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Bupa Eduhealth Essentials Healthcare Scheme (the “scheme”) is available to all UK based employees in the teaching profession and education sector.
It is a bespoke scheme available only through Eduhealth. The providers of the scheme are Bupa and they are responsible for underwriting the risk and paying out on claims.
| Eduhealth Essentials |
Benefits |
Notes |
| In-patient and day-patient treatment |
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| Hospital charges |
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In a Bupa participating hospital in a scale C room |
| Consultants’/specialists’ fees |
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In a Bupa participating hospital - Bupa benefit
limits apply if the consultant is not a Bupa
partnership consultant |
| Diagnostic tests |
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In a Bupa participating hospital in a scale C room |
| Radiotherapy/chemotherapy |
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In a Bupa participating hospital in a scale C room or a Bupa approved specialist treatment centre. Benefit limits apply if the consultant oncologist is not a Bupa partnership consultant |
| Psychiatric treatment |
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Out-patient treatment |
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| Consultations with a consultant/specialist |
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With a Bupa recognised consultant when following within three months and directly related to in-patient/day-patient treatment. |
| Diagnostic tests |
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MRI, CT and PET scans in a Bupa recognised out-patient diagnostic imaging centre |
| Radiotherapy/chemotherapy |
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In a Bupa participating hospital or, for certain conditions, a Bupa approved specialist treatment centre. Benefit limits apply if the consultant oncologist is not a Bupa partnership consultant |
| Physiotherapy (and other therapies) |
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On a GP or Bupa recognised consultant referral to a Bupa recognised therapist when following within three months and directly related to in-patient/day-patient treatment |
| Psychiatric treatment |
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| Surgical procedures |
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No annual maximum. In a Bupa participating hospital. Bupa limits apply if the consultant is not a Bupa partnership consultant. |
Additional benefits |
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| Nursing at home |
Up to £600 a year |
Following eligible private in-patient treatment covered by your scheme |
| Private ambulance |
Up to £120 a year |
£60 maximum for any one trip |
| Parent accommodation |
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When staying with a child under 12 receiving
eligible private in-patient treatment, one parent
only |
| NHS cash benefit |
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NHS cash benefit of £100 per night, up to
20 nights maximum per benefit year |
| Complementary medicine |
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Please note Eduhealth Essentials covers eligible treatment of acute medical conditions including:
 surgery
hospital accommodation and nursing
diagnostics
out-patient consultations and therapies
treatment for cancer
private hospital treatment following an accident
or emergency admission (exc. intensive care)
organ transplants
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Bupa has more than 60 years of experience in providing private healthcare and medical treatment to it's customers.
Bupa are also the largest independent health and care organisation in the UK with over 3 million members.
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Members of the scheme are covered from the time their GP first refers them to a
consultant, through to hospital treatment and follow-up consultations at any of
our national network of 400 Bupa participating hospitals.
The scheme offers: |
- cover for all eligible in-patient and
day-patient treatment
- extensive cancer cover
- full cover for three months of outpatient
treatment after an eligible in-patient stay
- MRI, CT and PET scans
- access to treatment in the UK by Bupa
recognised consultants and therapists
- out-patient cover for physiotherapy
(usually after and in-patient stay)
- cover for private hospital accommodation – usually a private room with en-suite
facilities, telephone and TV.
The scheme does not cover you for the
following:
- services of a GP or dentist and dental conditions, including periodontal disease
(except eligible in-patient dental
treatments carried out by a consultant
such as wisdom tooth extraction)
- routine sight tests, spectacles and contact
lenses, hearing tests and hearing aids
- drugs, dressings, surgical appliances except where stated in the Membership Guide
- accommodation at ‘natural cure clinics’
including health farms etc
- cosmetic treatment
- chronic or long-term conditions (for
example asthma or epilepsy)
- treatment that is not medically necessary
- preventative treatment and screening
- treatment outside the UK
This list is not exhaustive, a full list of policy
limits and exclusions is available in the
Membership Guide.
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