Wherever you need to be

Transcription

1 Wherever you need to be The Islands Health Plan Helping you access private healthcare in the Channel Islands and Isle of Man, and on the mainland

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3 If ill health strikes, it s reassuring to know that you can access the treatment you need quickly locally, in mainland UK, or in Europe. Our Islands Health Plan is carefully designed to give you, your family or your employees fast access to care when you need it. AXA has supported customers in the Channel Islands and the Isle of Man for over 20 years. Access to our strong medical network on the islands and across the UK. Our plan gives you all the certainty of a predictable regular cost, not a sudden bill when you ve had the treatment. Access to over 5,300 medical facilities across our network The Islands Health Plan puts you in charge of your healthcare choices Quick, reliable, easy access to healthcare You can use a hospital on the islands, in mainland UK, or throughout Europe. Walk into almost any hospital or clinic and they ll recognise the AXA brand and trust your cover. Our higher cover levels include GP fees too. If you can t get the care you need locally, AXA will help you with the costs of travelling to another island or the UK for treatment. For treatment in the UK, our Fast Track Appointments team can get you an appointment quickly usually within two weeks 1 and sort everything out for you. You can reach our expert, friendly team easily and quickly. You can get emergency treatment throughout Europe or worldwide with all but one of our cover levels. PAGE 3

4 Margaret s story with AXA since 2011 Jersey, Channel Islands You wouldn t normally get that personal service. You wouldn t normally have somebody by your side. You d always be sitting at home wondering, where am I going to be next week? How is my treatment going to work? But if I had any questions, I just phoned AXA s second opinion service. I believe I m the luckiest person in the world I ended up taking a little tablet no chemotherapy, no radiotherapy, so I believe I m the luckiest person in the world. PAGE 4

5 Choose the plan that suits you Our flexible plan can cover you and your family personally, or a team of any size. We ll help you customise the plan to suit your needs, and be on hand to help you with any questions, any time. 1 Which cover level suits you? 2 Add an upgrade 3 Manage your costs with an excess Choose the cover level that s right for you or your business. Core for superb value, covering CT, MRI and PET scans, hospital stays and emergency transport Classic including out-patient treatment and emergency treatment outside Europe Boost your cover with an upgrade. Dental and optical cover Access to our extended hospital network including more London hospitals Dental and optical cover Access to our extended hospital network including more London hospitals Add an excess to help bring your premiums down ,000 2,000 Premier including GP fees and a health check Ultimate our top-level cover, with extensive out-patient benefits and dental and optical cover included Dental and optical cover Access to our extended hospital network including more London hospitals Dental and optical cover Access to our extended hospital network including more London hospitals Here s an example: David works in Saint Helier but often travels elsewhere for work and to visit family. He s chosen Premier cover level so that he s covered for visits to his GP, and added the dental and optical upgrade to help with the cost of his glasses. Then he s cut costs by adding an excess of 200. PAGE 5

6 AXA at your side It s reassuring to know you have one of the world s leading insurers at your side, ready to support you if you need us. Here are just a few of the reasons it pays to have AXA with you. UK appointments at a time that works for you Getting you where you need to be Extra support if you re diagnosed with cancer Second opinion from global experts If you can t get the care you need on the islands, and need treatment in the UK, our Fast Track Appointments team can book you an appointment at a time and place that works best for you to fit in around flights, for example. If you ve got an open referral, our team will sort everything for you, and can usually get you an appointment within two weeks meaning less time to worry. All you need to do is turn up. On average, members who use the Fast Track service see a specialist twice as fast as people who use the usual private route, with a GP naming a specialist. 1 If you have an accident or illness and can t get the help you need on your island, we ll pay towards getting you where you need to be whether that s another island or the mainland. All our cover levels include money towards transportation costs. Our dedicated cancer nurse service is available by phone from 9am to 5pm for members receiving cancer treatment in the UK. They can: give you ideas on the questions to ask at appointments help you decide on a treatment plan advise on how to cope with chemotherapy simply just be there to listen. With years of experience in cancer support, our nurses will be happy to help you through treatment and beyond. If you re ever unsure about a diagnosis, you can get a second opinion from independent experts. Not only that, we can also arrange a medically trained case manager who can speak to local health providers in their language, and support you and your family from diagnosis to recovery helping you get back to full strength faster. 52 % of people were recommended more appropriate treatment after using our Second Medical Opinion service. 2 PAGE 6

7 Maya s story with AXA since 2006 Kelly, the lady who is overlooking our case, has been fantastic. In such difficult times, when one s child is being treated with cancer, one needs all the support to allow a parent to be strong and instil strength in his/her child. Kelly s sincere care and efficient attention went beyond professionalism. This is a tribute to AXA, your recruitment, your training and your culture. We were not only a number, a case: there was (and still is) personal care and support which exceeded our expectations. Kelly even sent a colouring book and colouring pencils for my child. I had tears in my eyes when she received them. Thank you for nurturing such a culture: it is indeed personalised care. We were not only a number: there was personal care and support PAGE 7

8 Support your people You trust your people to look after your business. They trust you to look after them when they need it. That s where we fit in. Fast access to healthcare, faster recovery Designing a plan for larger teams With the Islands Health Plan, you can be confident that your people can access quality healthcare quickly including in mainland UK or in Europe. And if they recover faster, they can get back to looking after your business sooner too. If you want to cover more than 50 people We ll tailor the plan to match your needs including extra cost saving controls. And we ll help you manage it day to day. If you need to cover 150 employees or more We ll design a completely bespoke health benefits package for your company, complete with full support with employee engagement. We can match your existing benefits too. Get in touch to find out more about our tailored plans for larger businesses. Businesses have relied on AXA for support in the Channel Islands and the Isle of Man for over 20 years. You can trust us to help you look after your people.,, PAGE 8

9 take your business further Vigilant on costs Business health insurance made simple You re careful about where your money goes: we are too. In our recent research, businesses told us how important it was to be able to show the value of their health benefits, and to be sure they re keeping costs under control. 3 That s why we keep a close eye on costs to make sure that your health insurance gives your business excellent value, while also providing your employees with the reassurance and protection they need. Deciding on the best options for your team, adding and removing members, keeping an eye on claims, making sure you re getting value for money It can all add up to a daunting to-do list. Let us take a few things off your list. Designed to match your needs We can help you set up a health benefits package that s tailored to fit your whole team, no matter how many people you need to cover. And with plans designed especially for the Channel Islands, your employees can rely on us to get them access to the care they need. Dedicated account management Your account management team will be your single point of contact: available to help you manage your plan and answer all your questions. If you have a larger group of employees to cover, they ll be happy to help you show the value of the plan to your stakeholders and share regular performance reports. Local team, global service Our friendly and experienced team will support your employees with their plan, help them with any claims, and answer all their questions whether that s how to choose a hospital in Southampton, whether they re covered for a blood test in Jersey, or how to find a specialist in France. Cover wherever you need it If you also have employees on the UK mainland, or elsewhere in the world, AXA has the global resources to help. We can combine your Islands Health plan with an International Health Plan, which will cover your employees worldwide, or set you up with a UK-specific plan from AXA PPP healthcare. PAGE 9

10 Plans in detail For more information, see your membership handbook. The Islands Health Plan What s my area of cover? Guernsey, Jersey and Isle of Man, UK and Europe. Which hospital network can I use? The Islands Health Plan Directory of Hospitals for UK and Channel Islands hospitals, any hospital in Europe. What upgrades can I add? Dental and optical cover For Core, Classic and Premier, you can add cover to include: 80% of the cost for non-routine dental treatment, up to 150 each year 80% of the cost for prescription glasses and contact lenses, up to 100 each year Up to 25 towards an eye test each year Dental and optical cover is automatically included on Ultimate plans. Access to our extended network of hospitals As well as access to hospitals in Europe, the Channel Islands and the UK (as listed in the Islands Health Plan Directory of Hospitals), you can choose to extend your hospital network and gain access to a greater selection of hospitals in London. Summary of benefits In-patient & day-patient treatment Core Classic Premier Ultimate Hospital and accommodation charges Out of directory cash benefit when a member receives treatment at a facility in the UK not listed in the Islands Health Plan Directory of Hospitals Specialist fees (surgeons, anaesthetists and physicians) Parent accommodation: Charges for one parent staying in hospital with a child under the age of 18 and covered by the policy Emergency outside of Europe cover Cash benefit for each night you receive free in-patient treatment and free hospital accommodation within the UK or Channel Islands In-patient psychiatric treatment No cover No cover Paid in full for up to 8 weeks treatment in any year up to a total of 25,000 a year Paid in full 100 each day / night No annual maximum Paid in full 50 per night up to 2,000 per year Paid in full for up to 8 weeks treatment in any year up to a total of 30,000 a year 100 days per lifetime membership Paid in full for up to 8 weeks treatment in any year up to a total of 50,000 a year 100 per night up to 2,000 per year Out-patient cover Core Classic Premier Ultimate Surgical procedures CT, MRI and PET scans received as an in-patient, daypatient or out-patient at any hospital in Europe and scanning centre within the Islands Health Plan Directory of Hospitals CT, MRI and PET scans per visit for using a CT, MRI or PET facility in the UK that is not listed as a scanning centre in the Islands Health Plan Directory of Hospitals No annual maximum Paid in full 100 each visit Psychiatric out-patient consultations and treatment No cover Up to 1,000 per year Other out-patient treatment combined limit, including: Not included Up to 1,000 per year Up to 2,500 per year No annual maximum Specialist consultations Complementary practitioner charges Physiotherapy Diagnostic tests No cover Treatment for GP referred physiotherapy and/or complementary practitioner treatment up to 10 sessions per year. Further sessions available under specialist referral up to your out-patient limit PAGE 10

11 They made my life easier when times were really tough. They changed my life and saved my life to a certain extent so I will be eternally grateful for the level of service and the quality of service that I got.,, Mr Rodrigues with AXA since 1998 What s not covered? Cancer cover Core Classic Premier Ultimate Radiotherapy and chemotherapy received as an in-patient, day-patient or out-patient Drug treatment to prevent recurrence of cancer (excluding pre-existing conditions) No annual maximum No annual maximum Follow-up consultations No cover No annual maximum within out-patient limit No annual maximum Day-patient and out-patient radiotherapy and chemotherapy cash benefit when treatment and accommodation has been free of charge Experimental treatment for cancer Hospital-at-home Palliative care 50 per day up to 5,000 per year Costs and conditions to be agreed before treatment Paid in full Included Hospice donation No cover 100 per night External prostheses during active treatment of cancer No cover Up to 1,500 per year Up to 2,500 per year Up to 5,000 per year Purchase of wigs during active treatment of cancer No cover Up to 150 per year Transportation from the Islands to UK or another Island for eligible cancer treatment if local treatment is not available No cover Up to 1,000 per year Up to 1,500 per year Other benefits Core Classic Premier Ultimate GP fees No cover Up to 500 per year No annual maximum Maternity cash benefit after one year of cover No cover 150 per birth Health check contribution towards cost No cover Up to 100 every two years Up to 200 every two years Ambulance transport for road ambulance for emergency transport to or between hospitals Evacuation and repatriation service Transportation from the Islands to UK or another Island if local treatment is not available Paid in full Paid in full Up to 1,500 per year Accidental damage to teeth No cover Up to 1,000 per year Dental and optical cover No cover optional upgrade available Non-routine dental treatment: 80% refund up to 350 per year Optical cover: 80% refund 200 per year Up to 25 for an eye test As with most health insurance, there are limits and exclusions on these plans. They don t cover: Treatment of medical conditions that you were aware of before you joined unless our medical history disregarded option is selected (only available for corporate groups of 10 or more). Treatment of chronic conditions. Routine dental check-ups. Routine pregnancy and childbirth except for complications. Preventative treatment. Claims if you have travelled outside of Europe to get treatment. For treatment in the UK, any in-patient or day-patient treatment, MRI, CT or PET scans and oral surgical procedures not received in a hospital, scanning centre or facility listed in the Islands Health Plan directory of hospitals. PAGE 11

12 Want AXA on your side? To find out more about The Islands Health Plan or any of our global products, simply speak to your AXA representative. They ll be happy to get everything set up and running smoothly. Find out more on axaglobalhealthcare.com The Islands Health Plan is arranged and administered by AXA Global Healthcare (UK) Limited and underwritten by AXA PPP healthcare Limited. AXA Global Healthcare (UK) Limited is registered in England (No ). Registered Office: 5 Old Broad Street, London, EC2N 1AD. AXA Global Healthcare (UK) Limited is authorised and regulated in the UK by the Financial Conduct Authority. AXA Global Healthcare (Hong Kong) Limited is registered in Hong Kong (No ). Registered Office: Unit , 22/F., Manhattan Place, 23 Wang Tai Road, Kowloon Bay, Kowloon, Hong Kong. AXA Global Healthcare (UK) Limited We may record and/or monitor calls for quality assurance, training and as a record of our conversation. 1 Based on AXA PPP healthcare s 2017 Fast Track Appointments service data, recorded from the date the member called the Personal Advisory team Statistics provided and verified by our second medical opinion partners, Medix. 3 SME Group Secretary research carried out by Prescient in The people used for the images in this document are models. PB64815a / 06.18