To provide this certainty, and to enable your facility to treat Bupa customers, you need a Healthcare Services Agreement (HSA) with us which will:
- confirm your hospitals and clinics and services are recognised by us
- set out the contractual terms to which both parties will adhere
- enable your hospitals and clinics to treat Bupa funded patients
- set out the prices that you agree to charge us for the services provided
Some procedures and services, such as cataract treatment, out-patient MRI, CT and TAVI, are covered under a separate agreement. For more information please call us on 0345 600 5220^. Lines are open 9am to 5pm, Monday to Friday.
^ We may record or monitor our calls
Complete the RFI document
The RFI below is necessary to set up a Healthcare Services Agreement with us. It provides us with general information about your facility and the procedures you perform.
When completing the RFI, please select the services that your facility provides and would like to offer to Bupa customers, together with your own service code and current prices. We’ll agree prices for each individual service your facility provides, and each of these must be coded appropriately.
If you think there are services that don’t appear to have a relevant code, please add the details in the ‘Your Additional Codes’ section. We’ll either confirm the code that should be used or consider the creation of a new code.
The RFI is a Microsoft Excel template which is a protected document, so please don’t amend it in any way or send us an alternative version.
RFI document (XLS, 1.1MB)
Please email your completed form to: email@example.com.
We’ll be in touch within five working days of receiving your completed RFI. If you have any questions about your submitted RFI please call us on 0345 600 5220^
^Lines are open 9am to 5pm, Monday to Friday. We may record or monitor our calls.
Complete a quality assessment
A member of our Clinical Quality and Governance team may arrange to visit your facility to finalise the quality assessment depending on the types of services you provide.
Read the paperwork and sign
Once the quality assessment has been completed successfully, we’ll send you a Healthcare Services Agreement to sign.
While you’re waiting for the final version, please review the Healthcare Services Agreement and our Business Rules, which are the standard rules referred to in the HSA and which apply to all Bupa recognised facilities.
Business rules (PDF, 2.9MB)
Healthcare Services Agreement for NHS provider (PDF, 0.4MB)
Healthcare Services Agreement for non NHS provider (PDF, 0.3MB)
Please be aware that we’re not under any obligation to recognise a facility, and the recognition of a facility will always be subject to the agreement between us of written terms and conditions relating to that facility. The facility won’t be eligible to treat Bupa members until this agreement is in place. Completion of the RFI document doesn’t automatically grant recognition status.
As you may expect, we will won’t process any applications where we consider the applicant to have directly or indirectly obtained confidential information from any member of staff or representative of Bupa.
We’ll only use the information that you submit to us as part of this process for the purposes of this application.