Optimum

Bespoke Group Private Medical Insurance

Optimum - health insurance for 250+ employees

Optimum is our group health insurance product. With your help, your clients can tailor their cover to provide a unique set of benefits suited to their business needs, while helping their employees get access to private medical treatment.

Flexibility

A modular product that lets your clients choose cover, helping to create a healthy balance between meeting their business needs and their budget

Great wellbeing benefits

Access to a variety of wellbeing services including the Aviva Digital GP app*

*This is a non-contractual benefit that could be withdrawn or changed at any time

Star treatment

Dedicated account management for you and your client

How can we help to support your clients?

Larger businesses want PMI that can help them raise morale and productivity, show a commitment to employees by promoting a caring attitude, and reduce absenteeism. Optimum can help your client achieve all these goals.

If they're considering a switch to us, we can work with them to match their benefits where possible and continue to provide them with quality cover.

Why Optimum?

Optimum is a highly flexible PMI product for business with 250 employees or more – with a host of benefits that your clients can chose from; it provides a bespoke cover best suited to their needs. Our suite of benefits include;

  • Different levels of cover for different categories of employees if required
  • Added value benefits that could help improve the health and wellbeing of the workforce
  • Access to medical treatment that could help employees return to work faster
  • A choice of cover levels for cancer, supported by our Cancer Pledge
  • Expert care throughout their cancer journey with a range of specialist support services . 

Cancer support

We understand that receiving a cancer diagnosis could be life changing and your client’s employees may experience a whole host of emotions. Our specialist cancer services provide help and support for them and their loved ones throughout their cancer journey and beyond.

You can find further information about these services in our Cancer guide for Large Corporate Clients (PDF 179KB) or by visiting our Cancer options page.

 

Wellbeing

We want to help your clients' employees lead healthier lives. That’s why we offer several added value benefits with our Optimum policies that provide quick and easy access to wellbeing support. 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.

Additional Services

Optimum is built to support workforce wellbeing and help reduce absenteeism. That’s why we offer a range of additional services designed to help your clients achieve these outcomes.

BacktoBetter – support for employees when they need it most

MusculoskeletaI (MSK) conditions are one of the biggest causes of long-term absence*. Provided as standard with Optimum, 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 in our BacktoBetter Brochure. 

* Working days lost in Great Britain 2023-2024. HSE. Contains public sector information licensed under the Open Government License v3.0

Mental health pathway

Mental Health Pathway is an optional service your clients can add to their cover. It 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. 

Gender identity cover 

We offer two levels of gender identity cover; our core cover offering benefits which align to the assessment and hormone support offered through the NHS Gender Identity Clinics, or our enhanced benefit which goes beyond what is currently available on the NHS. Find out more about how we can support your cleints workforce with our diverse range of services. 

 

Why Aviva

What makes our PMI different?

As one of the UK’s leading PMI providers, we work closely with trusted clinical partners to help your clients manage workplace sickness costs and support employee wellbeing.

We take time to understand their needs and build tailored policies that meet their goals and provide meaningful support to their people.

Why choose Aviva’s Optimum policy?

  • We offer dedicated account management - to every adviser who’d like to offer our Optimum product to their clients - our National Accounts team can come to you if that’s more convenient
  • Our claims process promotes prompt returns to health and the workplace. With dedicated teams for specific medical conditions and experienced claims consultants, we offer one-on-one support and treat each claim on a case-by-case basis
  • We stay abreast of industry issues and continually evolve our products, helping employers use benefits to promote health and improve productivity and profitability

In addition, your client's 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. 

Underwriting that suits your needs

We offer a range of underwriting options for clients with schemes of 250+ employees - from Full Medical Underwriting to Medical History Disregarded - so we can build a scheme that works for you and your client. We’re happy to answer any questions you or your clients may have about the different types of underwriting and what’s involved. To find out more about our underwritting process and the options available to your cleints, visit our underwriting overview page.


Efficient scheme management with Healthpoint 

When your client chooses Medical History Disregarded or New Moratorium underwriting, Healthpoint makes scheme administration simple. This online portal lets group administrators manage membership details in real time and generate up-to-date claims reports - saving time and giving you instant access to the information you need.

 

Helping you sell

Here you’ll find ideas that can help you identify clients, overcome objections, and make it easier to recommend Optimum.

Target Market Statement

Finding the right clients

Overcoming objections

Answering clients’ technical questions

If you’re approaching a large company

Where to find support

We've listened to you and put together a trading relationship model to better support your business. For an introduction to the team at Aviva, and how we can help you to help your clients, watch this short video from our Head of Client Management & Propositions, Ally Antell: 

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Transcript  for video Ally Antel

We all know healthcare can be complicated. There’s a lot to consider, and it takes a team to bring it all together and ensure your clients can put their health and wellbeing first.

That’s why we’ve listened to you and worked tirelessly to set up our trading relationship model to support you, whether that’s on the phone or in person.

We know the PMI market has grown and we’re here to help you grow too!  With our people, our propositions, and our expertise, you can count on us to work with you. And together, we can make health insurance click for more of your clients.

Whether it’s how Vicki and her team help shape the everyday trading support that just makes things easier, how Lisa and her propositions team are working to build health insurance products that respond to your clients’ changing needs today and, in the future, or how Dr Suba and our clinical team use their expertise to add value – these are just some of the ways in which we’re all here to help support you and your clients to make their health and wellbeing a priority.

Quote and apply

Can we help?

Think of us as part of your team. For help or queries, simply get in touch:

Sales Support:

0800 0014 272*

Monday to Friday 9.00am – 5.00pm 

Or email hcnd@aviva.com

For your protection and ours, calls to and from Aviva may be recorded and/or monitored.

Which documents should you use?

Our documents help clients understand what policies are designed to do. They can also help you introduce the benefits of each product to your clients.

Optimum literature is a useful guide for you when you’re talking through the options available to your clients. It’s important that you get to know these documents well, as they can help you propose options that will make up a bespoke policy and conduct a compliant sale.

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