Hospital day-case admission
Please check your specific membership plan to make sure that this benefit is included in your level of cover.
We will pay benefit at the appropriate day-case rate for the period a person entitled to benefit is admitted for day-case treatment in a recognised hospital without an overnight stay.
You must fill in your claim form yourself. The hospital must then check it and stamp it with its official stamp.
What is covered
• Any day-case admission in an NHS hospital, private hospital or registered treatment centre, from one to25 days, to have a medical condition investigated under anaesthetic, or to have a medical condition treated under anaesthetic
• Operations which are cancelled after you have been admitted to hospital
• Investigative procedures (for example, colonoscopy, laparoscopy, colposcopy and sigmoidoscopy)
• Fees for filling in claim forms or certificates, as long as you provide an official hospital receipt with your claim
• Outpatient treatment carried out under anaesthetic
• Outpatient treatment for chemotherapy
• Outpatient treatment for kidney dialysis
• Outpatient treatment for oncology
• Outpatient treatment for radiotherapy
What is not covered
• Attending accident and emergency
• Clinics, medical centres or nursing homes
• Elderly care
• Hospice day care
• Maternity admissions
• Outpatient appointments or treatments that are not covered above
• Pre-admission appointments (appointments before you are admitted to hospital)
• Psychiatric treatment
• Pre-existing conditions
See the ‘General exclusions’ section.
