Patients with Private Medical Insurance or Third Party Sponsor

We welcome patients with Private Medical Insurance, Medicolegal Claim, Work Wellbeing Scheme, or Other Third Party Provider.

If your treatment relates to an private medical insurance claim or medicolegal claim and we accept you as a patient, having agreed fees in advance with your insurer, we will invoice your insurer after you have been discharged (you will not need to pay at the time of the appointment).

Who can we treat?

We do accept patients from:

• AXA PPP

• Aviva Health

• IPRS

• TICCS

Please note the following before your treatment:

If you have private medical insurance you will need to speak to your insurer in advance of your treatment to get confirmation that your Care is covered by your insurance policy. We would recommend that you ask your insurer if there are any exceptions within your policy.

You will need to provide us with details of your insurer, your registration number, your level of cover, scheme details and your pre-authorisation number which your insurer will provide to you.

Where you have a Sponsor who has agreed to pay for your Care please ensure you have authorisation from them prior to booking your Care with us.

If a Sponsor has agreed to pay for your Care, The Clinic will require details of such party including your relationship with them and contact details for them. The Clinic reserves the right to verify with a Sponsor any arrangement in place between you and your Sponsor before agreeing to provide Care.

You agree to provide all information requested by The Clinic to verify, to our satisfaction details of any such arrangement including a letter of guarantee from your sponsor confirming to us that they will cover the costs of your Care at The Clinic a minimum of five (5) working days prior to your admission date.

Payment:

You agree with The Clinic that you will pay for your Care. Whilst you will remain responsible for the payment of your Care, where you have private medical insurance or a third party has agreed to pay for your care;

(a) We will, where possible, process the claim for your Care with your insurer or Sponsor, provided you have given us and your insurer or Sponsor all the information we need to do so. If this information is incomplete or inaccurate, we may not be able to process your claim and you will need to pay for your Care, as set out in (c) below;

(b) Where we process your claim and your insurer or Sponsor pays us direct, the rate agreed between The Clinic and your insurer or Sponsor will apply to your Care;

(c) If your insurer or Sponsor fails to settle our invoices (or any part of them) within thirty (30) days of the date of the invoice we will assume that the outstanding amount will not be paid by them and you will become immediately liable for payment in full.

(d) If we invoice you for your Care, or for an element of it, you agree to pay us the amount invoiced within 30 days.

If no rate has been agreed between The Clinic and your insurer or Sponsor in respect of your Care, The Clinic Standard Rates will apply to your Care.

If you pay for your Care and subsequently seek reimbursement from your insurer or Sponsor, and if no other rate has been expressly agreed between you and The Clinic, The Clinic Standard Rates will apply to your Care.

We recommend that you keep in contact with your insurer or Sponsor at each stage of the Care you receive to ensure you are appropriately covered.

What your insurance may not cover:

Some insurers use Care guidelines that may not match the professional medical opinion of the Practitioners, nursing staff and other medical professionals providing your Care. In some cases this can mean that your insurer may not pay for certain parts of the Care you receive, and you will be required to pay for that part of your Care. In particular you should note that treatment for complications may in some cases not be covered by insurance and in such cases you agree to cover the cost of your Care.

Your insurance policy may not cover the cost of Sundry Items or other items such as specialist equipment, like seating wedges or wrist braces, or it may only cover part of such costs. You will be required to pay for any such items not agreed by your insurers on receipt of the products.

Please call us on 01603 504508 if you need any further information