Your child s health is our priority. Bupa schools scheme. bupa.co.uk ONLY PER TERM PER CHILD. Provided by

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1 Prvided by Bupa schls scheme Yur child s health is ur pririty PER TERM PER CHILD * ONLY bupa.c.uk *Thesubscriptinrateappliesfrmembershipyear1September2013 t31august2014.thissubscriptinrateincludesinsurancepremium Taxatthecurrentratef6percentnthepremiumpayable.Bupa reservestherighttvarysubscriptinsduringacntractyearifthe ratefiptchanges.

2 p ut Yur children in saf e hands W ith Bupa all parents want the best fr their child. it ges hand in hand with being a parent. Yu want them t have access t the best educatin and the best pprtunities. Yu want them t be as healthy as pssible t, which is why having prmpt access t eligible medical treatment, shuld they need it, with the Bupa schls scheme is s reassuring. Thecverisdesignedtgiveyutheextrapeacef mindfknwingthatifyurchildshuldfallill,they havecverfrtheeligibletreatmentanddrugsthey need,whentheyneedthem. Designed t lk after yur child When yu take ut the Bupa schls scheme fr yur child, yu re making an additinal investment in their future by helping t ensure they have prmpt access t treatment fr eligible cnditins when and where they need it. WiththeBupaSchlsSchemeyurchildcanbe cveredintheukduringtermandhlidaytimefr thefllwing ** : hspitalchargesfreligiblein-patientandday-patient treatmentinabupaparticipatingfacility cnsultants feesfrut-patientcnsultatinsas wellasin-patientandday-patienttreatments,when usingafeeassuredcnsultant(abuparecgnised cnsultantwhagreestchargewithinbupalimits) diagnsticstestsinabupapartnershiphspital eligibleut-patienttherapiesincludingphysitherapy withalimitf 650amembershipyear cancertreatment allyurcstsarepaidinfullfr eligibletreatmentwhenyuuseabupapartnership facility,usingafeeassuredcnsultant(abupa recgnisedcnsultantwhagreestchargewithin Bupalimits) mentalhealthandwellbeinguptamaximumf 45daysperyear transprtbyprivateambulancewithalimitf 125 amembershipyear hmenursingbenefitaftereligiblein-patient treatmentwithalimitf 600amembershipyear NHScashbenefit(payablefrupt35nightseach membershipyear)at 25pernight ThisappliesfreligibleBupatreatmentsthathavebeen pre-authrised. Fr infrmatin n treatment authrisatin please see the sectin What t d if treatment is required. Fr infrmatin n key exclusins please see the sectin What isn t cvered. **MembershipissubjecttacceptancebyBupaandt therulesandbenefitsfthebupaschlsscheme includingexclusinsandrestrictins.fulldetailsare availablenrequestfrmthebupaschlsscheme helpline.theagreementtprvidethecverwill bebetweenbupainsuranceltdandthefirstnamed parent/guardianntheapplicatinfrmr(ifn applicatinfrmiscmpleted)theparent/guardian firstnamedinyurchild sschlrecrds.the agreementismadebythechild sschlnbehalff theparent/guardian.subjectttherulesandbenefits fthebupaschemeincludingtherecgnitinbybupa ftheprviderandtheeligibilityfthecnditin. Benefitlimitsapply.

3 experience the Bupa difference the Bupa schls scheme prvides a service fr yu and yur child that ffers yu all the reassurance f the fllwing. Bupawillpayfraparenttstayinhspitalwith achildunder16yearsldreceivingeligibleprivate in-patienttreatment,eveniftheparentisnta Bupamember. Cverfrmthetimefyurchild scnsultatin thrughteligiblehspitaltreatmentandhme nursingfllwingeligibleprivatein-patienttreatment. Hmenursinghasabenefitlimitf 600per membershipyear. Cmfrtableaccmmdatin,generallywithTV, telephneanden-suitebathrmandflexible visitinghurs. Weprvideutstandingcustmerserviceandan impressiverangefhealthcaresupprtservices. Yurchildwillnlybetreatedbycnsultantswhare expertsintheirfield,syucanbecnfidentyur childwillreceiveexcellenttreatmentandcare. Withnsharehlders,weinvesturprfitsbackint theservicesweffersthatwecancntinuethelp timprveyurhealthandwellbeing. affrdable peace f mind TheBupaSchlsSchemeffersthereassuranceyu expectfrmhealthinsurance,specificallydesigned fryurchild.shuldtheybecmeill,whichnparent wants,theywuldhaveprmptaccessteligible treatmentandcare. Cverisavailablefrnly 67.50*perterm,perchild. Ifyu dlikethavethereassurancethatyurchildhas prmptaccessttreatment,pleasereadthisleaflet carefullytensureyuunderstandwhatisandisn t cvered,befrecmpletingandreturningtheattached applicatinfrm. *Thesubscriptinrateappliesfrmembershipyear 1September2013t31August2014.Thissubscriptin rateincludesinsurancepremiumtaxatthecurrentrate f6percentnthepremiumpayable.bupareserves therighttvarysubscriptinsduringacntractyear iftheratefiptchanges. Bupa anytime healthline BupaAnytimeHealthLineffersarund-the-clck unlimitedtelephnecnsultatinswithurteamf GPsandnurses. Termsandcnditinsapply.Frfulltermsandcnditins,benefits andexclusinsseemembershipguide(availablenrequest)rvisit bupa.c.uk/schlscheme.

4 membership infrmatin OnceyurchildisaBupaSchlsSchememember, thereareafewthingsyuneedtknw.firstly,the BupaSchlsSchemenlycverstreatmentthat ismedicallynecessary.yumustcntactusn ^prirtanytreatmenttcheck yurchild sbenefitentitlementandspecifically befreyurchildreceivesthefllwingtreatment: wisdmteethextractin grmmetinsertin tnsillectmyand/radenids(underage12) mentalhealthtreatment ^Callsmayberecrdedandmaybemnitred. sme imprtant steps t remember. 1. Thetreatmentmustbecveredunderyur child smembership. 2. Callustbtainanauthrisatinnumberbefre anytreatment. 3. Treatmentmustbentheinitialrecmmendatinf yurchild sgp. 4. Out-patientsurgicalperatins,day-patientr in-patienttreatmentmustbeprvidedbyabupa partnershipcnsultantandcarriedutinabupa participatingfacility. What isn t cvered the Bupa schls scheme is designed t cver treatment fr illness r injury. it des nt cver treatment fr chrnic cnditins. these include diseases r illnesses that are lng-standing r are recurrent such as diabetes r allergies. sme ther exclusins include: seeingagpprivately accidentandemergencyadmissin treatmentfrcnditinsrsymptmsarisingfrm physilgicalrnaturalcauses cnvalescence rutinehealthchecksrdentaltreatment treatmentrelatingtlearning,behaviuraland develpmentalprblems sleep-relatedbreathingdisrders verseastreatmentrrepatriatin intensivecare,exceptwhenrutinelyneededafter plannedprivatetreatment rutinemnitringvertimefstablecnditins 5. Yurchildmustccupyarmwithintheir scalefcverwhenreceivingday-patientr in-patienttreatment. Fr full details please refer t the Bupa schls scheme membership guide. a cpy is available n request, r visit bupa.c.uk/schlscheme FOR FURTHER INFORMATION ON THE BUPA SCHOOLS SCHEME PLEASE CALL THE MARSH LIMITED EDUCATION PRACTICE ON l ines are pen Mnday t Friday 9am t 5pm. calls may be recrded and may be mnitred.

5 What t d if treatment is required 1. Ifyurchild sgprefershim/herfracnsultatinr treatment,explainthatyurchildisabupamember: IfyurchildneedstseeacnsultantasktheirGP treferhim/hertabuparecgnisedcnsultant whchargeswithinbupabenefitlimitsandwhhas admittingrightstabupaparticipatingfacility.the membershipguide(availablenrequest)explains abutpartnershipcnsultants,nn-partnership cnsultantsandparticipatingfacilities.alternatively, yucancallbupan ^andwecan explainfurther,rvisitbupa.c.uk/schlscheme Ifyurchildneedstseeatherapistrcmplementary medicinepractitiner,asktheirgptreferhim/hert abuparecgnisedpractitiner.themembershipguide explainswhythisisimprtantfryu.again,yucan callbupaifyuwuldlikeanyfurtherinfrmatin. 2. When yu call Bupa we will cnfirm whether: yurchild scnsultant,therapistrcmplementary medicinepractitinerisrecgnisedbybupa yurchild sprpsedtreatmentiscveredandany therbenefitsavailable 4. if yur child s cnsultant recmmends ut-patient diagnstic tests r treatment, call Bupa and we will cnfirm whether the tests and/r treatment are cvered under yur child s membership and the benefits available. 5. When yur child needs t g int hspital, call Bupa and we will: cnfirmwhetheryurchild streatmentiscvered andthebenefitsavailable helpyuchseaparticipatingfacilityinyurarea 6. When yu g int hspital take his/her membership details with yu. 7. When yur child leaves hspital: settleanypersnalexpensessuchasnewspapers, phnecallsrguestmeals wewillsettlethemedicalandhspitalbillscvered underyurchild smembership 8. if the cnsultant recmmends hme nursing r ut-patient treatment after yur child s hspital stay, call Bupa and we will cnfirm yur child s cver and the benefits available. yumayntneedtcmpleteaclaimfrm,and wewilltellyuabutthiswhenyucall Bupawillthenissueyuwithapre-authrisatin number. 3. When yur child sees the cnsultant, therapist r cmplementary medicine practitiner, make sure yu shw them yur child s membership details. FOR TREATMENT AUTHORISATION CALL BUPA ON ^ ^l ines are pen Mnday t Friday 8am t 8pm and saturday 8am t 1pm. calls may be recrded and may be mnitred.

6 FOR FURTHER INFORMATION ON THE BUPA SCHOOLS SCHEME PLEASE CALL THE MARSH LIMITED EDUCATION PRACTICE ON l ines are pen Mnday t Friday 9am t 5pm. calls may be recrded and may be mnitred. Thesubscriptinis 67.50*eachterm.Tapplyfr cverunderthebupaschlsschemefryurchild, pleasecmpletetheattachedapplicatinfrmand returnittyurchild sschl. Arrangedthrugh:MarshLimitedEducatinPractice, CapitalHuse,1-5PerrymuntRad,HaywardsHeath, WestSussexRH163SY. Persnal data Please nte that infrmatin (including persnal infrmatin) yu prvide t, r which is already held by, the schl may be passed t Marsh Limited and relevant Insurers and ther related third parties fr servicing the scheme and administering claims. Under data prtectin legislatin yu can ask in writing fr a cpy f certain persnal recrds held abut yu. Bupa Data Prtectin Ntice Cnfidentiality: The cnfidentiality f patient and member infrmatin is f paramunt cncern t the cmpanies in the Bupa Grup. T this end, we fully cmply with Data Prtectin Legislatin and Medical Cnfidentiality Guidelines. Bupa smetimes uses third parties t prcess data n its behalf. Such prcessing, which may be utside f the Eurpean Ecnmic Area, is subject t cntractual restrictins with regard t cnfidentiality and security in additin t the bligatins impsed by the Data Prtectin Act. Medical infrmatin: Medical infrmatin will be kept cnfidential. It will nly be disclsed t thse invlved with yur treatment r care, including yur GP r t their agents and if applicable, t any persn r rganisatin wh may be respnsible fr meeting yur treatment expenses, r their agents. Member details: All membership dcuments and cnfirmatin f hw we have dealt with any claim yu may make will be sent t the main member. Telephne calls: In the interest f cntinuusly imprving ur services t members, calls may be recrded and may be mnitred. Research: Annymised r aggregated data may be used by us, r disclsed t thers, fr research r statistical purpses. Fraud: Infrmatin may be disclsed t thers with a view t preventing fraudulent r imprper claims. Names and addresses: Bupa des nt make the names and addresses f members available t ther rganisatins. Keeping yu infrmed: The Bupa Grup wuld, n ccasin, like t keep yu infrmed f The Bupa Grup s prducts and services which we cnsider may be f interest t yu. Cntact address: If yu d nt wish t receive infrmatin abut ur prducts and services, r have any ther Data Prtectin queries, please write t the Bupa Grup s Head f Infrmatin Gvernance at: Bupa Huse, Blmsbury Way, Lndn WC1A 2BA r at:

7 Fr further infrmatin n the Bupa Schls Scheme please call the Marsh Limited Educatin Practice n Lines are pen Mnday t Friday 9am t 5pm. T btain yur cpy f the Bupa Schls Scheme membership guide call the Bupa Schls Scheme helpline n r visit bupa.c.uk/schlscheme Lines are pen Mnday t Friday 8am t 8pm and Saturday 8am t 1pm. Calls may be recrded and may be mnitred. Bupa health insurance is prvided by Bupa Insurance Limited. Registered in England and Wales N # Bupa Insurance Services Limited. Registered in England and Wales N # # Authrised and regulated by the Financial Services Authrity. Registered Office: Bupa Huse, Blmsbury Way, Lndn WC1A 2BA. Bupa 2013 Care hmes Cash plans Dental insurance Dental services Health assessments Health at wrk services Health caching Health infrmatin Health insurance Hme healthcare Internatinal health insurance Travel insurance bupa.c.uk

8 a pply nw F r extra peace F M ind a pplicatin F rm verleaf ONLY PER TERM PER CHILD * *Thesubscriptinrateappliesfrmembershipyear1September2013 t31august2014.thissubscriptinrateincludesinsurancepremium Taxatthecurrentratef6percentnthepremiumpayable.Bupa reservestherighttvarysubscriptinsduringacntractyearifthe ratefiptchanges.

9 Bupa schls scheme applicatin FrM please cmplete this frm in BlcK capitals and return it t yur child s schl. name f schl child s name Gender child s date f birth parent/guardian s name and address telephne n. pstcde Declaratin Imprtant: Please read this declaratin carefully befre signing and dating it. Yu are advised t keep a recrd f all infrmatin yu supply t us in cnnectin with the child s/children s membership, including letters. If yu wuld like a cpy f this frm please ask us. Yur legal declaratin 1 I agree that the terms f cver set ut in the current Bupa Schls Scheme and yur Membership Guide will be binding n me and the child/children I am applying fr cver fr under the scheme, and accept they shall be the basis upn which benefits shall be payable under the cver (the Bupa Schls Scheme), a cpy is available n request. 2 I understand that I must answer all questins during the applicatin prcess hnestly and reasnably. My failure t d s may reduce the level f my child s cver r in sme circumstances entitle Bupa t terminate my child s insurance. 3 I agree t infrm Bupa if any f the infrmatin, relating t any child I am applying fr cver fr, that I have prvided, r prvide, changes at any time befre cver starts. 4 I declare that all infrmatin I give and have given t Bupa n behalf f myself and the child/ children fr the purpse f them being cvered by Bupa under the Bupa Schls Scheme (including but nt limited t infrmatin cntained in this applicatin frm) is and remains true and cmplete, t the best f my knwledge and belief, except t the extent I infrm yu therwise when sending yu this applicatin frm. 5 I understand that I will have the ptin f cancelling a child s cver under the Bupa Schls Scheme, as lng as I d s in writing within 21 days f cver starting and n claims have been paid in respect f that child. 6 I cnfirm that I have given my explicit cnsent within the prvisins f the Data Prtectin Act 1998 fr Bupa t prcess my and the child s/children s persnal infrmatin in respect f the cver under the Bupa Schls Scheme. 7 I have appinted my child s schl t cntract with Bupa n my behalf and t act as my paying agent. I understand cver will end if my child s schl des nt pay subscriptins t Bupa. 8 I cnfirm that I am the persn with whm parental respnsibility fr the child/children named in this applicatin frm (and n any separate sheet) lies. 9 I understand English Law applies t the agreement unless therwise agreed between us in writing. 10 I understand that any agreement by Bupa t prvide cver under the Bupa Schls Scheme is made n the basis f this legal declaratin. signature date

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