Healthcare Trusts and Cost Plus Schemes

PruHealth's innovative proposition is now available for employers to set up as a Healthcare Trust or Cost-Plus scheme.

Private medical insurance premiums are increasing at rates well above inflation. This is due to a number of factors, including rising treatment costs and higher consumer expectations. However, companies still want to provide employees with the same healthcare benefits as before and don't want to remove benefits that employees feel are valuable or which maximise company efficiency. So new ways to contain healthcare costs are being sought.

By setting up a Healthcare Trust or Cost-Plus scheme, employers have more direct influence over the cost of providing medical benefits and the overall cost can be lower than a traditional insurance based scheme.

A big advantage of Healthcare Trusts is that contributions will not attract Insurance Premium Tax (IPT), provided the Trust is set up in a way that doesn't result in creation of an insurance arrangement.

Why choose PruHealth?

There are a number of reasons to choose PruHealth.

Access to PruHealth's Vitality Programme
Vitality is PruHealth's unique reward scheme that is used across all its plans. Vitality has the advantage of promoting healthy activities, which could ultimately help employers manage costs.

Opportunity to tailor schemes
Employers have the option of tailoring the schemes to suit their organisation and budget and all choices can be changed each year on renewal. This applies to areas such as hospital charges, diagnostic tests, maternity benefit and cancer cover.

Help setting the fund
We will also advise you on setting a realistic fund, taking into account historical claims and expected trends.

Claims flexibility
Employers have more flexibility in the way that claims are paid. The employer has the opportunity to make exceptions and to agree extra treatment that would be declined under a traditional scheme.

Compare Comprehensive, Essential Plus and Essential Plan Benefits

PruHealth offer a full range of plans to suit your clients’ different needs.

The PruHealth comprehensive Plan aims to provide the most comprehensive private medical cover available in its class. As well as taking care of all eligible standard hospital and specialist fees, the plan also includes many out of hospital benefits.

The Essential Plus Plan is designed primarily for inpatient care and offers higher limits than the Essential Plan, but costs less than the Comprehensive Plan.

The Essential Plan covers most hospital fees and also combines some outpatient cover.

You can compare the plans in detail below.

BENEFITS	COMPREHENSIVE COVER	ESSENTIAL PLUS COVER	ESSENTIAL COVER
INPATIENT CARE
Hospital charges
Specialist/consultant fees
Diagnostic tests
Radio/ chemotherapy
Psychiatric treatment	45 days per policy year	28 days per policy year

OUTPATIENT CARE
Consultations with specialists		Combined limit of £1000 per policy year*	Combined limit of £600 per policy year*
MRI, CT, PET
Other diagnostic tests
Physiotherapy		Combined limit of £1000 per policy year*	Combined limit of £600 per policy year*
Chiropractic/Osteopathy	Limit of £800 per policy year	Combined limit of £1000 per policy year*	Combined limit of £600 per policy year*
Radio/ chemotherapy
Psychiatric treatment		Combined limit of £1000 per policy year*	Combined limit of £600 per policy year*

OTHER CARE
Complementary and alternative therapies	Up to £600 per policy year
Maternity cash benefit	£100 per child	£100 per child	£ 100 per child
Nursing at home		£3000 limit	£3,000 limit
Private ambulance		Up to £60 per trip	Up to £60 per trip
Parental accommodation	Yes (children aged 12 and under, 1 parent)	Yes (children aged 12 and under, 1 parent)	Yes (children aged 12 and under, 1 parent)
NHS cash benefit	£100 per day case or night stay Limit of £2,000 per policy year	£50 per day case or night stay Limit of £2,000 per policy year	£50 per day case or night stay Limit of £2,000 per policy year