Healthcare Management Trust (HMT) Patient Terms and Conditions – With effect from 1 February 2022.

Please read these Terms carefully.  They set out the basis upon which you will be provided with treatment at an HMT Hospital.

Note that words in bold have specific meanings, which are set out in the Definitions section at the end of this Terms document.

HMT may update these Terms from time to time, however changes to these Terms will only apply to any new episode of Care or Treatment Package that you receive, and you will be asked to agree to any new Terms before they become effective for you.  Note that any new Terms will not apply to a Treatment Package which is part-way through when the Terms are changed.

Please ensure you read the Terms in relation to our charges carefully.

If you want to check how much something costs, please ask.  You can always check HMT Standard Rates on our website or by contacting your local HMT Hospital.  You can also ask for a copy of the HMT Standard Rates when you are at any Hospital.  Please ask us if there is something that you would like explained further before you sign the Registration Form.

Please pay particular attention to the sections in these Terms about Consultants.  Consultants involved in your Care are independent practitioners and are not employees of HMT.  The Contract between you and HMT for your Care is different from, and separate, to the contract that you have with your Consultant (which may or may not be written).  If you are unsure about how your Contract works, please ask.

Part A – Insured Patients

This section will apply if you are covered by private medical insurance.

  1. You agree to pay for your Care.
  1. Whilst you will remain responsible for the payment of your Care, whereyou have private medical insurance:
  • You are to provide us with the authorisation code from your insurer at the time of booking your care.We will then where possible, process the insurance claim for your Care with your insurer, provided you have given us and your insurer all the information we and your insurer need to do so.  If this information is incomplete or inaccurate, we may not be able to process your claim and you will need to pay for your Care, as set out in (c) below;
  • where we process your insurance claim and your insurer pays us direct, the rate agreed between HMT and your insurer (rather than the HMT Standard Rates) will apply to your Care;
  • if your insurer fails to settle our invoices (or any part of them within 30 days of the date of issue we will assume that the outstanding amount will not be paid by your insurer and we mayinvoice you direct or debit the relevant balance from your credit or debit cards in accordance with the process set out in paragraph 24 below (as relevant); and if we invoice you for your Care or an element of it you agree to pay us the amount invoiced within the time limits set out therein. If you do not think that we have invoiced you correctly, please let us know as soon as possible so we can deal with any mistake or misunderstanding.
  1. It is your responsibility to confirm with your insurer in advance that your Care is covered by your insurance policy and HMT will not obtain any such confirmation on your behalf.While you are in Hospital, if you want to check with your insurer whether any aspect of your Care is covered by your insurance policy, we will give you access to a telephone, so you can contact your insurer.
  1. Please note that some insurers use Care guidelines that may not match the professional medical opinion of the Consultants, nursing staff and other medical professionals providing your Care.In some cases, this can mean that your insurer may not pay for certain parts of the Care you receive, and you will be required to pay for that part of your Care.  In particular you should note that treatment for complications may in some cases not be covered by insurance and in such cases, you agree to cover the cost of your Care as set out in paragraph 2(c) above.
  1. Please note that your insurance policy may not cover the cost of Sundry Items or other items such as specialist equipment, like crutches, all types of braces, or it may only cover part of such costs.You will be required to pay for any such items not reimbursed by your insurers.
  1. If you pay for your treatment and subsequently seek reimbursement from your insurer, and if no other rate has been expressly agreed between you and HMT, the HMT Standard Rates will apply to your Care.
  1. If no rate has been agreed between HMT and your insurer in respect of your Care, the HMT Standard Rates will apply to your Care.

Part B – Self-Pay

Fixed Price This section will apply if you are paying for your own Care, and your Treatment Letter states that we have offered you a Fixed Price.  A fixed price can only be offered by the Hospital and there is no automatic entitlement that you will be offered such a price, it will be determined by clinical assessment.

You will be required to pay in full for your treatment before admission to the hospital and before receiving any procedure.

  1. You have been sent a Treatment Letter that will confirm your Treatment Package and Fixed Price and how you pay.You will pay the Hospital for all your Treatment, including the Consultants fee, and then the Hospital will pay the Consultant.  Please ensure you read this letter carefully.  As set out in Part F (Other Terms and Conditions: All Patients), your Treatment Letter is part of your Contract with HMT.

 

What is included in the Fixed Price?

  1. Your Treatment Letter will confirm the Fixed Price for your Care that you are to receive under your Treatment Package.Unless your Treatment Letter says otherwise, your Fixed Price in relation to your Treatment Package includes:
  • all Consultants’ fees while you are in Hospital;
  • your accommodation in the Hospital including your meals until you are clinically ready to be discharged, which may be a shorter period of time than previously stated;
  • your nursing Care, including while you are in Hospital and post- discharge (for example, for the removal of stitches, application/ removal of plaster case and/or changing of dressings);
  • operating theatre charges;
  • all tests to determine your fitness for surgery immediately to pre- admission;
  • all tests, treatments, drugs and dressings you may need during your stay in Hospital;
  • your essential medical or surgical equipment;
  • all prosthesis typically used for the procedure that you are having, selected from a standard range;
  • X-rays, scans and physiotherapy that you require during your stay in Hospital;
  • all take home drugs that you require on the advice of or as prescribed by your Consultant for up to 14 days following discharge (other than in relation to DVT prophylaxis where, if required, you will receive a full course of treatment);
  • all clinically necessary follow- up physiotherapy which your Consultant prescribes to support your rehabilitation (up to a maximum of 6);
  • any basic home aids, such as braces, crutches, sticks and reachers that you require;
  • one clinically necessary follow- up appointment with your Consultant;
  • all clinically necessary post- discharge radiology and pathology; and
  • treatment for any clinical complications, subject to paragraph 16 below.

 

What is not included in the Fixed Price?

  1. The following items are not included in your Fixed Price.If you have not paid for these already, you will be asked to pay for these separately at the HMT Standard Rates (unless otherwise stated in your Treatment Letter).  The items not included in your Fixed Price are:
  • your initial consultation and any tests carried out at the time of that consultation;
  • Care not listed in paragraph 9 above or Care listed in your Treatment Letter as being excluded from your Treatment Package;
  • chemotherapy drugs or IVF drugs not listed in your Treatment Letter as being included in the Fixed Price;
  • Sundry Items;
  • Care that you receive anywhere other than at the Hospital where you have booked your Treatment Package;
  • Care you receive that is not related to your Treatment Package, including treatment of complications and any condition associated with, or arising as a result of, pregnancies resulting from IVF treatment; and
  • Large home aids, such as commodes or stair lifts.

 

What happens if I decide not to go ahead?

  1. If you decide not to go ahead with your Treatment Package, you will need to pay for the Care that you have received up until the point of cancellation.This will be charged at HMT Standard Rates, but you will not have to pay more than the Fixed Price in relation to items which are included in the Fixed Price.

We reserve the right to charge a cancellation fee in accordance with paragraph 25 below if you cancel your treatment within 7 days of a scheduled appointment or admission date.

  1. If you have already paid for your Treatment Package, we will refund your payment, less any amount that you owe to the Hospital and/or the Consultant (as relevant, see Paragraph 22 below).Please note that we will pay any refund electronic transfer only to the cardholder or person who made the original payment.  We do not pay cash refunds.
  1. Note that if your Consultant cancels your Treatment Package because they consider it is not in your best interests for medical reasons, and you have already paid for your Treatment Package, we will refund your payment.Note that you will not be required to pay for any Care included in your Treatment Package that you have received up until the point of such cancellation.

 

What happens if my stay is shorter than expected?

  1. If your stay in Hospital is shorter than anticipated, because you have been deemed clinical fit for discharge, you will not be entitled to receive a refund of any portion of your Fixed Price.

 

What happens if I suffer complications? (Note time limits applying to cosmetic Treatment Packages)

  1. While the Hospital and your Consultants will do their best to ensure a satisfactory outcome, no clinical procedure is entirely risk-free, and the results of any particular treatment cannot be guaranteed with complete certainty. You can find treatment summaries containing information on a range of treatments, including common complications, here.
  1. Your Fixed Price includes the cost of treating, at a Hospital, any clinical complications identified by your Consultant as arising directly out of the treatment you received as part of your Treatment Package, providedthat you have followed the advice of your Consultants and any other medical professionals involved in your Care (and that for all cosmetic  Treatment Packages, the date any clinical complication is identified by your Consultant must be within 12 months of your original treatment date).

 

What happens if I’m unhappy with the outcome of my cosmetic Treatment Package?

  1. If your Consultant agrees that the aesthetic outcome of your cosmetic treatment was not in line with the expected outcome that was discussed and documented with your Consultant, before your treatment, then your Fixed Fee will include the cost of one episode of aesthetic revision treatment so long as you notify the Hospital, in writing, within 12 months of your original treatment date.If you are unhappy with the outcome of any episode of aesthetic revision treatment, then any further treatment will be not be included in your Fixed Price.
  1. Treatment for clinical complications and aesthetic revisions includes any consultations, out-patient, day care and in-patient treatment which your Consultant says you need and which the Hospital is able to provide.

 

If we are unable to re-admit you to the same Hospital we will make the most appropriate alternative arrangements at another HMT Hospital at no additional cost to you.  Where we are unable to treat your clinical complications, you agree that appropriate follow-up care may be provided by your GP or the NHS.  HMT shall not provide replacement prosthesis required for reasons of normal wear and tear or any non- medical, at home, domiciliary or other long-term care that may be required.

What happens if I decide to stay in Hospital longer?

  1. If, with the agreement of the Hospital, you decide to stay in Hospital beyond the date your Consultant considers it is appropriate for you to be discharged, or if you require further Care that is not covered by your Treatment Package, you will be charged at HMT Standard Rates.

Part C – Self-Pay

Other This section will apply if you are paying for your own Care other than as part of a Treatment Package.

  1. If your Care is not paid for by an insurer or other funder (individual, employer or medico-legal company) directly, is not covered by a Fixed Price Treatment Package or is to be paid by you in accordance with these Terms, you will be charged at HMT Standard Rates and your Treatment Letter (if relevant and in so far as possible) will confirm this.As noted in paragraph 22 below, unless otherwise indicated, your Consultant will invoice you separately for the treatment he or she provides.  Note that this includes treatment for clinical or other complications, which, if needed, will also be charged to you at HMT Standard Rates.
  1. The Hospital will give you an estimate of costs for your Care.Please note that it is not always possible to give an exact estimate for the Care you receive at the Hospital and the total cost may depend on a number of factors, including any other conditions you may have.  The Hospital will always try to provide an accurate estimate and if the cost of your Care is likely to exceed this estimate the Hospital will try to notify you as soon as possible.  You are responsible for the payment of all Care you receive at the Hospital, including any Sundry Items.
  1. If you are an out-patient, you will need to pay for your Care prior to the day you attend the Hospital.If you are admitted to Hospital, you will need to pay the full value of your treatment package 21 days before you are admitted.  If, however, your treatments date is less than 21 days ahead you will need to pay the full value of your treatment package immediately in order to secure the appointment date.  Your Treatment Letter will set out what payment is required in relation to your Care.  If you have not paid for Sundry Items before you leave the Hospital, you agree that we can debit the outstanding balance from your credit/debit card upon at least 7 days of notice to you.

 

Payment should ideally by on a debit/credit card.  Cheques will be accepted if the treatment date is more than 7 working days in advance.  Cash will not be accepted.

Part D – NHS Patients

This section will apply to you if you are an NHS Patient and HMT is treating you on behalf of the NHS.

  1. If you are an NHS patient, the costs of your Care and all Consultant fees are paid by the NHS.However, the NHS does not pay for Sundry Items.  We will ask you for your credit or debit card details when you come into the Hospital and you understand that we will keep these details until all Sundry Items have been paid in full.  If you have not paid before you leave the Hospital, you agree that we can debit the outstanding balance from your card upon 7 days of notice to you.

Part E – Other Terms and Conditions

Private Patients This section applies to all Private Patients.

  1. Consultants (your attention is particularly drawn to this paragraph):
  • While at the Hospital, you will be under the Care of the Consultant you have been referred to, who may also involve other Consultants in your Care, if appropriate.HMT staff, including nurses, will provide your Care under your Consultant’s instructions.
  • Consultants involved in your Care are independent practitioners and are not employees of HMT.The Consultant will be responsible for the Care he/she gives you.
  • If you have private health insurance, any Consultant’s fees relating to your Care will be charged to you by your Consultant, for Treatment Packages or for any care that you pay for yourself, HMT will act as collection agent on behalf of the Consultant.This means that if we issue invoices on the Consultant’s behalf and/or collect then pass on the fees due to the Consultant, this is merely for the administrative convenience of all parties.  Your Treatment Letter will make this clear but if you are unsure please ask your Hospital.
  1. Cancellations: We reserve the right to charge a cancellation fee if you cancel any appointment with HMT within 7 days of your scheduled appointment or admission date. A cancellation fee may be based on any Care that you have received up to the point of cancellation and/or any other reasonable costs that the Hospital has incurred.  Your Treatment Letter may also set out any specific cancellation fee that applies to your Treatment Package or Care.
  1. Credit/Debit Card: You are responsible for settling the cost of your Care before you are admitted or shortly after leaving the Hospital. We will ask you for your credit or debit card details when you come into the Hospital or when you make your appointment.  You understand that we will keep these details for up to six months after the last date of your Care or other appointment with your Consultant.  If you have not paid before you leave the Hospital, you agree that we can debit the outstanding balance and any cancellation fees from your card upon at least 7 days of notice to you.

Part F – Overseas Patients

(This section applies to all Patients who are not ordinarily resident in the UK

  1. If you are not ordinarily resident in the UK you will be liable to pay charges if you require NHS treatment whilst in the UK, whether related to your Care at HMT (for example if you require treatment that HMT does not agree to provide) or not.
  1. By signing a Registration Form and agreeing to these Terms you confirm that you have leave to enter the UK and that you meet all relevant immigration criteria.You also confirm that you have made adequate arrangements to pay for your Care.  HMT may contact the Home Office or UK Border Agency (as relevant) to the extent necessary to clarify any information regarding your leave to enter or remain in the UK in connection with your Care.

 

Part G – Other Terms and Conditions

All Patients This section applies to all Patients

  1. Your Contract with HMT: By signing the Registration Form you agree to be bound by these Terms. If there is any conflict between these Terms and the Treatment Letter or Registration Form, these Terms will take precedence.  If there is any inconsistency between the Contract and any marketing material, the Contract will take precedence.  HMT may update these Terms from time to time however any changes will only apply to any new episode of Care or new Treatment Package that you receive, and you will be asked to agree to any new Terms before they become effective for you.  Note that any new Terms will not apply to any Treatment Package which is part- way through when the Terms are changed.
  1. HMT Standard Rates: Unless the Terms or your Treatment Letter (if applicable) provide otherwise, the HMT Standard Rates will apply to your Care. If you want to check how much something costs, please ask.  You can always check HMT Standard Rates on our website or by conacting your local Hospital or by asking for a copy when you are at any Hospital.
  1. Notices and your contact details: It is important that you keep us updated of any changes in your contact details, including specifying your preferred method of communication.
  1. Your property: Hospitals can be busy environments. While we will take all Care to ensure the safety of your belongings, HMT does not accept any responsibility for the theft or loss of, or damage to, any of your or your visitors’ property.
  1. Changes in Applicable Law: You acknowledge and accept that Applicable Law may change and prevent HMT from providing certain Care. If HMT becomes aware that such a change has occurred, and the change has an effect on your Care, HMT will contact you to inform you off this and its consequences.
  1. Assignment: HMT may transfer and assign your Contract to any person who acquires all or substantially all of the assets of HMT.
  1. Third Party Rights: Except for you or HMT, no person will have any rights under or in connection with these Terms.
  1. Law and the Courts: These Terms are governed by and shall be construed in accordance with English law and the courts of England and Wales shall have non-exclusive jurisdiction.
  1. Definitions:
  • Applicable Law” means any and all laws, regulations, guidelines and professional obligations applicable to the provision of Care or the performance of services for you, including the requirements as regards treatment, procurement, research and storage of reproductive material;
  • Care” means care, treatment, diagnosis, services (including Sundry Items) and goods provided by us;
  • Consultants” means all consultants, surgeons, anaesthetists and self- employed GPs involved in your Care;
  • Contract” means these Terms, along with the Registration Form and, if applicable, your Treatment Letter;
  • Fixed Price” means how much you will pay for your Treatment Package, as set out in your Treatment Letter issued by the Hospital;
  • Hospital” means an HMT Hospital, clinic or facility; “Private Patients” means all patients that are not NHS patients and includes patients who are covered by medical insurance and patients who are paying for their own treatment, whether by way of a Treatment Package or otherwise;
  • HMT”, “we” or “us” means (a) HMT Healthcare Limited where the Hospital in which you receive your Care is operated by HMT Healthcare Limited;
  • Sundry Items” means personal items incidental to your Care, including meals for your visitors, newspapers and phone calls; “Terms” means these terms and conditions;
  • Treatment Letter” means the letter that we send to you (if applicable) regarding your Treatment Package or Care; and
  • Treatment Package” means the treatment or procedures that will be carried out at the Hospital as set out in your Treatment Letter and for which you have agreed to pay a Fixed Price.