Fee schedule

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Aviva has been actively working with five other major private insurers as part of the Clinical Classification and Schedule Development (CCSD) group since their launch in 2005. The group was formed to oversee the improvement of coding standards used in the private medical sector.

The key initiative was to develop a common set of codes and descriptions across the industry. Codes have also been brought up to date to more accurately describe today's medical practice. Codes have been added, split, merged or deleted to reflect the current set of procedures practised for that speciality.

While the CCSD codes are used by all insurers, the associated fees are set by each individual insurer separately.

These fees are based on relativities which reflect such factors as complexity, duration and comparing one procedure with another. Where possible, we have considered information derived from other schedules circulating in the United Kingdom and also from our claims experience.

We do recognise that due to evolving medical practice, the complexities of procedures may change slowly over time. We do keep our approach to specialist fees under continuous review and welcome input from professional bodies in this respect.

Specialist fees represent a significant element of total private medical insurance claims and as such, have a major impact on premiums. For these to remain affordable, doctors, hospitals and insurers must work together to provide quality healthcare at a reasonable and realistic cost.

Information provided to Aviva by specialists will be processed for the purposes of policy and claims administration and associated activities including payment for your services, maintenance of your details and fraud prevention. The data controllers are Aviva Health UK Ltd, Aviva Insurance Limited and Aviva Life and Pensions UK Limited. Calls and emails may be recorded and/or monitored.

© Aviva Health UK Limited 2012. This fee schedule may not be reproduced without permission.

This work is based on the CCSD Schedule of Procedures © The Clinical Classification and Schedule Development Group 1999-2005.

Material contained in the Office of Population Censuses and Surveys Classification of Operations and Surgical Procedures Consolidated Fourth Revision, is © Crown Copyright 1990 and has been reproduced by kind permission of the Controller of Her Majesty's Stationery Office and the NHSIA.

No responsibility is accepted by the Office of Population Censuses and Surveys of Her Majesty's Stationery Office for the accuracy or comprehensiveness of such material.

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