Facilities:
Back to Hospitals and ClinicsHospital and clinics
We're committed to working with hospitals and clinics to offer Bupa customers access to
high quality healthcare. As part of this commitment, it's important that hospitals and clinics
that provide surgical and medical services to Bupa customers are clear about what they can
expect from us. This also gives our customers certainty that Bupa recognised hospitals and
clinics agree to specific and consistent quality requirements and operational standards.
To provide this certainty, and to enable your hospital or clinic to treat Bupa customers, it
needs a Healthcare Services Agreement (HSA) with us which will:
- confirm the hospital or clinic’s Bupa recognition and which services it is recognised for
- set out the contractual terms to which both parties will adhere
- enable your hospital or clinic to treat Bupa funded patients
- set out the prices that your hospital or clinic agrees to charge Bupa for the services provided
Some procedures and services, such as cataract treatment, outpatient MRI, outpatient CT, endoscopy and physiotherapy, are covered under separate network agreements. For more information about these, please email us at: [email protected].
You can find details of all the services that we recognise hospitals and clinics for in our Schedule of Procedures and Schedule of Diagnostic Tests
Need to know: There are some conditions and treatments that aren’t covered by our customers’ health schemes. You can find out more here: https://www.bupa.co.uk/health/health-insurance/understanding-health-insurance/private-health-insurance-exclusions
Benefits of recognition
Bupa recognition can help your hospital or clinic increase the number of referrals it receives and enable it to:- promote its services online to Bupa customers, GPs and the public
- receive agreed fees for the services that it offers Bupa customers
- receive secure payment of online invoices using the BACS system
In addition, joining our free Providers Online website will give you hospital or clinic:
- 24/7 access to payment updates and help ensure quick invoice payment
- dedicated support and access to online services that will help to reduce administration
Entry criteria
- you'll need to complete a Recognition form and Pricing Request form on behalf of your hospital or clinic
- your hospital or clinic needs to be registered with a regulatory body, such as the Care Quality Commission, Health Inspectorate Wales or Care Inspectorate Scotland, and provide information to Bupa for a quality assessment
- at least one Bupa recognised consultant needs to have practising privileges at your hospital or clinic
- the ability to submit invoices to Bupa electronically
Before you apply
You can apply for recognition online in three simple steps which should take less than an hour, depending on the services that your hospital or clinic offers.
-
Step one
-
Step two
-
Step three
Familiarise yourself with how a hospital or clinic can become Bupa recognised
Please read the following as they form the basis of any agreement:
- Business rules (PDF 2.85MB) and Healthcare Services Agreement (PDF 269KB) (contract template), which form the basis of the agreement between your hospital or clinic and Bupa.
- Schedule of Procedures and Schedule of Diagnostic Tests , which list the procedures covered by our customers’ health schemes and the rules about billing for them.
Confidentiality guidelines
We’ll only use the information you provide for the purposes of this application and in our
ongoing relationship in the event that your hospital or clinic becomes Bupa recognised.
We have indicated in the application form which information may be shared with our
customers, on our website and through other media. You have the opportunity to accept or
decline this as you complete the application form.
Gather the documents you need
You’ll need the following documents to complete your application:
Quality assessment documents:
- The management and organisation structure of the hospital or clinic
- Clinical governance policy
- Incident management policy
- Complaint policy or procedure
- Customer satisfaction survey
- Safeguarding policies
- Patient consent process
Price request form guidance:
As part of the application, you’ll also need to complete our pricing request form with the
prices your hospital or clinic proposes for the services that it would like to offer.
Please check that each service is covered by our health schemes and use the relevant
CCSD codes; you can use our Schedule of Procedures
and Schedule of Diagnostic Tests for
this.
Please also refer to the Bupa Business Rules (PDF 2.85MB) in which the services and charges rules are
outlined in more detail. For example, Fixed price surgical procedure packages are fully
inclusive of all fees (accommodation and theatre fees, consumables, drugs, pathology and
histology), other than surgeon and anaesthetist fees and prostheses (see page 19 onwards).
Apply online
Please create an account and select the new recognition application form. You’ll need to
scan all the documents we’ve asked for and upload them to your hospital or clinic’s
application, so it’s important you have these ready before you start. Without them we’re
unable to progress your application.
Once the application is successful, we will send your hospital or clinic’s agreement for
signing.
Please don’t start treating Bupa patients until you’ve received an email confirming that your hospital or clinic’s application for Bupa recognition is complete. Recognition begins on the date outlined in your hospital or clinic’s agreement with us, and we’re unable to fund any services provided to Bupa patients before that (including retrospective invoices).
Ways to get in touch…
Email us
Send us an email to
[email protected]
Information you send to this email address may not be secure unless you send us your email through Egress. To sign up for a free Egress Switch account, go tohttps://switch.egress.com.
