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The Difference Between Health Insurance and Health Cash Plans

The Difference Between Health Insurance and Health Cash...

As an FCA-authorised expert with over 800,000 policies of various kinds issued, WeCovr understands that navigating the world of private medical insurance in the UK can be confusing. Many people use the terms "health insurance" and "health cash plan" interchangeably, but they are fundamentally different products designed for very different needs.

WeCovr's guide to these two products and which suits you best

This comprehensive guide will demystify these two popular forms of health cover. We’ll break down exactly what each one does, explore the costs and benefits, and provide real-life examples to help you decide which, if either, is the right choice for you and your family.

What is Private Medical Insurance (PMI)? A Shield Against the Unexpected

Private Medical Insurance, often called PMI or private health cover, is designed to be your safety net for significant, unforeseen medical issues. Its primary purpose is to cover the costs of private treatment for acute conditions that arise after you take out the policy.

An acute condition is a disease, illness, or injury that is likely to respond quickly to treatment and lead to a full recovery. Think of conditions like a joint injury requiring surgery, cataracts, or a hernia.

The Critical Distinction: Acute vs. Chronic and Pre-existing Conditions

This is the single most important concept to grasp about private medical insurance in the UK:

Standard PMI policies are designed for acute conditions only. They do not cover pre-existing conditions or chronic conditions.

  • Pre-existing Conditions: Any illness or injury you had symptoms of, or received advice or treatment for, before your policy began.
  • Chronic Conditions: Illnesses that are long-term and cannot be conventionally cured, only managed. Examples include diabetes, asthma, arthritis, and high blood pressure. The NHS is responsible for managing these long-term conditions.

PMI gives you peace of mind that if you are diagnosed with a new, curable condition, you can bypass NHS waiting lists and receive prompt, private care in a comfortable setting.

What Does Private Health Cover Typically Include?

While policies vary, a comprehensive PMI plan usually covers:

  • In-patient and Day-patient Treatment: This includes costs for surgery, hospital accommodation, nursing care, and specialist fees when you are admitted to a hospital.
  • Out-patient Consultations and Tests: Covers appointments with specialists and diagnostic tests like MRI, CT, and PET scans before you are admitted to hospital.
  • Advanced Cancer Care: This is a cornerstone of most PMI policies, offering access to the latest drugs and treatments, some of which may not be available on the NHS.
  • Mental Health Support: Many modern policies now include cover for therapy and psychiatric treatment, reflecting a growing focus on mental wellbeing.
  • Complementary Therapies: Post-operative physiotherapy or osteopathy to aid your recovery.

Many providers also offer optional add-ons for an extra premium, such as dental and optical cover, though these are often limited.

Key PMI Exclusions: What It Won't Cover

Besides chronic and pre-existing conditions, PMI generally excludes:

  • Emergency Care: A&E visits, ambulance services, and immediate trauma care remain the domain of the NHS.
  • Normal Pregnancy and Childbirth: Complications may be covered, but routine maternity care is not.
  • Cosmetic Surgery: Procedures that are not medically necessary.
  • Organ Transplants
  • Drug and Alcohol Abuse Treatment

What is a Health Cash Plan? Your Partner for Everyday Health

A Health Cash Plan is a completely different beast. It is not insurance against a major medical catastrophe; instead, it's a simple, affordable way to manage and claim back money on your routine healthcare expenses.

Think of it as a health budgeting tool. You pay a small monthly premium, and in return, you can claim back a set amount of cash each year for specific, everyday treatments.

How Do Health Cash Plans Work?

The process is straightforward:

  1. You pay for your treatment: You visit your dentist, optician, or physiotherapist and pay the bill as usual.
  2. You submit your receipt: You send a copy of your receipt to the cash plan provider, usually via an online portal or app.
  3. You get cash back: The provider reimburses you for the cost, up to the annual limit for that specific benefit.

For example, if your plan offers £150 for dental cover and your check-up and filling cost £110, you can claim the full £110 back. You would still have £40 remaining in your dental pot for that year.

What Do Health Cash Plans Typically Cover?

Cash plans focus on routine, out-of-pocket expenses. Coverage is split into categories, each with its own annual limit.

  • Dental: Check-ups, hygienist visits, fillings, crowns, and bridges.
  • Optical: Eye tests, glasses, and contact lenses.
  • Therapies: Physiotherapy, osteopathy, chiropractic treatment, and sometimes acupuncture or chiropody.
  • Specialist Consultations: A contribution towards seeing a specialist privately.
  • Prescription Charges: Reclaiming the cost of NHS prescriptions.
  • Health Screenings: Contributions towards preventative health checks.
  • Hospital Stays: A small cash payment for each night you spend in an NHS hospital.

Head-to-Head Comparison: PMI vs. Health Cash Plans

To make the distinction crystal clear, let's compare the two products side-by-side.

FeaturePrivate Medical Insurance (PMI)Health Cash Plan
Primary PurposeCovers high-cost, unexpected medical events and surgery for acute conditions.Helps budget for and reclaim costs of routine, everyday healthcare.
Coverage ScopeIn-depth cover for major treatments (e.g., surgery, cancer care).Cashback for predictable costs (e.g., dental, optical, therapies).
CostHigher premiums (£40 - £200+ per month), based on age, health, and cover level.Lower premiums (£10 - £40 per month), often tiered by benefit level.
Main BenefitAvoids NHS waiting lists for eligible treatments and provides choice over specialists and hospitals.Makes routine healthcare more affordable and encourages preventative care.
Claim ProcessPre-authorisation required. The insurer pays the hospital/specialist directly.You pay upfront, then claim the cash back by submitting a receipt.
Pre-existing ConditionsNot covered.Often covered after a qualifying period, or sometimes immediately.
Financial LimitHigh annual limits, often £1 million or more. Some are unlimited.Modest annual limits per benefit category (e.g., £150 for dental).

Real-Life Scenarios: Which Product Helps When?

Let's apply this to some common situations to see how each product performs.

Scenario 1: Ahmed Needs Knee Surgery

Ahmed, a 45-year-old active man, injures his knee playing football. His GP refers him to an NHS specialist, but the waiting list for an initial consultation is four months, and the wait for potential surgery is over a year.

  • With Private Medical Insurance: Ahmed calls his PMI provider. They authorise a private consultation with an orthopaedic surgeon within a week. An MRI scan is performed a few days later, confirming a torn ligament. Surgery is scheduled for two weeks' time at a private hospital of his choice. His PMI policy covers the entire cost, minus his £250 excess. He also gets post-operative physiotherapy included.
  • With a Health Cash Plan: Ahmed's cash plan could help. He might be able to claim back around £250-£300 towards his post-operative physiotherapy sessions, but it would not cover the tens of thousands of pounds for the consultation, scan, and surgery.

Conclusion: For serious, acute conditions requiring specialist treatment or surgery, PMI is the essential product.

Scenario 2: The Taylor Family's Routine Year

The Taylor family consists of two parents and two children. They are all in good health but have regular check-ups.

  • Annual Costs without a Plan:

    • 4 x Dental check-ups & hygienist: £360
    • 2 x Eye tests & 1 new pair of glasses: £250
    • Mother's 4 physiotherapy sessions: £200
    • Total Annual Spend: £810
  • With a Health Cash Plan: The Taylors pay £25 a month (£300 per year) for a family cash plan.

    • Dental: They claim back £75 per person (£300 total).
    • Optical: They claim back £150.
    • Therapies: They claim back £200.
    • Total Claimed Back: £650
    • Net Result: They spent £300 on the plan and got £650 back, saving them £350 on their expected healthcare costs.

Conclusion: For predictable, routine expenses, a Health Cash Plan is a highly effective budgeting tool.

Can You Have Both? The Complementary Approach

For complete peace of mind, many people choose to have both.

  • PMI acts as the shield for major, high-cost health shocks.
  • A Health Cash Plan acts as the wallet for managing everyday, predictable costs.

This combination ensures you are covered for almost every eventuality, from a dental filling to major heart surgery, without facing significant out-of-pocket expenses.

Understanding the Costs: How Premiums are Calculated in 2025

The cost of these two products is determined by very different factors.

Factors Influencing Private Medical Insurance Premiums

PMI pricing is complex and personalised. An expert PMI broker like WeCovr can help you find the best value by navigating these factors:

  1. Age: The single biggest factor. Premiums increase as you get older.
  2. Location: Costs are higher in areas with more expensive private hospitals, like Central London.
  3. Level of Cover: A basic policy covering only in-patient treatment will be cheaper than a comprehensive plan with full out-patient, mental health, and therapy cover.
  4. Excess: This is the amount you agree to pay towards a claim. A higher excess (£500 or £1,000) will significantly lower your monthly premium.
  5. Hospital List: Choosing a policy with a limited list of local hospitals is cheaper than one giving you nationwide access.
  6. Underwriting: A "moratorium" policy, which automatically excludes conditions you've had in the last 5 years, is often cheaper than a "full medical underwriting" policy where you declare your entire history.

Illustrative Monthly PMI Premiums (2025)

These are for guidance only. Your quote will be specific to your circumstances.

AgeBasic Cover (Mid-level Excess)Comprehensive Cover (Low Excess)
30£40 - £55£70 - £90
45£60 - £80£110 - £140
60£100 - £140£180 - £250+

Health Cash Plan Pricing: Simple and Affordable

Cash plan pricing is much simpler. It's usually based on pre-set levels of cover, and your age or medical history has little to no impact.

Illustrative Monthly Health Cash Plan Premiums (2025)

LevelMonthly Cost (Individual)Typical Annual Limits
Level 1£10£75 Dental, £75 Optical, £100 Therapies
Level 2£20£150 Dental, £150 Optical, £250 Therapies
Level 3£35£250 Dental, £250 Optical, £400 Therapies
Level 4£45£350 Dental, £350 Optical, £500+ Therapies

The WeCovr Advantage: More Than Just Insurance

Choosing the right cover can feel overwhelming. At WeCovr, we not only simplify the process but also add significant value. As an independent and FCA-authorised broker, we compare policies from the UK's leading insurers to find the one that best fits your needs and budget, at no extra cost to you.

We are proud of our high customer satisfaction ratings, which reflect our commitment to clear, honest advice. When you choose a policy through us, you also gain access to exclusive benefits:

  • Complimentary CalorieHero App: All our health and life insurance clients receive free access to CalorieHero, our AI-powered calorie and nutrition tracking app, to help you proactively manage your wellness.
  • Multi-Policy Discounts: When you take out a private medical insurance policy with us, you can receive discounts on other essential cover, such as life insurance or income protection.

How to Choose the Right Cover for You

Ask yourself these key questions:

  1. What is my main worry? Is it the risk of a long NHS wait for surgery, or is it the rising cost of dental and optical care?

    • Long waits -> Consider PMI.
    • Routine costs -> Consider a Health Cash Plan.
  2. What is my monthly budget? If you have a limited budget but want some cover, a cash plan is a great starting point. If you can afford more and want comprehensive protection, PMI is the priority.

  3. What is my health and lifestyle like? If you are very active and concerned about potential injuries, or have a family history of specific acute conditions, PMI might offer greater peace of mind.

  4. Do I use routine services regularly? If you wear glasses, visit the dentist twice a year, and see a physio, a cash plan will almost certainly save you money.

Frequently Asked Questions (FAQ)

Here are answers to some of the most common questions we receive.

1. Can I get private medical insurance if I have a pre-existing condition? Yes, you can still get a policy, but it will not cover your pre-existing conditions. Insurers use two main methods: "Moratorium underwriting" automatically excludes anything you've had symptoms or treatment for in the past 5 years. "Full medical underwriting" requires you to declare your medical history, and the insurer will list specific exclusions on your policy from the start.

2. Do I still need the NHS if I have private medical insurance? Absolutely. The NHS remains essential for everyone. PMI does not cover emergencies (like a heart attack or car accident), management of chronic conditions (like diabetes), or routine GP services. PMI and the NHS work in parallel; one does not replace the other.

3. Is a health cash plan worth the money? A health cash plan is worth it if you are disciplined enough to use the benefits. Before buying, add up your typical annual spending on dental, optical, and therapy treatments. If this amount is greater than the annual cost of the plan, it represents excellent value and will save you money.

4. How does an 'excess' work with private medical insurance? An excess is a fixed amount you agree to pay towards the cost of a claim each policy year. For example, if you have a £250 excess and your surgery costs £8,000, you would pay the first £250, and your insurer would pay the remaining £7,750. Choosing a higher excess is a popular way to make your monthly premium more affordable.


Deciding between private medical insurance and a health cash plan comes down to your priorities, budget, and what gives you the most peace of mind. One protects against the large, unexpected shocks, while the other helps you manage the small, predictable ones.

Ready to explore your options and find the right protection for you and your family?

The expert team at WeCovr is here to help. We provide free, no-obligation quotes and impartial advice to help you compare the UK's best PMI providers.

Get your free, personalised health insurance quote from WeCovr today and take the first step towards better health security.


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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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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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