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10 Questions to Ask Before Buying PMI

This is another popular cost-saving feature, sometimes called the 'NHS wait' or 'NHS six-week' option. How it Works: When you need an in-patient or day-patient procedure, if the NHS waiting list for that specific treatment in your local area is less than six weeks, you agree to use the NHS.

Last updated Oct 6, 2026

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TL;DR

This is another popular cost-saving feature, sometimes called the 'NHS wait' or 'NHS six-week' option. How it Works: When you need an in-patient or day-patient procedure, if the NHS waiting list for that specific treatment in your local area is less than six weeks, you agree to use the NHS. If the waiting list is longer than six weeks, your private medical insurance policy activates, and you can proceed with private treatment immediately.

Key takeaways

  • Increase Your Excess: Choosing a 250 or 500 excess instead of 0 can significantly reduce your premium. Just be sure you can afford to pay this amount if you need to claim.
  • Add a 6-Week NHS Wait Option: This is a popular choice. If the NHS can provide the in-patient treatment you need within six weeks, you use the NHS. If the wait is longer, your private cover kicks in. This can lower premiums by up to 25%.
  • Choose a 'Guided' Option: Agreeing to use a specialist from the insurer's pre-approved list (see Question 7) rather than choosing any consultant you wish can lead to substantial savings.
  • Review Optional Extras: Do you really need full dental and optical cover, or comprehensive therapy options? Tailoring the policy to what you truly value is key.
  • Your GP suspects a torn ligament. The GP visit itself is on the NHS.

Navigating the world of private medical insurance (PMI) in the UK can feel overwhelming. At WeCovr, an insurance broker that has helped arrange over 1,000,000 policies, we believe that the right information empowers you to make the best choice for your health and finances. This guide provides the essential questions to ask.

WeCovr's essential buyers checklist

Choosing a private health cover plan is a significant decision. To ensure you get a policy that fits your needs and budget, it's vital to ask the right questions. We've compiled the top 10 questions every prospective buyer should ask, based on our extensive experience helping thousands of clients across the UK. Think of this as your personal checklist for a smarter, more confident purchase.


1. What's Actually Covered (and What's Not)?

This is the most fundamental question. A private medical insurance policy isn't a blank cheque for all healthcare. It's designed for specific circumstances, and understanding its limits is crucial to avoid disappointment later.

The Golden Rule: Acute vs. Chronic Conditions

The single most important concept to grasp is that standard UK PMI is designed to cover acute conditions.

  • Acute Condition: A disease, illness, or injury that is likely to respond quickly to treatment and lead to a full recovery. Examples include a broken bone, appendicitis, a cataract, or a hernia.
  • Chronic Condition: A disease, illness, or injury that has one or more of the following characteristics: it needs ongoing or long-term monitoring, has no known cure, is likely to recur, or requires palliative care. Examples include diabetes, asthma, arthritis, and high blood pressure.

Crucially, standard private health cover does not pay for the ongoing management of chronic conditions. It also won't cover any pre-existing conditions you had before you took out the policy (more on this in Question 3).

Core Cover vs. Optional Extras

Every policy is built on a foundation of 'core cover', with the option to add extra benefits for a higher premium.

Coverage TypeWhat It Typically IncludesIs It Core or Optional?
In-Patient CareCovers costs when you are admitted to a hospital bed overnight. This includes surgeon fees, anaesthetist fees, hospital accommodation, and nursing care.Core
Day-Patient CareCovers procedures where you are admitted to a hospital bed but do not stay overnight, such as an endoscopy or minor surgery.Core
Out-Patient CareCovers consultations, diagnostic tests (like MRI scans), and therapies that do not require a hospital bed. This is a vital but usually optional extra.Optional
Mental HealthCan range from basic in-patient cover to comprehensive out-patient therapy and psychiatric support.Optional
TherapiesCovers treatments like physiotherapy, osteopathy, and chiropractic care.Optional
Dental & OpticalCovers routine check-ups, emergency dental work, and costs for glasses or contact lenses.Optional

Real-Life Example: Imagine you develop sudden, severe knee pain.

  • Your GP suspects a torn ligament. The GP visit itself is on the NHS.
  • Without out-patient cover: You'd join the NHS waiting list for an MRI scan and a consultation with an orthopaedic specialist.
  • With out-patient cover: Your PMI policy would pay for a prompt private MRI scan and specialist visit, often within days.
  • If the specialist recommends surgery (an in-patient or day-patient procedure), your core cover would pay for the private operation, bypassing the longer NHS surgical waiting list.

2. How is My Premium Calculated (and How Can I Lower It)?

Your monthly or annual premium isn't a random figure. Insurers use several key factors to calculate the risk and, therefore, the cost. Understanding these factors gives you the power to influence your premium.

FactorHow It Affects Your PremiumWhy?
AgeHigher Premium as you get older.The statistical likelihood of needing medical treatment increases with age.
LocationHigher Premium in major cities, especially London.Private hospital and specialist costs are significantly higher in urban centres.
LifestyleHigher Premium for smokers.Smoking is linked to a wide range of health conditions, increasing risk.
Cover LevelHigher Premium for more comprehensive cover.Adding out-patient, mental health, or therapy cover increases the potential for claims.
ExcessLower Premium for a higher excess.You agree to pay more towards any claim, reducing the insurer's liability.
Hospital ListLower Premium for a more restricted list of hospitals.Using a curated list of network hospitals helps the insurer manage costs.

Top Tips for Lowering Your Premium

  1. Increase Your Excess: Choosing a £250 or £500 excess instead of £0 can significantly reduce your premium. Just be sure you can afford to pay this amount if you need to claim.
  2. Add a 6-Week NHS Wait Option: This is a popular choice. If the NHS can provide the in-patient treatment you need within six weeks, you use the NHS. If the wait is longer, your private cover kicks in. This can lower premiums by up to 25%.
  3. Choose a 'Guided' Option: Agreeing to use a specialist from the insurer's pre-approved list (see Question 7) rather than choosing any consultant you wish can lead to substantial savings.
  4. Review Optional Extras: Do you really need full dental and optical cover, or comprehensive therapy options? Tailoring the policy to what you truly value is key.

A knowledgeable PMI specialist at WeCovr or one of our broker partners can model these different scenarios for you, finding the sweet spot between comprehensive protection and an affordable premium.


3. What Type of Underwriting Should I Choose?

Underwriting is how an insurer assesses your medical history to decide what they will and won't cover. This is where the rules on pre-existing conditions are applied. There are two main types in the UK.

Moratorium (Mori) Underwriting

This is the most common type for individuals and families. It's a "wait and see" approach.

  • How it works: You don't declare your full medical history upfront. Instead, the insurer automatically excludes any condition you've had symptoms, treatment, or advice for in the five years before your policy started.
  • The '2-Year Rule': An excluded condition may become eligible for cover later, but only if you go for a continuous two-year period after your policy starts without experiencing any symptoms, needing treatment, or seeking advice for that condition.
  • Pros: Quick and simple application process.
  • Cons: Lack of certainty. You might not know if a condition may be covered until you make a claim, which can lead to delays and potential disputes while the insurer investigates your history.

Full Medical Underwriting (FMU)

This method is more detailed and provides complete clarity from day one.

  • How it works: You complete a detailed health questionnaire, disclosing your full medical history. The insurer then reviews this and tells you explicitly what is and isn't covered from the outset. Any exclusions are listed clearly on your policy documents.
  • Pros: Complete transparency. You know exactly where you stand from the start.
  • Cons: The application process is longer and more intrusive.
FeatureMoratorium (Mori)Full Medical Underwriting (FMU)
Application ProcessQuick and easy, no health forms.Longer, requires a detailed health questionnaire.
Clarity on CoverCan be ambiguous until a claim is made.Clear from the start; exclusions are written on the policy.
Pre-existing ConditionsAutomatically excluded for a set period.Assessed individually and may be permanently excluded.
Claim ProcessCan be slower as insurer may need to investigate medical history.Generally faster as cover has been pre-agreed.
Best For...People with a clean bill of health seeking a quick start.People with a complex medical history who want certainty.

4. What is an 'Excess' and How Does it Work?

An excess (sometimes called a deductible) is a pre-agreed amount of money that you contribute towards the cost of a claim. The insurer pays the rest.

Understanding how your excess is applied is vital, as it differs between insurers.

  • Per Claim/Per Condition: You pay the excess once for each separate condition you claim for. If you have two unrelated claims in a year, you would pay the excess twice.
  • Per Policy Year: You pay the excess on the first claim(s) up to the agreed amount. Once you have paid the total excess amount for that year, all subsequent claims in the same policy year are paid in full by the insurer. This is generally the more favourable option.

Simple Example (Per Policy Year Excess of £250):

  • Claim 1 (illustrative): You have a consultation and scan costing £800. You pay the first £250. The insurer pays the remaining £550. You have now met your excess for the year.
  • Claim 2 (in the same year) (illustrative): You need physiotherapy costing £400. You pay £0. The insurer pays the full £400.

Choosing a higher excess is one of the most effective ways to lower your premium. However, it's a balance. Set it too high, and you might be deterred from using your policy for smaller claims.


5. Which Hospitals Can I Use?

Your choice of hospital has a direct impact on your premium. Insurers group private hospitals into lists or tiers, often based on cost. London hospitals, for example, are typically the most expensive in the UK.

Common Hospital List Tiers:

  1. Local/Network List: A curated list of hospitals, often excluding the most expensive city-centre facilities. This is the most budget-friendly option.
  2. National List: Offers access to a wide range of private hospitals across the UK, providing more choice and flexibility.
  3. Premium/London List: The more comprehensive list, including top private hospitals in Central London (e.g., The London Clinic, Cromwell Hospital). This option carries the highest premium.

Actionable Tip: Before committing, ask for the hospital list for the policy you're considering. Check that it includes convenient, high-quality hospitals near your home and workplace. There's no point paying for a national list if you're happy with the excellent private hospital just down the road.


6. Does the Policy Cover Mental Health?

With growing awareness of mental health challenges, this has become a critical question for many buyers. According to the NHS, 1 in 4 adults in the UK experience a mental illness. Standard PMI policies often provide limited mental health cover, so it's essential to check the details.

  • Basic Cover: Many core policies will only cover mental health if it requires in-patient treatment (i.e., you are admitted to a psychiatric hospital). They may also place a cap on the cost or duration of this treatment.
  • Comprehensive Cover (Optional Extra): A mental health add-on can transform your cover. It typically includes:
    • Out-patient consultations: Access to psychiatrists and psychologists without being admitted to hospital.
    • Therapy sessions: A set number of sessions for talking therapies like Cognitive Behavioural Therapy (CBT).
    • Digital support: Access to mental wellness apps, online resources, and virtual therapy sessions.

If mental wellbeing is a priority for you or your family, investing in a policy with a strong out-patient mental health benefit is highly recommended.


7. What are the 'Guided' or 'Expert Select' Options?

These are modern policy features designed to provide excellent value by helping insurers manage costs. They represent a trade-off between choice and price.

  • Traditional PMI: You get a GP referral and can choose any specialist recognised by your insurer.
  • Guided/Expert Select PMI: You still get a GP referral, but instead of open choice, the insurer provides you with a shortlist of 3-5 specialists they have selected for their record of quality and cost-effective care. You choose from this pre-approved list.

Why consider a guided option? The premium savings can be substantial, often 15-20% lower than a traditional plan. You are still seeing a highly-qualified consultant, but you are giving up the freedom to choose a specific individual yourself. For many, this is a price well worth paying.

A WeCovr specialist or trusted broker partner can explain the nuances of the guided options from well-known providers like Aviva, Bupa, and Vitality, helping you decide if it's the right fit for you.


8. What Happens if the NHS Can Treat Me Quickly? (The 6-Week Option)

This is another popular cost-saving feature, sometimes called the 'NHS wait' or 'NHS six-week' option. It works as a safety net.

How it Works: When you need an in-patient or day-patient procedure, if the NHS waiting list for that specific treatment in your local area is less than six weeks, you agree to use the NHS. If the waiting list is longer than six weeks, your private medical insurance policy activates, and you can proceed with private treatment immediately.

Why is this valuable? Given the persistent pressure on NHS services, waiting lists for many routine procedures are often significantly longer than six weeks. For context, the median waiting time for NHS consultant-led elective care in England has frequently exceeded 14 weeks in recent years. By adding this option, you are essentially betting that the wait will be long, allowing you to secure a lower premium while still retaining access to prompt private care when it's most needed.


9. Are There Any Extra Benefits or Wellness Programmes?

The main PMI providers today do more than just pay for treatment when you're ill; they actively encourage you to stay healthy. These 'wellness' benefits can add significant day-to-day value to your policy.

Look out for features like:

  • Digital GP: 24/7 access to a GP via phone or video call. This is incredibly convenient for getting quick advice, prescriptions, or referrals.
  • Wellness Rewards: Points-based systems that reward healthy behaviour. You can earn discounts on your premium, free coffee, cinema tickets, or even smartwatches for tracking your steps, going to the gym, or completing health checks.
  • Health and Wellness Apps: Many policies now include subscriptions to mindfulness, fitness, or nutrition apps.
  • Second Medical Opinion Services: If you are diagnosed with a serious illness, this service allows you to have your diagnosis and treatment plan reviewed by a world-leading expert at no extra cost.

WeCovr's Exclusive Client Benefits

We believe in adding value beyond the policy itself. When you arrange your private health cover through WeCovr, you also receive:

  • Complimentary access to CalorieHero: Our advanced AI-powered calorie and nutrition tracking app to support your health goals.
  • Multi-policy discounts: As a WeCovr client, you can get discounts on other types of cover you might need, such as life insurance or income protection.

A healthy lifestyle is your first line of defence. Aim for a balanced diet rich in whole foods, 7-8 hours of quality sleep per night, and at least 150 minutes of moderate-intensity activity per week, as recommended by the NHS. Your PMI policy is there to support you when things go wrong, but these daily habits are your foundation for long-term wellbeing.


10. Why Should I Use a WeCovr Specialist or Trusted Broker Partner Instead of Going Direct?

You can go directly to an insurer, but you would only see their products and hear their perspective. A regulated broker works for you, not the insurance company.

Here’s why using an insurance broker is the smart choice for buying private medical insurance UK:

  1. Regulated Guidance: We are not tied to any single insurer. Our job is to understand your unique needs, budget, and priorities, and then search the market to find a strong fit for your needs for you. We translate the jargon and explain the small print.
  2. Market Comparison: We have access to policies and deals from a wide range of leading UK insurers. This ensures you see a fair comparison of what's available, not just a single option.
  3. No Separate Broker Fee: Our service has no separate broker fee for you to use. We are paid a commission by the insurance provider you choose, which is already built into the policy price. This means you don't pay more for our expert guidance.
  4. Ongoing Support: Our relationship doesn't end once you buy. A WeCovr specialist or trusted broker partner can help with policy renewals, and can even offer assistance if you run into any issues when making a claim. Our high customer satisfaction ratings reflect our commitment to our clients.

Navigating the complexities of underwriting, hospital lists, and optional extras is what we do every day. Let us do the heavy lifting, saving you time and potentially a lot of money, while ensuring you get the health cover you truly need.


Will my private medical insurance premium increase every year?

Yes, it's very likely your premium will increase at your annual renewal. This is due to two main factors: age-related increases, as you move into a higher age bracket, and medical inflation, which is the rising cost of private healthcare, drugs, and new technology. Making a claim can also impact your renewal price. However, a broker can help you review the market at renewal to ensure you're still on a competitive plan.

Do I need a GP referral to use my private health cover?

Generally, yes. For most policies, you will need to see your NHS GP first to get a referral to a private specialist. This ensures the process is medically appropriate. However, many modern policies now offer Digital GP services which allow you to get a virtual consultation and an 'open referral' without needing to see your own GP, speeding up the process considerably.

Can I get PMI if I have a pre-existing condition like diabetes or asthma?

You can still get a private medical insurance policy, but it will not cover your pre-existing or chronic conditions. PMI in the UK is designed to cover new, acute conditions that arise after your policy begins. The ongoing management, medication, and check-ups for conditions like diabetes or asthma will continue to be handled by the NHS. The PMI policy would be for other, unrelated acute issues.

Ready to Find the Right Cover?

Answering these 10 questions will put you in a strong position to choose the right private medical insurance. The next step is to see what policies are available for your specific circumstances.

Get your free, no-obligation quote from a WeCovr expert today. We'll compare UK providers on our panel to find a policy that protects your health and fits your budget.

Sources

  • NHS England: Waiting times and referral-to-treatment statistics.
  • Office for National Statistics (ONS): Health, mortality, and workforce data.
  • NICE: Clinical guidance and technology appraisals.
  • Care Quality Commission (CQC): Provider quality and inspection reports.
  • UK Health Security Agency (UKHSA): Public health surveillance reports.
  • Association of British Insurers (ABI): Health and protection market publications.

Important Information and Risks

No advice: This article is for general information only. It is not financial, legal, insurance, or tax advice, and it is not a personal recommendation. WeCovr does not assess your individual circumstances or recommend a specific product through this article.

Policy exclusions and underwriting: Insurance policies, including life insurance, private medical insurance, critical illness cover, and income protection, are subject to insurer underwriting, eligibility, acceptance criteria, terms, conditions, limits, and exclusions. Pre-existing medical conditions may be excluded, restricted, or accepted on special terms unless an insurer confirms otherwise in writing.

Tax treatment: References to tax treatment, HMRC rules, or business reliefs are based on current UK legislation and guidance, which can change. Tax treatment depends on your personal or business circumstances and may differ from examples in this article.

Before you buy: Always read the Insurance Product Information Document (IPID), policy summary, and full policy terms before buying, renewing, changing, or keeping cover. If you are unsure whether a policy is suitable for you, speak to an insurance adviser.

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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 experienced 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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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.

Private medical insurance is designed for conditions that start after your policy begins, so pre-existing conditions are usually excluded, at least at first. With moratorium underwriting, a pre-existing condition may become eligible for cover once you have gone two continuous years on the policy without symptoms, treatment or advice for it. With full medical underwriting, the insurer tells you upfront which conditions are excluded. If you are switching from another policy or leaving a company scheme, you may be able to keep your existing underwriting terms, and some larger company schemes use Medical History Disregarded underwriting, where pre-existing conditions aren't excluded. Chronic conditions that need long-term management aren't covered by standard policies.

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. Some policies can also cover treatments and drugs that aren't routinely available on the NHS.

There's no fee to get quotes through WeCovr. WeCovr and its broker partners are typically paid a commission by the insurer when you take out a policy. The cost of the policy itself depends on your age, where you live, the cover you choose and your excess.

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 may benefit from Private Medical Insurance.

Private Medical Insurance is an important financial product, and policies differ in ways that matter. Speaking to a specialist at WeCovr or one of its broker partners helps make sure your requirements are understood so you can choose the right cover.

WeCovr's broker partners are firms authorised and regulated by the Financial Conduct Authority (FCA), which requires them to treat customers fairly. You can check any firm on the FCA Register.

WeCovr and its broker partners are typically paid a commission by the insurer when a policy is taken out. The premium is set by the insurer, and you don't pay a separate fee for using the service. You can ask about the commission at any time.

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 eligible conditions that arise after your policy begins. You pay a monthly or annual premium and can claim for private healthcare covered by your policy. Benefits can include quicker access to treatment than on the NHS and, on some policies, access to drugs or treatments that aren't routinely available on the NHS.

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, chronic conditions and conditions present before the policy started.

Usually not on a new personal policy: pre-existing conditions are generally excluded, whatever the premium. Depending on your underwriting, a condition may become eligible later, and if you are switching policies or leaving a company scheme you may be able to keep existing terms. If you have questions about what is covered, contact WeCovr and a specialist at WeCovr or one of its broker partners can explain the options.

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. Depending on the insurer, it applies once per policy year or once per claim. A specialist at WeCovr or one of its broker partners can explain the excess options available.

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.

Some insurers have an upper age limit for new customers, while others don't, and age affects the price. Many insurers will renew an existing policy regardless of age. A specialist at WeCovr or one of its broker partners can help you find insurers that accept your age.

A specialist at WeCovr or one of its broker partners can compare health insurance plans from a range of insurers for you, with no fee to you. Consider individual, couple, or family plans and review coverage details thoroughly before choosing.

Usually, yes. Many insurers let you add a partner or dependent children, either at any time or at renewal, depending on the insurer. The cost depends on factors like their age, where you live and the cover you choose. Contact WeCovr or your insurer for help adding someone to your policy.

UK private medical insurance is designed for treatment in the UK, although some policies include limited cover abroad. If you live or work abroad, international health insurance may be more suitable, and WeCovr or one of its broker partners can help you compare options. For holidays, travel insurance is recommended.

Comprehensive cover usually includes more extensive benefits, such as fuller outpatient cover for consultations, diagnostic tests, physiotherapy and mental health therapies, within the policy limits. A specialist at WeCovr or one of its broker partners can explain the different levels of cover.

Private health insurance typically does not cover routine dental treatment, although some insurers offer a dental option and there are standalone dental policies. A specialist at WeCovr or one of its broker partners can help you compare policies with dental options.

Most private medical insurance policies include cover for cancer diagnosed after the policy starts, but the level of cover varies: some policies limit drugs, treatment time or cost. A specialist at WeCovr or one of its broker partners can help you compare cancer cover between policies.

You can usually change your cover at renewal, and some insurers allow changes during the year. You also have a 14-day cooling-off period after receiving your policy documents, during which you can cancel. A specialist at WeCovr or one of its broker partners can help with changes.

Many policies include a digital GP service provided by the insurer, often with same-day or next-day appointments. Check what your policy includes.

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

Yes. Insurers offer a range of cover levels to suit different budgets and needs, and a specialist at WeCovr or one of its broker partners can talk you through the options.

Your insurer can tell you which hospitals and specialists are included in your policy. For help comparing policies' hospital lists, tap one of the buttons above or below and fill in a few details, and a specialist at WeCovr or one of its broker partners will be in touch.

A fee-assured (or fee-approved) consultant has agreed to charge within your insurer's fee limits, so for eligible, authorised treatment you shouldn't have to pay a shortfall for their fees.

Many policies include some mental health cover, either as standard or as an option, usually with limits on therapy sessions or costs. Cover varies between insurers, so check the details.

Yes, children up to a certain age can usually be included on your policy, and some insurers offer discounts for children.

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. Tap a button below to get your own personalised quote through WeCovr.

Private health insurance can offer quicker access to consultations and treatment for eligible conditions, and more choice over when and where you are treated.

Many policies include physiotherapy, sometimes with limits on sessions or cost. A specialist at WeCovr or one of its broker partners can help you find plans that include it.

Services such as the insurer's digital GP app are usually available as soon as your policy starts.

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 eligible new conditions that arise after the policy starts. Pre-existing conditions are usually excluded, chronic conditions aren't covered, and other exclusions apply.

Health insurance pays for eligible private healthcare, such as consultations and treatment, up to your policy limits. A specialist at WeCovr or one of its broker partners can help you arrange cover.

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

Usually, yes: cover for eligible new conditions starts when your policy starts, and services like a nurse helpline or digital GP app are usually available straight away. If you make a claim soon after starting, the insurer may ask for a 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. Visit your insurer's website, or ask a specialist at WeCovr or one of its broker partners, for details of member rewards.

You may be able to continue your cover with the same insurer on a personal policy, or take out a new policy. Continuing with the same insurer can mean keeping your existing underwriting, so conditions covered under the company scheme may stay covered. A specialist at WeCovr or one of its broker partners can talk you through your options.

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

Your cover may be similar but not identical, and ongoing medical conditions may be covered, depending on the terms. A specialist at WeCovr or one of its broker partners can help you find the right level of cover.

Usually not, because employers often pay for or contribute to staff cover and group schemes are priced differently. Your cover level and age also affect the price. A specialist at WeCovr or one of its broker partners can give you more detail.

There is usually a limited window after leaving, set by the insurer, so check as early as possible. Your personal policy can often start the day after your work cover ends, and a specialist at WeCovr or one of its broker partners can explain other options.

Have your leaving date and your current policy details ready, then contact WeCovr to discuss your options with a specialist at WeCovr or one of its broker partners.

Ongoing treatment may be covered if you continue with the same insurer on a personal policy, although it could affect the price. A specialist at WeCovr or one of its broker partners can explain your options.

Your insurer will explain how to pay your excess when you contact them for treatment authorisation. Usually you pay it to the hospital or consultant.

Usually not: with most insurers, there's no excess for services such as a digital GP. Check your policy.

Excess changes are usually made at renewal, although some insurers allow changes at other times.

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

Pre-existing conditions usually aren't covered on a new personal policy. A specialist at WeCovr or one of its broker partners can explain the underwriting options.

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 are medical issues that existed before your policy started. Many insurers treat any condition you've had symptoms of, treatment for or advice about in the five years before the policy started as pre-existing. A specialist at WeCovr or one of its broker partners can help you understand how pre-existing conditions affect your options.

While some insurance providers automatically renew your private healthcare cover, it's worth comparing policies when yours is due for renewal to check it still offers good value for the cover you need. A specialist at WeCovr or one of its broker partners can help you compare.

Typically, you must be over 18 to take out your own policy, but children can usually be included on a family policy. Some insurers have an upper age limit for new customers, and premiums typically increase with age. A specialist at WeCovr or one of its broker partners can explain the age rules of different insurers.

Some insurers charge less if you pay annually, but this depends on the insurer. A specialist at WeCovr or one of its broker partners can tell you whether paying annually would save you money.

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.

Usually not. With full medical underwriting you complete a medical questionnaire, and the insurer may occasionally ask your GP for a report. With moratorium underwriting there's no medical questionnaire upfront. A specialist at WeCovr or one of its broker partners can explain 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. A specialist at WeCovr or one of its broker partners can help you find policies that offer GP services.

With private health insurance, you can often get a GP appointment much more quickly, sometimes even on the same day, through the insurer's GP service. A specialist at WeCovr or one of its broker partners can help you find policies that include it.

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. A specialist at WeCovr or one of its broker partners can help you understand the different types of care and find a policy that suits your needs.

Private health insurance pays for eligible medical treatment if you fall ill, while critical illness cover pays a lump sum if you are diagnosed with one of the illnesses listed in the policy, which you can use however you choose, for example to replace lost income. A specialist at WeCovr or one of its broker partners can help you understand the differences.

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. A specialist at WeCovr or one of its broker partners can help you find appropriate cover.

If your employer pays for your health insurance, it's usually a taxable 'benefit in kind': you pay income tax on its value, normally through your tax code or payroll, and your employer pays Class 1A National Insurance. For the employer, the premiums are usually an allowable business expense. If you buy a personal policy, you pay for it from taxed income. For advice on your situation, speak to an accountant.

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. A specialist at WeCovr or one of its broker partners 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. A specialist at WeCovr or one of its broker partners can help you understand the differences and choose the right option for you.

Some private health insurance providers offer a no-claims discount, similar to car insurance. Each year you don't claim typically adds to your no-claims discount, which can reduce your premium at renewal. A specialist at WeCovr or one of its broker partners can help you find policies that offer no-claims discounts.

To find the right health insurance for you, compare 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. A specialist at WeCovr or one of its broker partners can help you evaluate your options.

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, check your policy terms to see whether your insurer requires a GP referral first (many do). Some policies offer direct access without a referral for certain conditions, such as muscle and joint problems or counselling 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 published 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 practise privately, so you could potentially see the same consultant either way. However, private healthcare typically offers shorter waiting times, usually a private room, and more flexible visiting. Some policies also give 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.

Usually, yes. If you have private tests or scans but then want NHS treatment, your GP or private consultant can refer you to the NHS and share your results, although the NHS team may want to repeat some tests.



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