Charges relating to your hospital room, meals and nursing directly to your treatment
An ancient system of healing achieved by the insertion of needles into strategic body points.
A medical condition that responds to treatment, which aims to return you to your previous state of health or leads to your full recovery.
Treatments such as acupuncture, homeopathy and other complementary treatments.
The cover provided by your plan
Any deformity, abnormality or disability, arising during pregnancy, or caused during childbirth.
Any physical harm or damage to you.
A malignant tumour, tissues or cells, characterised by the uncontrolled growth and spread of malignant cells and invasion of tissue.
A cash payment which is normally payable when a policyholder or member stays in a non-fee paying hospital.
A medical condition which has one or more of the following characteristics:
• needs on-going or long-term monitoring through consultations, examinations, check-ups or tests
• needs on-going or long-term control or relief of symptoms
• requires your rehabilitation or for you to be specially trained to cope with it
• continues indefinitely
• has no known cure
• comes back or is likely to come back
An amount of benefit paid for providing treatment for a medical condition.
The percentage of costs for a covered claim that you must pay.
Injury, illness and/or associated symptoms.
A medical condition that is present at birth or is believed to have been present since birth, whether it is inherited or caused by an environmental factor.
Please see specialist.
Continuation of Personal Medical Exclusions
If you transfer from another insurer they may offer to continue the same underwriting terms including any special exclusion which previously applied to you. Upon agreement, you will not be subject to any new personal underwriting terms.
See Continuation of Personal Medical Exclusions.
A medical condition which is unstable and serious, where the outcome cannot be medically predicted, prognosis is uncertain and the person may die.
Date of joining
When you first became a member on the plan.
Treatment at a hospital or a day-care unit when medical supervision is needed for recovery, but you do not stay overnight.
That which affects the teeth and gums.
A plan holder’s
• husband, wife or partner
• unmarried child, stepchild or legally adopted child under a defined age
• unmarried child under a defined age who is in full-time education
Diagnostic tests and procedures
A medically necessary test or examination to investigate the cause of your symptoms.
A sudden, unexpected acute medical condition or an unexpected acute episode of a chronic medical condition that, without treatment within 48 hours of onset, could result in death or serious damage to bodily functions.
The amount you must pay towards the cost of a covered claim
A medical condition which will not be covered by your policy
See full medical underwriting
Full medical underwriting
If you have fully underwritten cover, your policy will not cover medical conditions and any medical conditions that are directly linked to them which you have or had before the day that you take out a policy.
Any activity or sport that places you at an increased risk of suffering a medical condition or making an existing medical condition worse.
An organisation providing services for patients with terminal illnesses. Hospice care may be received as an in-patient or out-patient, at home, or at a centre for controlling pain and other symptoms.
An institution that provides medical, surgical or psychiatric care and treatment for the sick or the injured. Different insurers and their policies offer different hospital access.
Treatment at a hospital where you need to stay in a bed for one or more nights.
Insurance premium tax
A government tax
See Insurance premium tax.
Signs or symptoms, injury, illness, sickness or disease.
The average rate that medical insurance premiums increase annually
A waiting period of typically 5 years from your date of joining, or the date shown on the special terms section of your certificate of insurance, that must have passed before claims for pre-existing medical conditions may be eligible under the plan.
Full screening using a magnetic resonance imaging (MRI) scanner.
Nursing at home
Services of a registered nurse in your home when prescribed and supervised by a medical practitioner, consultant or specialist and related directly to a medical condition for which you are receiving treatment under the plan.
That which affects the structure, function, or development of the teeth, upper or lower jaw or the oral cavity.
A branch of medicine that deals with tumours (cancer).
Treatment at a hospital, consulting room, or out-patient clinic where you do not need a bed.
Treatment aimed to relieve the symptoms, rather than to stop, delay, or reverse progression of the medical condition causing them or provide a cure.
A practice to improve a broad range of physical problems associated with different parts of the body.
Plan start date
The date the plan begins and any future renewal date.
A period of 12 months from the plan start date, as shown on a valid certificate of insurance.
The process you must follow to get approval from the insurer before receiving or incurring costs for treatment.
Any medical condition or related medical condition which typically has one or more of the following characteristics:
• was foreseeable
• clearly showed itself
• you had signs or symptoms of
• you asked for advice about
• you received treatment for
• to the best of your knowledge, you were aware you had
Sports which you are being paid to take part in and where any payment is received.
A medical condition which affects your mind, mental function or emotions whether the cause is organic, traumatic or reactive.
Treatment aimed to restore your health or mobility to help you live a more independent life.
The anniversary of the start date of the plan as shown on a valid certificate of insurance.
Routine health check
Diagnostic tests and procedures where no medical condition or symptoms are present.
Six week wait benefit
Where you will need to use NHS facilities or self-fund private treatment - unless the waiting list is 6 weeks or more, in which case private treatment can be typically received without delay.
A medical practitioner who is practising and has a recognised certificate of higher specialist training or a consultant appointment (or equivalent), in the field of medicine for which the treatment is needed and in the country where treatment is provided.
The date you join the plan or any future renewal date as shown on a valid certificate of insurance.
The end stages of a medical condition where life expectancy is considered to be weeks or months. Treatment is limited to relief of symptoms and no active treatment is being given.
A physiotherapist, chiropractor, osteopath, homeopath or acupuncturist who is qualified.
Any surgical or medical services, including diagnostic tests and procedures, which are needed to diagnose, relieve or cure a medical condition.
See Moratorium and Full Medical Underwriting
The above descriptions are generic and may differ with each insurers policy terms and conditions