Enterprise Health benefits

Choose from a comprehensive range of modular options, to create a bespoke Enterprise Health group scheme for 10 to 200 members of staff, where each employee can have different options and advanced levels of cover tailored just to them.

In-patient and day-patient treatment

Standard

Comprehensive

Hospital Treatment
Critical Care Levels 2 and 3 Up to 28 days for Intensive Care, High Dependency, Coronary Care Units
Specialists’ Fees
Diagnostic Tests
Complex Diagnostic Scans - MRI, CT and PET Scans
Mental Health Treatment Up to 28 days/nights in one year or 28 days/nights in five years
Post-operative Consultations and Tests One follow-up consultation and tests within 90 days of surgery
Prostheses Passive and Active

Cancer Cover

Consultations with a Specialist
Radiotherapy/Chemotherapy
Targeted Cancer Therapies Targeted cancer therapies that are not readily available to you on the NHS (their use must be within their licensed indication for the stage of the condition being treated)

NHS Hospital Cash Benefit

Non-cancer – overall combined maximum annual benefit £4,500

NHS In-patient or NHS Day-patient £100 per night/day
NHS Out-patient Complex Diagnostic Scans and NHS Out-patient Procedures (MRI, CT and PET Scans) – £100 per day

Cancer – overall combined maximum annual benefit £30,000

NHS In-patient or NHS Day-patient £100 per night/day
NHS Out-patient Complex Diagnostic Scans or NHS Out-patient Cancer Treatment or NHS Out-patient Procedures £100 per day

Out-patient Treatment

Consultations with a Specialist and Diagnostic Tests
Therapy
£500
£500 / £1,000 / £1,500 / Unlimited
Mental Health Treatment
£750 / £1,000 / £1,500
Out-patient Procedures
Complex Diagnostic Scans
Pre-admission Tests

Remote Services

Remote GP Services 24/7 access to a private GP helpline, video consultations, private prescriptions and specialist referral
Employee Assistance Programme (EAP) 24/7 telephone support

Further Benefits

Nursing at Home Up to 4 weeks
Private Ambulance Transport
Parent and Child Up to 10 nights for hospital accommodation charges
Out of Pocket Expenses Up to £10 per day
Hospice Donation £70 per day/night up to £700

Optional Extras

Enhance the Cover with the following Optional Extras.

Overseas Emergency Treatment (for business purposes only)

Treatment for medical emergencies. Evacuation/repatriation by air ambulance when local medical facilities are inadequate Up to 70 days per trip (35 days in the USA)
£500,000

Cash Extras

Optical Treatment
£150
New Baby
£100
Health Screening 1 health screen every 2 years
£200

Dental Care

Level 1

Level 2

Level 3

General Dental Treatment When performed by a registered dentist or dental hygienist in general dental practice
£150
£250
£400
Dental Emergencies £250 per course of treatment, maximum 4 episodes
£1,000
£1,000
Dental Injuries
£20,000
£20,000
Restorative Treatment as a direct result of Oral Cancer Restorative dental treatment including two dental implants. Automatically included with Comprehensive cover
£10,000
£10,000

Shared Responsibility

An innovative co-payment feature that allows you to take greater control of your premium, whilst ensuring that your employees aren’t compromised on benefits. Click here for more details.
£0 • £150 • £250 • £500 • £750 • £1,000

Excess

Instead of Shared Responsibility you may prefer to take a traditional excess (per person per year not per claim).
£100 • £150 • £200 • £250

Premium Hospitals

We provide an extensive choice of over 600 hospitals as standard. Extend this choice by adding Premium Hospitals, primarily based in Central London.
Available to add to all levels

Oral Surgery

Benefit is paid from any existing benefit limits except an additional £350 towards treatment carried out in a dentist’s chair
Available on Comprehensive only

Long-Term (Chronic) Conditions

Consultations and therapy treatment required in relation to a claim we authorised but subsequently are ceasing benefit for in line with limitations on the treatment of Long-term (Chronic) Conditions
Up to £500
Available Comprehensive only

Winter Sports - UK Treatment

Benefit is paid from your existing benefits, for established treatment upon your return to the UK
Available on Comprehensive only

This table is a summary of the benefits available and is for indicative purposes only. Please refer to the 'Group Scheme Summary' for further details and 'A Guide to Your Group Scheme' for full terms and conditions in the ‘Download documents’ section below.

What isn't covered

As you’d expect, some circumstances won’t be covered in your scheme like the examples shown below

  • Any long-term monitoring, management or treatment of incurable, prolonged or lifelong condition(s) (chronic conditions) except for limited benefit if the Long-term (Chronic) Conditions Optional Extra has been included.
  • Cancer or mental health treatment (unless you choose Comprehensive cover).
  • Targeted Cancer Therapies if readily available on the NHS.
  • Cosmetic/aesthetic treatment.
  • Fertility problems, pregnancy and childbirth (except the limited cash benefit for childbirth under the New Baby benefit if the Cash Extras Optional Extra has been included).

For a full list of what isn’t covered, please refer to the guide in the ‘Download documents’ section below.


Download documents


What next?

Contact us

If you’d rather talk to someone about becoming a member, please give our highly trained and experienced UK team a call on 01823 625247