InsurersFor Bupa Insurance Limited members and case managers
Using your Bupa cover with a private GP in London
The Wellness sees Bupa members the same day in Marylebone and Belgravia, or at their hotel or home in London, and writes the report as each consultation ends. What Bupa pays for is set by the member’s own policy.
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If you are a Bupa member
Whether a visit is covered depends on your policy. With your agreement we can ask Bupa for a guarantee of payment before you are seen. Where direct settlement is not in place, you pay at the visit and we give you an itemised invoice and medical report for your claim. Most Bupa policies pay for consultant care after a GP referral. Our GPs refer to consultants Bupa will fund, and we check the name with you before the letter is written.
For symptoms outside Bupa’s Direct Access service, Bupa asks you to see a GP first, and that is the appointment we give you the same day.
For the case manager
How a Bupa case runs with us in London, from the call to the invoice.
- Treated in situWhere it is safe, a doctor treats the Bupa member where they are staying.
- The reportSent to Bupa as soon as the consultation ends, with a copy for the member.
- Invoices that matchEach fee on its own line, inside the Bupa guarantee and quoting its reference.
- FeesOur fee schedule for insured and sponsored care is available to provider teams on request.
Care in our other cities, on one record
A Bupa member treated in London keeps one record, and with their consent our partners in the next city read it before they are seen.
Refer a member
For Bupa case managers and assistance teams. Send the member and the guarantee, and a doctor calls the member.
How Bupa works
Each line is read from Bupa’s own website, with the date we read it.
Bupa members with Direct Access can call Bupa directly about cancer, muscle, bone and joint or mental health symptoms, and may not need a GP referral.
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Bupa says that if your symptoms are not covered by its Direct Access service, you should speak to a GP first.
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Bupa recommends asking your GP for an open referral letter, and says open referral is mandatory on some personal, corporate and company schemes.
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Bupa asks members to contact it after seeing a GP, and gives a pre-authorisation code to show the specialist if the treatment is covered.
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Questions
Do I need a GP referral to use my Bupa cover?
For symptoms outside Bupa’s Direct Access service, yes. Bupa says to speak to a GP first. Cancer, muscle, bone and joint, and mental health symptoms may go straight to Bupa if your policy includes Direct Access.
Is open referral mandatory on my Bupa scheme?
On some personal, corporate and company schemes, Bupa says it is. If you are not sure, tell us your scheme and the GP writes an open referral, which suits every scheme.
When do I get the Bupa pre-authorisation code?
After you have seen the GP and contacted Bupa. The code goes to the specialist if Bupa covers the treatment.
Does Bupa pay for the GP appointment with you?
We have no agreement with Bupa. You pay at the visit and receive an itemised invoice and a report, and whether any of it can be claimed depends on your policy.
Can you see me at the office in the City?
Yes. A doctor can come to an office, home or hotel anywhere in London, or you can come to our Baker Street or Belgravia clinic.
Our numbers
- Care Quality Commission
- Registered with the Care Quality Commission
- GMC registered doctors
- 5
- A doctor on the clinic’s line
- Monday to Friday eight until eight, Saturday nine until five, Sunday ten until four.
- Every referral and enquiry
- You will hear from us within 24 hours.
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Bupa is an independent organisation. The Wellness is not affiliated with Bupa unless stated on this page.