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Private GP UK Guide

Private GP UK Guide 2025 | Top Insurance Guides

Making the Most of Your Private GP: When and How to Utilise Your UK Private Health Insurance

UK Private Health Insurance: Your Private GP – When & How to Use It

In the United Kingdom, healthcare is a topic close to our hearts. The National Health Service (NHS) stands as a pillar of our society, providing universal care free at the point of use. However, in an evolving world, the NHS faces unprecedented pressures, leading to longer waiting times for GP appointments, diagnostic tests, and specialist consultations. It's against this backdrop that more and more Britons are exploring private healthcare options, not as a replacement for the NHS, but often as a valuable complement.

Central to this private healthcare landscape is the private GP. For many, the idea of paying to see a doctor might seem counter-intuitive, especially when the NHS is available. Yet, the benefits – speed, convenience, extended consultation times, and direct access to referrals – are increasingly appealing. When coupled with a comprehensive private health insurance policy, access to a private GP can transform your healthcare experience, offering peace of mind and swift action when you need it most.

This in-depth guide will unravel the intricacies of using your private GP with UK private health insurance. We'll explore what a private GP is, how they differ from their NHS counterparts, when and how to best utilise their services, and crucially, how your private health insurance policy can cover these consultations and the subsequent medical journey. Our aim is to provide you with the most insightful, helpful, and exhaustive information to empower you to make informed decisions about your health.

Understanding the UK Healthcare Landscape: NHS vs. Private Provision

To truly appreciate the value of a private GP, it’s essential to understand the broader context of healthcare in the UK.

The NHS: A Cornerstone Under Pressure

The NHS, funded by general taxation, provides comprehensive healthcare services to all UK residents. From routine GP visits to complex surgeries, it is designed to be a universal safety net. However, its immense scale and demand mean it's often under significant strain.

Common Challenges Faced by the NHS:

  • GP Appointment Delays: Booking a same-day or even a same-week appointment can be challenging in many areas. Data from NHS England often shows that a significant percentage of patients struggle to get appointments when they want them.
  • Long Waiting Lists: For non-urgent specialist consultations, diagnostic tests (like MRI or CT scans), and elective surgeries, waiting lists can extend to weeks, months, or even over a year.
  • Time Constraints: NHS GP appointments are typically around 10 minutes, which can feel rushed, especially for complex issues or multiple concerns.
  • Limited Choice: Patients are generally assigned to a specific GP practice based on their postcode and have less control over which doctor they see.

While the NHS continues to deliver exceptional care, these pressures often lead individuals to seek alternatives, particularly when speed, convenience, and direct access are paramount.

Private Healthcare: A Complementary Approach

Private healthcare in the UK operates alongside the NHS. It's funded through private health insurance, self-payment, or a combination of both. It offers an alternative pathway for those who desire more control, faster access, and a different level of service.

Key Characteristics of Private Healthcare:

  • Faster Access: Significantly reduced waiting times for appointments, diagnostics, and treatments.
  • Choice and Flexibility: Ability to choose your consultant, hospital, and often the time and date of appointments.
  • Enhanced Facilities: Private hospitals and clinics often offer private rooms, hotel-like amenities, and a more personalised experience.
  • Direct Referrals: While often starting with a GP, the referral process to specialists and diagnostics tends to be much quicker.

Private health insurance acts as the bridge, making private healthcare affordable and accessible. It covers the costs of private medical treatment for acute conditions that develop after your policy starts.

What Exactly is a Private GP?

A private GP, or General Practitioner, is a doctor who offers their services independently of the NHS. They are fully qualified, GMC-registered medical professionals, just like their NHS counterparts, but they operate within a private practice model.

Key Differences from an NHS GP

The fundamental difference lies in how services are accessed and funded, which in turn impacts the patient experience.

FeatureNHS GPPrivate GP
Funding ModelTax-funded, free at point of usePatient-funded (either directly or via private health insurance)
Appointment LengthTypically 10 minutesOften 15-30 minutes, sometimes longer for initial consultations
Waiting TimesCan be days or weeks for routine appointmentsOften same-day or next-day appointments
Access HoursStandard weekday hours, limited out-of-hoursExtended hours, evenings, weekends, and remote options
Continuity of CareVaries; often see different doctorsHigher likelihood of seeing the same doctor consistently
Referral ProcessTo NHS specialists, can involve long waitsDirect referrals to private specialists and diagnostics, quicker pathways
Technology/DigitalVaries by practice, increasing digital accessOften more advanced digital platforms, virtual consultations
PrescriptionsNHS prescription (standard charge)Private prescription (full cost of medication)
RegistrationRequired to be registered with a local practiceNo registration needed, can be seen on an ad-hoc basis

Services Offered by a Private GP

Private GPs offer a comprehensive range of services, often exceeding what might be available during a standard NHS GP appointment due to time constraints and resources.

  • General Consultations: For acute illnesses (coughs, colds, infections), chronic condition management (though the condition itself won't be covered by insurance if pre-existing or chronic), and general health concerns.
  • Prescriptions: Issuing private prescriptions for necessary medications. Note that while the consultation might be covered by insurance, the cost of the medication itself is typically borne by the patient.
  • Referrals to Specialists: This is a crucial function. A private GP can swiftly refer you to a private consultant (e.g., cardiologist, dermatologist, orthopaedic surgeon) if they deem it necessary. This referral is often a prerequisite for your private health insurance to cover specialist consultations and subsequent treatment.
  • Diagnostic Tests: Ordering blood tests, urine tests, X-rays, MRI scans, CT scans, and other diagnostic imaging. Again, the tests themselves will need to be covered by your insurance policy, following the GP's referral.
  • Health Screening & Check-ups: Many private GPs offer comprehensive health assessments, often tailored to age and gender, to proactively monitor health and detect potential issues early. These are often separate add-ons to insurance policies.
  • Vaccinations: Routine vaccinations, travel vaccinations, and seasonal flu jabs.
  • Minor Procedures: Such as wound dressing, ear syringing, removal of skin tags, joint injections, and other small in-clinic procedures.
  • Mental Health Support: Initial assessment and onward referral to private therapists, psychiatrists, or counsellors.
  • Travel Health Advice: Providing advice and necessary vaccinations for international travel.
  • Medical Certificates & Reports: Completing forms for insurance, employment, or travel purposes.

Using a private GP provides a streamlined, often more comfortable pathway to getting your health concerns addressed promptly and efficiently.

The Synergy: Private Health Insurance and Your Private GP

This is where the true power of private healthcare in the UK comes to light. While you can pay for a private GP consultation out-of-pocket, integrating it with your private health insurance policy provides a much more comprehensive and cost-effective solution for your healthcare needs.

How Private Health Insurance Can Cover Private GP Services

Not all private health insurance policies automatically include private GP access in their core cover. Many providers offer it as an add-on option or a standard inclusion in higher-tier plans.

Typical Coverage Models:

  1. Core Cover (Limited/No GP Access): Some basic policies primarily cover in-patient and day-patient treatment (e.g., hospital stays, surgery). GP consultations might not be included, or only a very limited number of virtual GP appointments.
  2. GP Add-on: Many insurers allow you to add private GP cover for an additional premium. This often provides a certain number of face-to-face or virtual consultations per policy year.
  3. Comprehensive Plans: Higher-level policies often include extensive private GP access as standard, sometimes with unlimited virtual consultations and a set number of face-to-face appointments.

It's crucial to check your policy wording carefully to understand what level of GP access you have, if any, and what the limits or excesses might be.

The Essential Referral Pathway

For most private health insurance policies, a GP referral is the cornerstone for activating your coverage for specialist treatment and diagnostics.

Here's how the typical pathway works:

  1. Initial Consultation: You consult with your private GP about a new medical concern. This could be face-to-face, via video, or over the phone.
  2. Diagnosis/Recommendation: The GP assesses your condition. If they determine you need to see a specialist (e.g., an orthopaedic surgeon for knee pain, a dermatologist for a skin rash) or require advanced diagnostic tests (e.g., an MRI scan for back pain), they will write a referral letter.
  3. Insurers' Requirement: Your private health insurer nearly always requires this referral. It acts as validation that the specialist consultation or diagnostic test is medically necessary. Without it, your insurer may decline to cover the costs.
  4. Specialist Consultation & Treatment: Once referred, you can then book an appointment with a private specialist. Your insurer will usually cover this consultation, and if further treatment (e.g., surgery, physiotherapy) is recommended and covered by your policy for an acute condition, the costs will be managed through your insurance.

This pathway ensures that medical decisions are guided by a qualified GP and helps insurers manage claims responsibly. It also means you benefit from the efficiency of the private system, moving quickly from initial concern to diagnosis and treatment.

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When and How to Use Your Private GP: Maximising the Benefit

Understanding when to use your private GP and how to navigate the process effectively is key to unlocking the full benefits of your private health insurance.

When to Use Your Private GP

The decision to use a private GP often boils down to a desire for speed, convenience, and a more personalised approach to care.

  • Urgent, Non-Emergency Issues: For conditions that require prompt attention but aren't life-threatening emergencies (e.g., severe infections, acute pain, sudden unexplained symptoms). You can often get a same-day or next-day appointment, avoiding potentially long waits for an NHS GP slot.
  • Need for Quicker Diagnosis & Referral: If you suspect you need to see a specialist or undergo diagnostic tests quickly. A private GP can fast-track this process, significantly reducing the waiting time compared to the NHS.
  • Seeking a Second Opinion: For complex or persistent symptoms where you want an additional medical perspective.
  • Convenience and Flexibility: When your schedule is demanding. Private GPs often offer extended hours, weekend appointments, and virtual consultations, fitting healthcare around your life.
  • Proactive Health Management: For routine health check-ups, preventative advice, and specific health screenings (e.g., cardiovascular risk assessments, cancer screening discussions) that might not be routinely available or as in-depth on the NHS.
  • Travel Health: For travel vaccinations and advice on health risks when visiting certain countries, ensuring you're prepared before your trip.
  • Initial Mental Health Assessment: If you're struggling with mental health concerns and want to speak to someone quickly and confidentially, a private GP can offer an initial assessment and refer you to appropriate private mental health professionals.
  • Discreet Consultations: For sensitive issues where you might prefer the anonymity and privacy offered by a private setting.
  • Occupational Health Matters: For fitness-to-work notes, pre-employment medicals, or ongoing monitoring related to your job.

How to Use Your Private GP Effectively

Once you've decided a private GP is the right option, here's a step-by-step guide to ensure a smooth and beneficial experience:

  1. Check Your Insurance Policy:

    • Does it include GP access? Some policies only cover specialist care, not the initial GP visit.
    • What type of access? Is it unlimited virtual consultations, a set number of face-to-face appointments, or a combination?
    • Are there any limits or excesses? For example, you might be covered for up to £100 per GP consultation or a maximum of 5 consultations per year. Some policies have an excess for GP visits.
    • Referral requirements: Confirm that a GP referral is needed for specialist consultations and diagnostics to be covered.
  2. Find a Private GP:

    • Insurer Network: Many insurers have a network of approved private GPs and clinics. Using one from their network often streamlines the claims process. Check your insurer's website or app.
    • Online Search: Websites like Doctify, Top Doctors, or simply a Google search for "private GP near me" can help. Ensure the GP is GMC-registered.
    • Recommendations: Ask friends, family, or colleagues for recommendations.
  3. Booking an Appointment:

    • Online Booking: Many private practices offer convenient online booking systems.
    • Phone Call: Call the clinic directly to book.
    • Specify Type: If you have virtual GP cover through your insurer (e.g., through an app like Babylon or an insurer's own service), ensure you are booking the correct type of appointment that your policy covers.
  4. Prepare for Your Visit:

    • Symptoms: Clearly describe your symptoms: when they started, what makes them better or worse, how severe they are.
    • Medical History: Be ready to share your relevant medical history, including any pre-existing conditions (remember, these are typically not covered by health insurance), current medications, allergies, and family medical history.
    • Questions: Write down any questions you have for the GP.
    • Insurance Details: Have your policy number and insurer details ready. Some private GP clinics will bill your insurer directly if cover is confirmed.
  5. During the Consultation:

    • Take advantage of the longer appointment time to discuss all your concerns thoroughly.
    • Don't hesitate to ask for clarification on diagnoses, treatment plans, or referrals.
    • If a referral is needed, ensure you understand to which type of specialist you are being referred and why.
  6. Follow-up and Next Steps:

    • Referrals: If referred, ensure you get a copy of the referral letter. Contact your insurer to pre-authorise the specialist consultation. They will often provide you with a list of approved specialists or ask you to choose from their network.
    • Prescriptions: If prescribed medication, you will pay the full cost of a private prescription.
    • Diagnostics: If tests are ordered, ensure they are pre-authorised by your insurer if you want them covered.

By following these steps, you can ensure you receive efficient and effective care, making the most of your private health insurance benefits.

Understanding the scope of your private health insurance is paramount, especially regarding what it covers in relation to your private GP visits and subsequent treatment. Misunderstandings here are common and can lead to unexpected costs.

When your policy includes private GP access, and a GP makes a referral, your insurance is likely to cover the following for acute conditions (new conditions that appear after your policy starts):

  • GP Consultations: A set number of face-to-face or virtual consultations, or unlimited virtual access, depending on your policy tier and any add-ons.
  • Specialist Consultations: The cost of seeing a private consultant (e.g., orthopaedic surgeon, dermatologist, neurologist) following a valid GP referral.
  • Diagnostic Tests: A wide range of tests such as blood tests, urine tests, X-rays, MRI scans, CT scans, ultrasounds, and endoscopies, provided they are medically necessary and referred by a private GP or specialist.
  • In-patient and Day-patient Treatment: Costs for hospital stays, surgical procedures, and other treatments requiring a hospital bed for a day or longer.
  • Out-patient Treatment: Follow-up consultations, physiotherapy, and other treatments that don't require an overnight hospital stay.
  • Cancer Treatment: Comprehensive cover for diagnosis, chemotherapy, radiotherapy, and other related treatments (often a significant component of private health insurance).
  • Mental Health Support: Often includes cover for consultations with psychiatrists, psychologists, and therapists, following a GP referral.

Common Exclusions (Crucial Information)

It is absolutely vital to understand what private health insurance typically does not cover. These exclusions are standard across almost all UK private health insurance policies.

  • Pre-existing Conditions: This is the most significant exclusion. A pre-existing condition is generally defined as any illness, injury, or symptom that you have experienced, been diagnosed with, or received treatment or advice for, before you took out your private health insurance policy. Insurers will not cover treatment for these conditions. This is a fundamental principle of insurance.
    • Example: If you had knee pain and saw a doctor for it six months before taking out your policy, your insurance would not cover treatment for that specific knee pain, even if it reoccurs after your policy starts.
  • Chronic Conditions: Conditions that are ongoing, long-term, and likely to require continuous treatment or management for the rest of your life. These are also typically not covered. Private health insurance focuses on treating acute conditions that can be cured or managed to the point of remission.
    • Examples: Diabetes, asthma, epilepsy, multiple sclerosis, long-term arthritis. While an acute flare-up of a chronic condition might be assessed, the ongoing management and treatment of the chronic condition itself will not be covered.
  • Emergency Care: Private health insurance is not designed for emergencies. If you have a life-threatening emergency (e.g., heart attack, stroke, serious accident), you should always go to the nearest NHS Accident & Emergency (A&E) department. Private hospitals usually do not have A&E facilities.
  • Routine Pregnancy and Childbirth: While some policies might cover complications arising from pregnancy, routine maternity care is generally excluded.
  • Cosmetic Treatment: Procedures performed for aesthetic reasons rather than medical necessity.
  • Fertility Treatment: Infertility investigations and treatments are usually excluded.
  • Dental and Optical Treatment: Routine dental check-ups, fillings, eye tests, and glasses are typically not covered, though some insurers offer optional add-ons for these.
  • Self-referred Specialist Appointments: As mentioned, most policies require a GP referral for specialist consultations to be covered.
  • Standard Prescriptions: While the consultation leading to the prescription might be covered, the actual cost of the medication itself (private prescription) is usually paid by the patient.
  • Experimental Treatments: Treatments that are not widely recognised or are still undergoing clinical trials.
  • Overseas Treatment: Treatment received outside the UK, unless specifically agreed upon or part of a global cover add-on.

Table: What Private Health Insurance Typically Covers (with GP Referral)

CategoryCovered (Acute Conditions)Not Covered (Generally)
Initial ConsultationPrivate GP consultations (if included in policy)Initial consultation for pre-existing or chronic conditions
DiagnosisDiagnostic tests (blood, scans, etc.)Diagnostics for pre-existing/chronic conditions, or self-referred
Specialist CareConsultant fees, specialist consultationsConsultations for pre-existing/chronic conditions
TreatmentIn-patient, day-patient, out-patient treatment, surgeryTreatment for pre-existing/chronic conditions
Specific ConditionsMost cancers, acute mental health conditions, cataracts, herniasEmergency care, routine pregnancy, cosmetic, fertility
Prescriptions(Consultation leading to prescription)Cost of the actual private prescription medication

This clear distinction is critical for managing expectations and avoiding financial surprises. Always read your policy documents carefully, and if in doubt, contact your insurer or an independent broker like WeCovr for clarification.

Real-Life Scenarios: Putting It All Together

Let's illustrate how a private GP, supported by private health insurance, can make a tangible difference in various common scenarios.

Scenario 1: Acute Back Pain – Seeking Rapid Diagnosis

  • The Situation: John, 45, develops sudden, severe lower back pain after lifting a heavy box. It's debilitating, and he's worried it might be a slipped disc. He tries to book an NHS GP appointment, but the earliest available is in 10 days.
  • Using Private GP & Insurance:
    1. John checks his private health insurance and confirms he has private GP access.
    2. He uses his insurer's virtual GP service and gets a video consultation the same afternoon.
    3. The private GP assesses his symptoms, performs a virtual neurological check, and suspects a disc issue. They immediately write a referral letter for an orthopaedic specialist and an urgent MRI scan.
    4. John contacts his insurer, who pre-authorises the specialist visit and MRI based on the GP's referral.
    5. Within 48 hours, John has his MRI scan, and within a week, he sees a private orthopaedic consultant. The consultant confirms a bulging disc and recommends a course of physiotherapy, which is covered by John's policy.
  • Benefit: Instead of waiting potentially weeks for diagnosis and treatment through the NHS, John receives rapid care, alleviating pain and preventing the condition from worsening, enabling a quicker return to work.

Scenario 2: Persistent Cough – Avoiding Long Referral Queues

  • The Situation: Sarah, 38, has had a persistent cough for over two months. Her NHS GP has seen her twice and prescribed antibiotics, but the cough remains. She's now concerned and wants to see a respiratory specialist. The NHS waiting list for such specialists in her area is several months.
  • Using Private GP & Insurance:
    1. Sarah books a face-to-face appointment with a private GP, explaining her history and concerns.
    2. The private GP conducts a thorough examination and agrees that a specialist opinion is warranted. They refer her to a private respiratory consultant within the insurer's network.
    3. Sarah's insurer pre-authorises the consultation. She sees the specialist the following week.
    4. The specialist orders a chest X-ray and some blood tests, all covered by her insurance. They identify a treatable, non-serious underlying issue.
    5. Sarah receives appropriate medication and the cough resolves.
  • Benefit: Sarah avoids a prolonged period of anxiety and discomfort, gaining a swift diagnosis and effective treatment, instead of enduring a long wait that might have impacted her quality of life significantly.

Scenario 3: Mental Health Concerns – Confidential & Rapid Access

  • The Situation: David, 50, has been experiencing increasing anxiety and low mood, affecting his work and personal life. He's hesitant to discuss it with his NHS GP due to perceived stigma and long waiting times for mental health services.
  • Using Private GP & Insurance:
    1. David uses his private health insurance's virtual GP service, valuing the anonymity and quick access.
    2. He has a confidential and extended conversation with the private GP about his symptoms. The GP is empathetic and recommends a course of talking therapy.
    3. The private GP provides a referral to a private cognitive behavioural therapist (CBT) who is approved by his insurer.
    4. His insurer pre-authorises the CBT sessions. David starts therapy sessions within days, choosing a therapist and appointment times that suit him.
  • Benefit: David receives timely and discreet support for his mental health, avoiding the potential for his condition to worsen while waiting for NHS services. The private pathway offers a sense of control and immediate relief.

Scenario 4: Pre-emptive Health Check – Peace of Mind

  • The Situation: Maria, 55, has no specific symptoms but wants a comprehensive health check-up to understand her current health status and identify any potential risks early. She knows NHS checks are limited based on age and specific risk factors.
  • Using Private GP & Insurance:
    1. Maria checks her policy and finds that while routine health checks are not part of core cover, she has an optional "health screening" add-on that includes a full annual physical with a private GP.
    2. She books her health check with a private GP clinic.
    3. During the check-up, the GP takes a detailed medical history, performs a physical examination, and orders a comprehensive panel of blood tests, including cholesterol, blood sugar, and organ function, all covered by her add-on.
    4. The GP discusses the results with her, offers lifestyle advice, and reassures her about her general health, highlighting one area to monitor.
  • Benefit: Maria gains valuable insights into her health, receives personalised preventative advice, and achieves peace of mind, all through a thorough and convenient process not readily available through standard NHS routes.

These scenarios highlight the practical ways private GP access, enabled by private health insurance, empowers individuals to take proactive control of their health journey, often saving time, reducing stress, and leading to faster, more effective treatment outcomes.

The Financial Aspect: Is It Worth the Cost?

Investing in private health insurance with private GP access involves a financial commitment. It's natural to question whether the benefits justify the premium.

Beyond the Premium: The Value Proposition

The value of private health insurance goes far beyond just the monetary cost.

  • Convenience: The ability to book appointments quickly, often out-of-hours or virtually, saves time and reduces stress associated with accessing care. For busy professionals or those with family commitments, this can be invaluable.
  • Peace of Mind: Knowing you have quick access to medical advice, diagnostics, and specialist treatment for acute conditions can significantly reduce anxiety about potential health issues.
  • Speed of Access: Avoiding long NHS waiting lists for specialist consultations, diagnostics, and elective procedures can prevent conditions from worsening and allow for earlier intervention and recovery.
  • Choice and Control: The ability to choose your GP, specialist, and hospital (within your insurer's network) gives you more agency in your healthcare decisions.
  • Enhanced Experience: Private facilities often offer a more comfortable, private, and personalised environment during treatment.
  • Early Diagnosis: Faster access to diagnostics can lead to earlier diagnosis of serious conditions, potentially improving treatment outcomes significantly.

Comparing Direct Private GP Costs vs. Insurance Benefits

Without insurance, a single private GP consultation can cost anywhere from £50 to £150, or even more for extended or specialist consultations. Diagnostic tests can run into hundreds, and specialist consultations into hundreds per visit. Surgery can cost thousands or tens of thousands.

Table: Illustrative Cost Comparison (Out-of-Pocket vs. Insurance Pathway)

ServiceEstimated Out-of-Pocket Cost (One-off)Private Health Insurance Pathway (via Policy)
Private GP Consultation£50 - £150Typically covered (if included), subject to limits/excess
Specialist Consultation£150 - £350 per visitCovered (with GP referral)
MRI Scan (e.g., knee)£300 - £700Covered (with GP referral)
Minor Surgery (e.g., carpal tunnel)£2,000 - £5,000Covered (with GP referral & pre-authorisation)
Major Surgery (e.g., hip replacement)£10,000 - £20,000+Covered (with GP referral & pre-authorisation)
Monthly Premium (Illustrative)N/A£30 - £150+ (varies by age, cover, location)

Note: These are illustrative costs and will vary by clinic, location, and specific medical need.

While you pay a monthly or annual premium, a single significant medical event requiring specialist input, diagnostics, or surgery can easily outweigh years of premiums if you had to pay out-of-pocket. The insurance acts as a financial safety net against unpredictable and potentially very high medical costs for acute conditions.

The Value of Early Diagnosis and Treatment

Perhaps the most compelling argument for quick access to a private GP and subsequent specialist care is the potential for early diagnosis and treatment. For many conditions, especially serious ones like cancer or heart disease, early intervention can dramatically improve prognosis and quality of life. Delays in diagnosis can lead to more advanced disease, requiring more aggressive, prolonged, and costly treatments. Private health insurance, by facilitating speed of access, directly contributes to this crucial benefit.

Ultimately, the decision to invest in private health insurance with private GP access is a personal one, weighing up your financial situation against your desire for control, speed, and peace of mind in your healthcare journey.

Choosing the Right Private Health Insurance with GP Access

With numerous providers and policy options available, selecting the right private health insurance that aligns with your needs and budget can seem daunting. Here are the key considerations when seeking a policy with robust private GP access:

  • Your Budget: Determine what you can comfortably afford for monthly or annual premiums. Remember that higher levels of cover (including more extensive GP access) will typically come with higher costs.
  • Your Health Needs: Consider your current health and any specific concerns. Do you foresee needing frequent GP visits? Are you interested in preventative health checks?
  • Level of GP Access Required:
    • Virtual Only: Many policies offer unlimited 24/7 virtual GP access as standard. This is excellent for quick advice, minor ailments, and referrals.
    • Limited Face-to-Face: Some policies include a set number of face-to-face private GP appointments per year (e.g., 2, 5, or 10).
    • Unlimited Face-to-Face: Less common, usually found in the most comprehensive plans.
  • Referral Requirements: Double-check that the policy allows for specialist referrals from private GPs. Most do, but it's vital to confirm.
  • Insurer Network: Research the network of private GPs, clinics, and hospitals your chosen insurer works with. Ensure there are convenient options in your area.
  • Excess and Co-payments: Understand any excess (the amount you pay towards a claim before your insurer pays) or co-payments (a percentage of the claim you pay). Some policies might have a separate excess for GP visits.
  • Optional Extras: Beyond GP access, consider other add-ons like mental health cover, dental and optical, or travel cover if these are important to you.
  • Underwriting Method:
    • Full Medical Underwriting: You provide your full medical history at application. This offers the most certainty about what's covered from day one (excluding declared pre-existing conditions).
    • Moratorium Underwriting: No medical history is required upfront. However, the insurer will typically exclude conditions that you've had symptoms, advice, or treatment for in the 5 years prior to taking out the policy. After a set period (usually 2 years), if you haven't experienced any symptoms or needed treatment for a pre-existing condition, it may then become covered. This method places more responsibility on you to be aware of exclusions.

Comparing policies from different providers can be complex due to varying terms, benefits, and pricing structures. This is where expert guidance becomes invaluable.

At WeCovr, we understand that navigating the private health insurance market can be overwhelming. As a modern UK health insurance broker, we are dedicated to simplifying this process for you, ensuring you find the best coverage that truly meets your individual needs.

Our Process:

  1. Understanding Your Needs: We start by listening to you. We'll ask about your priorities, your budget, your desired level of GP access, and any specific health concerns. This helps us tailor our search to your unique requirements.
  2. Comparing Leading UK Insurers: We work with all the major UK private health insurance providers, including AXA Health, Bupa, Vitality, Aviva, WPA, and others. This means we can provide you with a comprehensive overview of the market, not just a limited selection.
  3. Impartial Advice: Our independence is your advantage. We don't favour one insurer over another. Our advice is impartial and solely focused on finding the policy that offers you the best value and the most suitable cover for your circumstances. We'll explain the pros and cons of different options, highlight policy nuances (like those crucial exclusions for pre-existing or chronic conditions), and clarify any jargon.
  4. No Cost to You: Our service is completely free for you. We are remunerated by the insurance providers, meaning you get expert advice and support without any additional cost. You pay the same premium, or sometimes even less, than if you went directly to the insurer.
  5. Ongoing Support: Our relationship doesn't end once you've purchased a policy. We're here to help with questions about your cover, claims, or renewals. We aim to be your long-term partner in navigating your health insurance.

We pride ourselves on offering a transparent, efficient, and client-centric service. Let us take the stress out of finding the right private health insurance, so you can focus on what matters most – your health.

The landscape of private healthcare, particularly private GP services, is constantly evolving, driven by technological advancements and changing patient expectations. Looking ahead, we can anticipate several key trends:

  • Telemedicine and Virtual Consultations: The shift towards virtual GP appointments accelerated significantly during the pandemic. This trend is set to continue, with more insurers offering comprehensive virtual GP services, often 24/7. This provides unparalleled convenience, especially for minor ailments, repeat prescriptions, and initial referrals.
  • Wearable Technology Integration: Private GPs are increasingly likely to integrate data from wearable health devices (smartwatches, fitness trackers) into their consultations. This real-time data on heart rate, sleep patterns, activity levels, and more can offer valuable insights into a patient's health, facilitating more personalised advice and earlier detection of potential issues.
  • Personalised Medicine: Advances in genomics and diagnostics will lead to more personalised healthcare. Private GPs may increasingly use genetic information to assess individual risk factors for certain diseases, tailor preventative strategies, and guide treatment choices.
  • Proactive and Preventative Health: There will be a greater emphasis on preventative health and wellness programmes. Private GPs will likely play a larger role in offering comprehensive health screenings, lifestyle coaching, and risk factor management to help patients stay healthy and prevent illness rather than just treating it.
  • Digital Health Records and Interoperability: Improved digital systems will allow for seamless sharing of medical records between different private providers (with patient consent), enhancing continuity of care and efficiency.
  • Mental Health as Core Service: While mental health support is often an add-on, it's becoming increasingly recognised as a core component of overall well-being. Private GPs will continue to be a vital first point of contact for mental health concerns, with more direct and integrated pathways to specialist mental health services.

These trends promise an even more connected, convenient, and personalised private GP experience, making private health insurance an even more valuable investment in your long-term health.

Conclusion

The decision to combine the accessibility of a private GP with the financial security of UK private health insurance is a strategic one for many Britons. In an era where NHS services are under unprecedented strain, this partnership offers a compelling alternative for swift access to medical advice, rapid diagnosis, and timely treatment for acute conditions.

We've explored the distinct advantages of a private GP – extended consultation times, flexible appointments, and fast-tracked referrals – and how these are significantly enhanced when backed by a robust private health insurance policy. Crucially, we've highlighted the importance of understanding policy nuances, especially regarding common exclusions like pre-existing and chronic conditions, to ensure you can use your cover effectively and avoid any surprises.

By leveraging your private GP, you gain control over your healthcare journey, reduce anxious waiting times, and benefit from a proactive approach to your well-being. Whether it's for an urgent, non-emergency issue, a quicker specialist referral, or simply peace of mind, a private GP can be an invaluable asset.

If you're considering private health insurance with private GP access, remember that clarity and comprehensive understanding are key. At WeCovr, we are here to guide you through the options, compare policies from all major UK insurers, and help you find the perfect fit for your needs – all at no cost to you. Invest in your health, and empower yourself with the choices that a private GP and comprehensive private health insurance can offer.


Why private medical insurance and how does it work?

What is Private Medical Insurance?

Private medical insurance (PMI) is a type of health insurance that provides access to private healthcare services in the UK. It covers the cost of private medical treatment, allowing you to bypass NHS waiting lists and receive faster, more convenient care.

How does it work?

Private medical insurance works by paying for your private healthcare costs. When you need treatment, you can choose to go private and your insurance will cover the costs, subject to your policy terms and conditions. This can include:

• Private consultations with specialists
• Private hospital treatment and surgery
• Diagnostic tests and scans
• Physiotherapy and rehabilitation
• Mental health treatment

Your premium depends on factors like your age, health, occupation, and the level of cover you choose. Most policies offer different levels of cover, from basic to comprehensive, allowing you to tailor the policy to your needs and budget.

Questions to ask yourself regarding private medical insurance

Just ask yourself:
👉 Are you concerned about NHS waiting times for treatment?
👉 Would you prefer to choose your own consultant and hospital?
👉 Do you want faster access to diagnostic tests and scans?
👉 Would you like private hospital accommodation and better food?
👉 Do you want to avoid the stress of NHS waiting lists?

Many people don't realise that private medical insurance is more affordable than they think, especially when you consider the value of faster treatment and better facilities. A great insurance policy can provide peace of mind and ensure you receive the care you need when you need it.

Benefits offered by private medical insurance

Private medical insurance provides numerous benefits that can significantly improve your healthcare experience and outcomes:

Faster Access to Treatment
One of the biggest advantages is avoiding NHS waiting lists. While the NHS provides excellent care, waiting times can be lengthy. With private medical insurance, you can often receive treatment within days or weeks rather than months.

Choice of Consultant and Hospital
You can choose your preferred consultant and hospital, giving you more control over your healthcare journey. This is particularly important for complex treatments where you want a specific specialist.

Better Facilities and Accommodation
Private hospitals typically offer superior facilities, including private rooms, better food, and more comfortable surroundings. This can make your recovery more pleasant and potentially faster.

Advanced Treatments
Private medical insurance often covers treatments and medications not available on the NHS, giving you access to the latest medical advances and technologies.

Mental Health Support
Many policies include comprehensive mental health coverage, providing faster access to therapy and psychiatric care when needed.

Tax Benefits for Business Owners
If you're self-employed or a business owner, private medical insurance premiums can be tax-deductible, making it a cost-effective way to protect your health and your business.

Peace of Mind
Knowing you have access to private healthcare when you need it provides invaluable peace of mind, especially for those with ongoing health conditions or concerns about NHS capacity.

Private medical insurance is particularly valuable for those who want to take control of their healthcare journey and ensure they receive the best possible treatment when they need it most.

Important Fact!

There is no need to wait until the renewal of your current policy.
We can look at a more suitable option mid-term!

Why is it important to get private medical insurance early?

👉 Many people are very thankful that they had their private medical insurance cover in place before running into some serious health issues. Private medical insurance is as important as life insurance for protecting your family's finances.

👉 We insure our cars, houses, and even our phones! Yet our health is the most precious thing we have.

Easily one of the most important insurance purchases an individual or family can make in their lifetime, the decision to buy private medical insurance can be made much simpler with the help of FCA-authorised advisers. They are the specialists who do the searching and analysis helping people choose between various types of private medical insurance policies available in the market, including different levels of cover and policy types most suitable to the client's individual circumstances.

It certainly won't do any harm if you speak with one of our experienced insurance experts who are passionate about advising people on financial matters related to private medical insurance and are keen to provide you with a free consultation.

You can discuss with them in detail what affordable private medical insurance plan for the necessary peace of mind they would recommend! WeCovr works with some of the best advisers in the market.

By tapping the button below, you can book a free call with them in less than 30 seconds right now:

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How It Works

1. Complete a brief form
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2. Our experts analyse your information and find you best quotes
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3. Enjoy your protection!
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Any questions?

Life Insurance and Private Medical Insurance cover you for two different purposes, so you will need to assess your needs but may wish to consider holding the two policies. Private Medical Insurance covers you if you get sick or need treatment and want or need to go privately. Life Insurance covers you in the case of death, giving a payout to family/those left behind.

Health insurance covers conditions that develop after your policy starts. Pre-existing conditions are typically not covered, and insurers may exclude related issues. Some policies may cover symptoms of pre-existing conditions under specific circumstances. Always review your policy's exclusions. Coverage for pre-existing medical conditions may be available if you currently hold a medical insurance policy or are transitioning from a company scheme. However, if you have never had medical insurance before or if your policy is not active at the moment, pre-existing conditions will not be covered. This limitation exists because health insurance is primarily intended to protect against unexpected health issues. To simplify, it's akin to getting into a car accident and then trying to obtain insurance coverage afterward to repair the vehicle — insurance companies typically do not cover such claims. Nevertheless, there is an option to gain coverage for pre-existing conditions after a two-year waiting period, subject to specific rules and conditions.

If you prefer to get straight into treatment in the private sector without the long waiting times with the NHS, or you just prefer the private sector anyway, without having to pay it all yourself, then you would need to have Private Medical Insurance to cover it. Sometimes treatments and drugs that are not covered by the NHS can be covered by Private Medical Insurance.

It's free to use WeCovr to find health insurance - we never charge you for quotes. Health or private medical insurance is an investment that can pay for itself the first time you might need medical treatment.

It depends on your personal choice and preferences. If you are prepared to limit yourself to NHS-covered treatments only and can or want to endure long waiting times to get into treatment, then yes, NHS might work for you. Your cover there is free. If you don't want to be exposed to long waiting times or if your treatment is not covered by the NHS, then you would benefit from Private Medical Insurance.

Private Medical Insurance is an important financial product that insurance companies take a lot of care and diligence so speaking to real human beings ensures that they understand your requirements fully so that you can get the right cover.

All of our partners are carefully vetted and authorised by the FCA, which means they are held to the highest standards that the FCA expects from them and treat all customers fairly!

Our revenue comes from commissions paid by the insurance providers when a policy is taken out through us. Essentially, when you choose to secure a policy from one of the providers we work with, they compensate us for facilitating the transaction. It's important to note that this commission does not impact the premium you pay. We remain committed to providing transparent and unbiased quotes to help you find the best insurance options tailored to your needs.

The cost of private health insurance depends on several factors, including your age, location, smoking status, and the type of policy you choose. Your health insurance policy is tailored to your needs, and the cost can vary based on the level of cover you require, such as the amount of excess and specific treatment allowances.

Private health insurance covers you for conditions that arise after your policy begins. You pay a monthly fee and can make claims for private healthcare covered by your policy. One of the main benefits of private healthcare is quicker access to treatment compared to the NHS, along with access to new drugs or specialist treatments.

Most health insurance covers private hospital stays and may include outpatient treatments like scans, tests, or appointments. Policies vary in coverage, and exclusions often include emergency treatment, maternity care, cosmetic surgery, and ongoing conditions present before the policy started.

Unfortunately, you cannot pay extra to have a pre-existing condition covered as part of your health insurance policy. However, you have access to support from a nurse or digital GP. If you have questions about what is covered under your policy, please contact us for clarification.

Your health insurance policy begins once you've selected your policy and set up your payment. After setup, you'll receive your cover documents detailing what is and isn't covered. It's important to review these details carefully as policies differ.

An excess is the amount you contribute towards treatment when you make a claim. Choosing a higher excess can reduce your policy's monthly cost but requires a larger contribution when claiming. WeCovr's experts will offer you flexible excess options depending on your preferences.

To reduce health insurance costs, consider choosing a higher excess, which lowers the monthly premium. However, ensure the plan still meets your needs. Other factors affecting cost include lifestyle choices like smoking and potential savings for couples or family plans.

There is no age limit for taking out health insurance, but age influences the policy's cost. The benefits of health insurance are consistent regardless of age. If you're considering health insurance, you can get a quote from WeCovr's experts regardless of your age.

Let WeCovr's experts do the legwork for you and compare health insurance plans at no cost to you to find the best fit for your needs. Consider individual, couple, or family plans and review coverage details thoroughly before choosing. WeCovr provides transparent information on coverage options for easy comparison.

Yes, you can add your partner (if you live at the same address) or dependents to your policy at any time. The cost of couple's or family health insurance depends on factors like location, age, health, and chosen excess. Contact WeCovr or your insurer for assistance in adding someone to your policy.

While WeCovr's private health insurance plans are tailored for the UK, we offer global health insurance options for those living or working abroad. For holiday coverage, travel insurance is recommended.

Comprehensive cover provides extensive benefits, including full outpatient services such as consultations, diagnostic tests, physiotherapy, and mental health therapies. Our team at WeCovr can assist in understanding the various coverage levels available.

Private health insurance typically does not cover dental treatment. However, WeCovr's experts can guide you to dental insurance policies offered by our partner insurers. Reach out to us to explore these options.

Yes, private health insurance covers cancer treatment from diagnosis through treatment. At WeCovr, we can help you navigate the cancer cover options that suit your needs.

At WeCovr, you have flexibility in adjusting your cover. Speak to our experts within 21 days of receiving your paperwork or at policy renewal to make changes.

Accessing a private GP appointment is fast and convenient with WeCovr's services, available through your digital platform provided under your chosen insurance plan.

Yes, family members on the same policy can potentially have different levels of cover tailored to their individual needs.

WeCovr works with insurers offering a range of cover levels to accommodate different budgets and needs. Our experts can discuss these options with you.

Discovering healthcare facilities and specialists is easy with WeCovr's resources. Contact us for personalised assistance by tapping one of the buttons above or below and filling in a few details for personalised assistance.

Fee-assured consultants provides transparency and no hidden costs for clients.

WeCovr prioritises mental health support with comprehensive coverage and access to specialist advice and services.

Children up to a certain age can be included in your policy, and we offer discounts for family coverage.

Like most health insurance plans, premiums may increase annually due to factors such as age and medical cost inflation.

The cost of health insurance varies based on several factors. Connect with our experts by tapping a button below and get your own personalised quote.

Private health insurance offers quicker access to consultations, treatments, and personalised care compared to the NHS.

Yes, WeCovr's experts can guide you which health insurance plans include coverage for physiotherapy treatments.

Immediate access to certain services like our digital GP app is available upon enrolment.

You can obtain a range of suitable quotes easily by tapping one of the buttons above or below and filling in a few details for personalised assistance.

Health insurance covers new conditions that arise after the policy starts. Pre-existing conditions and certain exclusions may apply.

WeCovr's experts help you arrange health insurance that simplifies access to private healthcare services, including consultations and treatments.

Outpatient cover includes consultations, physiotherapy, and mental health therapies outside hospital admissions.

Yes, you can use your health insurance cover immediately. You have access to a nurse through your helpline and can consult with a GP using the digital GP app. If you need to make a claim right away, we may require a medical report from your GP. Health insurance is designed to cover new conditions that arise after the policy has started.

No, health insurance does not cover A&E (Accident and Emergency) visits. Private hospitals do not typically have the facilities for handling A&E cases. In case of an emergency, please dial 999 or use the NHS emergency services. However, if you require follow-up treatment after an emergency situation, your private medical insurance may be able to assist.

Yes, many insurers offer rewards in leisure, wellbeing, and health. Speak to WeCovr's experts or visit your insurer's website for more details on member rewards.

You may continue your cover or get another own personal policy. If you continue your cover, existing or ongoing medical conditions might be covered depending on the level of cover you choose. Contact our friendly experts to discuss your options and find the right option for you.

You can tap one of the buttons above or below and fill in a quick form to arrange a call with us to discuss your options.

Your cover may be similar but not identical. We will help you find the right level of cover that suits your needs, and ongoing medical conditions may be covered. Contact our friendly advisers to explore all available options.

No, the price won't be the same as before since employers often contribute to the cost of employee cover. Additionally, different cover levels and medical histories may affect the price. Contact WeCovr's experts for detailed information.

You have a few weeks or months from leaving your job to decide to continue with your insurer or change to another one. Your policy may start the day after you left your work policy, and our experts can guide you through other available options.

After leaving your job, contact WeCovr's experts with your leave date to discuss available options.

Yes, ongoing treatment may be covered on your new personal policy, although it could affect the price. Contact our experts for personalised advice on your options.

Details on paying excess fees will be provided when you contact your insurer for treatment authorisation.

No, there is no excess fee for utilising these services.

Excess adjustments can be made at specific intervals during your policy term.

No claims discounts can impact renewal costs based on claims history.

Pre-existing conditions typically aren't covered but can be discussed with our healthcare specialists.

This involves health-related questions before policy enrolment to determine coverage.

Moratorium underwriting simplifies enrolment but may require health disclosures during claims.

Claims may require additional information if under moratorium underwriting.

Pre-existing conditions refer to medical issues existing before policy inception. A pre-existing condition is anything you've previously had medical treatment for, such as diabetes, heart disease, or asthma. Most insurance providers consider any condition you've had symptoms or treatment for in the past five years as pre-existing. Our experts at WeCovr can help you understand how pre-existing conditions affect your policy options.

While some insurance providers automatically renew your private healthcare cover, it's beneficial to compare policies when yours is about to end. This ensures you're still getting the best deal for the coverage you need. Our experts at WeCovr can assist you in finding the right policy for you.

Typically, you must be over 18 to take out your own policy, but minors can usually be included in a family policy. There may also be an upper age limit for private health insurance, and premiums typically increase with age. Our experts at WeCovr can provide guidance on age-related policy aspects.

Paying for health insurance annually often results in savings compared to monthly payments. However, this depends on your insurance provider. For help determining the most cost-effective option, consider consulting our experts at WeCovr.

If your employer offers private health insurance as part of your benefits package, you likely don't need additional cover. However, there may be limits on the cover you receive, and it may not extend to your entire family. Remember, any insurance you get through work only covers you while you're employed there.

If you don't have pre-existing conditions, a medical exam is usually not required. You'll just need to complete a medical history form and select your level of cover. However, if you're older, have a pre-existing condition, or lead an unhealthy lifestyle, a medical exam may be necessary. Our experts at WeCovr can clarify the requirements of different policies.

Many private health insurance providers now offer GP services, either digitally or face-to-face. This means you can often get a private GP appointment quickly, sometimes even on the same day. Our experts at WeCovr can help you find policies that offer GP services.

With private health insurance, you can often secure a GP appointment much quicker than with traditional methods, sometimes even on the same day. Our experts at WeCovr can help you find policies that offer quick GP appointment services.

Inpatient care refers to any treatment requiring a stay in a hospital or clinic for at least one night. Outpatient care refers to treatments or tests that don't require hospital admission, such as minor diagnostic tests or physiotherapy sessions. Our experts at WeCovr can help you understand the different types of care and find a policy that suits your needs.

Private health insurance covers your medical treatment if you fall ill, while critical illness cover provides additional financial help if you develop one of the critical illnesses listed in the policy, such as covering loss of income if you're unable to work. For assistance in understanding the differences and finding the right coverage, consult our experts at WeCovr.

Health insurance policies are designed for cover in the UK. For cover abroad, consider travel insurance for short trips or international health insurance for longer stays or if you have a holiday home overseas. Our experts at WeCovr can guide you in finding the appropriate coverage for your travel needs.

If your employer provides health insurance, it's considered a 'benefit in kind' and is not tax deductible. Your employer should calculate the tax you owe for your health insurance premiums and deduct it from your pay. There are some exceptions for small companies. For more information on tax implications, consider reaching out to our experts at WeCovr.

When you purchase a policy, you choose how much excess you pay, which is your contribution to the cost of treatment if you make a claim. The higher your excess, the lower your premium is likely to be. Our experts at WeCovr can help you understand how excess works and choose the right level for you.

These are two methods of underwriting a health insurance policy, relating to how insurance providers consider your pre-existing medical conditions when you take out cover. For help understanding the differences and choosing the right option for you, consult our experts at WeCovr.

Some private health insurance providers offer a no-claims discount, similar to car insurance. Every year you don't make a claim gives you an extra year of no-claims discount, potentially reducing your premium when you renew. Our experts at WeCovr can help you find policies that offer no-claims discounts.

To find the best health insurance for you, compare various policies to find one that offers the features you need at a price you can afford. Consider your personal circumstances and what you want from your policy. Our experts at WeCovr can assist you in evaluating your options and selecting the right coverage for you.

If you need treatment, a GP referral is not always necessary. However, this depends on how you plan to pay for your treatment. Most hospitals will allow you to book appointments with a consultant without a GP referral if you are paying out-of-pocket. If you have private medical insurance, you'll need to check the terms of your policy to see whether your insurer requires you to consult with a GP first (most insurers do). Some policies offer a direct booking system without a referral for certain conditions, such as counseling for mental health issues.

Yes, you can obtain financing for a loan to cover the cost of surgery. Many private healthcare companies have partnerships with finance companies to allow you to spread the cost of private treatment over time. You could also explore getting an ordinary loan from your bank if this option proves to be more cost-effective for you.

WeCovr has conducted extensive research into the cost of private health insurance in the UK. Click the link to find out more detailed information.

Yes, you can continue to receive treatment through the NHS even if you have private health insurance and have received private treatment in the past. This could be for rehabilitation after private surgery or for treatment that is not covered by your health insurance policy. For example, some cosmetic surgeries may be available through the NHS but are generally not covered by private medical insurance.

This is a difficult question to answer definitively. There are certain services that cannot be obtained privately, such as emergency treatment at an Accident and Emergency (A&E) department. Many NHS consultants also practice privately, so you could potentially see the same consultant regardless of whether you choose private or public healthcare. However, private healthcare typically offers shorter waiting times, guaranteed private rooms, and more relaxed visiting hours. Additionally, you may have access to treatments and drugs that are not routinely available through the NHS.

Yes, you can self-refer to a private specialist without the need for a GP referral. However, the British Medical Association believes that in most cases, it is best practice to start with your GP, as they are familiar with your medical history.

Yes, if you have a health concern and pay for private tests and scans but cannot afford to have private surgery, you should be able to have your test results transferred to an NHS provider for treatment.


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Who Are WeCovr?

WeCovr is an insurance specialist for people valuing their peace of mind and a great service.

👍 WeCovr will help you get your private medical insurance, life insurance, critical illness insurance and others in no time thanks to our wonderful super-friendly experts ready to assist you every step of the way.

Just a quick and simple form and an easy conversation with one of our experts and your valuable insurance policy is in place for that needed peace of mind!

Important Information

Since 2011, WeCovr has helped thousands of individuals, families, and businesses protect what matters most. We make it easy to get quotes for life insurance, critical illness cover, private medical insurance, and a wide range of other insurance types. We also provide embedded insurance solutions tailored for business partners and platforms.

Political And Credit Risks Ltd is a registered company in England and Wales. Company Number: 07691072. Data Protection Register Number: ZA207579. Registered Office: 22-45 Old Castle Street, London, E1 7NY. WeCovr is a trading style of Political And Credit Risks Ltd. Political And Credit Risks Ltd is Authorised and Regulated by the Financial Conduct Authority and is on the Financial Services Register under number 735613.

About WeCovr

WeCovr is your trusted partner for comprehensive insurance solutions. We help families and individuals find the right protection for their needs.