospice where you are having end of life care or a donation to a service providing hospice at home care • We will pay for external prostheses (such as limbs) and for wigs £5,000 for external prostheses and £150 for wigs • W e will provide cover for cancer no matter what path it takes, even if it recurs or spreads and so long as you remain a member we’ll continue to cover treatment if the cancer becomes terminal 27
Additional options Here are some other options to complement your plan. Your benefits What we pay Dentist and Optician Cashback option • Dentist fees 80% of your dentist’s fees, up to £400 a year • Optician fees 80% of the cost of prescribed glasses and contact lenses, up to £200 a year • Eye test Up to £25 a year for an eye test Travel cover • Travel Cover is an annual policy making it easier for you and your employees The benefits include: to travel abroad on business or leisure. What’s more if you make two or No medical history required when you take out cover more trips abroad each year it’s cost effective too. A broad range of medical benefits Business and leisure travel covered On-piste winter ski cover included 28
t Your options explained Your Employee Assistance Programme (EAP) choices Balancing the demands and pressures brought about by today’s busy world, an EAP needs to do much more than simply help you meet your duty of care. You can plan access to professional expert help with telephone guidance and online support for everything from childcare to debt, and legal to relationship issues. It’s a bit like the Citizens Advice service just for you and your team. You can choose from: EAP Essential EAP Premier • Unlimited access to telephone support available 24/7 for psychological Offers all the support of EAP Essential but in addition provides: and mental issues • Telephone access to a fully qualified counsellor • F ace to face counselling with up to five sessions per team member with a clinical specialist • E-counselling for those who prefer to communicate digitally • Complex cases escalated to a psychologist • LifeManagement™ – a unique combination of services with telephone • Managerial Consultancy to help managers meet day to day team challenges access to skilled consultants to help with everyday issues such as debt management, relationships and legal concerns • Online information and guidance for your team including a dedicated website • 24/7 telephone helpline for health information from our Health at Hand team 29
33,000+ small and medium business like yours with 220,000+ employees covered Start small – think big 30
Business Health Select is the result of everything we’ve learnt over 75 years of looking after our members. We started small but, by showing that what we do really does work, we now look after thousands of small and medium businesses – each one different from the next, with their own concerns and priorities. Of course, our members and their needs are very different today. But the nurses, doctors, practitioners, underwriters, advisers and other professionals in our team continue the traditions we’ve become known for – embracing groundbreaking treatments and creating new, faster ways to access them. Being part of the AXA Group – one of the world’s largest insurers – means added financial security. And being looked after by our small and medium business dedicated teams gives you the best of personal service and choice, plus the better value that our size allows us to bring you. 31
We can help you create a healthcare plan that’s just right for your business and your budget. We know how busy you are, so we’ll be fast but thorough. We also guarantee that we won’t contact you again using the details you give us unless you want us to. Call our small business experts 0800 38 77 54 8.30am to 5.30pm, Monday to Friday Get a quote online axappphealthcare.co.uk/business 95% Member satisfaction. We may record and/or monitor calls for quality assurance, training and as record of our conversation. Our Business Health Select plan Based on a survey of 592 allows you to build an excellent small and medium business level of cover, as indicated by a members 95% were satisfied Defaqto 5 Star Rating. with AXA PPP healthcare The Defaqto 5 Star Rating is based on an (October 15 – July 16) assessment of the overall product, including the optional components. Where not all of the options are taken, this might affect the rating of the product. PB59506/04.17 AXA PPP healthcare, Phillips House, Crescent Road, Tunbridge Wells, Kent TN1 2PL. AXA PPP healthcare Limited. Registered Office: 5 Old Broad Street, London EC2N 1AD, United Kingdom. Registered in England No. 3148119. Authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. © AXA PPP healthcare 2017. We may record and/or monitor calls for quality assurance, training and as a record of our conversation.
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