What´s not covered with Enterprise Flexible Benefits
As with all health insurance policies, there are certain things that are not covered. Enterprise Flexible Benefits specifically exclude the following list which is a summary only. For a full list of exclusions please see ´A Guide to Your Group Policy´.
- Any medical conditions your employee had when you took out the policy (pre-existing conditions) unless declared to and accepted by WPA.
- Chronic conditions (which are any long-term illnesses that lead to long-term monitoring or management).
- Dangerous sports/activities.
- Dental problems (unless you choose the Dental Option).
- Fertility problems, pregnancy & childbirth.
- Fees charged above "customary & reasonable" rates.
- Neonatal treatment.
- HIV/AIDS.
- Cosmetic surgery (unless you buy NHS Top-Up with the Cosmetic option).
- Care and/or treatment arising from or related to taking part in winter sports holiday (e.g. skiing, snowboarding) scuba diving and motor sports.
- Injuries resulting from taking part in professional sports.
- mycancerdrugs is not an option you are able to purchase if you have bought Essential Cover.
- Wellness & Dental Plans: please note you cannot hold any existing cashplan or dental plan with another insurer after the qualifying period.
- NHS cash benefit can only be claimed under either Essential or Wellness in respect of one hospital stay.
- Varicose veins for the first 2 years of cover if you join on fully underwritten terms.
Find out more about the benefits that our health insurance offers you.