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Terms explained

We know that health insurance can be confusing, especially if you’ve not used it before.

These guides help you with the different words you may come across, and answer some common questions about how health insurance works.

 

These guides are for members who set up their own health insurance, or are part of a company scheme with fewer than 250 members. If you’re part of a large company scheme, with more than 250 members, please log in to your
Wellbeing Hub.

 

We can’t answer all questions here, and your plan may be set up differently. And not all of these guides will be 
relevant to you. Please always check your own handbook. 

Chronic conditions

What we mean by chronic conditions, and what’s covered.

Excess

What and when you need to pay towards your treatment.

No claims discount

How it works and how it can keep your costs down.

Outpatient cover and limits

What’s covered for outpatient treatment, and how outpatient limits and specialist consultation limits work.

Pre-existing conditions

How we handle conditions you already have when you join.

Choosing a specialist

Which specialists you can see on your plan.

What’s covered – the basics

A quick guide to what we do and don’t cover on your plan.

Why we ask your doctor for information

The reasons we may sometimes need to ask your doctor for information.

When we ask you to pay towards treatment

When we ask you pay towards treatment.

Why prices go up

Why health insurance costs tend to rise each year, and how to control the costs.

You can find more about what you’re covered for and how your membership works in your membership documents, which you can see in your online account.

Live chat with an agent

Monday to Friday 8am – 8pm
and Saturday 9am – 5pm

Chat online with one of our agents using the live chat to the bottom-right of your screen