
Always nurse-led
The Lateral Health Plan gives you access to a nurse-led care navigation service. It’s designed to help you make informed decisions, so you can get the most from your healthcare options.
Run by qualified case-management nurses, the service offers personalised support to help you understand your diagnosis and explore treatment pathways. They’ll work with you to identify the most appropriate care pathway and, where possible, support you to access faster treatment using the NHS e-referral service. This may include arranging appointments in local private hospitals where care is funded by the NHS.
While the service does not provide medical advice or make treatment decisions, your dedicated nurse can:
- Guide you through the system and explain what to expect
- Support you emotionally and practically throughout your care journey.
- Help reduce delays
This service is designed to wrap around your NHS and private care. We want to help you get timely access, understand your choices, and feel supported throughout your health journey. While our nurse navigators provide guidance and support throughout, all decisions about your care are yours to make.
Access care in four easy steps
When you have a health issue, you don’t want added complexity. That’s why we’ve designed a process that doesn’t start with paperwork or authorisation codes, but with a conversation. With Lateral, once you’ve spoken with your doctor, your first call is always to a nurse. They’ll ask to see your doctor’s referral note, which must be dated after your policy start date shown on your Lateral Health Plan schedule. Then they’ll guide you through your options and help you feel confident about your next steps.
Call our Nurse Navigation Service
- Whether it’s to talk about a new condition or you have a GP referral, you’ll always speak directly to a qualified nurse.
- The nurse will ask clear questions to assess your condition, reviewing any GP referral notes.
Call us
Call our Nurse Navigation Service on 0203 432 2401 lines are open Monday to Friday 8.00am - 8.00pm (excluding public holidays), and Saturdays 9:00 am - 3:00 pm.
Explore your options
NHS care
You’ll be supported to make the most of the NHS options available, including the “Right to Choose,” which can give faster access to appointments, sometimes in local private hospitals at no cost to you.
Private care
Where private treatment is determined as the way forward, the nurse will explain what’s covered under your plan. For example, specialist consultations, diagnostic scans, or certain surgical procedures. Where appropriate, the nurses can suggest private consultants who also work in the NHS which may be important for delivering continuity of care.
We can arrange everything for you
If private care is the right choice, our nurse and specialist claims team will help set everything up.
- We’ll arrange the appointment on your behalf and confirm what we’ll cover under your Lateral Health Plan.
- We’ll explain any limits, excesses, or shortfalls in advance, to make sure there are no surprises.
Important
Please don’t book or pay for medical appointments before speaking to our nurses. The Lateral Health Plan does not cover unauthorised claims and we cannot fund claims unless they are pre-approved by us.
Ongoing support, every step of the way
You’ll have an assigned nurse throughout your care journey. They can:
- Check in on how your appointments are going.
- Help chase results or reports if there are any delays.
- Offer further guidance if your situation changes or new decisions are needed.
We want you to feel supported all the way until your health issue is resolved, or you have a clear healthcare management plan in place.
Virtual cancer support
Specialist support when you need it most
We’ve partnered with Reframe, who offer cancer navigation and support across all cancer types at every stage of the cancer pathway. Reframe acts as wraparound support alongside your NHS treatment, with expert navigation through the complexities of the entire cancer end-to-end pathway from prevention to post-treatment. Cancer Nurse Specialists and Cancer Support Managers provide one-to-one specialist care and assistance from diagnosis through treatment and beyond.
Navigating Care FAQs
The Lateral Health Plan is a new approach to health insurance for the over 60s. So we know you’ll have questions. Here we answer some of the most commonly asked ones. If you need more, you can call our friendly and knowledgeable team on 0203 826 8898. Lines are open Monday to Friday, 9:00 am to 5:30 pm.
Whenever you need help, you start with a conversation. You’ll speak directly with a qualified Lateral nurse, not a call centre. They’ll listen, review any referrals, and guide you through the right NHS and private options. If you’re going private, they’ll arrange everything for you; from authorisation to booking. And if you’re staying in the NHS they’ll help make sure you’re getting seen as soon as possible in a place that suits you. You stay in control throughout.
Yes. You’ll usually need to have seen your GP before calling us — either your NHS GP or our Virtual GP service. Once you’ve spoken to a doctor and have a referral or diagnosis, you can contact our nurse team at any stage for guidance or next steps.
You can call:
- After you’ve seen your NHS GP and have a referral or test results
- After you’ve spoken to our Virtual GP
- After you’ve received a diagnosis or referral from a consultant you’ve already seen
Our nurses are here to help you make sense of your options, whatever stage you’re at in your health journey.
If you’re struggling to get an NHS GP appointment, you can speak to a Lateral Virtual GP through our 24/7 service, often the same day. They can assess your symptoms, offer advice, issue private prescriptions, or make referrals where appropriate; so you can keep your health moving forward without delay.
Once you’ve spoken to a doctor (NHS or Virtual), you can then call our Nurse Navigation Service for support. They’ll help you decide what to do next; whether that’s pursuing NHS care, using your private cover, or arranging further tests or treatment.
Your nurse will always help you find the best care pathway for your situation; not just the fastest one.
In many cases, the NHS remains the safest and most appropriate setting for complex or higher-risk care. That includes procedures involving multiple specialties, co-morbidities, or a risk of complications where access to intensive support, rehabilitation or follow-up is essential.
Some of the UK’s most advanced care is delivered exclusively through the NHS; from fast-track cancer referral pathways and specialist cardiac units, to research-led centres of excellence for surgery and chronic disease. Our nurse navigators understand these systems inside out and can help you access them quickly through your NHS “Right to Choose” or local referral routes.
In some cases, such as where NHS delays are long, quality of life is being affected or you need a quick procedure or investigation to get you back on your feet, your nurse will then guide you to your private options under the Lateral Health Plan; such as consultations, diagnostics or elective procedures that can be done safely and effectively in a private setting.
If cancer is suspected, your nurse will help you access the NHS’s rapid cancer referral system.While the plan doesn’t cover private cancer treatment, we partner with Reframe Cancer to offer emotional support and expert guidance throughout your NHS journey; ensuring you never feel left on your own.
Cancer treatment in the UK is best delivered through the NHS, which provides world-class, integrated care across specialist centres and rapid referral pathways. These services bring together surgeons, oncologists, radiologists and dedicated cancer nurses — all working in highly coordinated teams. Private treatment often can’t match that level of collaboration or continuity of care.
Including full private cancer cover would make premiums significantly higher, while duplicating what the NHS already does extremely well. Instead, the Lateral Health Plan focuses on the areas where private care adds the most value — helping you avoid unnecessary delays for diagnostics, consultations, and quality-of-life procedures.
The Lateral Health Plan is not designed to cover treatment or investigation of cancer privately. For this reason, if you need a biopsy for suspected cancer this is usually best done via the NHS rapid referral and testing pathways. This helps ensure you’re seen quickly by the right NHS specialists, and our cancer support partner can help guide you through this process.
Biopsies are covered when they form part of the investigation for a new or unexpected condition; for example, to confirm a diagnosis that isn’t suspected to be cancer. So, if a biopsy is recommended for another reason — such as to help diagnose a skin lesion, joint problem or inflammatory condition — our nurses can confirm whether it’s covered under your policy and help arrange it through your private benefits if eligible.
However, biopsies carried out to confirm or stage cancer are not covered, because cancer diagnosis and treatment are managed through the NHS. The NHS provides rapid referral and testing pathways for suspected cancer, ensuring you’re seen quickly by the right specialists.
Yes, but we’ll make it simple. Once you’ve spoken with your nurse, our claims team will confirm what’s covered, explain any limits or excess, and make sure you understand how your benefits apply before you go ahead.
If you’d like, your nurse can also arrange appointments on your behalf — but that’s entirely up to you. Some people prefer us to handle the admin; others prefer to stay in control of their own diary. Either way, we’ll make sure you have everything you need to move forward with confidence.
Our navigation team can often arrange diagnostics or consultations within days.For elective surgeries such as cataracts or joint replacements, private access usually reduces waiting times from months to weeks — giving you back time, comfort, and confidence.
Yes. You’ll have access to the Lateral Hospital Network; over 50 leading private hospitals across the UK which means you can book quickly and easily, knowing that the full cost of your treatment will be covered.If you prefer to use another hospital, we’ll cover up to our agreed amount per procedure. In most cases this will cover the procedure in full, but if not we will help you understand if there will be any shortfall before you decide.