
As FCA-authorised private medical insurance experts who have helped arrange over 900,000 policies of various kinds, WeCovr understands the complexities of health cover in the UK. This guide explores private care for Ankylosing Spondylitis, clarifying how PMI can provide crucial support, even for a chronic condition.
Living with a long-term condition like Ankylosing Spondylitis (AS) raises many questions about healthcare. You want the best possible care, the fastest route to diagnosis, and access to treatments that can improve your quality of life. While the NHS provides an essential service, the private healthcare sector offers a different pathway, particularly for diagnosis and supportive therapies.
This article will break down what AS is, the treatment options available, and crucially, explain the role private medical insurance (PMI) can play in your healthcare journey. We will be direct about its limitations, especially concerning chronic conditions, but also highlight where it can be an incredibly powerful tool.
Ankylosing Spondylitis is a type of inflammatory arthritis that primarily affects the spine. The name itself gives a clue: 'Ankylosing' means fusing or stiffening, and 'Spondylitis' means inflammation of the vertebrae (the bones in your spine).
Imagine the flexible joints of your spine, which allow you to bend and twist, becoming inflamed. Over time, this chronic inflammation can cause the individual vertebrae to fuse together, leading to a rigid spine. This process can cause significant pain, stiffness, and a loss of mobility.
While it's most known for affecting the back, AS is a systemic disease, meaning it can also affect other parts of the body, including:
According to the National Axial Spondyloarthritis Society (NASS), around 1 in 200 adults in the UK live with axial spondyloarthritis (axSpA), of which AS is a part. This means approximately 300,000 people in the UK are affected. It typically starts in young adults, often in their late teens or 20s.
Common Symptoms of AS:
This is the single most important concept to understand when considering private medical insurance for any long-term condition. UK PMI policies are built around a fundamental difference between 'acute' and 'chronic' 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, or a cataract. PMI is designed to cover these.
Chronic Condition: A disease, illness, or injury that has one or more of the following characteristics:
Ankylosing Spondylitis is unequivocally a chronic condition. Therefore, if you have already been diagnosed with AS, a new private medical insurance policy will not cover its management, treatment, or medication. It will be listed as a pre-existing condition and will be permanently excluded from your cover.
This can feel disheartening, but it's crucial to have realistic expectations. PMI's value for AS lies elsewhere, primarily in the phase before a diagnosis is confirmed.
Despite the chronic condition exclusion, PMI can be a game-changer for individuals who develop symptoms of AS after their policy has started. The primary benefit is speed of diagnosis.
Getting a diagnosis for AS on the NHS can be a long journey. The average delay to diagnosis in the UK is still around 8.5 years. This delay can lead to irreversible joint damage. Private medical insurance can dramatically shorten this timeline.
Here’s how PMI helps:
Fast-Track GP and Specialist Access: Many policies include access to a digital GP service, allowing you to get a consultation within hours. If the GP suspects an inflammatory condition, they can make an open referral, which you can use to see a private consultant rheumatologist, often within days or a couple of weeks, bypassing NHS waiting lists that can stretch for many months.
Rapid Diagnostic Tests: A diagnosis of AS often requires specific tests. With PMI, these can be arranged swiftly:
Access to Supportive Therapies: This is a key area where PMI provides ongoing value, even after an NHS diagnosis. Most policies include cover for therapies that are vital for managing AS symptoms:
Mental Health Support: Living with chronic pain can take a toll on your mental wellbeing. Anxiety and depression are common among those with long-term conditions. Most modern PMI policies now include a mental health pathway, offering access to counselling or therapy without a long wait.
Sarah, a 28-year-old graphic designer, started experiencing persistent lower back pain and morning stiffness. She had a private medical insurance policy through her employer. She used her policy's digital GP app and got an appointment the same day. The GP suspected inflammatory back pain and gave her an open referral to a rheumatologist. She saw a specialist the following week, who sent her for an MRI scan two days later. Within three weeks of her first symptom, she had a confirmed diagnosis of AS. Her friend, with similar symptoms, was still on an NHS waiting list to see a specialist six months later.
In this scenario, once Sarah is diagnosed, the ongoing management of her chronic condition (including expensive biologic drugs) would typically be handed over to the NHS. However, her PMI policy remains valuable for its physiotherapy and mental health benefits, which she can use to support her ongoing care.
The journey from first symptom to effective management can look very different depending on whether you use the NHS exclusively or leverage a private medical insurance policy.
| Feature | NHS Pathway | Private Pathway (via PMI) |
|---|---|---|
| Initial GP Visit | Standard waiting times for an appointment, which can be a week or more. | Access to a digital GP, often on the same or next day. |
| Referral to Specialist | Referral to a rheumatologist is made. The waiting list for a first appointment can be several months long. As of late 2024, NHS waiting lists remain a significant challenge. | An open referral allows you to book an appointment with a private rheumatologist, often within 1-2 weeks. |
| Diagnostic Scans | Placed on a waiting list for non-urgent MRI or X-ray scans, which can take weeks or months. | Scans are typically authorised and performed within a week of the specialist's request. |
| Receiving a Diagnosis | The entire process from GP visit to confirmed diagnosis can take many months, sometimes over a year. | A confirmed diagnosis can often be achieved in under a month. |
| Access to Physiotherapy | Referral to an NHS physiotherapist often involves another waiting list for a limited block of sessions. | Direct and quick access to a private physiotherapist up to the limit specified in your policy (e.g., £1,000 or 10 sessions). |
This table clearly shows that PMI's strength lies in compressing the timeline for diagnosis, which is critical for starting treatment early and preventing long-term damage.
Managing AS involves a multi-faceted approach aimed at relieving pain and stiffness, reducing inflammation, and preventing the spine from fusing.
This is the cornerstone of AS management. A specialised physiotherapist can design a programme of exercises to:
Proactive self-management is crucial for living well with AS. Small daily habits can make a huge difference to your symptoms and overall wellbeing.
Diet: While there's no specific "AS diet," many people find that an anti-inflammatory diet helps manage symptoms. This involves focusing on:
Sleep: Pain and stiffness can disrupt sleep.
Workplace:
Stop Smoking: Smoking is known to worsen AS activity and can accelerate spinal fusion. Quitting is one of the most beneficial things you can do for your health.
If you don't have AS and are considering a policy, it’s wise to choose one with features that would be beneficial should you ever develop a musculoskeletal condition. A knowledgeable PMI broker like WeCovr can be invaluable here.
Navigating the market for the best PMI provider can be complex. Speaking to an independent broker like WeCovr gives you a clear view of policies from across the market, ensuring you find cover that truly matches your needs, at no extra cost to you. Furthermore, clients who purchase PMI or life insurance often receive discounts on other types of cover, such as home or travel insurance.
Understanding the nuances of private medical insurance UK is key to making an informed decision. While PMI isn't a solution for the ongoing, long-term treatment of Ankylosing Spondylitis, its power to deliver a rapid diagnosis and provide access to crucial supportive therapies cannot be overstated. For those with a family history or concern about inflammatory conditions, having the right policy in place can make all the difference.
Our team of experts at WeCovr is here to provide clarity and help you compare policies from leading UK insurers. We are dedicated to finding a plan that offers you security and peace of mind, with high customer satisfaction being our top priority.
Ready to explore your options? Get a free, no-obligation quote from WeCovr today and take control of your health journey.






