Fees

Transparent pricing

Fees & payment
— no surprises

Private paediatric care with clear, upfront pricing. Our consultation fees cover the consulting room and clinic facilities, administration, and the doctor's time and expertise. We invoice most insurers directly and are happy to break down any additional costs before they are incurred.

No referral required All major insurers accepted Same-week appointments Invoiced by email

Consultation fees

Clear, upfront pricing

All fees cover the doctor's consultation time. Any additional investigations or treatments are explained and costed separately before they are arranged.

Vaccination

Vaccination Consultation

Review & administration

£ 170
  • Immunisation record review
  • Catch-up vaccinations
  • Flexible vaccine options
  • Vaccine schedule planning
  • Travel vaccination advice
Book now
Follow-up

Follow-Up Consultation

30 minutes — in-person, video, or phone

£ 260
  • Results and test review
  • Treatment plan updates
  • Face-to-face, video, or phone
  • Referral letters if needed
  • Same clinician continuity
Book now

What's not included: Consultation fees cover the doctor's time only. Any additional investigations — blood tests, urine culture, imaging, or allergy testing — are arranged through a laboratory or hospital and invoiced separately. We will always explain the likely cost and reason before ordering any test.

Late Cancellations and Do Not Attend: If you fail to turn up to an appointment or cancel less than two working days prior to the appointment you will be charged. Unlike the NHS we have to bear the cost for booked rooms, admin. costs and lost revenue. The current charge is £120 and this will rise to £200 in the autumn of 2026.

Insurance & payment

How would you like to pay?

We accept all major private health insurers and welcome self-pay patients. We invoice by email.

Private health insurance

Our paediatricians are recognised by all major UK private health insurers:

Bupa AXA Health Aviva Cigna Vitality WPA Allianz
  • We invoice most insurers directly — upfront payment required for Cigna, Aetna & Allianz
  • Confirm your cover before booking
  • Pre-authorisation always required before your appointment is confirmed
  • Some insurers require a GP referral letter
  • Policy excess is paid by you, to us, separately
Before you book: Please contact your insurer to confirm cover, obtain your authorisation number, and check whether a GP referral is needed for your policy.

Self-pay

No insurance? No problem. No referral is required — simply book directly and we'll invoice you. Pre-payment may be required

  • Well-Child / Initial Consultation 45 minutes £320
  • Follow-Up Consultation 30 minutes — in-person, video, or phone £260
  • Vaccination Consultation Review & administration £170
  • Invoice sent by email
  • Payment within 7–14 days
  • BACS bank transfer or online card payment
  • No hidden fees — all additional costs discussed first
Book a self-pay appointment

Using Your Health Insurance

How to Pay via Insurance

We accept all major UK health insurers. Here is everything you need to know from checking your policy to receiving your reimbursement — in one place.

Before You Book

To keep your appointment running smoothly, a small amount of preparation makes a significant difference. Most delays in insurance claims happen because a pre-authorisation number is missing, or a GP referral has not been arranged in advance.

If you are unsure whether your policy covers paediatric outpatient consultations, call the member services number on the back of your insurance card it takes around five minutes.

Direct billing available. For Bupa, AXA Health, Aviva, Cigna, and Vitality members we can submit your invoice directly to your insurer, so you do not need to pay on the day (subject to your policy excess). Please bring your policy details and pre-authorisation reference to your appointment.

What to Have Ready Before Booking

  • Insurance policy number Found on your policy certificate or insurer's app
  • Pre-authorisation reference Call your insurer before booking to obtain this
  • GP referral letter Required by most insurers for specialist consultations
  • Excess amount Check how much of any excess you are responsible for
  • Insurer's claim form Optional some insurers require this for reimbursement claims
  • Previous medical records Optional but helpful for the consultation

Step-by-Step: Using Your Insurance

1

Check Your Policy

Confirm outpatient cover for paediatric specialist consultations. Note your excess and any annual limits.

2

Get a GP Referral

Ask your GP for a referral letter addressed to us. Most insurers require this before approving a claim.

3

Pre-Authorise

Call or log in online with your insurer to obtain a pre-authorisation reference number before your appointment.

4

Book With Us

Book your appointment and provide your insurer name, policy number, and pre-authorisation reference.

5

Attend & Consult

For direct billing insurers, no upfront payment is needed. Bring your policy documentation to the appointment.

6

Invoice & Claim

We email you a detailed invoice. For non-direct billing, submit this to your insurer with any required claim form.

Typical Pre-Authorisation Timelines

Timelines below are approximate and based on standard online or telephone applications. Complex cases or incomplete referrals may take longer. Always allow extra time before your appointment.

Bupa

24-48 hours

Online via MyBupa or 0333 920 8820. Immediate approval often available for routine outpatient referrals.

AXA Health

24-48 hours

Online via AXA Health member portal or 0800 003 004. Fast-track available for urgent paediatric referrals.

Vitality Health

24-48 hours

Online via the Vitality app or 0345 601 0072. Decisions often made same day for standard referrals.

Aviva

2-3 working days

Online via MyAviva or 0800 158 3048. Allow extra time if your GP referral was recently issued.

Cigna

2-4 working days

Via Cigna member services or your employer's HR portal. International plan holders may take longer.

WPA Healthcare

1-2 working days

Online via mywpa.co.uk or 01823 625 000. Pre-authorisation often straightforward for specialist outpatient.

■ Green border = typically 24-48 hours    ■ Orange border = typically 2-4 working days
Not listed? We work with all major UK and international health insurers. Contact us and we will confirm your insurer's requirements.

Documents You Will Need

  • Insurance policy certificate or membership card
  • Pre-authorisation reference number from your insurer
  • GP referral letter (addressed to Dr Gray or Dr Burmester)
  • Photo ID (passport or driving licence) for new patients
  • Completed new patient registration form (sent with booking confirmation)

What We Provide for Your Claim

  • Itemised invoice with CCSD procedure codes (required by all UK insurers)
  • Consultant's medical report or clinical letter, if requested by your insurer
  • Diagnosis and treatment summary on your clinic letter
  • Receipts for any investigations or procedures carried out
  • Supporting documentation for onward referrals or follow-up care

Common Insurance Questions

Yes we offer direct billing for Bupa, AXA Health, Aviva, Cigna, and Vitality Health members. This means we submit the invoice directly to your insurer after your appointment, so you only need to pay your policy excess (if applicable) rather than the full consultation fee upfront.

For insurers not listed above, we will provide you with a full itemised invoice that you can submit yourself for reimbursement. Most claims are processed within 5-10 working days once received by your insurer.

Pre-authorisation (also called pre-approval or pre-auth) is written confirmation from your insurer that they will cover a specific treatment or consultation. You obtain it by contacting your insurer before your appointment, giving them the name of the consultant and the reason for referral.

Almost all UK insurers require pre-authorisation for specialist outpatient consultations. Attending without one may mean your claim is declined, even if your policy covers the treatment. We strongly recommend always pre-authorising, even for follow-up appointments.

A GP referral letter is required by most insurers and is best obtained from your child's registered GP. If your GP is unavailable quickly, we recommend using an online GP service such as Push Doctor, Livi, or your NHS GP's urgent appointment line.

If you would like to book on a self-pay basis while awaiting a referral, we are happy to see your child and provide a retrospective referral request note for your GP to counter-sign. Please contact us to discuss your specific situation.

Some policies have a recognised fee schedule that is lower than the consultant's fee. If this applies to your policy, and we do not have a fee assured agreement with your insurer you will be responsible for paying the difference (known as a shortfall) plus any policy excess. Policy excess is generally payable annualy for all policies. You are required to pay us the excess on behalf of your insurer.

We will always provide you with a fully itemised invoice so you can see exactly what you are being charged. If you are unsure about shortfalls before booking, ask your insurer: "Does my policy cover the full consultant fee, or only up to a recognised fee schedule?"

Most comprehensive outpatient policies cover diagnostic investigations such as blood tests, urine tests, and standard X-rays when they are requested by a recognised specialist consultant. However, coverage varies widely by insurer and policy level.

Before your appointment, ask your insurer whether investigations ordered by the consultant are included in your pre-authorisation, or whether a separate pre-authorisation is needed. We will always give you the option to authorise any additional investigations before they are carried out.

For direct billing, payment is settled between us and your insurer usually within 20 working days of submission. You will not need to pay anything (beyond your excess or shortfall).

For patient-reimbursement claims, you pay us on the day and then submit our invoice to your insurer. Most UK insurers process reimbursements within 5-15 working days of receiving a complete claim. Ensure you include your pre-authorisation reference, our invoice, and any claim form your insurer requires to avoid delays.

Hello! 👋 Let's talk payments
Bright Futures Health · Fees Guide
Understanding
Payments

Whether you're paying privately or using health insurance, we make it simple. Here's how it works.

How would you like to pay?
Two Simple Options
Self-Pay
Pay by card or BACS via your emailed invoice. Clear, itemised billing with no surprises.
Health Insurance
We work with most major UK insurers and bill them directly after your visit where possible.

Not sure? Our reception team can check your cover and advise you before you book.

Insurance — Step 1 of 4
Check Your
Policy

Before booking, confirm your policy includes paediatric outpatient consultations.

  • Log in to your insurer's app or call the member helpline
  • Check you have outpatient specialist cover
  • Note your excess and any co-payment amounts
💡 Tip: Most insurers require a GP referral letter — check yours before booking.
AUTH NUMBER BUP-83741 ✓ Approved · 24–48 hrs
Insurance — Step 2 of 4
Get
Pre-Authorised

Call your insurer to get a pre-authorisation number before your appointment.

  • Call the number on your insurance card or use their app
  • Quote your GP referral details and the specialist's name
  • Most insurers respond within 24–48 hours
Keep your auth number safe — share it with us when you call to book.
March 2026 M T W T F 2 3 4 5 6 9 10 11 12 13 16 17 18 19 20 16 23 24 25 26 27 10:30am · Dr Smith
Insurance — Steps 3 & 4 of 4
Book & Attend

Once pre-authorised, you're ready to book. On the day, just arrive — we handle everything else.

  • Book online or call reception — share your auth number
  • Bring your referral letter and insurance card
  • We verify your cover at reception on arrival
  • After your visit, we send your invoice direct to your insurer
£150.00 Pay now
Self-Pay Patients
Simple, Transparent
Billing

No surprises — our fee structure is clear upfront and all payments are simple and secure.

  • Consultation fees quoted clearly on our fees page — no hidden charges
  • Itemised invoice emailed after your appointment
  • Pay by card or BACS bank transfer via your invoice — simple and secure
  • No referral or pre-authorisation needed — just book directly
Appointment complete Invoice sent to your insurer All done ✨ no chasing needed
We Handle the Rest

After your appointment we send your invoice to your insurer and manage the claim. Any shortfall or policy excess not covered by your insurer remains your responsibility and is payable directly to Bright Futures Health.

Shortfall or excess?
We'll notify you — payable directly to us
Questions?
billing@brightfutures.health
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Common questions

Fees & payment — FAQ

No referral is required for self-pay patients. You can book an appointment directly through our website or by calling us on 020 3633 2915. If you are using private health insurance, check your policy — some insurers require a GP referral before they will authorise cover.
The fee covers the doctor's full consultation time — examination, assessment, clinical advice, and a written summary letter. It does not cover any additional investigations such as blood tests, urine cultures, allergy testing, or imaging scans. These are arranged through a hospital laboratory or diagnostic centre and billed separately. We always discuss the reason and likely cost of any additional test before ordering it.
Yes — our paediatricians are recognised by all major UK private health insurers including Bupa, AXA Health, Aviva, Cigna, Vitality, WPA, and Allianz. Please contact your insurer before booking to confirm your level of cover, obtain your authorisation number, and check whether a GP referral is required. We invoice most insurers directly (Aetna, Cigna & Allianz excepted); you are responsible only for your policy excess.
We may take payment upfront. Self-pay patients receive an invoice by email before or after their appointment, due within 7–14 days. We accept BACS bank transfer and online card payment. Insured patients' fees are invoiced directly to their insurer (Aetna, Cigna & Allianz excepted); you will only be charged for any excess due under your policy.
In most cases, yes — provided you have obtained the appropriate pre-authorisation from your insurer before the appointment. We can provide a detailed itemised invoice to submit with your claim. Please check your policy terms, as most insurers will not reimburse costs incurred without pre-authorisation.
Please give us at least 2 working days' notice if you need to cancel or move your appointment. You can call us on 020 3633 2915 or email us directly. Cancellations with less than 2 working days' notice will be subject to a cancellation fee which is currently £200.
Yes. Follow-up consultations can take place face-to-face, by video call, or by telephone — the fee is the same (£260 for 30 minutes) regardless of format. Initial well-child assessments and vaccination consultations are conducted in person so the doctor can carry out a physical examination.

Ready to book?

Expert paediatric care,
when your child needs it

Same-week appointments are often available. No referral required for self-pay patients. Call us or book online and we'll take it from there.

GMC registered clinicians FRCPCH fellows Same-week availability 4.99 Doctify score No upfront payment
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