Check what fees apply to procedures covered under our medical insurance policies.
Simplyhealth - along with other medical insurers - keep premiums at an acceptable level by specifying the fees payable to medical specialists. These fees are based on historical claims data combined with advice from medical experts and are constantly evolving.
You may wish to check the fees that are payable to ensure that your policy covers the final bill. In the vast majority of cases there will be no problem but there may occasionally be specialists whose fees exceed the amount we will pay. In these cases you will need to fund the difference.
To check fees ahead of your procedure:
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 have any questions at any point - or if you need to arrange any private treatment - please call us on 0800 294 7302.
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.