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Reasonable & Customary

A charge is considered reasonable, usual and customary if it matches the general prevailing cost of that service within your geographic area.

A reasonable and customary fee is the amount that your health plan determines is the normal range of payment for a specific health-related service or medical procedure within a given geographic area. However, if the charges for the medical procedure exceed the amount your insurance company deem to be ‘reasonable & customary’ then you will have to pay the difference.

The majority of insurance companies will have approved panels of doctors, hospitals and medical institutions who comply with their pricing protocols.  Therefore, you should never experience any problem with claim shortfalls as long as you select your requirement from the approved list.

If you have any doubts or concerns or require any further information, please do not hesitate to contact one of our friendly team to discuss.

Amongst the underwriters we work with in the UK are:

Aviva, providing UK Healthcare through Goldstar Simply Health, providing UK Healthcare through Goldstar WPA, providing UK Healthcare through Goldstar

 

Amongst the underwriters we work with internationally are:

 Allianz, providing International Healthcare through Goldstar Axa PPP Healthcare, providing International and UK Healthcare through Goldstar   Cigna, providing International Healthcare through Goldstar

Goldstar Healthcare Limited is authorised and regulated by the Financial Conduct Authority. Financial Services Register No: 308480 http://www.fca.org.uk/register.

The rules and regulations made by The Financial Conduct Authority providing consumer protection will not normally apply to persons resident outside the United Kingdom.

Goldstar Healthcare Limited Registered Address: Lynton House, 304 Bensham Lane, London, CR7 7EQ. Registered in England & Wales, No. 04312301.

Neither Goldstar Healthcare Limited nor its representatives can be held responsible for the accuracy of the contents/information contained within any linked site(s) accessible from this page.