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PruCare There every step of the way At PruHealth we know how difficult it is for someone when they are diagnosed with a complex and life threatening condition. That’s why we have our dedicated PruCare team to support members and their families through what can be a difficult and stressful time. We’ll also make sure they have access to the best possible medical care and treatment. Maeve, qualified nurse and a Case Manager in the PruCare team PruCare | PruHealth There every step of the way Medical professionals and dedicated case managers PruCare is a crucial team for our members offering a dedicated, doctor led service. The team is made up of medical professionals, including doctors, nurses and technical claims associates. Members who need treatment for cancer, psychiatry or any other complex and high cost treatment will be given a personal point of contact in the PruCare team, their own dedicated case manager. Their case manager will understand the member’s situation, providing support for them and their family at what can be a difficult time. PruCare | PruHealth Focus on getting better Helping members get the best from their plan The PruCare team are here to make the treatment process as straightforward as possible. Whether it’s facilitating access to a faster diagnosis, providing information on treatment at home (where possible) or our NHS Cash Benefit options, they help members get the best from their plan, helping to provide peace of mind. Over a quarter of a billion pounds Over £1/4bn worth of claims are paid by PruHealth each year Our care network offers access to 21,000 specialists and 200 hospitals, looking after 1/2 million people Source: PruHealth data, 2012 Access our extensive care network At PruHealth we look after the health and wellbeing of over half a million people from individuals to corporate employees. We provide our members with access to an extensive care network including hundreds of the best private hospitals in the UK and thousands of clinical specialists. PruCare | PruHealth 40% of workplace sickness absence is attributed to mental health conditions.* Caring for the mind and body It’s not only the physical health of our members we look after, but their mental wellbeing too. We pay for consultations and treatment with a psychiatrist or psychologist. If our members need a stay in hospital, we pay for that as well. Psychiatric cover is optional, so not all members will have this cover. Source* Sainsbury’s Centre for Mental Health PruCare | PruHealth More than 1 in 3 people in the UK will develop cancer in their lifetime.* Cancer drugs can be very expensive. In 2011 the average of our top ten cancer claims was over £120,000. Based on an average premium of £720, that’s 167 years of premium. Peace of mind with Full Cancer Cover If our members are diagnosed with cancer, our Full Cancer Cover provides just that. It covers in-patient and out-patient costs in full, including: • Radiotherapy, chemotherapy and follow-up consultations • Biological therapies • Hormone and bisphosphonate therapies • Cancer surgery and reconstructive surgery • Stem cell transplantation. If the cancer is no longer treatable, we pay for our members to have care that can relieve their symptoms. This includes pain relief at the end stage of cancer. Our members have peace of mind they will receive the best possible medical care available. Customers can choose to downgrade their cancer cover for a small reduction in premium. This limits cover for biological, hormone and bisphosphonate therapies. Source* Cancer Research statistics The average cost per patient for a course of the following drugs used for the treatment of cancer in 2011 were: Avastin used to treat colorectal and lung cancer – £70,000 Herceptin used to treat breast cancer – £60,000 Sutent used to treat kidney cancer and cancer of the digestive system – £40,000 Access to the latest drugs and treatments New drugs and treatments are being developed all the time. But they’re not always covered by the NHS. If a member’s consultant suggests a new drug or treatment, and our clinical team can see that it’s helping other patients, we’ll cover it even if the NHS won’t. PruCare | PruHealth £7.5 million In 2011 through the work we do with hospitals, consultants and providers we saved £7.5m. That would fund a course of Avastin, used to treat colorectal and lung cancer, for over 105 members or Herceptin, used to treat breast cancer, for 125 members or Sutent – used to treat kidney cancer and cancer of the digestive system, for over 185 members. Always managing costs, but never compromising care We regularly assess our relationships with care providers in our network and clinical treatments offered, to provide our members with access to the best possible medical care. We always manage our costs ensuring best value for money, but never compromise the quality of care our members receive. A word from our members PruCare You only have to speak to one person so there is no need to keep repeating your story Medical professionals and dedicated case managers Julie’s voice was like a great comfort blanket to me A caring friendly voice at the end of the phone Neville always phoned me to see how I was doing and really helped to boost my confidence when it was at its lowest Helping members get the best from their plan Access our extensive care network Caring for the mind and the body Peace of mind with Full Cancer Cover Access to the latest drugs and treatments Always managing costs but never compromising care Peace of mind PruHealth is a trading name of Prudential Health Limited, Prudential Health Insurance Limited and Prudential Health Services Limited. Registered numbers 05051253, 02123483 and 05933141 respectively. Prudential Health Limited and Prudential Health Insurance Limited provide and manufacture benefits under the PruHealth product. Prudential Health Services Limited distributes and services the PruHealth product and issues the documentation. Companies registered in England and Wales. Registered offices at Laurence Pountney Hill, London EC4R 0HH. All authorised and regulated by the Financial Services Authority. Calls may be recorded / monitored to help improve customer service. Call charges may vary. PRUHM20389 J175