Thinking about private medical insurance in the UK but wondering what it might cost? You're not alone. As an FCA-authorised broker that has helped arrange over 800,000 policies, WeCovr understands that clarity on cost is the first step. This guide breaks down the typical costs for 2025.
WeCovr's breakdown of typical monthly PMI premiums for individuals and families
Private Medical Insurance (PMI) offers a reassuring alternative or supplement to the NHS, providing faster access to specialists, diagnostics, and treatment for acute medical conditions. But the price can feel like a mystery.
The truth is, there's no single "average" cost. Your premium is personal, calculated based on a unique blend of factors. Think of it like a bespoke suit – it has to be tailored to you. However, by analysing market data and thousands of quotes, we can provide a clear picture of what you can expect to pay in 2025.
In this guide, we'll demystify the numbers, explain what drives costs up or down, and show you how to find a policy that fits your budget and your health needs.
What Exactly is Private Medical Insurance (PMI)?
Before we dive into the costs, let's quickly recap what PMI is and, crucially, what it isn't.
PMI is an insurance policy that covers the cost of private healthcare for acute conditions. 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 things like joint replacements, cataract surgery, or hernia repairs.
The Critical Distinction: Acute vs. Chronic and Pre-existing Conditions
This is the single most important concept to understand about standard UK private health cover:
- PMI Covers Acute Conditions: These are conditions that start after your policy begins and can be cured. Your PMI policy is there to get you diagnosed and treated swiftly, helping you return to your normal state of health.
- PMI Does NOT Cover Chronic Conditions: A chronic condition is an illness that cannot be cured but can be managed, often for life. Examples include diabetes, asthma, arthritis, and high blood pressure. The day-to-day management of these conditions will remain with your NHS GP.
- PMI Does NOT Cover Pre-existing Conditions: This refers to any illness, injury, or symptom you had in the years before you took out your policy (typically the last five years). Insurers use different types of underwriting to handle this, which we'll explain later.
Essentially, PMI is your fast-track for new, treatable health problems, not for managing long-term illnesses or issues you already have.
The Core Factors That Influence Your PMI Premium in 2025
Your monthly premium is a carefully calculated risk assessment by the insurer. Here are the main dials that determine the final figure.
1. Your Age
This is the most significant factor. As we get older, the statistical likelihood of needing medical treatment increases. Therefore, premiums rise with age. A policy for a 25-year-old will be substantially cheaper than for a 65-year-old. Insurers typically review this at each renewal, so expect your premium to increase annually, even if you don't claim.
2. Your Location
Where you live in the UK matters. Healthcare costs, particularly for private treatment in central London hospitals, are higher than in other parts of the country. Insurers often group postcodes into bands.
- Band 1 (Highest Cost): Central London
- Band 2: Greater London & other major cities (e.g., Manchester, Birmingham)
- Band 3: Rest of the UK
Choosing a policy that excludes treatment in high-cost areas can be a smart way to reduce your premium if you live elsewhere.
3. Smoker Status
Insurers view smoking as a major health risk. If you smoke or use nicotine products, you will pay more than a non-smoker. You are usually considered a non-smoker if you haven't used any tobacco or nicotine products in the last 12 months.
4. Level of Cover
This is where you have the most control. Policies are not one-size-fits-all.
- Basic/Entry-Level: Typically covers in-patient and day-patient treatment only (when you need a hospital bed). It might have financial limits on pay-outs and a restricted list of hospitals.
- Mid-Range: The most popular choice. It usually includes in-patient and day-patient cover, plus some out-patient cover for diagnostics and specialist consultations.
- Comprehensive: Offers extensive in-patient and out-patient cover, often with higher financial limits or even unlimited cover. It may also include extra benefits like mental health support, dental/optical cover, and alternative therapies.
5. Your Policy Excess
Just like with car insurance, an excess is the amount you agree to pay towards a claim. For example, if you have a £250 excess and your treatment costs £3,000, you pay the first £250 and the insurer pays the remaining £2,750.
Choosing a higher excess is one of the easiest ways to lower your monthly premium. Excesses typically range from £0 to £1,000.
6. Underwriting Type
This is how an insurer assesses your medical history.
- Moratorium Underwriting (Most Common): You don't declare your medical history upfront. The insurer automatically excludes treatment for any condition you've had symptoms, advice, or treatment for in the five years before your policy starts. However, if you go two full, consecutive years on the policy without any issues relating to that condition, it may become eligible for cover. It's simpler and faster to set up.
- Full Medical Underwriting (FMU): You complete a detailed health questionnaire. The insurer assesses your history and makes a decision upfront about what will be excluded permanently from your policy. This provides more certainty but takes longer to arrange.
Average Monthly Private Health Insurance Costs UK (2025 Estimates)
Now for the numbers. The following tables provide an estimated range of monthly premiums for 2025.
Important Assumptions for These Tables:
- These are estimates based on market analysis from 2024, with a projected 8-10% medical inflation for 2025.
- Costs are for a healthy, non-smoking individual.
- The policy is a mid-range plan with full cancer cover.
- The location is a mid-cost region (e.g., outside London).
- The underwriting is 'Moratorium'.
Your actual quote from a provider will vary.
Table 1: Average Monthly Cost for an Individual
This table shows how dramatically age affects the cost of an individual private medical insurance UK policy.
| Age Range | Typical Monthly Premium (with £250 Excess) | Typical Monthly Premium (with £500 Excess) |
|---|
| 20-29 | £35 - £55 | £30 - £45 |
| 30-39 | £50 - £75 | £40 - £65 |
| 40-49 | £70 - £105 | £60 - £90 |
| 50-59 | £95 - £150 | £80 - £130 |
| 60-69 | £140 - £240 | £120 - £210 |
| 70+ | £220 - £350+ | £190 - £300+ |
Key Takeaway: The jump in cost is most pronounced after age 50. Securing a policy when you are younger can provide long-term value.
Table 2: Average Monthly Cost for a Couple
Insurers often provide a slight discount for couples taking out a joint policy compared to two individual ones. This table assumes both individuals are in the same age bracket.
| Age Range of Couple | Typical Monthly Premium (with £250 Excess) |
|---|
| 30s | £95 - £140 |
| 40s | £135 - £200 |
| 50s | £180 - £290 |
| 60s | £270 - £460 |
Table 3: Average Monthly Cost for a Family
Family policies can offer good value. This example is for a family of four (two adults in their early 40s and two children under 10). Children are significantly cheaper to add to a policy.
| Family Composition | Typical Monthly Premium (with £250 Excess) |
|---|
| 2 Adults (40s) + 2 Children (under 10) | £180 - £270 |
| 2 Adults (30s) + 1 Child (under 10) | £120 - £180 |
Pro-Tip: Some insurers offer deals where they cover second or third children for free, making family health insurance more affordable. An expert PMI broker like WeCovr can help you find these offers.
How to Reduce Your Private Health Insurance Costs
Feeling concerned about the figures? Don't be. There are several powerful strategies you can use to make your private health cover more affordable.
- Increase Your Excess: As shown in the tables, agreeing to pay a bit more towards your first claim (e.g., £500 instead of £250) can create immediate and significant savings on your monthly premium.
- Choose a '6-Week Wait' Option: This is a fantastic way to blend the best of the NHS with the speed of private care. With this option, if the NHS waiting list for your required in-patient treatment is longer than six weeks, your policy kicks in. If it's less, you use the NHS. This can reduce your premium by 20-30%.
- Tailor Your Hospital List: If you don't need access to expensive central London hospitals, opting for a list that covers local private hospitals and national networks will lower the cost.
- Pay Annually: Most insurers offer a small discount (around 5%) if you pay for your entire year's premium upfront.
- Review Your Cover Level: Do you really need full out-patient cover? Sometimes a 'guided' option, where the insurer chooses the specialist you see from an approved list, can be cheaper than a policy that gives you free choice.
- Use an Independent Broker: This is perhaps the most effective strategy. A specialist PMI broker, like WeCovr, does the shopping for you. We have access to the whole market and understand the subtle differences between policies. We can find the best PMI provider for your specific needs and budget, at no extra cost to you. Our service is free for customers.
A Glimpse into Wellness: More Than Just Treatment
Modern private health cover is evolving. It's no longer just about reacting to illness; it's about proactively supporting your wellbeing. Many policies now include valuable benefits designed to keep you healthy.
- Digital GP Services: Get a GP appointment via your phone or tablet, often 24/7. This is incredibly convenient for getting quick advice, prescriptions, or referrals.
- Mental Health Support: Most policies now offer a level of mental health cover, from access to counselling phone lines to sessions with therapists and psychiatrists.
- Wellness Programmes: Some insurers, like Vitality, actively reward healthy behaviour. By tracking your activity, you can earn discounts on your premium, free cinema tickets, or a weekly coffee.
- Nutrition and Diet Support: Healthy eating is fundamental. To support our clients on their wellness journey, WeCovr provides all health and life insurance policyholders with complimentary access to our AI-powered nutrition app, CalorieHero. It makes tracking your diet simple and effective.
Taking care of your body through a balanced diet, regular exercise (even a brisk 30-minute walk daily), and adequate sleep (7-9 hours for most adults) not only improves your quality of life but can also reduce your long-term healthcare needs.
Is Private Health Insurance Worth It in 2025?
This is the ultimate question. With the NHS under significant pressure, the arguments in favour of PMI are compelling.
As of mid-2024, NHS England's referral to treatment (RTT) waiting list stood at over 7.5 million cases. While the NHS provides exceptional emergency and critical care, the waiting times for elective procedures—the very things PMI excels at—can be extensive.
Consider these benefits:
- Speed: Bypass long NHS waiting lists for consultations, scans, and surgery.
- Choice: Choose your specialist, your hospital, and a time for treatment that suits you.
- Comfort: Access to a private room, more flexible visiting hours, and an en-suite bathroom can make a stressful time more comfortable.
- Peace of Mind: Knowing you have a plan in place to get you back on your feet quickly is invaluable for you, your family, and your employer.
The downside is, of course, the cost and the exclusions for chronic and pre-existing conditions. However, for many, the cost is a price worth paying for the speed, choice, and control that private medical insurance provides. Furthermore, when you purchase a policy from WeCovr, you may also be eligible for discounts on other types of cover, like life insurance or income protection, providing even greater value.
Frequently Asked Questions (FAQs)
Does private health insurance cover pre-existing conditions?
No, standard UK private medical insurance is designed for new, acute conditions that arise after your policy begins. It does not cover pre-existing conditions (illnesses you had before taking out cover) or chronic conditions (long-term illnesses that require ongoing management, like diabetes or asthma).
Why does my PMI premium increase every year?
Your premium typically increases at renewal for two main reasons. Firstly, it is adjusted for your age, as the risk of needing treatment increases as you get older. Secondly, it is adjusted for medical inflation – the rising cost of new drugs, advanced technologies, and private hospital fees, which consistently runs higher than general inflation.
Can I get health insurance if I'm over 65?
Yes, you can. While premiums will be higher compared to a younger person, many insurers offer policies specifically for older individuals. There is no upper age limit to get a policy, although some insurers may stop accepting new customers over a certain age (e.g., 75 or 80). Using a broker is highly recommended to find the most suitable and cost-effective cover.
Finding the right private health cover shouldn't be complicated. The key is to get expert, impartial advice that's tailored to you.
At WeCovr, our team of specialists is here to help you navigate the market, compare quotes from all the leading UK insurers, and build a policy that gives you peace of mind at a price you can afford.
Ready to see your personalised options? Get your free, no-obligation quote from WeCovr today and take control of your health.