If you're happy this criteria has been met (GP referral and CCSD code have been received) please call our member services team on 0800 414 8100 who'll be happy to help.
We’re a member owned organisation so that means we do things a little differently to traditional health insurance providers.
Our services are offered on a discretionary basis - therefore although a procedure is listed, this does not constitute a guarantee that we will provide the procedure in every circumstance
The provision of any treatment is subject to our authorisation and clinical approval by the approved hospital who will provide the procedure you require
We can change which procedures we will offer from time to time and may do so without providing prior notice. This may include adding or removing procedures
We cannot fund any item on the list if you - make arrangements before obtaining our authorisation or at a hospital we do not authorise you to use
Not all procedures are available at every approved hospitals within our network. In some cases additional travel to another facility may be required
We cannot enter into any discussion about the composition of our procedure list with members, GPs, Consultants or any other person or medical professional
We cannot provide treatment services where a procedure has taken place on the same body area within the previous two years
Our procedure list is correct as of: 8th April 2022
Hysteroscopy (including biopsy, dilatation, +/- cauterisation, curettage and resection of polyp(s) +/- Mirena coil insertion)
Q2080
Ventro-suspension of uterus (including laparoscopic)
Q2081
Myolysis of uterine fibroids
Q2230
Laparoscopic oophorectomy and salpingectomy, +/- biopsy eg. omentum, peritoneum, lymph node (as sole procedure) – bilateral
Q3800
Laparoscopy and therapeutic procedures (including laser, diathermy and destruction e.g. endometriosis, adhesiolysis, tubal and ovarian surgery, +/-ureterolysis)
Q3900
Laparoscopy (including e.g. puncture of ovarian cysts, +/- biopsy, minor endometriosis, +/-ureterolysis)
Q4400
Ovarian cystectomy +/- omental biopsy (as sole procedure and including bilateral)
Q5180
Laparoscopic ovarian drilling
Ophthalmology – (Cataracts only) – is a speciality that focuses on disorders and diseases of the eye.
C7122
Phakoemulsification of cataract with lens implant – unilateral (including topical or local anaesthetic) *standard monofocal lens only
C7340
Yag laser photodisruption of posterior capsule of lens (including laser capsulotomy) - unilateral **Please note this procedure is only available where Benenden Health has funded the cataract treatment **
C7100
Extracapsular cataract extraction without implant - bilateral
C7110
Extracapsular cataract extraction without implant - unilateral
C7123
Phakoemulsification of cataract, without lens implant - unilateral (including topical or local anaesthetic)
C7124
Phakoemulsification of cataracts, without lens implant - bilateral (including topical or local anaesthetic)
C7125
Phakoemulsification of cataract with lens implant – bilateral (including topical or local anaesthetic) *standard monofocal lens only
C7180
Extracapsular cataract extraction with implant - unilateral
C7190
Extracapsular cataract extraction with implant - unilateral
C7341
Yag laser photodisruption of posterior capsule of lens (including laser capsulotomy) - bilateral. **Please note this procedure is only available where Benenden Health has funded the cataract treatment **
C7510
Secondary insertion of lens implant
C7530
Removal of lens implant
Orthopaedic – is a speciality that diagnose and treat a wide range of conditions of the musculoskeletal system. This includes bones, joints, tendons, muscles and nerves.
A6030
Transection of peripheral nerve for neuroma
A6080
Neurectomy (major nerve)
A6180
Excision of lesion of major nerve
A6110
Excision of lesion of peripheral nerve (e.g. neurilemma)
A6300
Graft to peripheral nerve
A6400
Repair of peripheral nerve
A6510
Carpal tunnel release (open)
A6530
Carpal tunnel release (endoscopic)
A6570
Carpal tunnel release (endoscopic) - bilateral
A6580
Carpal tunnel release (open) - bilateral
A6600
Release of entrapment of deeply placed peripheral nerve
Therapeutic arthroscopic op on articular cartilage (as sole procedure)
W8380
Therapeutic arthroscopic operation on artic cartilege bilateral (as sole proc)
W8500
Multiple arthroscopic operation on knee
W8580
Multiple arthroscopic operation on knee (including meniscectomy, chondroplasty, drilling or microfracture) - bilateral
W8600
Therapeutic arthroscopic operation on cavity of joint (sole procedure)
W8602
Therapeutic arthroscopy of wrist joint (as sole procedure)
W8603
Therapeutic arthroscopy of shoulder as sole procedure
W8630
Simple therapeutic arthroscopy of ankle with soft tissue prc +/- or joint surface
W8640
Complex therapeutic arthroscopy of ankle with multiple bony, joint surface etc.
W8650
Therapeutic subtalar arthroscopy (including synovectomy to gain vision)
W8880
Arthroscopy of elbow (as sole procedure)
X0820
Partial amputation of digit
Urology – is a speciality that treats problems of the female urinary system and the male genitourinary tract. This includes disorders of the kidneys, ureters, bladder, prostate and male reproductive organs.
M1400
Extracorporeal fragmentation of calculus of kidney (lithotripsy) - single treatment
M1000
Therapeutic endoscopic operations on kidney (include cystoscopy and retrograde catheterisation)
M1360
Percutaneous insertion of nephrostomy tube
M2600
Therapeutic nephroscopic operations on ureter (including cystoscopy)
M2890
Push manipulation of stone prior to lithotripsy (as sole procedure)
M2920
Endoscopic insertion/removal of prosthesis into ureter (including bilateral and cystoscopy, +/- pyelography)
M2930
Endoscopic examination of ureter (+/- cystoscopy and insertion/removal of stent)
M3010
Endoscopic retrograde pyelography
M3110
Extracorporeal shockwave lithotripsy of calculus of ureter
M3202
Operations on ureteric orifice (including endoscopic)
M3510
Diverticulectomy of bladder
M3820
Cystostomy and insertion of suprapubic tube into bladder
M3880
Stab cystostomy
M4210
Endoscopic resection of lesion of bladder
M4230
Endoscopic destruction of lesion of bladder (including cystoscopy)
M4320
Endoscopic hydrostatic dystention of bladder (inc cystoscopy)
M4400
Urethral sphincterotomy (including cystoscopy)
M4410
Litholapaxy (including cystoscopy)
M4420
Endoscopic extraction of calculus of bladder (inc cystoscopy)
M4430
Endoscopic removal of foreign body from bladder (inc cystoscopy)
M4480
Resection of bladder neck (including cystoscopy)
M4910
Closure of cystostomy
M4712
Bladder instillation of pharmacologic agent (including cystoscopy)
M4714
Therapeutic injection into bladder wall (including cystoscopy)
M5300
Vaginal operations to support outlet of female bladder (including cystoscopy)
M5220
Retropubic suspension of neck of bladder (including colposuspension) (including cystoscopy)
M5250
Needle suspension of bladder neck (including cystoscopy)
M5630
Therapeutic injection into bladder neck for treatment of stress incontinence (peri-urethral bulking agents) (including cystoscopy)
M5820
Dilatation of outlet of female bladder (with cystoscopy)
M6480
Operation to support outlet of male bladder (including sling procedures) (including cystoscopy)
M6530
Endoscopic resection of prostate (TUR) (including cystoscopy)
M6532
Holmium laser resection of prostate (HoLRP) (including cystoscopy)
M6620
Endoscopic incision of outlet of male bladder inc cystoscopy (endoscopy)
M6730
Drainagev of prostatic abscess
M6750
Transurethral needle ablation (TUNA)
M6880
Insertion of prostatic urethral lift implants
M7312
Repair of penile/perineal hypospadias
M7313
Repair of penile shaft hypospadias
M7314
Repair of distal hypospadias
M7320
Repair of epispadias
M7330
Closure of fistula of urethra
M7500
Excision of diverticulum of urethra (including cystoscopy)
M7590
Insertion of suburethral tape sling (eg TOT or TVT) +/- administration of local anaesthetic including cystoscopy
M7920
Dilatation of urethra
M7940
Internal Urethrotomy (inc cystoscopy)
M8120
Meatoplasty
M8130
External Meatotomy of uretheral orifice
N0500
Bilateral excision of testes
N0680
Orchidectomy and excision of spermatic cord (+/- insertion of prosthesis)
N0630
Laparoscopic orchidectomy
N0820
Orchidopexy (bilat)
N0920
Orchidopexy (uni)
N1100
Correction of hydrocele(s) – unilateral
N1101
Correction of hydrocele(s) - bilateral
N1380
Bilateral fixation of testes
N1320
Fixation of testis
N1510
Bilateral epididymectomy
N1520
Unilateral epididymectomy
N1580
Excision of epididymal cyst
N1900
Operation(s) on varicocele
N1910
Laparoscopic varicocelectomy
N2200
Operation(s) on seminal vesicle
XR220
Seminal vesicle injection
N2740
Extracorporeal shockwave therapy for Peyronies disease