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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
Varicose veins funding request form PDF 995KB
Cardiology  Type Size
TAVI (transcatheter aortic valve implementation) pre-authorisation form PDF 0.6MB
Percutaneous coronary intervention (PCI) Funding request form PDF 0.4MB
Retrospective funding request form following percutaneous coronary intervention (PCI) PDF 0.4MB
Atrial fibrillation (AF) ablation pre-authorisation form  PDF 1.0MB
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
Funding request form: Further treatment for a mental health condition PDF 0.6MB
Oncology  Type Size
Funding request form: Genetic testing PDF 3.9MB
Funding request form: Out of licence drug/regimen PDF 3.1MB
Pallbociclib Treatment Request Form PDF 0.5MB
Trauma and orthopaedics  Type Size
Funding request form: knee arthroscopy PDF 3.6MB
Application for funding: spinal fusion PDF 0.2MB
Application for funding: spinal stenosis PDF 0.2MB
Physiotherapy, Osteopathy and Chiropractic 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 October 2019
 PDF   0.2MB
Advance notification of changes to Bupa Schedule of
procedures - 15 September 2019
PDF   0.2MB
Advance notification of changes to Bupa Schedule of
procedures - 15 August 2019
PDF 0.2MB
Advance notification of changes to Bupa Schedule of
procedures - 15 June 2019
PDF 0.2MB
Advance notification of changes to Bupa Schedule of
procedures - 15 March 2019
PDF   0.2MB
Advance notification of changes to Bupa Schedule of
procedures - 15 February 2019
PDF   0.2MB


Changes to separately chargeable drugs list
Document  Type Size
Notification of changes to separately chargeable
drugs list - 15 October 2019
 PDF  0.1MB
Notification of changes to separately chargeable
drugs list - 15 September 2019
PDF 0.1MB 
Notification of changes to separately chargeable
drugs list - 15 August 2019
PDF  0.2MB 
Notification of changes to separately chargeable
drugs list - 15 June 2019
PDF  0.2MB 
Notification of changes to separately chargeable
drugs list - 15 March 2019
PDF 0.1MB 
Notification of changes to separately chargeable
drugs list - 15 February 2019
PDF 0.1MB 


Changes to Bupa impairment codes
Document  Type Size
Notification of changes to Bupa
impairment codes - 15 October 2019
 PDF   0.7MB
Notification of changes to Bupa
impairment codes - 15 September 2019
PDF  0.7MB  
Notification of changes to Bupa
impairment codes - 15 August 2019
PDF  0.7MB 
Notification of changes to Bupa
impairment codes - 15 June 2019
PDF  0.7MB 
Notification of changes to Bupa
impairment codes - 15 March 2019
PDF
0.7MB 
Notification of changes to Bupa
impairment codes - 15 February 2019
PDF  0.7MB  


Changes to Prosthesis and Appliance list
Document  Type Size
Notification of changes to Prosthesis and Appliance list -
15 October 2019
 PDF  0.3MB
Notification of changes to Prosthesis and Appliance list -
15 September 2019
 
PDF  0.3MB
Notification of changes to Prosthesis and Appliance list -
15 August 2019 
PDF 0.3MB 
Notification of changes to Prosthesis and Appliance list -
15 June 2019 
PDF 0.3MB 
Notification of changes to Prosthesis and Appliance list -
15 March 2019 
PDF 0.3MB
Notification of changes to Prosthesis and Appliance list -
15 February 2019 
PDF  0.3MB