The Shared Care plan offers the choice of two co-payment levels.
A co-payment works in a similar way to an excess as in exchange for lower premiums, you share the cost of treatment with the insurer.
Co-payments available:
How it works:
If attending a consultation or requiring a diagnostic test or an operation, you will be responsible for 10%, 25% or 50% (whichever co-payment you have chosen) of the cost of your treatment.
Your percentage or share of the costs of treatment is capped at £2,000 per person, per year on 10% co-payment, £5,000 per person, per year on 25% co-payment and £10,000 per person, per year maximum on a 50% share. This capping means that your share of the treatment costs should not escalate to a worrying level, ensuring the Society as your insurer covers the eligible treatment costs remaining.
Once you reach your capped share, the Society will cover the remaining costs of eligible treatment in full, up to the benefit limits of the plan. With Core Level and Option A, this is unlimited but there are benefit limits on Option B cover.
Please note:
Any benefit entitlement foregone because of the co-payment still counts towards your benefit limits as if we had paid the benefit in full.
(As with all policies, you will need to pay for the treatment costs which are not eligible for example because they are above the Option B policy maximums or not covered by the policy).
Please refer to the Shared Care Policy Document for examples of how the co-payment works in practice.
With a voluntary excess, you receive reduced premiums in exchange for paying a share of your treatment costs. This means that you will not be entitled to claim that excess value in eligible benefits (including hospital cash benefit) per policy year.
Excesses available:
How it works:
When you make a claim on your policy, for a consultation, surgery or other treatment, you will be expected to pay your agreed excess and the Society will then pay the remaining cost of your eligible claim.
Regardless of how many conditions you have or how many treatments you undergo, the excess is only deducted once per person covered by the policy, per policy year.
The excess starts again at your renewal date and so if you have any treatment which spans two years, the excess will be applied twice, once for each year.
Please note:
Any benefit entitlement foregone because of the excess still counts towards your benefit limits as if we had paid the benefit in full.
(As with all policies, you will need to pay for the treatment costs which are not eligible for example because they are above the policy maximums or not covered by the policy).
Please refer to the Exeter Care Policy Document for examples of how the excess works in practice.
 |
 |
 |
 |
 |
 |
 |
