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Halcyon Healthcare Ltd
Wetherby Business Centre,
14-18 York Road, WETHERBY
LS22 6SL

0113 393 0707


Halcyon HealthCare Limited is Authorised
and Regulated by the Financial Services Authority.

 

The following glossary of terms may prove to be of some assistance when completing the Halcyon HealthCare Needs Analysis Questionnaires.

When such terms are used in private medical insurers’ policy documents, the insurers’ definitions should be referred to, rather than those given below, which have been provided only for initial guidance prior to completing the questionnaires. The ABI Guide, “Are you buying Private Medical Insurance” should also be consulted.

You can download a copy here (just click on the image). It is a 15-page PDF file that you can print out or read on screen.

Acute Conditions Curable, short-term illness or injury
Alternative Therapies May include physiotherapy, osteopathy, chiropractic, homeopathy and chiropody
Cash Benefit for Treatment by the NHS Money back payment from the insurer for electing to have treatment by the NHS instead of exercising the right to private treatment
Cash Plan Partial cash reimbursement of insured’s costs of optical, dental, alternative therapies, and chiropody, etc. and cash benefits for admission to hospital and maternity benefit etc.
Chronic Conditions Long-term illnesses that cannot be cured
Claims procedures Increasingly, leading insurers agree claims by telephone, whenever possible, rather than by
claim form
Consequences of non-disclosure When making a medical history declaration, it is essential that a full disclosure is made, otherwise the insurance provider may reject any subsequent claims
Day-patient Admission to hospital for a day without the need to stay overnight.
Dentistry Routine dental treatment not involving oral surgery
Excess The amount the insured agrees to pay towards his/her treatment in order to reduce the cost of
cover. (Usually paid only once on the initial claim per person per policy year)
Full Medical Underwriting Requires the proposer to provide details of his/her previous medical history and to give the
insurer permission to seek further information from the proposer’s GP. Pre-existing conditions that occurred prior to the commencement of cover, will normally be excluded from cover
Inflation of Medical costs The increasing cost of medical treatment year on year resulting partly from the increasing
sophistication of treatments and diagnostic tests
In-patient A person who is admitted to hospital for treatment and for medical reasons has to stay for one or more nights.
Medical History Disregarded For groups of 20/25 or more directors and employees and for an additional cost, any pre- existing medical conditions suffered by members of the scheme will be covered, provided they fall within the terms and conditions of the scheme.
Moratorium The proposer is not required to declare his/her medical history on application, but any condition suffered in (usually) the previous five years will eventually be covered if no symptoms, treatment, medication, tests or advice is received for that condition for a further period of (usually) two years
Out-patient A person treated in a hospital, consulting room or clinic, but not as a day-patient or in-patient
Overseas Cover Cover for treatment and if necessary, repatriation if you are ill or injured overseas
Parent accompanying a child The cost of accommodation in hospital for a parent accompanying a child under the age of 9 (for some policies under the age of 14)
PMI Private Medical Insurance
Pre-existing Conditions Any conditions (disease, illness or injury) for which the applicant has received medication, advice or treatment or has experienced symptoms, whether diagnosed or not, before insurance cover commenced
Private Hospital A hospital that charges fees for all its services
Private Wing of an NHS hospital Private fee-paying wards within NHS hospitals
Related Conditions A medical condition, (symptom, illness, disease pre-existing conditions or injury) arising from or associated with a pre-existing condition
Switching Insurers Group Scheme Administrator’s may often be able to switch their scheme to another insurer without loss of cover for pre-existing conditions on Continuing Medical Exclusion (CME) terms. Such terms are not so readily available forindividual and family schemes. Advice should be sought before cancelling cover with your present insurer and switching to a new provider

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Choices? Decisions? ..... It's a complicated world.

We're here to help, to answer your queries and to help you make the right choice.

Contact Halcyon Healthcare today on: 0113 393 0707

If we are busy working with clients when you call. just leave and message and we'll call back as soon as we can.
Or fill in a brief contact form using the link below and we'll call back promptly.

Short form for company schemes.

Short form for private and family schemes.



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