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Latest updates from Bupa

All specialities  Type Size
Complex surgery fee uplift request form PDF 4.2MB
ITU form PDF 0.3MB
Cardiology  Type Size
TAVI (transcatheter aortic valve implementation) pre-authorisation form PDF 0.6MB
Prior to elective percutaneous coronary intervention (PCI) pre-authorisation form PDF 0.4MB
Retrospective authorisation form following percutaneous coronary intervention (PCI) PDF 0.4MB
Atrial fibrillation (AF) ablation pre-authorisation form (from 4 May 2016) PDF 4.1MB
Biventricular pacemaker (CRT-P) pre-authorisation form PDF 0.2MB
Follow up cardiology consultation pre-authorisation PDF 0.1MB
ICD pre-authorisation form PDF 0.8MB
Watchmen pre-authorisation form PDF 0.6MB
CRT-D pre-authorisation form PDF 0.7MB
Dermatology  Type Size
Skin procedures authorisation form PDF 0.6MB
Mental health  Type Size
Funding request form: In-patient Addiction Treatment Programme PDF 4.1MB
Funding request form: Extension to in-patient Addiction Treatment Programme PDF 0.8MB
Oncology  Type Size
Funding request form: Genetic testing PDF 3.9MB
Funding request form: Out of licence drug/regimen PDF 3.1MB
Trauma and orthopaedics  Type Size
Funding request form: knee arthroscopy PDF 3.6MB
Application for funding: balloon kyphoplasty (single and multiple level) Word 0.5MB
Application for funding: percutaneous vertebroplasty Word 0.5MB
Application for funding: spinal fusion PDF 0.2MB
Application for funding: spinal stenosis PDF 0.2MB
Physiotherapy Documents  Type Size
Therapies management form PDF 0.5MB
Changes to Bupa Schedule of procedures
Document  Type Size
Advance notification of changes to Bupa Schedule of
procedures - 15 January 2019
 PDF    0.2MB
Advance notification of changes to Bupa Schedule of
procedures - 15 December 2018
 PDF    0.2MB
Advance notification of changes to Bupa Schedule of
procedures - 15 November 2018
PDF    0.3MB 
Advance notification of changes to Bupa Schedule of
procedures - 15 October 2018
PDF   0.3MB 
Advance notification of changes to Bupa Schedule of
procedures - 15 September 2018
PDF  0.3MB
Advance notification of changes to Bupa Schedule of
procedures - 15 August 2018
PDF    0.3MB  


Changes to separately chargeable drugs list
Document  Type Size
Notification of changes to separately chargeable
drugs list - 15 January 2019
 PDF  0.1MB 
Notification of changes to separately chargeable
drugs list - 15 December 2018
 PDF  0.1MB 
Notification of changes to separately chargeable
drugs list - 15 November 2018
  PDF  0.1MB 
 Notification of changes to separately chargeable
drugs list - 15 October 2018
 PDF 0.1MB  
 Notification of changes to separately chargeable
drugs list - 15 September 2018
PDF 0.1MB 
Notification of changes to separately chargeable
drugs list - 15 August 2018
  PDF   0.1MB  


Changes to Bupa impairment codes
Document  Type Size
Notification of changes to Bupa
impairment codes - 15 January 2019
  PDF    0.7MB  
Notification of changes to Bupa
impairment codes - 15 December 2018
  PDF    0.7MB  
Notification of changes to Bupa
impairment codes - 15 November 2018
  PDF   0.7MB  
Notification of changes to Bupa
impairment codes - 15 October 2018
 
 PDF  0.7MB  
 Notification of changes to Bupa
impairment codes - 15 September 2018
PDF  0.7MB 
Notification of changes to Bupa
impairment codes - 15 August 2018
 PDF  0.7MB  


Changes to Prosthesis and Appliance list
Document  Type Size
Notification of changes to Prosthesis and Appliance list -
15 J
anuary 2019 
  PDF  0.3MB
Notification of changes to Prosthesis and Appliance list -
15 December 2018
 
  PDF  0.3MB
Notification of changes to Prosthesis and Appliance list -
15 November 2018
 
  PDF 0.3MB
 Notification of changes to Prosthesis and Appliance list -
15 October 2018
 
 PDF 0.3MB 
 Notification of changes to Prosthesis and Appliance list -
15 September 2018
 PDF 0.3MB
Notification of changes to Prosthesis and Appliance list -
15 August 2018
 PDF    0.3MB