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In a medical emergency there is no better place to be than an NHS Hospital.
Unfortunately, the NHS is simply unable to deal with every medical emergency so effectively.

For less urgent medical treatment you can find yourself on lengthy waiting lists. It could be months before you see a consultant or receive treatment. In the mean-time you may be feeling unwell, possibly unable to work and worried about your health.

Private Medical Insurance allows you to take control of your healthcare. You will be able to choose, when, where and by whom you are treated. Whether you are looking to cover just yourself or your loved ones, Lloyd & Whyte have a
plan to suit our members and their busy lives.

Personal Details

Title:
(Mr/Mrs/Ms/Other)
Forenames:

Surname:

Address (including Postcode):

Contact Telephone No:

EMail:

Date Of Birth:

Existing Insurance Arrangements

Do you currently have Private Medical Insurance?

If you have an existing policy, please complete the following:

Provider

Renewal Date

Product Name (if known)

What Type Of Cover Do You Require?

Standard In-patient cover is automatically applied to all policies.
If you would like to add any of the following additional options, please tick as appropriate:

Out-patient (Gives you full cover for all your outpatient costs)

Therapy (The option allows you to receive up to £1000 towards your therapy costs)

Worldwide (add this option to be covered abroad as well as at home)

If you have any other specific requirements, please list them here:

Lloyd & Whyte also offer stand alone cash plans and dental insurance which can work well in addition or as an alternative to tranditional private medical insurance. For further information please tick the options below:

Dental

Cash Plan

Please note that this form is for quotation purposes only, so that Lloyd & Whyte Ltd can provide you with an approximate premium guide, and advise you further. Pre-existing medical conditions should be discussed with Lloyd & Whyte Ltd.

Your enquiry will now be forwarded to Lloyd & Whyte who will contact you shortly to arrange a quotation. Policies are tailored to suit your own individual needs and demands.

If you have any further questions or queries, please call 0845 130 1366 and quote 'Scenequeens Member Quote'.