Hospital day surgery
Please check your specific membership plan to make sure that this benefit is included in your level of cover. These terms are not specific to Essentials and Tailored membership plans.
We will pay benefit at the appropriate day rate for the period a person entitled to benefit is admitted for hospital day surgery treatment in a recognised hospital without an overnight stay.
You must fill in your claim form yourself confirming the medical reason for the hospital treatment. The claim form must be checked and stamped with the hospital stamp, and signed by a member of their staff. Or you can send us your inpatient letter which would have been given to you when you were discharged.
What is covered
- Any day surgery admission in an NHS hospital, private hospital or registered treatment centre, from one to 25 days, to have a medical condition investigated under anaesthetic or sedation using theatre facilities, or to have a medical condition treated under anaesthetic or sedation using theatre facilities
- Operations which are cancelled after you have been admitted to hospital
- Colonoscopy, laparoscopy, colposcopy and sigmoidoscopy procedures, providing an anaesthetic or sedation was needed and the procedure was carried out in theatre
- Fees for filling in claim forms or certificates, as long as you provide an official hospital receipt with your claim
- Outpatient treatment for chemotherapy
- Outpatient treatment for kidney dialysis
- Outpatient treatment for oncology
- Outpatient treatment for radiotherapy
- Worldwide cover during business visits and holidays abroad that last up to 28 days
What is not covered
- Attending accident and emergency
- Attending clinics, medical centres or nursing homes
- Admissions immediately before or following an overnight stay (one day either side) for which we will pay a claim under the hospital inpatient benefit
- 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
