WPA has added a new tier on top of its NHS Top-Up concept by adding Swift Diagnosis as a standalone or add-on plan, which sits between its existing NHS Top-Up and more traditional private medical insurance (PMI) plans.
The plan itself is a new group health cash plan offering premiums for most employees from just £12.61 a month (£151 a year) and total benefits of up to £2,000 a year. The plan’s maximum annual benefits are (per person covered):
– Consultations with a specialist and diagnostic tests on GP or specialist referral and diagnostic procedures carried out by a specialist (excluding angiograms): £1,500.
– Specialist charges for a colonoscopy as a day or out-patient: An extra £500.
– Employee assistance programme (EAP). This includes phone-based employee support, line manager support and organisational support. The service is provided by Validium.
– Discounts on gym membership and health screens, through Nuffield Health and Wellbeing.
Total financial payout is therefore up to £2,000 a year, with the EAP and discounts offering added value on top of that. Pre-existing conditions are not covered and, for companies with less than 10 employees, a 90 day qualifying period applies.
Premiums are dependent on employees’ ages and are £5.14 a month for those aged up to 17, £12.61 a month for those aged 18-49 and £26.14 a month for those aged 50-120. If Swift Diagnosis is bought on top of WPA’s NHS Top-Up, a 5% premium discount applies.
What They Say
Managing director of corporate business Adrian Humphreys said: “Tiered healthcare works for companies that are prepared to challenge what they have done in the past and evolve sustainable and effective benefits for the future. This is all the more exciting because NHS Top-Up, now with Swift Diagnosis, is attracting younger employees to corporate healthcare, making the ‘tiering’ concept even more affordable.”
What We Say
"Tiering is a neat solution for firms who like the idea of healthcare for employees but may be baulking at the cost of having PMI for all. They now have the choice of NHS Top-Up, and/or this plan or PMI.
"Many more workers are likely to need diagnostics and consultations rather than an in or day patient stay, yet it is the latter that adds the highest cost. Typical PMI cover may cost five times or more what this plan costs. This plan allows employers to choose the right cover for all employee groups – and increasingly the emphasis with such plans is on getting some benefits for all employees rather than all benefits for just some.
"There are two downsides worth highlighting - the 90 day qualifying period for smaller schemes and, if any firm has employees over age 120 they may be disappointed not to be able to have this plan!"