What do healthcare cash plans typically cover?

Healthcare cash plans cover a number of different treatments. Here are some of the most common, but check your policy for the full rundown. Dentist : Both check-ups and dental treatments, including seeing the hygienist. Optician : Eye tests and prescription glasses or contact lenses. Some providers exclude disposable contact lenses (see Cheap Contact Lenses ). Chiropody : Foot treatment and advice. Physiotherapy : Sometimes coupled with osteopathy. Maternity payments : Paid when a child is born. Complementary health : Osteopathy, chiropractic, homeopathy and acupuncture by a registered practitioner. Hospital inpatient : Cash paid for each night spent in hospital. Hospital parental stay : Cash paid when a parent spends the night in hospital with an ill child. Special consultation : Repayment of fees paid towards a consultant physician or surgeon. Personal accident , death and funeral benefits: Cash paid out in the event of accident or death. NHS prescriptions : Cash back on the cost of a limited number of prescriptions (not commonly included). Health screening: Schemes will pay for an annual health screening. Others : Surgical or hearing aids, mental health payouts, day surgery, recuperation grants, occupational therapy, diet advice, paternity grants, adoption grants, infertility grants. Many providers also have help-lines for a range of subjects.

I have a private medical insurance. Won't that do the same job?

Private medical insurance (PMI) is totally different but you can have one of these and a healthcare cash plan, so don't feel you have to choose one or the other. With PMI, it covers the cost of private medical treatment for acute conditions which are likely to respond quickly to treatment – musculoskeletal problems (eg, back pain) and digestive system conditions are the most claimed-for issues. When it comes to healthcare cash plans, it covers regular, everyday treatments including a visit to the dentist or optician, as well as treatments such as physiotherapy and sometimes even massages. Here you pay a monthly fee to an insurer and if you need to pay for NHS or private treatment, you pay upfront, and can claim some or all of the cash back depending on your policy, up to an annual maximum limit. Whether one could work for you comes down to a simple equation: are you likely to get more cash back than you pay for your plan each year? If so, they can be a no-brainer. For more info, read our Private Medical Insurance guide.

When does a cash plan pay out?

Whatever the policy, most claims are processed very quickly and should take two to three days. Once you've sent the receipts to the provider and it's verified your claim, you can get it paid as a cheque or directly into your bank account usually within a few days.

Will I need a medical?

Most healthcare cash plans don't require a medical. This is a boon, however if you have a pre-existing condition it should be declared. Some policies will exclude all future claims on any past conditions, yet most only exclude conditions suffered in the previous two years. If you're aged over 65 you may need to provide one so always check the policy wording before you sign up.

Are pre-existing conditions covered?

If you have a pre-existing condition it'll be harder to find cover as most standard individual cash plans don't cover them. However, depending on the condition this doesn't mean you can't get cover – a shoulder injury, for example, wouldn't stop someone claiming for physiotherapy treatment for a knee injury. You may have more luck via a company scheme as they are more likely to include pre-existing conditions so always double check the small print before you buy.

Does it matter who I get treated by?

Yes. Usually you should only consult properly qualified (and registered) practitioners with the governing body/council for that profession. If you are not sure, a quick phone call to the insurer will clarify is that qualification is acceptable or provide you the details of a consultation local to you.

What is a qualifying period?

Many healthcare cash plan schemes have a qualifying period from one to six months before you can start to claim anything, which stops people joining and immediately getting treatment, claiming the money back and then cancelling the policy. Maternity claims usually need at least 10 months, for obvious reasons.

Is my money protected?

All healthcare cash plans are covered by the Financial Services Compensation Scheme , meaning 90% of what you put into a scheme is protected. But the FSCS will try to find another insurer to cover you if your current provider goes bust.

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Optical, Dental & Physio Cover

Optical, Dental & Physio Cover

Plus other treatments – the top healthcare cash plans

Tony Forchione and Rebecca Rutt

Updated 1 August 2018

You can get cheap dental, optical or physio treatment with a healthcare cash plan, possibly saving £100s, and some can pay out more than you pay in. We explain how they work and how to find the best schemes.

Healthcare cash plans best buys

The cheapest policies:
- Individual: from £5/mth
The best value policies:

What are healthcare cash plans?

Healthcare cash plans are insurance policies that instead of covering you for unforeseen events like most other types of insurance, help you pay for the cost of routine healthcare such as going to the dentist, opticians or the physio.

They're totally different to private medical insurance and can be a cheap way of paying for everyday healthcare costs.

You pay a monthly premium, depending on how much cover you want, and when you receive treatment, you pay upfront and the insurer reimburses you.

Can I use healthcare cash plans and the NHS?

With the NHS, it’s difficult not to spend money on healthcare; there are dental treatments, optical check-ups, alternative therapies and more. Yet, used correctly healthcare cash plans allow you to recover these costs and can pay you back over six times what you spend on the insurance cost each year.
How much can I claim back?

If you chose a plan with £200 dental cover, for example, you can then claim up to £200 back per year on dental treatments – so a check-up costing £22, two fillings at £59 each, and a £22 visit to the hygienist would all be covered, leaving £38 of your dental allowance left to use that year.

Healthcare cash plans: 8 need-to-knows

Many people don’t understand how they work so here are eight need-to-knows to help you decide if it is for you and where to find the best cover at an affordable rate.

It's all about the maths. Work out how much you'll pay in and what you'll get back
It's important to make sure you're getting the maximum cash payout from your plan. For example, let's take a plan that costs £240/year that includes £300 for optical costs and £300 for dental:

If you've maxed out both you'd be paid £600. Take away what you've paid and you're £360 up at the end of the year.

However, if you don't use the optical part and only £50 of dental you'd only get £50 from the plan and be £190 out of pocket factoring in the plan cost

Therefore, always check what you're likely to use compared to how much you'll be paying each month. Our best buys below have full details.
You may already be covered by your employer, so check first

Cash plans are a popular staff perk so check whether your employer provides the cover for free, or for a small amount each month.

If your employer does pay, you'll pay the tax on it as it's a perk known as a 'benefit in kind'. So, if it costs £20 per month, and you're on a 20% tax rate, that's £4 per month, deducted from your wages, you'll have to pay for. Still a much cheaper option than paying the full amount yourself.
Different plans cover different things, so pick the right one for your needs

There are lots of different plans available so it's important to pick one that's right for you. If you have perfect vision, you're not going to need a huge allowance for optical cover and similarly if your teeth are pearly white you probably won't need a policy with a big dental allowance.
Only buy one if you’ll claim each time – otherwise they're a waste of money

Just because people can claim for the cost of healthcare through a cash plan, doesn't mean they do. Many people forget to send in their claim forms, so there's no payout at all.

Cash plan providers rely on apathetic customers with direct debits dripping from their bank accounts to keep the coffers healthy. So this is OUR CLARION CALL...

Cash plans are only great value if you'll make claims. If you won't, it's like throwing money down the drain.
Self-insuring means you'll still have the cash if you don't claim

If you're young and healthy (eg, 20:20 vision and not a single filling), self-insuring may be a better option. Instead of paying, say, £300 a year for a cash plan, pay £25 a month into a high-interest savings account or into an interest-paying current account.

Should you need any minor treatment or consultations, simply dip into your own insurance fund. If you don't touch it you'll get to keep your 'premiums' with the interest on top.
You could get free cover for your kids and partner but check limits
You can cover an individual or two adults on a policy and most policies then let you add children at no extra cost, which effectively makes it a family plan. The level of benefits for the children on the policy either get their own allowance per child, have a shared allowance between children or share the adult allowance.

For example, each child may get £100 towards dental costs per year, all children on the policy may have a shared allowance of £300 for dental – or each parent has a limit of £500 per year for dental which the children can also use.
Will children be covered for everything?

Some policies won't protect children for certain things, so make sure you know what your family's needs are and what's covered. And remember, as most children's treatments are free on the NHS, the amount of cash you can reclaim is limited.

How many children can be added to a plan?

It depends on the insurer and the plan you've chosen. Most policies let you add up to five children and you'll either get a separate allowance for each child to use which is usually lower than the adult allowance, children will share the overall family allowance, or they'll be given an amount of cash to share between children.
You could even claim for tooth whitening, pedicures or massages

Along with optical, dental and physio there may be complementary treatments included in your cash plan. This could be anything from an aromatherapy massage for stress, cosmetic tooth whitening or a medical pedicure.

For example, if you choose a level one plan with Health Shield for £11.95 per month you'd get £65 per year towards 'health and wellbeing', which includes an aromatherapy massage or even allergy testing. You'd also get £125 towards 'physiotherapy, chiropractic, osteopathy, acupuncture and homoeopathy'.
Make a note of the policy end date so you don't miss out claiming

When you sign up to a cash plan you'll be given an allowance of money per policy year to claim back to pay for your routine healthcare costs. This is a 'use it or lose it' policy so at the end you won't be able to access it anymore.

If it ends in June, for example, check your existing cash allowance in April and if you've still got money to claim, book an appointment and claim back the cash.

Best buys: The top cash plan policies

Cash plans have different prices, cover and limits, so they're a nightmare to compare. To help we've based our best buys on a variety of scenarios.

We've analysed policies and worked out our best by those which pay back the most compared to how much they cost. To pick the top we've divided the total amount you can claim per year with how much you'll pay out per year and given it a score. For example, a policy that pays out £300 and costs £100 a year would score a three.

How do I buy a policy?

Healthcare cash plans aren't on the traditional comparison sites that offer car insurance or home insurance, so you'll have to go direct to the insurers to buy them.

Don't feel daunted by this. Have a look at our best buys below for finding the right cover, at an affordable rate.

The cheapest adult policies. From £5/mth

These basic policies for individuals focus on cheap plans so if you forget to claim the loss is small, but it does mean the potential payback is reduced. If it works, but you want more cover, you can always increase the plan level.

TOP CHEAPEST POLICIES
Company	Plan name	Cost	Annual payout	No-claim period
Orchard Healthcare	Green	£8.06/mth	£690 (1)	13 weeks
Orchard Healthcare	Red	£4.63/mth	£360 (1)	13 weeks
BHSF	Core plan (age 18-34)	£7.53/mth	£390 (2)	13 weeks
Note: Claim amount: at least £50 towards each of dental, optical and physio treatment. The price level is up to £10 a month per adult. Correct as of April 2018. (1) It pays out 100% optical and 50% dental/physio. of each claim. (2) It pays out 100% dental, 75% optical and 50% physio. of each claim.

The best value adult policies. From £15/mth

These policies are a step up from our basic top picks. As you're getting a better level of cover, the price is more and as always, the aim is to find a policy with a range of cover and a good payout rate. The policies listed as best value meet a minimum criteria of; £125 for dental, £125 for optical and £200 for physio. If you go for a cheaper policy, like those above, you won't be able to get the same level of cover.

TOP VALUE POLICIES FOR AN INDIVIDUAL
Company	Plan name	Cost	Annual payout	No-claim period
BHSF	Bonus plan (age 18-34)	£14.78/mth	£760 (1)	13 weeks
BHSF	Bonus plan (age 35-44)	£16.97/mth	£760 (1)	13 weeks
Sovereign Healthcare	Level 3	£16.38/mth	£645 (2)	0 weeks
Note: Claim amount: at least £125 towards each of dental, £125 for optical and £200 for physio treatment. The price level is up to £20 a month per adult. Correct as of April 2018. (1) It pays out 100% optical and 50% dental/physio. of each claim. (2) It pays out 50% for dental, optical and physio. of each claim.

The best value family policy

As each provider has a range of tariffs, for a family (two adults and two kids) a policy of up to £40 was used and unless stated the upper age limit is 65. With all policies, always remember to check the cover levels suit your needs before buying.

As you're covering two adults and two children the price for these plans is higher along with the amount you could be paid back. The aim is still to find a policy with a range of cover and a good payout rate.

TOP VALUE FAMILY POLICIES
Company	Plan name	Cost	Annual payout (entire family)	No-claim period
Sovereign Healthcare	Level 3	£32.76/mth	£2,580 (1)	0 weeks
BHSF	Bonus plan (age 18-34)	£27.18/mth	£1,520 (2)	13 weeks
BHSF	Bonus plan (age 35-44)	£31.22/mth	£1,520 (2)	13 weeks
Note: Claim amount: at least £125 towards each of dental, £125 for optical and £200 for physio treatment. The price level was up to £40 a month per plan. Correct as of April 2018. (1) It pays out 50% for dental, optical and physio. of each claim. (2) It pays out 100% optical and 50% dental/physio. of each claim.

The cheapest policy for over-65s

Most of the top-paying healthcare cash plans have a maximum joining age of 64, but if you're older there are still plenty of options as you can see from the best buys below.

TOP POLICIES FOR OVER-65S
Company	Plan name	Cost	Annual payout	No-claim period
WHA Direct	PL19 (max age 69)	£19	£800 (1)	3 months
WHA Direct	PL15 (max age 69)	£15	£630 (1)	3 months
Sovereign Healthcare	Level 3 (max age 75)	£16.38	£645 (2)	0 weeks
Another option is BHSF (if aged 75+)	Bonus plan (up to age 99)	£27.27	£760 (3)	13 weeks
Note: Claim amount: at least £125 towards each of dental, £125 for optical and £200 for physio treatment. Correct as of April 2018. (1) Max pay out over a two-year period. (2) It pays out 50% for dental, optical and physio. of each claim. (3) It pays out 100% optical and 50% dental/physio. of each claim.

Q&A

What to do if something goes wrong

If your cash plan provider rejects your claim and you think it has done so wrongly, do not take it lying down. First complain to it directly then if you don't get a response within eight weeks, complain to the free Financial Ombudsman.

The ombudsman is an independent adjudicator that will make the final decision on a claim if you are locked in a dispute with your insurer. For more on how to make a complaint, read our Financial Rights guide.

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Optical, Dental & Physio Cover

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