If an employee would like to see a specialist who is not a Business Protect specialist, but is recognised by AXA PPP healthcare, we will pay 60% of the AXA agreed rate towards the charges that would normally apply. You will be responsible for paying the remaining charges.
E.g. A patient visits a specialist who is recognised by AXA but who is not a Business Protect specialist. The Specialist charges £1000 for the operation. The AXA agreed rate for that particular operation is £800, therefore we would pay 60% of the AXA agreed rate. In this example 60% of £800 = £480.
If the selected specialist is not recognised by Health-on-Line, or AXA PPP healthcare, you will be responsible for paying the charges in full.
Specialists and hospitals normally send their bills to us, so we can pay them directly. If you need to pay an excess, we will let you know how to pay it.