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 023 8035 4609.
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.
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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 02380 354609 or HCFEE@aviva.com.
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 02380 354609 or HCFEE@aviva.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 HCFEE@aviva.com.
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.