Jersey 65+ Health Plan
After reading this leaflet if you wish to register for the scheme please click on the links below to download the Application Form and Form of Authority 65+ Health Scheme Application Form
65+ Health Scheme Form of Authority
Are you likely to qualify for the scheme?
| 1 |
You are 65 or over at the time of application
and |
YES |
2 |
you do not pay income tax because your income level is below the relevant tax threshold
and |
YES |
3 |
you have been resident in Jersey for 5 years
and |
YES |
4 |
if you are single your capital assets are less than £20,000
or if you are married less than £30,000 |
YES |
If you answer yes to all of these statements you are likely to be eligible to register under the Jersey 65+ Health Plan.
Part One - What is the Scheme?
The Social Security Department is operating a Scheme, funded by the States of Jersey, to subsidise dental, optical and chiropody costs for the over 65’s.
Claims for financial assistance may be made up to the maximum sum allowed in any benefit period. The benefit period begins from your date of registration with the Scheme. The date of registration is confirmed in the welcome letter you will receive from Westfield. The benefit period is one year for dental and chiropody subsidies, two years for optical and two years for those claiming subsidies for dentures.
Please note: you will not be able to make a claim for treatment you have had before your registration has been confirmed.
Financial assistance from the administrators will be available as follows:
Optical
Every two years, up to £15 towards an eye test Every two years, up to £90 towards new prescription spectacles, lenses or contact lenses Sundry items such as contact lens solutions, frames only, non prescription spectacles and repairs are NOT covered by the Jersey 65+ Health Plan.
Dental
Every year, up to £22 towards a dental check-up Every year, up to £250 towards dental treatments or dentures Please note: members claiming for dentures (either a full lower or upper set OR a complete set) can claim up to double the maximum subsidy, once in a two year benefit period. If you have already received some dental treatment and made a claim during the period, this amount will be deducted from your remaining subsidy allowance. For example, if you have received a dental subsidy of £50 you would only receive £450 towards your dentures.
Sundry items such as toothbrushes, dental floss etc. are NOT covered by the Jersey 65+ Health Plan.
Chiropody
Every year, up to £90 towards the cost of Chiropody treatment from a State Registered Chiropodist (a list of State Registered Chiropodists can be found in the advertising section of the Jersey Telephone Directory).
Part Two - Who is Westfield ?
Westfield Health has been appointed to underwrite and administer the plan on behalf of the States of Jersey.
Founded in 1919, they are a nonprofit making organisation dedicated to providing value for money healthcare plans for the benefit of their contributors.
Westfield is one of the United Kingdom’s leading providers of health-care plans with over 300,000 contributors.
An award-winning organisation
Westfield is an award-winning organisation and is committed to a policy of best practice.
Customer Service
With their excellent customer service record, claims are usually paid within 2-5 working days following receipt of the claim form. Payments can also be made direct to your bank account.
Part Three - How do you know if you qualify?
The criteria to qualify for the Scheme are listed below. Please read this list to see if you qualify.
You are 65 years of age at the time of application. You do not pay income tax because your income level is below the tax threshold. (Please telephone 445505 if you require further information). You are currently resident in Jersey and at some time you have been resident in the Island for a continuous period of five years. If you live alone your capital assets are less than £20,000. If you are a couple (married or cohabitating) your capital assets are less than £30,000. N.B. Capital assets do not include your own home but do include items such as other owned properties, savings and investments, pension bonds and other items of value such as jewellery and paintings.
Everyone eligible to qualify for the Scheme must complete and sign an Application Form which you will find at the back of this leaflet. You should then return it to the Social Security Department as soon as possible.
If the Application Form is missing or you require an additional copy please contact us on 445505.
If you are unable to complete the Application Form yourself, please see Part Five ‘Appointing an Agent’.
If at any time your circumstances change so that you are no longer eligible for the Scheme, you must inform the Department.
If you wish to discuss your application, please contact us on telephone 445505.
Part Four - What happens when you have completed the application form?
When you have completed the application form please send it to the Social Security Department. The details, as submitted on your form, will be reviewed and if verified will be passed to Westfield. They will administer your application and process your enrolment on to the Scheme, on behalf of the Social Security Department.
Westfield will confirm your membership by sending you a welcome letter with further detailed information about how the Scheme will work in practice e.g. how to make a claim.
Please note: you must have received confirmation from Westfield that you have been accepted into the Scheme before you submit a claim.
N.B. The Department will ensure that all information provided to Westfield will be held in accordance with the current Data Protection legislation.
Part Five - Appointing an Agent
If you are unable to sign the claim form and wish to appoint someone to act on your behalf, you can complete a Form of Authority. Ask the relevant people to complete this form and, if you are a new applicant, return it to the Social Security Department with your application for membership. If you are already a member, you should send the form directly to Westfield.
A Form of Authority can be found at the end of this leaflet. If for some reason the form is missing, please contact us on 445505.
Part Six - How to make a claim
Visit the Dentist/Optician/State Registered Chiropodist
Receive treatment
Pay for your treatment
Obtain a receipt (Please note, credit card receipts are not acceptable)
Forward this receipt plus the completed claim form to Westfield You can have your subsidy paid directly into your bank account. A Direct Debit form is included in your Welcome Pack from Westfield. If you would rather have money paid into your bank account than receive a cheque, complete this form and send it directly to Westfield.
Westfield will process your claim in accordance with the rules of the Scheme. They will then either send you a cheque or advise you that they have applied a credit directly to your bank account.
Further details will be available in the Welcome Pack which is sent to you when your application is verified.
If you have a query regarding your claim please call Westfield on Telephone 738111 (calls are charged at local rate).
Part Seven - People you can contact
Social Security Department
P O Box 55
La Motte Street
St Helier
Jersey
JE4 8PE
Telephone: 445505 |
Westfield Health
Westfield House
87 Division Street
Sheffield
South Yorkshire
S1 1HT
Telephone: 738111 |
Part Eight - Other help you may get
Income Support
Income Support is an income-relate benefit that provides finanacial support towards the costs of housing, living, medical needs and childcare. Carers also receive support.
Income Support is available to individuals and families that satisfy condiyions relating to residency in Jersey and employment.
The amount of Income Support payable depends on income, savings and assets, and on personal circumstances.
If you wish to apply please contact our Income Support Zone. To phone please ring 445505.
Part Nine - Further Information
This leaflet gives general information and does not try to give full details on any particular matter. It cannot be treated as a statement of the Law.
Please contact us if you have any questions or suggestions about the information contained in this leaflet.
Our staff are here to help you, please telephone us on 445505 or call into our office.
Please note: calls to the Department may be monitored for training purposes.
The Social Security Department is covered by the current Jersey Data Protection (Jersey) Law.
Other leaflets that may be of interest
Invalid Care Allowance Death Grant Pensions Survivor's Benefit TV Licences for the over 75's Income Support
Large print versions of most of our leaflets are available. Please call us on 445505 and we will be happy to help you.
Application Form and Form of Authority
The application form is available in pdf format - Please click on the link below to download the Application Form
65+ Health Scheme Application Form.pdf
If you wish to appoint someone to act on your behalf, please complete a 'Form of Authority' and return it to the Department, along with your application for membership. If you are already a member, you should send the form directly to Westfield.
Please click on the link below to download the Form of Authority
65+ Health Scheme Form of Authority.pdf
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