What is professional health insurance and how does it work?

What is company health insurance?

company health insurance, sometimes called business health insurance, is a way for businesses to provide private health care to their employees. This is a form of private health insurance offered by companies to their employees, giving them quicker access to appointments, diagnosis and care as well as the option to stay in a private hospital.

For companies, it is a way to reduce employee short-term absences, reducing the cost of sick days by helping them access medical care more efficiently, thus allowing Faster recovery time. It’s also an attractive employee benefit that can contribute to better employee retention and more candidates for new positions.

What does professional health insurance include?

Depending on the type of contract the company signs, employees may have access to private healthcare services completely free of charge or private healthcare at very favorable prices. Different providers offer different levels of protection, but in general, a policy can cover:

chiropractic treatments
scans and tests
Access General practitioner online or by phone
direct consultation
proprietary drugs are not available. t available on the NHS
alternative therapies, such as acupuncture
cover for surgery
radiotherapy and chemotherapy, if cancer is included
other hospital procedures
hospital stay
access to care mental health, including an initial assessment as well as counseling, psychiatric treatment and cognitive behavioral therapy.
Access to private facilities means your staff can take advantage of many features not normally available through the NHS. This may include:


private rooms
flexible visiting hours for friends, family and colleagues
shorter wait times for procedures, surgeries and treatments
appointment times flexibility
choice of consultants and specialists
ability to choose the facility where they receive treatment.
In addition to the standard features of an insurance policy, many insurance companies may offer optional add-ons for an additional price.

This may include:

additional cover for approved care abroad
cover for routine treatment of serious or chronic conditions, such as asthma or diabetes
outpatient care
travel insurance to access healthcare when your employees travel for business or pleasure
access to dentists and optometrists.

Are there any typical exclusions?

coverage varies between providers, and what may be an exception to one policy may be offered as an optional add-on with another insurer. That said, most policy plans have general restrictions, often excluding:

routine pregnancy and childbirth
outpatient medications
cosmetic treatments that are not medically necessary medical
treatments the employee requires after training in a sport for which he is paid or sponsored
emergency care
Fertility treatment
Alcoholism treatment or rehabilitation or drugs
Treatment of health problems that employees encountered before joining the company
chronic diseases.

What is the difference between chronic and acute illness?

Private health insurance may cover acute illnesses but often excludes treatment of chronic illnesses. This is an important distinction to make before signing a contract so employees know what type of treatment is available to them. Insurance companies tend to define a chronic disease as one that has one or more of the following characteristics:

The disease requires ongoing treatment or monitoring through consultation, examination, testing or examination
The disease This requires ongoing or long-term monitoring of symptoms or their mitigation.
This requires rehabilitation or training so that the individual can deal with it in daily life. . It is continuous and lasts indefinitely. . Recurrence or possibility of recurrence. . There is currently no cure.
Based on the above criteria, some examples of chronic diseases excluded by occupational health insurance are:

heart failure
high blood pressure
On the other hand, Acute is defined as a disease that can go away with successful treatment.Examples of acute conditions include:


appendicitis requiring removal of the individual’s appendix
joint replacement.
Do I need professional health insurance for my business?
Professional health insurance is not a legal obligation. This is simply an opportunity for businesses to offer their employees attractive benefits while also benefiting from a healthier workforce with fewer sick days. Indeed, a 2019 survey by Drewberry Insurance found that company health insurance was the second most desired employee benefit, suggesting that company health insurance could support more applications and increase employee loyalty.

Similarly, occupational health insurance can bring significant economic benefits to businesses. Employee illness can cost a business a significant amount of money each year. The financial strain this puts on businesses can be passed on to employees, forcing them to return to work before fully recovering. This phenomenon is called presenteeism and has a significant negative economic impact on businesses. By spreading the illness to other co-workers, it will cause others to take sick days and reduce overall productivity.In 2017, presentism and sick leave hoarding were estimated to cost UK businesses more than £77 billion a year in lost productivity.

What are the advantages of private health insurance?

Private healthcare can bring many benefits to both patients and their employers. If you’re unsure about investing in workplace health insurance, consider how the following benefits could help your business: , employees have faster access to benefits appointments, treatments and surgeries, thereby avoiding NHS waiting lists. ‘s outpatient treatment can encourage long-term patients.
recovery covers treatments not available through the NHS, which could contribute to better recovery
ability for staff to choose the hospital where they are treated
access to health services mental illness without the delays caused by long waits
increases flexibility for employees in where and when they receive treatment, making it easier for them to schedule appointments around their work and personal commitments me.
Professional Health Insurance is available for both startups and international companies.Given the benefits it can bring to employees, the savings a business can generate and how popular it is with job seekers, any business should consider this.

How much insurance do I need?

As this is an optional form of cover, there is no guidance on how much cover your business needs. Of course, the more comprehensive coverage you choose, the more benefits your employees will receive, which could translate into better long-term savings for your business if it can help reduce the number of sick days and makes work shifts more fun.


When determining how much coverage you need, consider your employees’ needs.Businesses in specific industries may have a greater need for certain insurance features. For example, access to an optician may be especially relevant to your business if your employees spend long periods of time in front of screens.

Another thing to consider is policy options that include mental health care. According to a 2019 study, approximately 300,000 employees leave work each year due to long-term mental health issues, and 1 in 3 SME employees reported having to take time off work due to mental health issues or stress. is notoriously difficult and often involves an arduous onboarding process and long waiting periods.Implementing a policy that includes
mental health care can significantly increase the wellbeing of your employees and can also be a profitable investment for the company, to retain your employees and keep them as happy and healthy as possible.

How much does professional health insurance cost?

The price you pay for your professional health insurance depends on a myriad of factors relating to the company itself and the people you want to insure. Typical considerations that insurance companies will use to assess your risk and determine your premium are:

the size of the group you want to insure. Although there is a separate cost per employee, the larger the group, the more likely it is to decrease, which can reduce the cost per employee depending on the age of the employee.In general, insurance for younger employees will be cheaper than for older employees, depending on the employee’s occupation. Some jobs have a higher risk of illness or injury, which can increase the price of your insurance premiums depending on the company’s location. Fees and costs for treatment, appointments and procedures vary between private clinics and hospitals and are often more expensive in certain areas, such as central London.
Some insurers may require additional information about employees covered under the policy, such as smoking status and details of their medical history and current health.

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