Check what fees apply to procedures covered under our medical insurance policies.
The Simplyhealth fee schedule includes codes for all procedures for which Simplyhealth policies will pay benefit.
Simplyhealth helps keep premiums at an acceptable level by specifying the fees payable to medical specialists. These fees are based on the relative complexity of the procedure. Our information is based on advice from medical experts and is under constant review. This ensures that the fees we pay our consultants are fair and in line with the market
You may wish to check the fees that are payable to ensure that your policy covers the procedure and will settle the final bill in full.
To check fees ahead of your procedure:
If a procedure is not listed on the Simplyhealth fee schedule, your consultant should contact 0800 294 7302.
Please note we will not pay additional fees for codes AC100, A5210, S5210, W9040 or A7350, the fee for pain relief is included in the main CCSD code.
Common bilateral procedures are listed in the schedule with their own single code. For all other bilateral procedures we will allow an additional 66% of the fee maxima of the primary code.
If you're carrying out a procedure that isn't coded, call us on 0800 854 929 or apply for a new code via www.ccsd.org.uk. Unacceptable code combinations and other matters relating to our charging structure are covered in our fee schedule explanatory notes. Please note, we don't provide cover for experimental or unproved procedures.
If you know that your charges are above the limits set out in this fee schedule, please inform your patient.