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Private Medical Schemes Overview

Pearson offers two private medical schemes, Medical Insurance and Medical Insurance Plus, to give you the flexibility to choose how much coverage you need for you and your family. Each is administered by Aviva and regardless of which scheme you choose, each medical scheme includes Cancer Support, Fertility and Family Planning Services, Gender Affirmation Services, BacktoBetter Musculoskeletal Service, and Mental Health Pathway. Compare the plans below to help you choose the coverage that suits your unique needs.

Medical Insurance

Aviva 2025/26 Medical Insurance Cover Guide Summary (PDF, 107 KB)

Aviva 2025/26 Medical Insurance Member Guide (PDF, 2 MB)

Hospital

Guided Referral: with this option you work with a claims specialist who will guide you, based on your condition, to a hospital that offers the highest quality of care based on health clinical outcomes, patient safety, efficacy, proximity, and cost.

Excess

£50 excess, per person per scheme year. The Excess does not apply to Mental Health Pathway and the BacktoBetter services.

Outpatient Benefit Annual Limit

£2,000

Medical Insurance Plus

Aviva 2025/26 Medical Insurance Plus Cover Guide Summary (PDF, 637 KB)

Aviva 2025/26 Medical Insurance Plus Member Guide (PDF, 2 MB)

Extended Hospital List: this option includes the same features as Guided Referral (from Medical Insurance) and may include these additional hospitals:

  • The New Malden Diagnostic Centre
  • Harley Street Clinic
  • Cleveland Clinic London
  • Lister Hospital
  • London Bridge Hospital
  • Nuffield Health St. Bartholomew’s Hospital
  • Portland Hospital for Women and Children
  • Princess Grace Hospital
  • The Wellington Hospital

Excess

No excess

Outpatient Benefit Annual Limit

Full refund