Solutions – health insurance for 1-249 employees
Solutions is our flexible private medical insurance (PMI) product for businesses with 1-249 employees. It gives its members access to private medical treatment from a nationwide network of hospitals and clinics. This helps your clients address issues around the absence levels of employees by reducing the time it takes to get a diagnosis and treatment.
Expert Select
We'll find the most suitable specialist and hospital for the employee's condition, giving them a range to choose from
Enhanced cancer cover
We understand the importance of providing extensive cover and support at every stage of cancer treatment
Mental Health Pathway
An end-to-end service based on clinical need, guided by third party case managers, with a range of treatment options and no need for a GP referral.
BacktoBetter
A digital service that provides access to musculoskeletal experts, to help get people moving and feeling better as soon as possible - without the need for a GP referral.
How can we help to support your clients?
As one of the UK’s leading providers of PMI, we’ve developed cover that helps your clients give their employees prompt access to the treatment they need, when they need it. Solutions provides health-centric benefits that are attractive to employees and could help them return to work faster after illness, saving your clients money. PMI can also be a great way to help your clients attract and retain the best staff and enhance their business's profile.
Why Solutions?
We understand that no two businesses are the same. That's why with Solutions, you can create a level of cover that suits the needs of your clients - enhance their cover with additional benefits or decrease it to suit their budget. Everything we do is rooted in our three key principles:
Simplicity
A clear, flexible PMI product that's been designed to help meet the needs of your business clients and their employees.
Quality
Access to expert advice, treatment, specialists and hospitals. Clear clinical pathways for key conditions such as BacktoBetter for musculoskeletal (MSK) conditions and mental health pathway to support employee's mental wellbeing.
Affordability
A focus on costs, choice, value and processes which aim to keep premiums affordable. PMI could also help to keep absenteeism costs down, as access to healthcare among the workforce improves.
Core cover
In-patient or day-patient treatment of acute conditions at a facility covered under your hospital option
- Hospital charges at a network facility or a hospital on your clients' chosen hospital option
- Specialists’ fees
- Diagnostic tests such as MRI scans, blood tests and X-rays are covered in full
- BacktoBetter, the third party case management service for musculoskeletal (MSK) conditions
- NHS cash benefit of up to £100 each night, for a maximum of 25 nights for each member, in every policy year
Out-patient treatment of acute conditions at a facility covered under your hospital option
- Mental Health Pathway, covering out-patient mental health treatment
- Specialist referred physiotherapy, osteopathy and chiropractic treatment for non-musculoskeletal conditions
We also offer a range of additional benefits which support employees and their families to get the support they need – when they need it the most. This includes benefits such as accommodation for a parent when a child is undergoing treatment, home nursing, treatment for pregnancy complications, and investigations into infertility.
Full details of our core cover can be found in our Solutions Brochure
Why Aviva
What makes our PMI different?
We believe the flexibility of products and our clinical expertise makes us an excellent choice for both new clients and for those who have had PMI for many years.
Why choose Aviva’s Solutions policy?
In addition, employees will get access to MyAviva, our online portal that helps them manage their Aviva policies and schemes in one secure and easy-to-use place.
Cover options
Upgrade levels of cover
- Mental health upgrade – in addition to the out-patient mental health treatment provided as part of core cover, this can be upgraded to include in-patient and day-patient treatment if diagnosed with an acute mental health condition such as clinical depression. Options include cover for either 28 or 45 days and specialists' fees for in-patient treatment . This upgrade option is not available for members living in the Channel Islands, Isle of Wight, Isle of Man or Northern Ireland
- Routine and GP referred services – an overall benefit limit of £1,000 for each member, every policy year
- Dental and optical cover – eligible surgical procedures on the teeth are covered by core cover, but this can be upgraded to include routine dental treatment up to £450, accidental dental injury up to £600 and routine optical expenses up to £250. A separate excess of £50 applies to both the routine dental treatment and optical benefit.
A summary of all options is included in the Solutions pre-sale brochure.
Options that reduce levels of cover
- Six-week option – if the NHS can treat employees within six weeks, they can’t claim in-patient or day-patient treatment (including accident or emergency admissions), NHS cash benefit, NHS cancer cash benefit or for the cost of an NHS amenity bed
- Policy excess – a choice of member excess of £50, £100, £150, £200, £250 or £500 can be added to the policy, which will apply once for each member, every policy year, irrespective of the number of claims each person makes
- Selected benefit reduction – removes the following benefits:
- investigations into the causes of infertility
- treatment for complications of pregnancy and childbirth
- surgical procedures performed on the teeth in a hospital
- Reduced out-patient cover – ask for details.
Differences for businesses with 100 to 249 employees
Differences for businesses with 100 to 249 employees
When your client employs a larger workforce, we make some changes to the policy. These are the key differences that will be seen by businesses covering 100 to 249 employees:
- Payments can be made annually or by a monthly or quarterly Direct Debit through a business account
- Depending on underwriting type selected, the qualifying periods for treatment regarding complications in pregnancy and childbirth, the maternity cash benefit, and investigations into the causes of infertility may no longer apply
- Experience rated premiums, which is more closely linked to the prior claims experience on the policy
- We’ll need to know how many employees are aged over 65.
Value added benefits
BacktoBetter
MusculoskeletaI (MSK) conditions are one of the biggest causes of long-term absence*. Provided as standard with Solutions, BacktoBetter is available through MyAviva and allows employees to choose how they manage their MSK journey – with digital tools that fit around their lives. Find out more about BacktoBetter
Mental Health Pathway
The Mental Health Pathway gives employees fast access to quality talking therapies and psychiatric assessments, based on their individual needs - not a fixed budget. There’s no need for a GP referral. Employees simply call our claims team to get support. Find out more on the mental health pathway.
Wellbeing services
We want to help your clients' employees lead healthier lives. That’s why we offer several added value benefits with our Solutions policies that provide quick and easy access to wellbeing support. As part of these benefits employees will get access to a Digital GP service, discounts on gyms and fitness clubs and much more, visit our wellbeing hub to find out more.
Claims
When it comes to making a claim, our focus is very much on the individual employee concerned. We’re here to help them return to health and get back to work as quickly as possible.
To do this, we’ve created a smooth, stress-free claims process:
- Employees have case-by-case support for complex and lengthy claims.
- We use our experience and clinical insights to individually guide them to the right treatment.
- Most of our claim outcomes are decided over the phone, without any need for the employee to complete any paperwork. They can also start a claim virtually by using MyAviva, our online portal where they can manage their Aviva policies and schemes in one secure and easy-to-use place.
- Group administrators can monitor claim levels online.
Find out more about our claims process here.
Helping you sell
There’s no limit to the number of business clients you can approach about Solutions. We’re here to help you, whether you’re talking to a company that wants to cover all of its employees, or concentrating on a policy for just a few members of staff.
The costs incurred if staff have to wait for treatment on the NHS could be significant, so most businesses will be open to talking about ways they could save money. These ideas could help you identify prospective clients, overcome objections, and help you make an attractive Solutions recommendation that's suitable for the business’s specific needs
Target Market Statement
Finding the right clients
Overcoming objections
Group PMI makes sense
We’re here to help you
Where to find support
We've listened to you and put together a trading relationship model to better support your business. Watch this short video with our trading lead Vicki Mclean to introduce you to our enhanced trading centre set-up.
Transcript for video New trading support
Our Trading Centre and Account managers are responsible for helping you, help your clients.
We understand that relationships are key to building trust.
And that’s why we provide you with your own dedicated team to support you at every stage of your client’s journey including New Business, Renewals, Account management and sales support. You can speak to the same people who understand your needs, more of the time.
Or if you prefer, there's also our online Broker Portal and LiveChat - giving you more ways to get in touch to get the support you need.
How to get a quote
For schemes with 1–99 employees, call us on 0800 158 5184, or email us at hcquote@aviva.com
For schemes with 100–249 employees, call us on 0800 158 5184 , or email us at hcnd@aviva.com
Our Aviva Sales Consultants are on hand to guide you through the process.
Lines are open Monday to Friday, 9am to 5pm.
Calls to and from Aviva may be monitored and/or recorded.
Key documents and resources
Related products
Healthier Solutions
Our individual PMI product designed to help your clients get access to consultations, diagnostic tests and eligible private medical treatment at a nationwide list of hospitals.
Speedy Diagnosis
Helps your clients beat NHS waiting lists for consultations and diagnostic tests – it's a product that’s cheaper than traditional PMI because it doesn’t pay for any treatment.
Optimum
Our group PMI product, for businesses with 250+ employees which allows your clients to access a unique set of benefits suited to their business needs.
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