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The Authorisation Process

If you have medical insurance, it is worth seeing whether they will fund treatment. Gaining authorisation can be daunting however we hope to make the process as simple as possible for you. We have outlined below the authorisation process for consultation and treatment with one of our vascular consultants at Veincentre.

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How to obtain Authorisation for each Appointment?

Prior to contacting your insurer, it is really important to note three things:

  • We are an outpatient As such, all appointments are undertaken on an outpatient basis.
  • Our Vascular Consultants are either Interventional Radiologists or Vascular Surgeons both of whom are authorised to treat you.
  • You may require the provider number of the clinic you wish to attend. The Clinic Provider numbers for each clinic can be found below. Please contact us if you also require the Consultant Provider Numbers.

Consultation Authorisation

Most patients can self-diagnose the fact they have varicose veins however your insurer may insist you obtain a referral letter from your GP. Most insurance companies are reluctant to authorise a consultation and scan without a GP report outlining the fact you have varicose veins, what symptoms they are causing you and whether they require further investigation. Please call your insurer to find out if this is required or not.

On receipt of the referral, the insurer will decide whether or not they will fund a consultation. If authorised, they will provide you with an authorisation code. Prior to attending the appointment, please let us know both the authorisation code and your membership number.

Primary Treatment

Following your consultation, we will inform you of the OPCS codes (treatment code/s) for the treatment you require. Your insurer will require these codes, in addition to your consultation report, in order to authorise treatment. Some insurers will also ask us to complete a separate form to send to their Specialist Varicose Vein Team.

At the time of obtaining treatment authorisation, please check if the code provided also covers a follow up appointment.

We have a fixed package price with AXA PPP for all our procedures. If you require EVLA treatment our negotiated fixed package price includes:

  • Consultation (Including duplex ultrasound scan)
  • EVLA Treatment (Unilateral or Bilateral)
  • Follow-up Scan (No treatment)

Please note any sclerotherapy sessions are not included. You will need to get a separate authorisation for these from AXA. AXA are reluctant to sclerotherapy treatment and so please be aware you may need to self-fund this if required alongside or post EVLA (e.g. at follow-up).

IMPORTANT UPDATE – Insurers not funding Sclerotherapy Treatment alongside EVLA: Most patients require a combination of EVLA and Foam Sclerotherapy to treat both the underlying cause and cosmetic appearance of the veins. Insurers have recently started refusing to fund Foam Sclerotherapy treatment alongside EVLA. We are in ongoing discussions with them regarding this matter as it is not medically in the patient’s best interests. This does however mean currently, if you require Foam Sclerotherapy treatment following or alongside EVLA, it is unlikely that your insurer will fund this and sadly you will need to self-fund the treatment.

 

The treatment codes are as follows:

Treatment Unilateral Bilateral
EVLA of Single vein including Phlebectomies L8512 L8513
EVLA of Multiple veins including Phlebectomies L8514 L8515
U/S Guided Foam Sclerotherapy L8620 L8621
Phlebectomies/ Avulsions L8750 L8751

Follow-up

Unless included in your primary treatment code, you will need to obtain further authorisation for your follow up appointment. This must also include authorisation for any treatment you may undergo at this appointment e.g. Foam Sclerotherapy. The follow-up will include a repeat scan to ensure that the EVLA treatment has worked successfully.

Your insurer may not authorise treatment in advance of the appointment. Instead they will insist you attend for a basic follow-up first and a scan report sending to them prior to authorising further treatment or not. This report will outline what, if any, further treatment is required and the clinical need for this.

We will advise you of the treatment code/s (OPCS) that you need to provide your insurer in order for them to authorise treatment at your follow-up.

Should an insurance company not authorise any follow up treatment then, unfortunately, you will need to pay for all future appointments yourself at our Fixed Cost Prices. Please see our Price List

Should Bupa not authorise the foam sclerotherapy injections, or if you would prefer not to wait for Bupa authorisation and have the foam sclerotherapy at your first follow up visit, then you will be required to pay for these yourself. As you will have undergone your primary treatment as an insured patient, the charge for your foam sclerotherapy injections will be £500 (the self-funding fee for a primary session of foam sclerotherapy injections rather than the self-funding price for an initial follow-up). Although this may seem illogical it is necessary as the fees Bupa reimburse for the EVLA are lower than self-pay and the fees they reimburse for follow up are higher. The two combined are roughly equal for both self-pay and Bupa.

If we do not receive the appropriate authorisation code/s prior to your appointment you will be asked to pay in full for the appointment and any treatment undertaken on the day.

Provider Numbers

To find out how to get authorisation with Aviva please contact our patient advisers.

Clinic Provider Number
Veincentre, Bristol 10105
Veincentre, Cambridge 12497
Veincentre, Cardiff 12495
Veincentre, Glasgow 12399
Veincentre, Leeds 12395
Veincentre, Liverpool 12397
Veincentre, London 88771
Veincentre, Manchester 20204
Veincentre, Nottingham 10122
Veincentre, Oxfordshire 10637
Veincentre, Southampton 11819
Veincentre, Stoke 03765
Clinic Provider Number
Veincentre, Bristol 60010970
Veincentre, Cambridge 60012355
Veincentre, Cardiff 60012354
Veincentre, Glasgow 60012223
Veincentre, Leeds 6001222
Veincentre, Liverpool 60012240
Veincentre, London 60010971
Veincentre, Manchester 60010969
Veincentre, Nottingham 60011312
Veincentre, Oxfordshire 60011961
Veincentre, Southampton 60012186
Veincentre, Stoke 60011185
Clinic Provider Number
Veincentre, Bristol A24865
Veincentre, Glasgow 215695
Veincentre, Leeds 215696
Veincentre, Liverpool A25825
Veincentre, London A24865
Veincentre, Manchester A24865
Veincentre, Nottingham A24865
Veincentre, Oxfordshire A24865
Veincentre, Southampton A25705
Veincentre, Stoke A24865

On 1 August 2015, Simply Health completed the sale of their private medical insurance to AXA PPP healthcare. All fees are billed as per Veincentre’s agreement with AXA PPP.

Clinic Provider Number
Veincentre, Bristol Veincentre Bristol
Veincentre, Cambridge Veincentre, Cambridge
Veincentre, Cardiff Veincentre, Cardiff
Veincentre, Glasgow Veincentre Glasgow
Veincentre, Leeds Veincentre Leeds
Veincentre, Liverpool Veincentre Liverpool
Veincentre, London Veincentre London
Veincentre, Manchester Veincentre Manchester
Veincentre, Nottingham Veincentre Nottingham
Veincentre, Oxfordshire Veincentre Oxford
Veincentre, Southampton Veincentre Southampton
Veincentre, Stoke Veincentre Stoke
Clinic Provider Number
Veincentre, Bristol 920339590
Veincentre, Cambridge 920990634
Veincentre, Cardiff 920991354
Veincentre, Glasgow 920339590
Veincentre, Leeds 920339590
Veincentre, Liverpool 920966583
Veincentre, London 920339590
Veincentre, Manchester 920339590
Veincentre, Nottingham 920339590
Veincentre, Oxfordshire 920339590
Veincentre, Southampton 920339590
Veincentre, Stoke 920339590
Clinic Provider Number
Veincentre, Bristol Veincentre Bristol
Veincentre, Cambridge Veincentre, Cambridge
Veincentre, Cardiff Veincentre, Cardiff
Veincentre, Glasgow Veincentre Glasgow
Veincentre, Leeds Veincentre Leeds
Veincentre, Liverpool Veincentre Liverpool
Veincentre, London Veincentre London
Veincentre, Manchester Veincentre Manchester
Veincentre, Nottingham Veincentre Nottingham
Veincentre, Oxfordshire Veincentre Oxford
Veincentre, Southampton Veincentre Southampton
Veincentre, Stoke Veincentre Stoke
Clinic Provider Number
Veincentre, Bristol Veincentre Bristol
Veincentre, Cambridge Veincentre, Cambridge
Veincentre, Cardiff Veincentre, Cardiff
Veincentre, Glasgow Veincentre Glasgow
Veincentre, Leeds Veincentre Leeds
Veincentre, Liverpool Veincentre Liverpool
Veincentre, London Veincentre London
Veincentre, Manchester Veincentre Manchester
Veincentre, Nottingham Veincentre Nottingham
Veincentre, Oxfordshire Veincentre Oxford
Veincentre, Southampton Veincentre Southampton
Veincentre, Stoke Veincentre Stoke
Clinic Provider Number
Veincentre, Bristol Veincentre Bristol
Veincentre, Cambridge Veincentre, Cambridge
Veincentre, Cardiff Veincentre, Cardiff
Veincentre, Glasgow Veincentre Glasgow
Veincentre, Leeds Veincentre Leeds
Veincentre, Liverpool Veincentre Liverpool
Veincentre, London Veincentre London
Veincentre, Manchester Veincentre Manchester
Veincentre, Nottingham Veincentre Nottingham
Veincentre, Oxfordshire Veincentre Oxford
Veincentre, Southampton Veincentre Southampton
Veincentre, Stoke Veincentre Stoke
Clinic Provider Number
Veincentre, Bristol Veincentre Bristol
Veincentre, Cambridge Veincentre, Cambridge
Veincentre, Cardiff Veincentre, Cardiff
Veincentre, Glasgow Veincentre Glasgow
Veincentre, Leeds Veincentre Leeds
Veincentre, Liverpool Veincentre Liverpool
Veincentre, London Veincentre London
Veincentre, Manchester Veincentre Manchester
Veincentre, Nottingham Veincentre Nottingham
Veincentre, Oxfordshire Veincentre Oxford
Veincentre, Southampton Veincentre Southampton
Veincentre, Stoke Veincentre Stoke
Clinic Provider Number
Veincentre, Bristol Veincentre Bristol
Veincentre, Cambridge Veincentre, Cambridge
Veincentre, Cardiff Veincentre, Cardiff
Veincentre, Glasgow Veincentre Glasgow
Veincentre, Leeds Veincentre Leeds
Veincentre, Liverpool Veincentre Liverpool
Veincentre, London Veincentre London
Veincentre, Manchester Veincentre Manchester
Veincentre, Nottingham Veincentre Nottingham
Veincentre, Oxfordshire Veincentre Oxford
Veincentre, Southampton Veincentre Southampton
Veincentre, Stoke Veincentre Stoke
Clinic Provider Number
Veincentre, Bristol Veincentre Bristol
Veincentre, Cambridge Veincentre, Cambridge
Veincentre, Cardiff Veincentre, Cardiff
Veincentre, Glasgow Veincentre Glasgow
Veincentre, Leeds Veincentre Leeds
Veincentre, Liverpool Veincentre Liverpool
Veincentre, London Veincentre London
Veincentre, Manchester Veincentre Manchester
Veincentre, Nottingham Veincentre Nottingham
Veincentre, Oxfordshire Veincentre Oxford
Veincentre, Southampton Veincentre Southampton
Veincentre, Stoke Veincentre Stoke
Clinic Provider Number
Veincentre, Bristol Veincentre Bristol
Veincentre, Cambridge Veincentre, Cambridge
Veincentre, Cardiff Veincentre, Cardiff
Veincentre, Glasgow Veincentre Glasgow
Veincentre, Leeds Veincentre Leeds
Veincentre, Liverpool Veincentre Liverpool
Veincentre, London Veincentre London
Veincentre, Manchester Veincentre Manchester
Veincentre, Nottingham Veincentre Nottingham
Veincentre, Oxfordshire Veincentre Oxford
Veincentre, Southampton Veincentre Southampton
Veincentre, Stoke Veincentre Stoke

Can I have Consultation and Treatment on the Same Day?

Unfortunately, if you wish to pay through your insurance, it is highly unlikely you’ll be able to attend for Consultation and Treatment on the same day. This is because your insurer insists on the results of the scan (and hence the exact treatment you require) before providing authorisation.

 

Problems getting Authorisation?

If you have any problems obtaining authorisation, then please call our Head Office on 01782 753 960 with your membership number and we will endeavour to deal with this on your behalf.

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