Aviva Hip & Knee networks
We are pleased to introduce the Hip and Knee networks, which have been designed to deliver value-based healthcare to Aviva customers. These networks have been constructed with the aims of helping reduce unexpected variation in quality, assure governance, and ensure a sustainable cost of procedures. This will enable our customers to access healthcare that offers value for their premiums, while embedding structural assurance in care. We have carefully curated this network through a rigorous procurement process that incorporates the principles set out by groups including the Private Healthcare Information Network, Getting It Right First Time, National Joint Registry, and the Care Quality Commission.
These networks will also ensure that our customers get better and more relevant information about providers in order to make informed choices about their care. Our ambition is to create a network of providers who are as committed to quality, transparency, sustainability and value as us, to service our customers’ needs. We believe that we have found the right partners to fulfil this ambition via the networks and look forward to ongoing development and growth with them in coming years.
Coronavirus - Guidance for consultations
Aviva has agreed, as a temporary measure, that any specialist/mental health consultations can be undertaken via telephone and or video conference in the short-term. Where consultants are unable to attend a medical facility to complete this, we are allowing these to continue, but are asking our hospital providers to confirm how they will oversee and maintain clinical governance as and when requests arise.
There are three specific billing codes for a remote consultation (depending on length) 20350, 20360, 20370 and we have temporarily increased the maximum fee to match that for in person consultations. Please refer to our fee schedule for details.
Video consultation guidance - therapists
Aviva has agreed, as a temporary measure, to pay for triage, self-management or treatment physio video consults. Aviva will pay for dietician and speech therapy video consultation fees up to our normal fees – please refer to fee schedule. All is subject to normal terms and conditions (PDF 227KB).
We will review the temporary increase on an ongoing basis as the Coronavirus situation develops.
If you have any queries please email:
- email@example.com for practitioner queries and
- firstname.lastname@example.org for hospitals and clinics
New Terms and Conditions
Please note we have updated our current terms and conditions in November 2019. The material changes are that the terms and conditions document now applies to all healthcare practitioners and we have amended wording on data protection to enable us to share relevant personal data with third parties in the interest of patient safety.
You can review the terms and conditions here (PDF 227KB) for your information. If you have any queries please contact us on 0800 015 7756.
Data protection - GDPR
You may be aware that the EU General Data Protection Regulation (GDPR) will apply in the UK from 25 May 2018 and will not be affected by the UK’s decision to leave the EU. We have therefore amended our terms and conditions (PDF 262KB) to reflect the requirements of GDPR on you and us in connection with your registration as a recognised specialist by adding a new section entitled “Data Protection”.
We are committed to keeping you up to date with any changes that may affect you. We'll update this section with relevant news and announcements so recommend that you visit it on a regular basis.
If you'd prefer for us to email you news alerts please let us know by emailing us at email@example.com
Pre-Operative Anaesthetist Assessment
There have been a number of occasions where routine pre-operative anaesthetist assessment has been billed separately to the procedure fee. In accordance with the Association of Anaesthetists of Great Britain and Ireland and their Code of Practice for Billing Private patients we remind you of the following:
Routine pre-operative assessment of patients is included in the anaesthetic fee shown for ALL procedures regardless of whether the anaesthetist who carried out the operative ANAESTHESIA is different from the anaesthetist who carried out the pre-operative assessment.
Where extensive pre-operative consultation is required we may pay an additional fee but this will only be in exceptional circumstances. You must contact us in writing in all such instances and full detailed reasons for the additional consultation will need to be supplied by the anaesthetist for review by our consultant anaesthetic advisers, Chief Surgical Officer or Chief Medical Officer. Please contact the Specialist Relationship Team on 0800 015 7756 or firstname.lastname@example.org.
Inappropriate Code Combinations - Post Operative Pain Relief Injections
We do not reimburse additional charges for component parts of surgical procedures. As such we will not consider requests for payment for post-operative analgesia including nerve blocks. For these codes (including but not restricted to A5210, S5210, W9012, W9013, W9014, W9015, W9016, W9040 or A7350), the fee for pain relief is included in the main CCSD code. Should you have any queries please do not hesitate to contact the Specialist Relationship Team on 0800 015 7756 or email@example.com.
We have recently reviewed our stance regarding billing for multiple procedures carried out during the same theatre session.
From 1st July 2012 we will no longer be remunerating for more than three procedures in one theatre session as it is felt that any more than this would be a minor addition to, or part and parcel of the main procedure being carried out. This brings Aviva in line with the rest of the private medical insurance market. Should you have any queries regarding this change please contact firstname.lastname@example.org.
From 14th January 2013 we have made amendments to a number of codes as part of a full review of our fee schedule. These changes can be viewed under Recent Fee Changes section.
You agree to charge appropriate consultation fees proportionate to the level of care and investigation for each patient, and only up to the maximum stated in the fee schedule.
All room and equipment charges are inclusive of the consultation fee and no other charges should be made.