Jargon buster
ABI
Acute condition
After-care
Age band
Alternative medicine and therapies
Cash plan
Chronic condition
Community rating system
Counselling and counsellors
Data protection
Day-patient treatment
Diagnostic tests
Eligible care or treatment
Excess
Exclusions
Financial Ombudsman Service
Group Secretary
Guided Option
Health Screen
In-patient treatment
Major Dental Treatment
Medical underwriting
Moratorium or No Medical Assessment
No-Claims Discount Scale
Optional extras
Out-patient treatment
PHI
PMI
Policy document
Policy year
Policyholder
Pre-authorisation
Pre-existing condition
Preventive (preventative) treatment
Private Patient Unit (PPU)
P11D
Self-pay
Switching
Underwriting terms
ABI
Stands for the Association of British Insurers, of which Standard Life Healthcare is an active member.
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Acute condition
A temporary or short-lived illness or injury. It is likely to respond quickly to treatment that aims to return you to your previous state of health, or which leads to your full recovery.
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After-care
Consultations and care that follow eligible treatment.
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Age band
Because people generally need to claim more as they get older, our premiums increase with age. However, rather than increasing them with each year that you get older, we have created age bands. These include, for example, ages 18 to 29, 30 to 39, 40 to 49, 50 to 59, 60 to 64 etc. Your premium increases at renewal if you have passed into the next age band at the renewal following your birthday.
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Alternative medicine and therapies
Also known as 'complementary medicine', refers to different kinds of treatment that have traditionally not been available under the NHS but are becoming increasingly popular. They include acupuncture, homeopathy and chiropractic.
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Benefits in kind
Taxable benefits that are provided to an employee or director that form part of their remuneration.
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Cash plan
A cash plan is designed to provide cash sums to cover the cost of a number of routine medical treatments, and often some non-routine ones as well
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Chronic condition
A long-term or permanent illness or injury which has no known cure. Usually, it will require long-term monitoring, treatment, check-ups or tests.
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Community rating system
A system that determines premium rates by taking the average claims experience over a large number of policies (or "community"), rather than on a policy-by-policy basis.
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Counselling and counsellors
Someone you can to talk to in confidence. Counsellors are professionally trained to listen and advise you on a wide range of work or domestic problems.
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Data protection
The Data Protection Act 1988 dictates how information about you can be stored and used. We will use the information that we hold about you to administer your policy with Standard Life Healthcare, and may also pass certain basic information to third parties to enable them to provide this service on our behalf.
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Day-patient treatment
Is when you are admitted to a hospital or day-patient unit for treatment and need a period of supervised recovery afterwards but do not have to stay in overnight.
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Diagnostic tests
Investigations, such as x-rays or blood tests, to help find the cause of your symptoms and identify your medical condition.
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Eligible care or treatment
Refers to the care or treatment covered by a particular product. Some lower-cost plans do not for instance cover out-patient treatment where it comes before in-patient or day patient care and therefore out-patient treatment is only eligible in this case where it follows in-patient or day patient treatment.
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Excess
This is a specified amount of money which you agree to pay towards the cost of any claim.
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Exclusions
These are medical conditions or treatments which are not covered under your policy. You will find a specific section in your policy document which sets out these exclusions.
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Financial Ombudsman Service
An independent body that investigates complaints - at no cost to you. Standard Life Healthcare is covered by this service and, in the unlikely event that you need to make a complaint, its decision will be binding on us.
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Group secretary
The person within a company who is responsible for handling administration for a company or group PMI scheme.
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Guided Option
Guided Option is a new way of saving money on private health care developed in association with leading private hospital networks. Instead of having a bigger range of private hospitals to choose from across the country, you are treated only in hospitals belonging to one of these networks. However, as there are still over 100 of them nationwide, you'll probably find the one that's right for you. The hospital then chooses your consultant and arranges the treatment for you.
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Health Screen
An alternative term for full medical check-up.
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In-patient treatment
Treatment which, for medical reasons, means you have to stay in hospital overnight or for longer.
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Major Dental Treatment
Describes new bridges, crowns and dental repair work to teeth damaged in an accident.
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Medical underwriting
One way of joining Standard Life Healthcare is by completing a health questionnaire giving us details about your medical history. We will then assess your answers and tell you if there are any medical conditions which we are unable to cover under your policy.
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Moratorium or No Medical Assessment
As with any type of insurance, you can only take out cover against unforeseen events, which is why private medical insurance cannot cover you for pre-existing conditions. Our moratorium clause enables you to join Standard Life Healthcare without having to complete a health questionnaire. Instead, we apply a blanket exclusion for any pre-existing conditions you have, or have had, in the five years before you join us. The 'moratorium' refers to the fact that this exclusion is not necessarily permanent. If, after joining us, there is a period of two consecutive years during which you do not need any further treatment, medication or consultations for a pre-existing condition (or any related conditions), then should subsequent treatment for that condition become necessary, it will be covered (subject to normal terms and conditions).
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No-Claims Discount Scale
This is a scale of discounts on your premium. A no-claims discount scale is featured on our Primecare and EspritHealth plans. You move up or down the scale at each renewal depending on the number of claims you have made.
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Optional extras
Benefits that can be added on to a healthcare plan, for an additional premium at renewal.
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Out-patient treatment
Treatment at a hospital, consulting room or out-patient clinic where you don't need in-patient or day-patient treatment.
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PHI
Is the abbreviated reference for Permanent Health Insurance and not to be confused with PMI - see below.
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PMI
Is the abbreviated term sometimes used in place of Private Medical Insurance.
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Policy document
This is the main document setting out the basis of your contract of insurance with us.
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Policy year
The twelve-month period that runs from the date your policy starts and is renewed each year.
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Policy Holder
This is the person who agrees to the insurance contract by signing the application.
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Pre-authorisation
This is simply the process of getting a claim approved by us before you undergo any treatment. It provides you with the reassurance of knowing that your treatment will be covered so that you can concentrate on getting better. It also enables us to tell you if you are arranging treatment that will not be covered, for example if you are about to go into a hospital that is not on your list.
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Pre-existing condition
This is a medical condition that anyone included on your policy has either: received treatment or medication for; had symptoms of; asked advice on or been aware of during the five years immediately before your application was made or your policy started.
We cannot cover that condition or any condition that arises from it.
Existing conditions may be covered in the future, however. See also Moratorium and Medical Underwriting.
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Preventive (preventative) treatment
This is treatment undertaken - before any symptoms arise - which is designed to stop you from getting a disease or to catch it at its very earliest stages. Examples include inoculations against diseases, and mass screening programmes such as breast screening. Preventive treatment is not covered by private medical insurance.
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Private Patient Unit (PPU)
Many NHS hospitals have set up PPUs to help supplement the funds they receive from the Government. PPUs may be a ward or wing within an NHS hospital set aside specifically for private patients. However, many now offer stand-alone purpose built units within the grounds of the hospital. They are dedicated to meeting the needs of private patients and offer similar 'hotel' facilities to those available with private hospitals.
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P11D
An Inland Revenue form detailing benefits in kind paid as part of employees' remuneration. This is completed by the employer and submitted annually to the Inland Revenue.
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Self-pay
Patients buying private medical services direct from a hospital or specialist, as and when needed.
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Switching
If you have an existing healthcare policy provided by another insurer, we can, subject to certain terms and conditions, provide continuity of cover on the same personal medical terms if you 'switch' your policy to us.
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Underwriting terms
The different ways of applying and being accepted for private medical insurance cover. See also Moratorium and Medical Underwriting.
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