The scheme is currently open to all serving and retired officers up to the end of the year they reach 75. The Private Healthcare premium is dependent on the age of the lead member. Dependent children are included in the family rate up to the end of the year they reach the age of 21. Membership is extended to all dependent children aged 21-30 at the renewal date of the scheme (1st January annually). To be eligible, during your membership, children over 21 must remain dependant on you, either living at home or studying away.
The following tables set out the discretionary benefits provided by PFNI Healthcare.
|
|
Medical and Hospital Benefits |
Scheme Limits applying |
|
4.1 d |
Inpatient cover |
|
|
4.1.1 |
Hospital Fees |
Included |
|
4.1.2 |
Specialist/Clinician Fees |
Included |
|
4.1.3 |
Diagnostic tests |
Included |
|
4.1.4 |
Mental Health |
Up to 45 days per year |
|
4.1.5 |
Post procedure supervision |
Up to 3 months |
|
4.2 |
Outpatient Cover |
|
|
4.2.1 |
Specialist/Clinician Fees |
Up to and from within your Outpatient limit of £1,500 |
|
4.2.2 |
Diagnostic tests |
Up to and from within your Outpatient limit of £1,500 |
|
4.2.3 |
Therapies |
Up to and from within your Outpatient limit of £1,500 |
|
4.2.4 |
Mental Health |
Up to £1,500 and from within your Outpatient limit |
|
4.2.5 |
Overall Outpatient Scheme limits |
£1,500 per person per Scheme year |
|
4.3 |
Additional Scheme Features |
|
|
4.3.1 |
Parental Accommodation |
Included for a child aged under 17 years of age |
|
4.3.2 |
Pregnancy Complications |
Included |
|
4.3.3 |
NHS Cash Benefit |
£50 per day (Up to £1,000) |
|
4.3.4 |
Minor Injuries Treatment |
Included |
|
4.3.5 |
Home Nursing |
£3,000 per year |
|
4.3.6 |
Day Care |
Included |
|
4.3.7 |
Emergency Dental Treatment |
Included |
|
4.3.8 |
Medical Devices |
Up to £1,000 |
|
4.3.9 |
Overseas Emergency Outpatient Treatment |
Up to and from within your Outpatient limit of £1,500 |
|
4.3.10 |
H3 GP Included |
Included |
|
4.3.11 |
H3 Virtual Services |
Included |
|
4.4 |
Cancer Treatment |
|
|
4.4.1 |
Hospital Fees |
Included |
|
4.4.2 |
Specialist/Consultant Fees |
Included |
|
4.4.3 |
Diagnostic tests |
Included |
|
4.4.4 |
Radiotherapy/Chemotherapy |
Included |
|
4.4.5 |
Surgery (including reconstructive surgery) |
Included |
|
4.4.6 |
Private Drugs |
Included |
|
4.4.7 |
Palliative and Hospice care |
£100 per night to £10,000 |
|
4.4.8 |
Hospice/Cash Benefit |
£50 per day (Up to £5,000) |
|
4.4.9 |
NHS Cancer Cash Benefit |
£100 per day Treatment is received as an Inpatient or Day Patient.
£100 per day Treatment is received as an Outpatient for radiotherapy, chemotherapy, blood transfusion or surgical procedures.
£100 per day for intravenous (IV) chemotherapy received at home.
£100 per week for oral chemotherapy drugs taken at home. |
Users can sign in to the members section of the website to download application forms and claims forms.