AXA Health Insurance Review 2025

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AXA Health Insurance Review and UK Private Health Insurance Market Overview 2025

Introduction

Private health insurance in the UK is experiencing unprecedented demand as patients seek faster access to treatment amid record NHS waiting lists. Almost one in eight Britons now has some form of private medical insurance – the highest level since 2008 – driven by frustration with NHS delays. In this comprehensive guide, we provide an in-depth review of AXA’s health insurance offerings (in the UK and internationally) and a broad overview of the UK private health insurance market in 2025. We compare AXA to other leading insurers (Bupa, Vitality, WPA, Aviva) on coverage, pricing, customer satisfaction, ratings, digital services, and perks. We also examine AXA’s claims performance, innovations (like digital GP apps), and customer support initiatives. Tables of sample premiums, policy benefits, pros and cons, and value-added services are included to help consumers make informed choices. Finally, we explain how AXA policies work – what’s covered or excluded, how to apply and claim – and how WeCovr can assist in selecting the right AXA policy or suitable alternative.
By the end of this 2025 review, you’ll have a clear understanding of AXA Health Insurance’s strengths and weaknesses, how it stacks up against competitors, and the current state of the UK private health insurance market – all in consumer-friendly terms. Let’s dive in.

UK Private Health Insurance Market Overview (2025)

Market Size and Growth Trends

The UK’s private medical insurance (PMI) market has surged in recent years, reaching record levels by 2024. Long NHS waiting times have fueled a 41% increase in health insurance sales in 2023 compared to the previous year. According to industry analysts, 4.68 million people were covered by a private medical insurance policy at the end of 2023 – or about 11.8% of the UK population when including dependents. When spouses and children of policyholders are counted, roughly 8 million UK residents have access to private healthcare through insurance. This marks the highest uptake since 2008 and a sharp reversal of the decline seen after the 2008 financial crisis.
Market value: The total value of UK private healthcare cover (including PMI, dental, and cash plans) hit £7.59 billion in 2023, up from £6.76 billion in 2022. Of this, private medical cover accounted for £6.15 billion (a 12.2% year-on-year increase). The remainder was £1.05 billion on dental insurance (the first time dental policies crossed the £1 billion mark) and £435 million on health cash plans. Industry forecasts project continued growth of around 4–5% annually in the coming years, which would put the PMI market size around £6.5–7 billion in 2025.
Group vs individual: Growth has been seen in both corporate and individual policies. In 2023, an estimated 4.7 million people were covered under employer-sponsored health schemes (group PMI) and 1.5 million under individual policies. Group cover remains dominant – employee-sponsored plans made up about 80% of PMI memberships – but individual private policies are also on the rise, with a reported 7% increase in 2023. In fact, providers saw an 11% jump in the retail (individual) PMI market in 2023, as more individuals opted to “go private” due to NHS pressures. Overall, the total number of people covered (group + individual) reached a record 6.2 million in 2023, a 7% increase year-on-year (note that different sources use varying methodologies for counting lives covered, but all indicate strong growth).
**Did you know?** Extended NHS waiting times have been a key driver of this trend – people are increasingly willing to pay for health insurance to secure **timely treatment**. One study found health insurance sales rose **41% in 2023** as NHS waiting lists remained near record highs. Timely access to care is now valued even more than the luxury or comfort aspects of private healthcare.

Key Market Drivers and Consumer Demand

Several factors are propelling the private health insurance market in 2024–2025:
  • Rising NHS waiting times: Over 7 million people in England are on NHS waiting lists, with some waits of over 12–18 months for non-urgent procedures. This has pushed many consumers and employers to seek private cover for faster access. Insurers report that customers “value timely access more highly and increasingly are willing to pay for it”. By getting private insurance, patients can often see specialists and get elective surgery in weeks rather than many months.
  • Employer focus on health benefits: Companies are using health insurance as a tool for employee wellness and retention. Approximately 45% of UK employers plan to incorporate health and wellbeing initiatives (like PMI) within three years of establishment. As a result, corporate PMI uptake has grown. Employers see that healthy employees mean improved productivity and less absenteeism. Group policies can often cover employees’ families at discounted rates, widening access. The UK’s strong benefits culture means far fewer workers worry about affording health insurance compared to countries like the US (only 28% of UK employees express concern vs 57% in the US).
  • Desire for choice and advanced treatments: Private insurance grants access to drugs and treatments not readily available on the NHS (often because they are too new or expensive for NHS use). Consumers also seek second opinions and alternative therapies through private cover. Comprehensive cancer cover is a major draw – private policies will fund certain cancer drugs and treatments that NHS might not yet approve, as well as faster diagnostics.
  • Virtual healthcare and convenience: The pandemic accelerated acceptance of virtual GP consultations and telemedicine. Health insurers have capitalized on this with digital GP services bundled into policies. The ABI reports a 440% increase in use of online GP appointments through health insurance from 2019 to 2021, and that trend continues upward. Many consumers want 24/7 access to GPs via smartphone apps, quick prescription delivery, and remote therapy – services that private insurers are increasingly offering as standard perks.
  • Preventive health and wellness: Insurers like Vitality have pioneered plans that reward healthy living (e.g. exercising, quitting smoking) with premium discounts and perks. This appeals to health-conscious consumers who want support in staying well, not just treatment when ill. Others, including AXA and Aviva, also provide wellness programs (discounted gym memberships, health assessments, mental health support lines) as value-added services. The focus is shifting from purely reactive sick-care to proactive healthcare and well-being.
  • Economic factors: Despite cost-of-living concerns, many people are prioritizing health spending. Some are using savings accumulated during lockdowns or reallocating travel/entertainment budgets toward health cover. Wealthier older individuals (and those worried about NHS capacity) are leading a growth in self-funded private cover. At the same time, more affordable entry-level policies (like those covering diagnostics only, or with a 6-week NHS wait option) have made private insurance accessible to a broader middle-class audience​

Major Players and Market Share

The UK PMI market is highly consolidated, with four insurers accounting for the vast majority of policies. According to LaingBuisson, Bupa, AXA Health, Aviva, and VitalityHealth have roughly 95% of the private medical insurance market between them. Here’s an overview of the leading players as of 2025:
  • Bupa: The market leader by revenue and membership. Bupa’s UK insurance arm had gross written premiums of £3.04 billion in 2023, up 10.4% from 2022, and it added over 400,000 UK customers in the first half of 2024 alone. Bupa serves around 2.3 million health insurance customers in the UK (as of 2023) and an even larger global customer base. It remains the largest PMI insurer, known for comprehensive coverage and owning flagship facilities (like the Cromwell Hospital in London). Bupa’s market share is estimated around 40–50% of UK PMI by premium.
  • AXA Health (AXA PPP): The second-largest PMI insurer in the UK. AXA’s UK health insurance subsidiary wrote approximately £1.93 billion in premiums in 2023 (12.1% growth). AXA’s market share by premium is roughly 30%+. In terms of lives covered, AXA is also near the top: industry data in early 2024 indicated Aviva had ~1.2 million health customers making it third after Bupa and AXA. AXA’s strong corporate client base and individual offerings have made it a pillar of the market. (We cover AXA in detail in the next section.)
  • VitalityHealth: A fast-growing player (part of South Africa’s Discovery Group) that focuses on wellness-linked insurance. Vitality is now the UK’s third-largest health insurer by membership, with ~1.9 million members. It overtook Aviva in member count, largely by dominating the SME and corporate wellness space (around 80% of Vitality’s members are on employer schemes). Vitality’s premiums are lower in aggregate (around £650 million in 2023 GWP), giving it roughly 10% market share by premium. Its growth has been propelled by an innovative rewards model (free Apple Watches, gym discounts, etc.) and by covering things like weight-loss medications (Wegovy, Mounjaro) at 20% discounts, a UK first. Vitality ranks behind Bupa and AXA in size, but it’s a significant competitor particularly attractive to younger, health-conscious customers.
  • Aviva: Traditionally a strong third in PMI, Aviva covers about 1.2 million people with its health policies as of 2023. It reported a 41% surge in health insurance sales in 2023, contributing to a healthy profit rise. Aviva’s PMI business is intertwined with its general insurance operations, so its exact standalone premium isn’t published like others, but it’s estimated around the high hundreds of millions (possibly ~£500 m). Aviva remains a popular choice, especially in the corporate sector and among those who bundle insurance products. However, Vitality’s rise means Aviva is sometimes considered the fourth player now. Still, by revenue and broad product range, Aviva is a heavyweight.
  • WPA (Western Provident Association): A smaller specialist provider, notable for excellent customer satisfaction. WPA had about £160 million GWP in 2023 (roughly 2–3% market share). While much smaller than the “big four,” WPA focuses solely on health insurance and health cash plans and consistently earns high customer service marks (more on this later). It’s often favored by self-employed professionals and those seeking personalized service.
  • Others: Beyond these, there are niche and regional players like The Exeter (a friendly society offering Health+ policies, praised for flexibility and transparency), CS Healthcare (now part of Bupa), Freedom Health, APRIL UK, and international insurers (Cigna, Aetna) in certain niches. There’s also Saga targeting over-50s (underwritten by AXA) and new insurtech entrants. However, these collectively make up under 5–10% of the market. The top five or six providers account for the vast majority of policies.
In summary, the UK PMI landscape in 2025 is dominated by a handful of big insurers. Bupa and AXA hold the lion’s share, with Vitality and Aviva competing closely for the next spots. This consolidation means these firms enjoy strong bargaining power with private hospital networks and can invest in added services (apps, clinics, etc.). For consumers, it means most will end up choosing between these same well-known brands, making comparisons (on cover and service) all the more important.

Regulatory and Industry Developments

Consumer Duty and transparency: A significant regulatory change affecting insurers in 2023–2024 was the introduction of the FCA’s Consumer Duty rules. This industry-wide regulation mandates higher standards of consumer protection – firms must deliver products that meet consumers’ needs, provide clear information, and offer fair value. In practice, this has pushed health insurers to be more transparent about what policies do and don’t cover, and to publish claims statistics and rejection reasons. (AXA, for example, committed to publishing claims payout rates as part of a transparency drive​
.) Consumers should benefit from clearer policy documents and more support in understanding exclusions, partly thanks to these rules.
Taxation: There have been no new tax incentives or reliefs introduced for private medical insurance as of 2025. Premiums remain subject to the standard Insurance Premium Tax (IPT) of 12%. Some industry bodies have lobbied for tax breaks (especially for older customers or for corporate schemes that take pressure off the NHS), but no such relief has been enacted. The government’s stance has mainly been neutral – acknowledging that private cover can complement the NHS, but stopping short of subsidizing it. One thing to note: health insurance payouts are not a substitute for NHS care but rather a supplement. Insurers and the Association of British Insurers (ABI) emphasize that PMI “complements the care provided by the NHS” by handling more routine or elective treatments, thereby potentially easing NHS burdens.
Claims and cost inflation: 2023 saw record claim volumes and payouts in the PMI sector, which has implications for premiums. The ABI reported the number of private health insurance claims rose 21% in 2023 to 1.7 million claims, with insurers paying out £3.57 billion (about £9.8 million per day). This was driven largely by a post-pandemic rebound – people who deferred treatment in 2020–2021 were using their insurance, and NHS backlogs pushed more into private care. Notably, claims on corporate policies jumped 26% by volume. The surge in claims, coupled with medical cost inflation (estimated around 8–10% annually for private treatment costs), has put upward pressure on premiums across the market. Insurers have had to adjust prices to maintain sustainability. For example, AXA’s UK health division noted a “significant shift in claims experience” leading to higher claims costs and the need to bolster claims handling resources. Consumers renewing policies in 2024–2025 have generally seen premium increases above general inflation, reflecting this trend. However, competition and savvy shopping (with brokers like WeCovr) can mitigate some increases.
Product innovation: Insurers have been innovating to differentiate themselves. One notable trend is integrated digital health platforms. In late 2024, AXA Global Healthcare launched a new all-in-one app to let customers manage claims, access virtual GP and mental health support, and view policy documents in one place. Vitality continues to innovate with partnerships (such as offering discounted weight-loss injections for eligible members – a first in the market). Bupa introduced its “Blua” digital health services, offering remote consultations and an expansion of mental health support. Aviva and others provide virtual physiotherapy and mental wellness apps as part of group packages. Telehealth, mental health, and wellness services have become standard add-ons in 2025’s PMI offerings, reflecting consumer expectations for a holistic health service, not just insurance reimbursement.
Competition and new entrants: While the big players dominate, the market isn’t stagnant. Niche providers like The Exeter have earned a 5-star expert rating for their Health+ policy in 2025, showing that smaller insurers can compete on quality and innovation (Exeter, for instance, has a market-leading approach to no-claims discounts and clear underwriting for pre-existing conditions). Tech-driven startups are also attempting to enter the health insurance or health plan space, often focusing on specific demographics or simplified cover. So far, none have significantly disrupted the big insurers, but this could evolve.
Overall, 2025 finds the UK private health insurance market in robust health – growing, competitive, and evolving. Consumers are more interested than ever, but also need to navigate a complex array of options and ensure they get value. In this context, established insurers like AXA are adapting their products and services to meet new demands. Next, we’ll take a closer look at AXA Health Insurance itself: what it offers, its pros and cons, and how it compares.

AXA Health Insurance: Company Overview and Offerings

AXA Health (formerly AXA PPP healthcare) is one of the UK’s top private health insurance providers, with decades of experience in the sector. AXA’s roots in UK healthcare go back to 1940, when it was founded as the Association for Hospital Services by doctors and hospitals to help everyday people afford medical care. Over the years, it evolved into AXA PPP Healthcare, and in 2020 it rebranded simply as AXA Health, consolidating several sub-brands under one name. AXA Health is part of the global AXA Group – a massive international insurance company serving over 50 million customers worldwide – but in the UK it operates with a fair degree of autonomy focusing on health and wellbeing products.
Market position: AXA is consistently ranked among the top two health insurers in the UK. It has a strong presence in both the individual and corporate PMI markets. As noted, AXA’s gross written premium for UK health insurance was about £1.93 billion in 2023, reflecting solid growth. This suggests AXA covers roughly 1.5–2 million lives in the UK (exact figure not publicly disclosed, but given its premium and market share, it is second only to Bupa). The company’s scale means access to an extensive network of hospitals and specialists: AXA boasts a Directory of 250+ approved private hospitals and over 34,000 medical specialists across the UK. This network includes top-tier facilities in London and nationwide, ensuring AXA members can get treatment at most private clinics available (or have alternatives if one hospital is full).
Global and international health coverage: Beyond domestic UK policies, AXA is a major international health insurance provider. AXA’s global healthcare arm offers plans for expatriates, international students, and global nomads, with coverage spanning hundreds of countries. For example, AXA’s global plans provide 24/7 access to English-speaking doctors worldwide and evacuation/repatriation services. In fact, AXA launched a new AXA Global Health app in December 2024 to integrate insurance, wellness, and virtual care for its international clients. So if you need coverage beyond the UK – say you travel frequently or live abroad – AXA has solutions (though these are separate from domestic UK PMI). AXA’s international expertise also feeds into its UK products, for instance by providing overseas emergency cover as an add-on for UK policyholders.
Financial strength: As part of AXA Group, AXA Health benefits from strong financial stability. AXA Group’s underlying earnings were €8.1 billion in 2024, and it paid out more than €50 billion in claims across all insurance lines globally​
. In the UK health segment specifically, claims costs have risen due to high demand – AXA’s UK health arm noted a big increase in claims in 2023, which pushed its combined ratio (expenses+claims to premium) significantly higher. This indicates AXA paid out a larger proportion of premiums in claims – not a surprise given the surge in private treatments post-COVID. Despite this, AXA remains profitable and committed to the health market. It has invested in hiring more staff to handle claims and customer service, aiming to maintain service quality even as volumes grow.
For consumers, AXA’s size and resources generally mean reliability – the company can handle large claim volumes and complex, costly treatments (like cutting-edge cancer therapies) without jeopardizing its finances. AXA also reinvests in new services (digital platforms, preventative care programs, etc.), keeping its offerings competitive.
AXA’s health insurance products: In the UK individual market, AXA’s flagship policy is typically known as “Personal Health” – a flexible private medical insurance plan that you can customize with various options. All AXA Health plans are designed to cover new medical conditions that arise after you join (not pre-existing conditions – we’ll discuss exclusions later) and to give fast access to eligible private healthcare.
AXA essentially offers one core level of cover for individuals (comprehensive in-patient and day-patient treatment, some out-patient, etc.) which can then be tailored. For company schemes, AXA has separate products (small business plans, corporate plans with bespoke benefits, etc.), and for specific audiences (e.g. AXA even underwrites Saga Health Insurance for over-50s, and a specialized international PMI for expatriates via AXA Global). But the focus of this review is AXA’s mainstream private health insurance for UK residents, as that’s most relevant to consumers comparing providers.
In summary, AXA Health is a trusted name with a long heritage in UK healthcare. It combines international backing with local expertise. AXA’s policies are known for comprehensive coverage, extensive choice of hospitals, and added-value services like digital GP access. It consistently earns high ratings for the richness of its benefits – for instance, AXA’s Personal Health plan is rated 5 Stars by Defaqto (an independent financial product reviewer), indicating an excellent level of cover. In the next sections, we’ll break down exactly what AXA’s health insurance covers, its key benefits, and how it works in practice.

AXA Health Insurance Coverage and Benefits

AXA’s private health insurance policies are highly customizable, allowing customers to choose the level of cover that fits their needs and budget. Here we detail what AXA covers as of 2025, and the options available:
  • Core Cover (In-Patient and Day-Patient Treatment): All AXA health insurance plans include comprehensive coverage for treatments that require a hospital stay (overnight or day-case). This means if you need surgery or a procedure in hospital, AXA will cover the hospital charges (accommodation, theatre fees, nursing care) in full, as well as the consultant surgeons’ and anaesthetists’ fees in full, provided you use a hospital in AXA’s approved network. This covers everything from a routine appendectomy to complex surgeries, as long as it’s for an acute condition (short-term illness or injury) and not pre-existing. It also includes in-patient diagnostic tests (like blood tests, X-rays) and specialist consultations while admitted. In short, the core in-patient cover ensures you won’t pay for your private hospital bills for eligible treatment – a major financial relief given private hospital costs can be thousands of pounds per night.
  • Out-Patient Treatment: This is where AXA lets you choose your level. Out-patient cover refers to things like specialist consultations, diagnostic tests, and minor treatments that do not require hospital admission (you walk in and out). AXA’s standard core plan actually includes a certain amount of out-patient benefit by default: it covers unlimited diagnostic tests and scans when you are referred by a specialist, even on the standard plan. It also covers specialist consultations, but the standard version limits these to a certain number per year. Specifically, with Standard Out-patient option, you get up to 3 specialist consultations per year with no overall yearly limit on diagnostic tests or practitioner charges (physio etc.) that the specialist orders. If you upgrade to Full Out-patient, then all your specialist consultations and tests are unlimited (no annual cap). There is also an option to have no out-patient cover (to save cost) – in that case, AXA would still typically cover pre-surgery scans and tests as part of in-patient treatment, but routine specialist visits or diagnostics before a confirmed diagnosis would be out-of-pocket. Many consumers opt for at least the standard outpatient cover to avoid those bills for consultations and MRIs, but the choice allows flexibility.
  • Cancer Coverage: AXA’s policies include extensive cancer treatment cover. During active cancer treatment, AXA covers surgeries, radiotherapy, chemotherapy, and cancer drugs in line with policy terms. This includes access to licensed cancer medications even if they are not available on the NHS (provided they are proven and within policy limits). AXA prides itself on comprehensive cancer support – from diagnosis through treatment. For example, if one is diagnosed with cancer, AXA covers oncologist fees, hospital care, chemotherapy drugs, radiotherapy sessions, reconstructive surgery, etc., as long as it’s not a pre-existing cancer. Some ancillary costs like wigs or prostheses may have limits, but core treatment is funded. AXA also offers cancer nurses helpline services to support patients. Do note that some aspects of cancer care, like long-term follow-up once cancer becomes a chronic condition, might fall under chronic condition rules (explained in Exclusions below). But for the period of active treatment, cover is robust. All the major insurers similarly emphasize strong cancer cover; AXA’s is very much in line with (and in some cases more extensive than) competitors.
  • Therapies (Physio and More): AXA includes a level of therapies cover, with options to enhance it. With core cover, post-hospital physiotherapy may be covered up to a limit (or fully if directly following surgery). However, AXA offers a Therapies add-on which, if selected, covers a wide range of out-patient therapies with no yearly monetary limit, subject to a fair usage number of sessions. This includes physiotherapy, osteopathy, chiropractic, acupuncture, and homeopathy – up to 10 sessions per year for each condition (usually initiated via specialist or GP referral). If you have this add-on, you can, for example, get up to 10 physio sessions for a knee injury without worrying about cost, and AXA pays the approved rate in full. Without the add-on, you might rely on a small number of sessions included or pay as you go. The therapies option is great for those who anticipate needing rehab or prefer alternative therapies.
  • Mental Health Cover: Mental health treatment can be included as an optional benefit. AXA’s Mental Health add-on provides cover for mental health conditions, both in-patient psychiatric treatment (typically up to a set number of days per year) and out-patient counselling or psychologist sessions when referred by a GP or psychiatrist. With this cover, if you develop depression, anxiety, or another psychiatric illness, AXA will fund an inpatient stay at a private mental health facility (usually up to 28 days/year is standard in the industry) and pay for outpatient therapy sessions (like cognitive behavioural therapy) up to policy limits. Without this add-on, AXA’s core policy does not cover most mental health treatment (aside from maybe psychiatric care if part of a physical hospital treatment). Many customers now opt for mental health cover, given the rising awareness of mental wellbeing. Competitors like Bupa include mental health as standard in many plans, whereas AXA makes it optional – something to consider if comparing.
  • Additional Options (Add-ons): AXA offers a few other notable options:
    • Travel Cover: You can bolt on worldwide or European travel insurance to your health policy. This Travel add-on covers emergency medical treatment abroad (so if you fall ill or have an accident on holiday, you can get private care overseas), plus typical travel insurance benefits like coverage for lost baggage, trip delays, lost passport, and even some personal accident cover. Essentially, it saves you buying a separate travel insurance policy. For frequent travelers, this can be cost-effective and convenient.
    • Dental and Optical: AXA doesn’t bundle routine dental/optical in the core PMI (few full PMI plans do), but they have separate dental insurance plans or sometimes add-ons via corporate schemes. As a personal customer, you’d usually buy a standalone AXA dental plan if desired. So routine dental care is not covered by default by AXA’s health insurance (contrast with Bupa, which recently started including some preventive dental cover in its core plan).
    • Six-week Option: This is a cost-saving option: you agree that if the NHS can treat you within 6 weeks, you’ll use the NHS; if not, then AXA will cover private treatment. AXA does offer a 6-week waiting option on individual policies (it used to heavily promote it), which can reduce premiums significantly (often 20-30% cheaper). This is a good compromise for budget-conscious consumers – it effectively covers you for procedures only if NHS wait times are long. Given current NHS waits, many non-urgent surgeries are indeed over 6 weeks, so one could argue the 6-week option still gives access for most scenarios while lowering cost.
    • Extended Cover (Private GP): AXA’s standard offering already includes a virtual GP service (Doctor@Hand). But uniquely, AXA also has an Extended Cover upgrade that reimburses up to £500 per year for private face-to-face GP consultations. Most people use NHS GPs for free, but if you want the ability to see a private GP in person quickly (for longer appointments or convenience) and have the cost covered, this option is available. It’s a differentiator, as not all insurers offer cover for private GP fees (they often just offer their own telehealth service). This option requires paying extra premium, but could be appealing if local NHS GPs are overloaded.
  • Preventative Services and Added Benefits: While not “insurance” per se, AXA includes access to some preventative health benefits. All members have access to a 24/7 Health Information Helpline, where you can speak to nurses or counsellors about medical questions (from drug side effects to nutrition advice). They provide online health assessments and lifestyle coaching tools to members. Corporate AXA schemes might include annual health checks or screenings as part of the package (for individual policies, this isn’t standard, but AXA often gives discounts on health assessments at Nuffield Health, etc.). AXA also supports members with care coordination for serious diagnoses – e.g. a dedicated case manager nurse for cancer patients to guide them through treatment.
What AXA does not cover (Exclusions): Like all health insurers, AXA health policies come with a set of standard exclusions. It’s important for consumers to understand these so there are no surprises:
  • Pre-existing conditions: AXA will not cover medical conditions that you already had (or had symptoms/seen a doctor for) before your policy started, unless specifically agreed. With a new AXA policy, you typically choose medical underwriting: either full medical underwriting (you disclose your history and they permanently exclude specific conditions you’ve had) or moratorium underwriting (no disclosure, but any condition in the 5 years before start is excluded until you’ve been treatment-free for 2 consecutive years). Either way, long-standing health issues won’t be covered immediately. For example, if you’ve had asthma for years, AXA won’t pay for asthma treatment. PMI is designed for new conditions only.
  • Chronic conditions: Ongoing, long-term illnesses that cannot be cured (e.g. diabetes, rheumatoid arthritis) are generally not covered, except for short-term acute flare-ups or complications. AXA (and others) usually define a chronic condition as one that needs continuous or periodic treatment to manage, and has no known cure. So if during your policy you develop a chronic disease, AXA will cover the initial diagnostic phase (to find out what’s wrong) and possibly initial treatment to stabilize you, but once it’s deemed chronic and stable, further routine management is excluded. This is a key point: PMI is not a substitute for chronic illness management (that remains with the NHS typically). Cancer is treated somewhat specially – as discussed, they cover active cancer treatment, but once cancer is in remission and just needs check-ups, or becomes incurable but manageable long-term, coverage might shift (insurers often stop covering after a point of “terminal” prognosis or long-term maintenance therapy, though some will cover palliative treatment).
  • Cosmetic surgery: Any treatments aimed purely at improving appearance (not medically necessary) are excluded. If you want a mole removed for cosmetic reasons, or cosmetic breast surgery, that’s not covered. However, if something is reconstructive after illness/injury (say breast reconstruction post-mastectomy, or scar revision after an accident), that is usually covered as part of treatment.
  • Pregnancy and childbirth: Routine pregnancy, childbirth, and fertility treatment are not covered by AXA’s standard PMI. No private medical insurance in the UK covers having a baby or IVF by default. AXA will cover medical complications of pregnancy or childbirth (e.g. an emergency C-section due to complications, or ectopic pregnancy surgery), but not normal deliveries or prenatal care. Some corporate plans may offer some maternity benefits, but individual PMI does not. There are a couple of specialist international plans that cover maternity, but those are expensive and mainly for expats. However, AXA notably does offer free newborn cover for the first months: if you have a baby while on an AXA policy, you can add the baby to your policy from birth and AXA will cover them for free until your next renewal (provided you add them within a certain time window). This covers any medical issues the newborn might have in that period – a valuable benefit for young families.
  • Preventive and routine medical exams: General check-ups, screenings, vaccinations, etc., are not covered (unless provided as a value-added service or corporate wellness package). If you want a routine MRI to “screen” for something without symptoms, insurance won’t pay. One exception: some insurers have started covering preventative genetic tests or health screens in select cases as part of perks, but it’s not mainstream yet for AXA individual policies.
  • Other common exclusions: Appliances and prosthetic devices (some insurers cover limited prostheses like an artificial limb up to a limit – AXA’s policy docs detail this), hearing aids, glasses and contact lenses, injuries from dangerous sports/hobbies (rarely enforced, mostly if professional risk), treatment abroad (unless you have the travel cover add-on or an international plan), experimental treatments not evidence-based, etc. Also, COVID-19: acute infectious diseases like COVID are usually handled by the NHS; private hospitals were even used by the NHS during peaks. PMI might cover after-effects if they require private treatment, but generally, pandemics aren’t a primary area for PMI coverage due to how healthcare resources are allocated nationally.
Overall, AXA’s coverage is very comprehensive for acute medical needs – comparable to Bupa and other top plans. It particularly excels in diagnostics (unlimited tests even on mid-tier cover) and provides flexibility with add-ons to craft a plan that could cover virtually everything a private policy can (except the inherent exclusions like maternity and chronic care). This flexibility is a strength: you can opt out of some benefits to save money, or add extras for peace of mind.

Key Benefits and Perks of AXA Health Insurance

Beyond the core insurance coverage, AXA offers a variety of benefits, perks, and services that enhance the value of its health insurance. These features are designed to support members’ health and make using the insurance easier and more rewarding. Here are some of the standout benefits of AXA Health Insurance in 2025:
  • Fast Access to Specialists and Hospitals: With AXA, you gain access to over 34,000 private specialists and 250+ hospitals across the UK. This vast network means you often have flexibility in choosing consultants and can be seen quickly. AXA even has a service to help fast-track appointments with specialists they recognize – so if you have a specific consultant in mind, they can assist in booking. The large hospital list includes renowned private facilities (BMI, Spire, Nuffield, HCA hospitals in London, etc.) so you’re not limited in where you can receive treatment.
  • Digital GP Services (Doctor@Hand): All AXA individual health plans include access to the AXA Doctor at Hand service, which is a 24/7 virtual GP provided in partnership with Doctor Care Anywhere. GP appointments via video or phone can be booked at any time, often with same-day availability. This is extremely convenient – you can consult a GP from home or work, get advice, and even receive private prescriptions delivered to your door. The GP can also provide specialist referrals that AXA will accept for claims. During 2020–2023 this proved invaluable, and it remains a popular feature. (Note: Doctor@Hand typically comes at no extra cost with the policy, whereas a standalone subscription would cost extra.)
  • Mental Health Support: Even if you haven’t added the formal mental health treatment cover, AXA still provides mental health and wellbeing support services to all members. This includes a mental health helpline you can call to speak confidentially with trained counsellors about personal issues. Additionally, if you do have the mental health cover, AXA has a network of psychiatrists and therapists and can arrange swift consultations. AXA publishes guides and articles on managing stress, anxiety, etc., and often holds webinars for corporate clients on mental wellbeing. The insurer acknowledges that mental health is as important as physical health, and it has been investing in these supportive resources (some accessible via the member portal or app).
  • Perks for Healthy Living: While AXA isn’t as overtly wellness-reward focused as Vitality, it does offer several incentives and discounts for healthy lifestyles:
    • Gym Membership Discounts: AXA members can get up to 40% off gym memberships at select gyms. Specifically, AXA partners with Nuffield Health fitness centres to offer 40% off monthly individual membership fees for you and any family on your policy. There’s also a 40% discount on a Hussle Monthly+ pass, which gives flexible access to over 2,000 gyms, pools, and spas nationwide. This is great if you prefer different gyms or travel a lot. If you don’t want a physical gym, AXA even has 40% off a premium online fitness app (24/7 online workouts) as an alternative. These discounts can save hundreds of pounds a year and encourage you to stay active.
    • Other Discounts: AXA health members also can get savings on things like health monitors, spas, nutrition programs through their ActivePlus store. (However, note that AXA’s ActivePlus online shop was closed in late 2024​
nimblefins.co.uk ; AXA may be revamping how it offers wellness products. Check current member benefits, which often include discounted health assessments, eyewear deals, etc.)
* **We Care / Employee Assistance**: If you’re part of a corporate AXA scheme, they have a program called “WeCare” which provides free wellbeing services – such as a 24/7 counseling, legal and financial helpline, and even things like a dietitian consultation or second medical opinion – accessible to employees and family. This is a bonus for those on company policies.
  • No Claims Discount & Renewal Rewards: AXA operates a No Claims Discount (NCD) system on individual policies. For each year you don’t make a claim, you move up an NCD level and earn a discount on next year’s premium (or rather, you avoid a hike). AXA’s NCD scale has several levels (often up to 70% max discount). However – and this is a double-edged sword – any claim that AXA pays (regardless of size) will reduce your NCD by a set number of levels at renewal. Unlike some competitors, AXA doesn’t forgive small claims: even a £100 claim could impact your NCD (unless it’s under your excess or just a free service). This policy keeps premiums lower for those who never claim, but can surprise those who claim modestly. Bupa and others have become more forgiving (e.g. Bupa ignores claims under £300 for NCD, whereas AXA’s approach is all claims count equally in NCD). Still, having an NCD at all means you’re rewarded for not claiming unnecessarily. Also, AXA often gives existing customers loyalty perks like preferential rates if adding family members, etc.
  • Customer Service and Claims Support: AXA provides multiple channels for customer support. You can manage your policy and claims through the AXA online member portal or the MyAXA app. Claims can often be pre-authorised over the phone in one call – AXA’s claims line is staffed by trained medical professionals who can approve treatment and guide you through next steps. They even offer to arrange the hospital admission for you in many cases. For complex cases, AXA has dedicated care managers (especially for cancer or heart patients) to coordinate between you, doctors, and the insurer. The aim is to make the claims process as painless as possible so you can focus on treatment. According to customer reviews, AXA is often praised for its professional service and helpful staff, though some reviews note hiccups with their online systems (more on that in Customer Satisfaction section).
  • Innovations: Mobile App and Integrated Care: As mentioned, AXA has been rolling out a new AXA Health app which integrates policy details, claims tracking, and virtual care. By 2025, this app should allow UK customers to submit claims by scanning invoices, check claim status, find doctors in-network, and use digital health services all in one place. AXA also offers an independent second medical opinion service (often through a partner like MediGuide) – if you have a serious diagnosis and want it reviewed by a world-leading expert, AXA can facilitate that, giving you extra peace of mind on the recommended treatment path. These kinds of services, while not needed by everyone, show how AXA’s offering extends beyond just paying bills; it’s about guiding you through healthcare.
  • Free Cover for Babies: As noted, if you’re an AXA policyholder and have a baby or adopt a child, you can add the child to your policy at no cost until your next renewal (after which you’d start paying for them). This is a valuable benefit many new parents might not realize – it means the baby is covered for any health issues from birth (including any neonatal conditions, which normally would be considered pre-existing if you tried to add them later). It’s essentially a courtesy window of free insurance for the newborn.
  • Discounts for Families or Joint Policies: AXA often has premium discounts if you insure multiple people on one policy. For example, insuring a couple might be a bit cheaper per person than two singles, and children usually are offered at a lower rate (sometimes even free cover for the youngest child, depending on promotions). Always worth asking – WeCovr or brokers can find out current family deals.
In summary, AXA’s member benefits combine health services, convenience, and lifestyle perks. While Vitality is known for the most eye-catching rewards (e.g. Apple Watch for £37 or free cinema tickets), AXA’s approach is more traditional but still meaningful: big gym savings, on-demand GP access, and comprehensive care coordination. For many customers, these features significantly enhance the value of their insurance – they’re not just buying a policy that sits in a drawer, they’re getting useful services they might use even when not ill (like the gym or virtual GP for everyday illness). This can help justify the cost of premiums.

AXA vs Other Leading Insurers: Coverage, Pricing, and Service Comparison

When choosing a private health insurer, it’s important to compare the coverage, price, and customer experience each offers. AXA competes with Bupa, Vitality, Aviva, WPA, and others, each with their own strengths. Below we provide comparisons between AXA and its main competitors in the UK PMI market, focusing on areas like coverage differences, relative pricing, customer satisfaction ratings, digital tools, and unique perks.

AXA vs Bupa

Coverage: Both AXA and Bupa offer top-tier comprehensive policies and are rated 5-star by Defaqto for their flagship plans. The core coverage (in-patient, cancer, etc.) is very similar and excellent with both. There are a few nuanced differences:
  • Out-patient cover: Bupa’s flagship product “Bupa By You Comprehensive” includes full out-patient cover (unlimited) as standard, whereas AXA lets you choose your outpatient level. If you buy mid-range AXA (with limited outpatient), Bupa’s comprehensive might cover more by default. However, Bupa also offers modules; you could choose a cheaper Bupa plan with a cap on outpatient. One difference is that Bupa imposes a combined outpatient limit if you opt to cap it (meaning specialist fees, tests, physio all draw from one pot), while AXA’s standard option separated some benefits (e.g. unlimited tests even if consultations are capped). This can make AXA’s mid-tier cover more generous for diagnostics.
  • Mental health: Bupa includes mental health cover as standard on all individual policies (covering both in and out-patient treatment, subject to benefit limits). Uniquely, Bupa has no time limit exclusions on mental health – they don’t exclude cover if, say, a condition recurs, as long as it was covered initially. In contrast, AXA requires the optional add-on for outpatient psychiatric and has some limits around recurring mental illness coverage. For someone for whom mental health cover is critical, Bupa’s default approach might be better.
  • Cancer: Both cover it comprehensively. Bupa often touts that it covers specialist drugs and treatment even when not available on NHS and has no financial limits on cancer care – which is effectively the same for AXA’s cover during active treatment. Not a big differentiator.
  • Additional benefits: Bupa offers some benefits that AXA doesn’t by default, like routine dental coverage. In 2022, Bupa introduced that all By You members get one free dental check-up and scale & polish, plus £300 towards other dental treatment per year. This is a nice perk – AXA doesn’t include dental in PMI (you’d need separate dental insurance). Bupa also covers in-house virtual GP (Bupa Anytime HealthLine) and some physio without GP referral via their Direct Access service as standard. AXA has Doctor@Hand (GP) and physio network too, but Bupa’s Direct Access is a differentiator: for certain conditions (e.g. musculoskeletal, mental health, cancer concerns), Bupa members can call Bupa directly without a GP referral and get fast-tracked to a specialist if needed. AXA typically still asks for a GP referral (though their virtual GP can provide it).
  • Exclusions and limits: One difference, AXA has an upper age limit for new joiners (usually 74 or 79 years old), meaning if you’re older than that you can’t start a new policy (though if you joined earlier you can continue for life). Bupa has no upper age limit – you could join at 85 if you wanted. This shows Bupa’s focus on being open to elderly customers, whereas AXA historically was less so (Saga fills that gap for AXA as they underwrite Saga policies for older folks).
  • No Claims Discount: Bupa recently made their NCD more forgiving – small claims under £300 don’t reduce your discount, and even large claims don’t drop you more than a few levels. As noted, AXA knocks you down for any claim. So if you want to claim little things without premium impact, Bupa is more lenient.
Pricing: Premiums are highly individualized, but AXA and Bupa tend to price in the same ballpark for similar cover. In a sample quote for a 35-year-old male, both AXA and Bupa were quoted at £36 per month for comprehensive cover with £500 excess. Bupa was identical to AXA in that scenario, indicating both are competitive. Aviva was slightly higher for full cover in that example. That said, Bupa’s premium can sometimes be a bit higher if you include everything, given it’s the market leader with strong brand trust. AXA often competes on price by allowing you to pick options (so you don’t pay for what you don’t need). If you remove some cover on AXA (e.g. outpatient), AXA could be cheaper than Bupa’s base comprehensive. Both offer various excess levels to lower premium. They also often price-match or have offers via brokers. So there’s no clear winner on price – one person might find Bupa cheaper, another finds AXA cheaper, depending on underwriting and promotions. Bottom line: Always compare quotes side by side; don’t assume one is always cheaper.
Customer satisfaction: Both have strong reputations, but interestingly in recent public reviews Bupa scores slightly higher. On Trustpilot, Bupa UK Insurance has a 4.4 out of 5 rating (from ~30,000 reviews) which is considered “Excellent”. AXA Health has a 4.1 out of 5 (from ~13,500 reviews). Customers praise Bupa for its comprehensive cover and direct access service, but some complain about admin or claims delays (as with any large insurer). AXA is praised for professional service and good cover, but some have criticized its online portal and occasional hiccups in claims authorizations. Both companies have had to handle high volumes post-COVID, and Bupa in particular had some backlog with treatment approvals early 2022 (when private hospitals were full). However, Bupa being the biggest can sometimes mean more capacity via their own facilities. Which? surveys (which rate customer satisfaction and likelihood to recommend) often put Bupa and AXA relatively close, with perhaps a slight edge to Bupa historically. It’s worth noting Bupa’s sheer size means more feedback (good and bad).
Digital and extras: Bupa has ramped up digital offerings with its Blua app and a symptom checker, plus they own many clinics which AXA doesn’t. Bupa members might benefit from being able to use Bupa’s Cromwell Hospital or Bupa-owned dental clinics. AXA doesn’t own hospitals, but that doesn’t usually matter – you still use the normal private hospitals. For tech-savvy users, both have apps (Bupa’s MyBupa app vs AXA’s MyAXA/Virtual Care apps) for claims. Bupa also integrated digital physio (through a service called PhysioLine) and mental health therapists accessible by phone quickly, which is similar to AXA’s offerings. Bupa’s perks beyond healthcare include its own Bupa Rewards program for discounts on health-related products, but it’s not as heavily advertised as Vitality’s perks.
Summary: Both AXA and Bupa are excellent choices with broad coverage and similar costs. Bupa’s key advantages: mental health included as standard, no age limits, unique direct access pathways, and slightly better NCD terms. AXA’s advantages: more outpatient flexibility, large network equivalent to Bupa, often slightly more straightforward policy options, and the ability to add features like travel cover. If dental and full mental health are priorities, Bupa might edge out. If you want to tweak coverage levels and perhaps save a bit without losing core benefits, AXA gives that flexibility. Many consumers will find their decision comes down to personal preference, employer arrangements, or quote differences. It’s not uncommon for someone to switch from Bupa to AXA or vice versa if one offers a better renewal price or a particular service the other doesn’t.

AXA vs Vitality

Coverage: AXA and Vitality both offer comprehensive coverage, but Vitality has a somewhat different model:
  • Core plan: Vitality’s core “Personal Healthcare” plan covers in-patient and day-patient fully, and cancer, much like AXA. Out-patient cover under Vitality can be limited or full depending on your selection. Vitality often quotes with a default of e.g. £0 outpatient or £500 outpatient to lower cost, but you can add full. One notable difference: Vitality’s standard plans include psychiatric cover up to certain limits (e.g. 28 days in-patient, up to £1,500 outpatient therapy) as part of core, which is generous (though Vitality might reduce some benefits if you choose certain hospital lists). AXA, as noted, requires an add-on for outpatient mental health.
  • Hospitals and GPs: Vitality’s approach to care often uses their internal systems. For example, Vitality typically requires you to first use their Vitality GP app for a GP video consultation; that GP can then refer you to a specialist within Vitality’s network electronically. It’s a managed care approach that some love (streamlined) and some find restrictive (you might not get a paper referral to an out-of-network doctor easily). AXA allows any GP referral and you choose specialists from their directory. Vitality has a restricted hospital list by default (Countrywide List) which covers most UK private hospitals, but certain top London hospitals are only on their Extended List (which costs more). AXA’s standard list includes most top hospitals, unless you explicitly choose a reduced list for a discount. If you want access to, say, all London teaching hospitals, check Vitality’s list vs AXA’s.
  • Both cover cancer, acute conditions, etc., well. Vitality’s plans are Defaqto 5-star as well, indicating comprehensive cover.
  • Unique cover difference: Vitality recently is covering 12 months of weight-loss medications (like Wegovy) as part of its plan for eligible high-BMI members, which no other insurer (including AXA) covers. AXA’s stance is that such obesity treatments are not covered because PMI focuses on acute illnesses. So if weight management medication or programs are a priority, Vitality leads there. Vitality also includes some preventative screenings (if you earn enough Vitality points, you can get a free health check, etc.), which isn’t something AXA’s core insurance does (AXA does encourage, but not reward in the same way).
Pricing and incentives: Vitality’s pricing structure is unique in that it offers discounts on premiums if you engage in healthy activities. Initially, Vitality’s base premium can be competitive – sometimes slightly lower than AXA for a similar profile – but it might come with limited outpatient or a £250 excess by default. Vitality often advertises plans from “£38 a month” for a young adult​
, which would be a baseline cover​
. To truly compare, one must configure Vitality’s plan to match AXA’s features. Vitality’s differentiator is the Rewards program: by exercising and logging activity (earning Vitality points), you can keep your annual premium increases lower (they have a system of Vitality status – Bronze to Platinum; higher status can yield savings on renewal premiums). Over time, an active person could save money relative to a standard insurer that increases premiums at medical inflation each year. If you’re not active, Vitality may actually hike your premium more. It’s a more dynamic pricing model.
In straightforward price comparisons, Vitality can appear cheaper year 1. However, Vitality has minimum premium increases each year that are separate from status (to account for age inflation etc.), so costs will rise. Some users report that Vitality’s initial low price crept up significantly after a couple of years (especially if not hitting Gold/Platinum status). With AXA, you’ll get more typical annual increases and NCD adjustments. In summary: if you are willing to engage with the program, Vitality can be cost-effective and give you value via perks; if not, AXA might be simpler and potentially similar in cost over the long run. For families, Vitality sometimes gives free cover for kids (like first child pays, rest free) promotions, whereas AXA might give say 50% off for second child. These deals vary.
Perks and Rewards: This is where Vitality shines:
  • Gym memberships: Vitality partners with gyms too (e.g. Virgin Active, Nuffield) offering typically 50% off membership, but requires you to go a certain number of times to maintain it. AXA’s 40% off is straightforward with no gym-visit conditions. Vitality’s network is similar, possibly a bit broader (they also have local authority leisure centres via their partners).
  • Apple Watch: Vitality famously lets members get an Apple Watch for a low upfront cost (£37) and then no further costs if they hit monthly fitness targets for 36 months. If they don’t, then small payments are due. This essentially gives you a free or very cheap Apple Watch if you stay active. AXA has no comparable offer.
  • Coffee and cinema tickets: Vitality members (with certain status or by doing activities) get weekly rewards like a free Starbucks drink and discounted/free cinema tickets. AXA does not have this kind of reward catalog.
  • Vitality Points: The whole Vitality experience is like a gameified wellness program – you log runs, do health checks, etc., to earn points and raise your status (Silver, Gold, etc.). Points translate to perks and lower renewal prices. If you enjoy this integration of insurance with lifestyle, Vitality is unmatched. AXA, on the other hand, is more a traditional insurer: you don’t have to “do” anything to maintain your policy benefits (aside from paying premium).
Customer service and satisfaction: Vitality has a relatively good reputation but more mixed feedback on claims. Trustpilot for Vitality is 4.4/5 “Excellent” (though that covers all Vitality products, not just health, and some negative reviews mention claims issues). Many customers love the rewards but a refrain is “the rewards are great, but hope you never have to claim.” Some have reported Vitality can be a bit stricter on approving treatments (for example, requiring more evidence or second opinions before authorizing expensive procedures). This is anecdotal, but possibly due to Vitality’s model of managing care. AXA, with its long history, has a well-oiled claims process and fewer complaints about not paying – it tends to pay what’s covered without quibbling, but of course, will enforce what’s not covered. Vitality also tends to have longer hold times on calls according to some reviews, likely due to their growth (they may be catching up on hiring). Both have online portals; Vitality’s might incorporate tracking for points too which is extra complexity.
Innovation: Both are innovative, but in different ways. Vitality’s innovation is in behavioural insurance (tying wellness to insurance). AXA’s innovation is in tech and integration of global services (like the new app, and their second opinion service). Vitality does also do things like offer virtual GP and mental health support (they have a Vitality GP app and Talking Therapies service), so feature-wise very comparable to AXA in telehealth.
Summary: AXA vs Vitality is often a choice of a traditional comprehensive plan vs a wellness-driven plan. If you want straightforward insurance with no need to engage in a program, AXA might suit you better. If you love the idea of getting an Apple Watch, cheap gym, and actively managing your health with rewards, Vitality could be more fun and possibly more rewarding financially. In pure coverage terms, they’re similar, though you should check specifics like hospital lists and psychiatric cover details. One could argue Vitality is great for the generally healthy who will use perks and rarely claim, whereas AXA might be better if you think you’ll be claiming (e.g. you want a no-nonsense pay-out). However, Vitality has many loyal fans and is now the third-largest, so clearly they are doing a lot right for customers.

AXA vs Aviva

Coverage: Aviva’s flagship PMI product, formerly known as “Healthier Solutions,” offers comprehensive cover comparable to AXA’s Personal Health.
  • Core benefits (in-patient, cancer, etc.) are equivalent – full cover in network hospitals, etc. Aviva also covers mental health as an optional benefit (not standard on all plans unless chosen).
  • Aviva has some modular options like AXA does: you can choose an outpatient limit (e.g. £0, £500, Full), you can add mental health, dental, travel, etc. They also have a 6-week NHS wait option to reduce cost, just as AXA does.
  • Aviva’s standout feature is an option called “Expert Select” – a guided consultant option where Aviva doesn’t use a fixed hospital list but instead directs you to an appropriate specialist at a facility they have an arrangement with. It’s sort of like a guided network: you don’t choose the specific consultant/hospital, Aviva finds one for you. This can lower premiums (because Aviva steers you to cost-effective providers). With AXA, a comparable concept doesn’t exist in individual policies (though some corporate ones do). If you prefer to always choose your own specialist, you might stick to Aviva’s Extended List or AXA’s approach. But if you’re fine with letting the insurer coordinate, Aviva’s Expert Select could save money.
  • Aviva covers routine eye and dental as an add-on (called “Dental and Optical” option). AXA would require separate policies for those. If you add Aviva’s dental/optical module, you get some reimbursement for check-ups, glasses, etc.
  • One possibly unique offering: Aviva provides a benefit called Babylon Digital GP for many policyholders, similar to AXA’s Doctor@Hand. Also, Aviva often includes some cover for babies born after policy start (like congenital conditions up to a certain limit if the mother has been covered for 12 months prior). Not sure on AXA’s congenital coverage – often congenital conditions are excluded across the board, but some insurers give a small amount of cover for newborns if parents are on the plan. If that’s a concern, comparing policy docs is needed.
  • Overall, nothing huge in difference: Aviva’s product is seen as comparable to AXA’s, and it’s also usually 5-star Defaqto.
Pricing: Aviva tends to market itself as value for money. In practice, Aviva’s quotes can sometimes be the lowest among big insurers for similar cover (especially if using their 6-week wait or limited outpatient). In the earlier sample, Aviva had a quote of £48/month for full cover with £200 excess vs AXA £36 with £500 excess. If we normalize excess, Aviva might still be a bit more expensive in that example. However, Aviva also had a cheaper plan at £28/month with limited outpatient and £200 excess, which was on par with Bupa’s treatment-only plan. So Aviva can compete strongly on price at lower levels of cover. Where Aviva often wins is with multi-product discounts: if you have, say, Aviva home or life insurance, adding health might get you a discount (and vice versa). Also, Aviva offers moratorium underwriting as default which can sometimes lead to lower initial premiums than fully underwritten elsewhere (though AXA also offers moratorium). Another angle: Aviva’s corporate rates for SMEs are often very competitive, so if you’re a small business owner looking to cover staff, Aviva might quote less than AXA. But for individual retail customers, any difference is case by case.
Customer satisfaction: Aviva’s size as a multi-line insurer means its health insurance-specific service isn’t as spotlighted as Bupa/AXA. Trustpilot for Aviva as a whole is 4.3/5
(but that spans car, home, life, etc.). The health-specific feedback is mixed – some customers find Aviva helpful and easy to deal with, others have complained of bureaucracy (perhaps because health is not Aviva’s sole focus). In independent surveys, Aviva’s customer satisfaction often trails Bupa and WPA, and possibly AXA, but not by huge margins. Which? in the past gave Aviva’s health insurance a slightly lower customer score, possibly because people felt it was more of a faceless big insurer. That said, Aviva has modernized a lot: their MyAviva app/portal allows digital claims, and they use services like Trustedoctor for virtual consultations for some conditions. Also, Aviva won awards for claims paid amounts etc. The Guardian reported Aviva’s health arm was doing well because of the PMI boom, but more claims also means more pressure on service teams.
Unique perks: Aviva is not as heavy on lifestyle perks as Vitality or even AXA’s gym deal, but they do have a Get Active program for health insurance members, which gives discounts on gym memberships, health tech, sports equipment, etc. This is similar to AXA’s and others’ member discount schemes. Aviva doesn’t have rewards like Vitality’s, but you might get, say, 25% off at PureGym or Weight Watchers through Aviva’s scheme. Aviva also has a 24/7 GP app (Aviva Digital GP) and a stress counseling helpline for members, which aligns with what AXA offers.
Innovation: Aviva hasn’t introduced something radically unique recently in PMI (their big news was just the surge in demand). They do incorporate some neat tools, like an AI symptom triage in the app and possibly some connection with their health tracker app (if you have Aviva life insurance with wellness, e.g. they have Aviva DigiCare services for life insurance that include some health benefits). But compared to AXA’s global app and Vitality’s wearables, Aviva is more a steady, no-frills provider with solid digital basics.
Summary: Aviva and AXA are more alike than different in product. Many consumers will decide based on price or existing relationship (e.g. “I already use Aviva for other insurance, might as well add health” vs “I trust AXA since they specialize in health.”). AXA’s edge might be that health is its core business line in the UK, so one could perceive it as more specialized, whereas Aviva’s health is part of a larger insurance conglomerate. Aviva’s edge could be simplicity of having one portal for all insurances and possibly getting package deals. In coverage, Aviva’s Expert Select (guided referral) vs AXA’s free choice is a philosophical difference – some might prefer AXA for freedom of choice, others might not mind Aviva guiding them if it lowers cost. Both have good cancer and acute cover. On mental health, neither includes it automatically (unlike Bupa). Customer service might slightly favor AXA according to some, but Aviva is generally reliable too.

AXA vs WPA (and Other Niche Insurers)

WPA (Western Provident Association): WPA is much smaller than AXA but often considered a “best kept secret” in health insurance.
  • Coverage: WPA’s top product “Precision Health” (for individuals, or “Flexible Health” in older naming) is comprehensive and very flexible. WPA allows you to choose detailed modules: e.g. psychiatric, therapies, dental, etc., similar to AXA. WPA also has innovative options like shared responsibility (instead of a fixed excess, you pay a percentage of each claim up to a cap, which can lower premium). In terms of what’s covered, WPA pretty much covers everything AXA does, with the advantage that WPA is known for very clear policy wording and fairness. Brokers often mention WPA has fewer exclusions slapped on underwriting – for example, WPA underwriters try to exclude as little as possible for declared conditions, sometimes less than AXA would. And if something isn’t excluded, they typically honor claims without hassle.
  • WPA includes some nice touches like routine NHS cash benefits (small payouts if you use NHS instead of private for something, which AXA also has on some plans – often £50/night if you stay in an NHS hospital when eligible for private).
  • Network: WPA doesn’t have its own hospitals but uses similar networks. They also offer a guided specialist option vs any specialist (like Exeter does, and like Aviva’s Expert Select), with a premium difference. They call it “guided consultant” which if chosen, you let WPA direct you to a specialist in exchange for lower cost.
  • Pricing: WPA can be very competitive on price, especially for families and older individuals. As a not-for-profit, they aim to price fairly. Many customers find WPA cheaper at renewal than the big insurers because they manage costs tightly. However, as with any insurance, that’s not a guarantee. WPA also has a strong No Claims Discount system – but theirs is more forgiving than AXA’s: claims under £300 don’t affect your NCD. WPA’s Trustpilot is 4.6/5 (Excellent), the best in industry, which reflects not just service but the value people feel they get.
  • Customer service: Being smaller, WPA often gives more personal service. You might speak to the same advisor again, and they are praised for “going the extra mile”. For tech, they have a good app and online claim submission as well. If having top-notch customer care and a human touch is important, WPA often wins. They consistently rank high in satisfaction surveys.
Other specialists (The Exeter, Freedom, etc.):
  • The Exeter: Offers “Health+” which has garnered a lot of positive expert attention in 2025. Exeter is innovative with no-claims discount (very forgiving, small claims don’t reduce it at all under £300, and even a large claim has a graduated impact). They also are very transparent about how they underwrite conditions. Exeter’s coverage is on par with AXA’s, with choices of outpatient etc. They are mutual like WPA. Their Trustpilot is lower only because most reviews are for their income protection product; they’re lesser-known but regarded well by brokers.
  • Saga: Saga’s health insurance for over-50s is actually underwritten by AXA, but tailored with some unique features for older customers (like perhaps higher initial excess options, no upper age to join). If you’re above 60, Saga (AXA) might quote differently than direct AXA – sometimes better, sometimes not.
  • CS Healthcare: Merged into Bupa recently, so no longer separate.
  • Freedom Health: A smaller insurer which often is competitive for unusual circumstances or where underwriting with big four is problematic (e.g. BMI issues etc). They have simpler plans and can be price-competitive but with more limits.
  • International Insurers (Allianz, Cigna): For normal UK residents, they don’t usually compete, except for expats. AXA itself has international plans to compete with those.
AXA vs these smaller ones:
  • The advantage of AXA is brand recognition, huge network, and potentially more comprehensive add-on services (like global repatriation if needed). Also, some smaller insurers might not cover certain high-end treatments or have lower financial limits (though WPA and Exeter do not have such issues; they are full cover like AXA).
  • The advantage of smaller ones (WPA, Exeter) is customer-centric policies and often better service and possibly price. For instance, WPA’s average Trustpilot score (4.6) beats AXA’s (4.1) comfortably, indicating higher satisfaction. Many reviews cite WPA’s ease of claims and helpful staff.
  • If you highly value a stable or lower premium trajectory, a smaller mutual like WPA might keep increases moderate (since they have no shareholders). However, they all face medical inflation, so expect some rise anywhere.
  • AXA’s large size might benefit in negotiating discounts with providers, potentially controlling claim costs which could keep premiums stable. It also has a huge pool to spread risk. Conversely, smaller funds rely on their risk pools staying healthy; they manage that by good underwriting and not overselling to high-risk groups.

In short, while this article is about AXA, it’s worth noting AXA is certainly among the best, but not the only good choice. Bupa and AXA are like the giants with very robust offerings; Vitality adds the wellness spin; Aviva is a strong all-rounder; WPA/Exeter are the customer-friendly niche players. For many consumers, AXA’s combination of strong benefits, flexibility, and global backing make it a top contender. But it’s heartening that the UK PMI market has several quality providers – competition means you can shop around and get a policy that truly fits your needs.
To make the comparison more visual, here is a summary table of key points for the five major insurers:
Comparison of Leading UK Health Insurers (2025)
InsurerDefaqto RatingTrustpilot RatingNotable StrengthsConsiderations
AXA Health5 Star4.1/5 (13k reviews)Comprehensive core cover; Unlimited diagnostics even on standard plans; Large hospital network (250+ hospitals); Digital GP included; Optional add-ons for travel, mental health, etc.Any claim impacts NCD (no small-claim forgiveness); New joiner age limit (approx 75); Some find online portal clunky (per reviews).
Bupa5 Star4.4/5 (30k reviews)Largest provider – very extensive network; Direct Access (self-referral to specialists); Mental health cover included as standard; No age limits to join; Includes some dental cover for all members.Can be slightly pricier for comprehensive cover; Outpatient cap (if chosen) is combined limit; Mixed service feedback due to large size (but generally good).
Vitality5 Star (Vitality’s Personal Healthcare)4.4/5 (47k reviews)*Rewards and incentives for healthy living (gym 50% off, Apple Watch, etc.); Potential premium savings if active; Covers weight-loss treatments (injections) uniquely; Generally comprehensive cover with wellness extras.Requires engagement to get full value (program might not suit everyone); Some restrictions via their network/referral process; Premiums can rise if you don’t maintain status. Reviews mention claims can be bureaucratic.
Aviva5 Star (Healthier Solutions)4.3/5 (43k reviews)* sourceStrong corporate presence (good for company schemes); Modular options & 6-week wait to reduce cost; Digital GP app included; Often competitive pricing; Multi-policy discounts (if you have other Aviva insurance).Health insurance not sole focus of company (some perceive service as less specialized); Mental health not standard (add-on needed); No standout wellness perks (mostly insurance only).
WPA4 or 5 Star (varies by plan)4.6/5 (3.8k reviews)Exceptional customer service and satisfaction; Flexible plans with unique options (shared responsibility, etc.); Most claims processed very smoothly; Fair approach to underwriting and claims (small claims don’t hit NCD); Not-for-profit ethos.Smaller network of customers (though uses big hospital network, some might worry about scale but network is fine); Less “flashy” – no apps with lots of perks (services are more traditional); Some advanced add-ons (like extensive dental) not available.
(*Trustpilot ratings for Vitality and Aviva cover all their insurance products, not exclusively health, so health-specific experience can differ.)
As you can see, each insurer has its pros and cons. AXA stands out as a balanced choice – very strong in core insurance function, with some perks (gym, virtual care) to support it. It might not have the frills of Vitality’s weekly coffee or Bupa’s owned clinics, but it delivers what most customers need: fast access to treatment, broad coverage, and reliable support.

Premium Costs: Sample Premiums and Factors Affecting Price

One of the biggest questions when considering health insurance is “How much will it cost?” The answer varies widely depending on personal factors and coverage choices. Below, we present some sample premium comparisons and explain the key factors that influence the cost of AXA (or any) private health insurance.

Sample Premium Comparison

To give a rough idea of pricing, consider the example from NimbleFins which gathered quotes for a 35-year-old male, non-smoker, living in a mid-sized town, looking for individual cover with a £500 excess on comprehensive plans:
  • AXA Health – ~£36 per month for a plan with full in-patient and generous out-patient cover (no yearly limit on out-patient in this quote).
  • Bupa (Comprehensive) – ~£36 per month (with £500 excess), essentially matching AXA for a similar high-level cover.
  • Aviva (Full cover) – ~£48 per month (with a smaller £200 excess). Aviva’s price was higher in this scenario likely due to the lower excess and full outpatient.
  • Aviva (Limited outpatient) – ~£28 per month (£200 excess, with reduced outpatient like £0 or £500 cap).
  • Bupa (Treatment & Care) – ~£28 per month (£500 excess, covers in-patient and cancer, but no outpatient except when related to treatment).
(Vitality wasn’t in this particular comparison, but Vitality’s starting premium for a 35-year-old might be in the £30–£40 range as well if chosen with a typical setup. Vitality often cites £38/month as a starting point for a young adult on a baseline plan​
.)
These figures illustrate a few points:
  • For a mid-30s individual, comprehensive PMI can cost in the ballpark of £35–£50 per month in 2025, depending on the insurer and options.
  • By tweaking cover (like removing outpatient or using a 6-week wait), one can reduce the premium substantially – down to ~£25–£30/month in this case for a basic hospital-only plan.
  • AXA and Bupa’s pricing was nearly identical for equivalent cover in this example, while Aviva was cheaper only when a lower level of cover was selected, and Vitality can be cheaper but with caveats (engagement needed).
For a family of four (say parents age 40 and 38, with two children under 10), you might expect AXA’s premium to be, very roughly, 3 to 4 times the individual rate – but often slightly less because insurers give child discounts. Perhaps something like £120–£150 per month for a decent level of cover for the whole family (this is speculative example, actual quotes needed). Many insurers offer the youngest child free or discounts which effectively cut a chunk of the cost.
For an older individual in their 50s or 60s, premiums rise significantly. A healthy 60-year-old might see quotes around £150–£200+ per month for comprehensive cover. By age 70, it could be a few hundred per month. That’s why some older customers opt for reduced cover or high excess to keep premiums affordable, or choose specialist providers like Saga/AXA or WPA which may price a bit more gently for seniors.

Factors Affecting Premiums

Several key factors determine what premium AXA or any insurer will charge you:
  • Age: Age is one of the most significant factors. Premiums increase with age because older people are more likely to claim and have more expensive claims. A 60-year-old’s premium can be several times that of a 30-year-old for the same cover. Insurers typically have age bands (e.g. 35–39, 40–44, etc.). Each birthday or band might see an uptick. For example, someone might pay ~£80/month at age 40 for a given plan and see it rise to ~£120/month by age 50 even with no claims, purely due to age-related risk.
  • Location: In the UK, medical costs (especially consultant fees) can vary by region. London and Southeast tend to have higher costs, so premiums for someone living in London may be higher than someone in, say, Wales or the North for the same plan. Some insurers price by postcode. If you live near many expensive private hospitals, your risk cost is higher. AXA might be a bit cheaper if you live outside major cities. (Interestingly, a few insurers even offer regional hospital lists – e.g., AXA has a Scotland-only plan option – but typically for individuals it’s a UK-wide cover at one price.)
  • Smoker Status: Smokers often pay more due to higher risk of certain diseases. With AXA, when getting a quote, you’re asked if you’ve used tobacco in the last year. A smoker’s premium could be around 10–25% higher than an equivalent non-smoker’s, depending on age and insurer. This varies, and some insurers don’t differentiate much, but many do. If you quit smoking for 12 months, you can then get non-smoker rates.
  • Level of Cover: This is in your control and has a big impact. Choosing full outpatient vs limited vs none, adding mental health cover, adding dental/travel, etc., all change the price. Each add-on might increase premium by some percentage. For example, adding full outpatient might add 30% to a basic plan cost. Adding mental health might add 5-10%. Travel could add another 5-10%. These are illustrative – actual loadings vary. On the flip side, opting for the 6-week NHS wait could reduce premium by maybe 20% because it cuts a lot of elective claims. Essentially, the more you cover, the more it costs. AXA’s one core product can be tuned from a very basic plan (in-patient only, 6-week wait, high excess) which would be cheapest, to a platinum plan (everything covered, low excess) which would be at the higher end.
  • Excess (Deductible): AXA allows you to choose an excess (the amount you pay towards a claim per year). Common excess choices are £0, £100, £250, £500. A higher excess yields a lower premium. As seen, AXA at £36/month was with £500 excess, whereas Aviva was £48 with £200 excess – indicating how excess can change price. Typically, moving from £0 to £100 might save ~10%, £0 to £250 maybe 20%, £0 to £500 could save ~30% (rough estimate). If you’re willing to self-fund small claims and want insurance for big stuff, taking a high excess like £500 can significantly lower costs. AXA even has an excess up to £1,000 if you want (less common). However, note the excess is usually per person per year, not per claim (with AXA it’s per person per year if on one of their standard setups – meaning you pay it once no matter how many claims that year, which is good).
  • No Claims Discount (NCD): AXA offers NCD, so your premium at renewal is discounted if you didn’t claim in previous years. When you first join, you may get an NCD if you had previous continuous insurance and no claims (sometimes they match it). If starting fresh, you start at 0% discount. Each year no claim, you climb perhaps 10% more discount, etc. At max, you could be paying maybe 65% of the base premium if you’ve had many years claim-free. Conversely, if you claim, your NCD might drop and your premium could jump more at renewal. This makes actual paid premiums very individual. Two AXA customers of same age could be paying different amounts if one has a 3 years no-claim and one claimed last year. So, maintaining a no-claim run will reduce increases. Some people even pay small treatments out-of-pocket on purpose to keep NCD intact (especially with AXA’s strict NCD rules).
  • Medical History (Underwriting): While PMI generally doesn’t vary price by your medical history (it either excludes conditions or not), some insurers might load premiums if you have very high BMI or a history of serious disease – but typically they just exclude known conditions rather than charge more. For AXA personal policies, you usually either go moratorium or full medical underwriting with exclusions; your premium isn’t directly higher for having had a condition, you just won’t be covered for it. However, group schemes often ignore history (cover everything including pre-existing after a wait). Group vs individual risk pool differences can affect price too (individual policies might seem higher because they assume people opt in when they think they’ll use it – anti-selection – whereas company policies have mixed health people).
  • Payment frequency: Paying annually vs monthly can make a difference. Many insurers charge a small surcharge for monthly installments (to cover admin or interest). Often it’s around 5% extra per year to pay monthly. If you can afford to pay a year upfront, AXA might give a slight discount (or rather, avoid the extra fee). Some insurers now have 0% interest monthly plans, but one should check.
  • Promotions and Broker Discounts: Sometimes going via a broker like WeCovr can get preferential rates or cashback deals. Insurers occasionally have promos (e.g. first month free, or switcher discounts where if you switch from another insurer they give 5% off). AXA has been known to offer, say, a 5% discount for switching and having a certain excess. These aren’t guaranteed, but worth exploring. WeCovr can help identify any current offers.
In AXA’s case specifically, their representative quotes show that a relatively average person might spend around £40–£50 a month for a comfortable level of cover in 2025. Over a year that’s ~£500–£600. The Guardian noted Aviva’s average annual premium is about £1,000–£1,100 per person​
(which likely refers to their average across ages and covers) and Vitality’s start at around £38/month for young individuals​
. So depending where you fall, you could be below or above that. Many group policies per employee are cheaper because of group discounts – some employers pay maybe £500 a year per employee for a basic PMI scheme, which is much lower than individual rates (economies of scale plus lower average age in workforce).
To control costs, consumers can:

  • Adjust the excess: as mentioned, higher excess yields savings.
  • Consider the 6-week option: if you believe you’d use NHS for anything minor that can be done quickly, this option ensures you only claim for bigger things where waits are long. Given current NHS waits, many things are beyond 6 weeks, so you still get a lot of benefit but at lower cost.
  • Limit outpatient cover: If you’re okay to pay for occasional specialist visits or diagnostics yourself (or use NHS for those), you can drop outpatient cover to save perhaps 20-30%. Some people do this if they primarily want insurance for major surgeries (which are in-patient).
  • Use a broker: A broker like WeCovr can find if AXA has any discounts for switchers or if another insurer might undercut them and then negotiate. They’ll also ensure you’re not buying more cover than necessary. For example, if your budget is tight, WeCovr might recommend taking the AXA core and perhaps dropping an add-on that you might not miss, to hit your price point.
  • Healthy lifestyle: While AXA doesn’t directly cut your premium for going to the gym (Vitality does via points), indirectly staying healthy means fewer claims, which means your NCD stays intact and long-term you pay less. Also if you keep your weight in check and avoid smoking, you’ll avoid smoker loadings and possibly avoid any exclusions.
It’s also worth remembering that private health insurance is a yearly contract. Premiums can change each year when you renew. In 2023–2024, many saw higher than normal jumps because of the claims surge post-Covid. One should budget for annual increases. Insurers must also adjust for medical inflation (the cost of healthcare rises as new treatments come out and hospital fees rise). Historically, medical inflation outpaces general inflation, often around 6-10% per year. So even if you don’t claim, you might see your premium go up say 5-8% just due to that (plus age increase). Add a claim and loss of NCD, and it could jump more significantly. This is why comparing at renewal is key; sometimes switching to a new insurer resets you to a new business rate (which can be lower than a renewal offer that’s loaded with increase).
In summary, the cost of AXA health insurance can range from under £30 a month for stripped-down plans for young individuals, to several hundred a month for older clients with comprehensive cover. Most typical individual buyers might fall in the £40–£100/month range depending on age and chosen cover. Always tailor the plan to what you really need and can afford, which leads to our next point: how to actually go about applying and ensuring you choose well.

How AXA Health Insurance Works: Application, Underwriting, and Claims

In this section, we’ll guide you through how AXA policies work in practice – from getting a policy, to making a claim, to managing your coverage year to year. Understanding the process can demystify health insurance and ensure you make the most of your AXA policy.

Application and Underwriting

Getting a quote: You can obtain an AXA health insurance quote directly from AXA’s website or via brokers like WeCovr. The quote process will ask for some basic info: age, postcode, smoker status, who you want to cover (just you, or partner/children), and what level of cover you want (AXA might have predefined levels like “Core”, “Core plus Outpatient”, etc., or a build-your-own approach). If doing this with WeCovr, they often have a brief form or a consultation where you outline your needs, and then they will come back with tailored quotes.
Choosing underwriting method: When applying for an individual PMI policy with AXA, you typically have two choices:
  • Full Medical Underwriting (FMU): You fill out a detailed medical questionnaire about your health history. AXA may request reports from your GP if needed. They then decide which conditions to exclude from cover based on pre-existing issues. For example, if you had a knee surgery, they might exclude that knee going forward. The advantage of FMU is you know from the start what is and isn’t covered, providing certainty. The downside is it can be time-consuming to fill forms, and any conditions you forget to declare might cause trouble later.
  • Moratorium Underwriting: This is simpler – no health form to fill. Instead, AXA’s policy will automatically exclude any condition you’ve had in the last 5 years prior to the policy start. However, if you then go 2 continuous years without any treatment, medication, or symptoms for that condition after start, the condition can become covered in future. In essence, it’s a waiting period approach: pre-existing conditions are initially not covered, but if they stay dormant for two years, AXA will cover them moving forward. Moratorium is convenient (quick sign-up) but can be slightly uncertain because if a condition recurs in those two years, it remains excluded (and the clock resets). Also some chronic conditions will never be covered because you’ll never go symptom-free for 2 years (e.g. diabetes).
AXA often defaults individuals to moratorium because it’s easier, unless you specifically want FMU. If you have a pretty clean health history, moratorium is fine. If you have specific past issues and want clarity on them, FMU might be better to see if they’d cover them or exclude permanently now (sometimes an underwriter might even cover a past issue if minor and fully resolved long ago; moratorium would still exclude it for 2 years regardless). WeCovr can advise which underwriting might be best for you.
Policy start and waiting periods: Once underwriting is done and you accept the quote, your policy can start almost immediately (or on a date you choose). There typically isn’t a general waiting period for claims – you can claim as soon as needed, except:
  • Some policies impose a waiting period for certain benefits (like maternity if it were covered, or for dental cover if you added it, etc.). But for core AXA health cover, once active, you can use it.
  • Note that if you had very recent medical advice/treatment right before starting, that’s likely a pre-existing condition and not covered. The moratorium rule or any specific exclusion will apply there.
AXA will issue you policy documents including a certificate of insurance (listing who is covered and any special exclusions if FMU) and the full Terms & Conditions (Policy Handbook) which details all benefits and exclusions. It’s important to keep these. The certificate is needed when you claim to show providers (some providers ask for membership number and authorization, etc., which is all tied to your policy details).
Adding dependents: You can include a spouse/partner and children on the policy from the get-go, or add them at renewal. If you want to add mid-year, AXA usually allows it for life events (marriage, newborn) – e.g., the free newborn cover case, you’d notify them and the baby gets added from birth. Otherwise, mid-term additions might be possible with pro-rated premiums, but generally changes are easier at renewal.
Renewal: AXA policies typically auto-renew annually unless you cancel. They will send a renewal pack with the new premium (which may change due to age, medical inflation, any NCD changes). It’s a chance to review your cover. You can often tweak your plan at renewal – e.g., add outpatient cover, increase excess – to adjust the premium. If you’re unhappy with the renewal price, it’s wise to contact AXA or your broker; often they can requote with minor adjustments or see if any loyalty discount applies. Or you might decide to switch to another insurer with help of WeCovr (taking into account waiting periods for pre-existing conditions again, unless the new insurer offers continuation of cover for those).

Making a Claim

One of the biggest benefits of having private insurance is how you use it when you need treatment. Here’s how to make a claim with AXA:
  • See a GP for referral: Typically, you start by consulting a doctor about your issue. You can use the AXA Doctor@Hand virtual GP (who can give referrals and advice) or your NHS GP. Let them know you have private insurance and would like a referral to a private specialist or for a scan if needed. The GP will either name a specialist or just give an open referral (specifying specialty). AXA doesn’t insist on open referrals (some insurers do), but they do have a Fast Track Appointments team that can help you find a suitable specialist quickly, especially if you have just a general referral. According to one AXA source, with outpatient cover you don’t need a GP referral to see some therapists, but for specialist care you do need one.
  • Contact AXA for authorization: Before you actually incur costs, you should call AXA’s claims helpline or go online to your AXA account to pre-authorize the treatment. You provide:
    • Your policy number.
    • Details of your condition and what’s been recommended (e.g., “GP referred me to Dr X for a consultation” or “GP says I need an MRI on my knee”).
    • The procedure code if you have it (specialists or secretaries often give a CCSD code for surgeries or tests).
    • The specialist’s name or hospital, if you know it. AXA will check that the treatment is covered and that the specialist/hospital is recognized and fee-approved by AXA. In most cases they’ll give you authorization on the call and a claim reference number. If there’s any issue (say the hospital is not in your list), they’ll discuss alternatives. If it’s a straightforward thing like consultation or scan, usually quick approval. AXA might also confirm how it affects your benefits (like if you have an outpatient limit, “this will count towards your £1,000 outpatient limit” etc.). For larger procedures, they might require a medical report before authorizing (but generally not at first consultation).
  • Receive treatment privately: With authorization, you schedule the private appointment/procedure. Provide your AXA membership details to the hospital or clinic – many will bill AXA directly. For instance, if you’re going for an MRI at a hospital, you give them the AXA authorization number; they invoice AXA after doing the scan.
    • If direct billing isn’t in place, you might pay and then reclaim. However, AXA’s network is broad, so direct pay is common. For example, AXA pays MRI, CT, PET scans in full when done at an approved facility.
    • For a specialist consultation, some consultants might want you to pay and claim back (some prefer not to deal with insurers directly if not in network), but the majority that AXA “recognizes” will send bill to AXA per agreed rates.
    • You will need to pay your excess if it hasn’t been met yet that year. Often the provider will inform AXA who will then ask you to pay the excess portion. For example, if your first claim of the year is a £200 consultation and you have £100 excess, AXA might tell you to pay £100 to the specialist and they cover £100, or the specialist bills AXA £100 and bills you £100 – it can work either way, but you end up out-of-pocket the excess amount.
    • If you have an outpatient limit and exceed it, you’d have to self-pay anything beyond that.
  • Follow-up and specialist treatment: If the specialist says you need surgery or additional treatment, you then loop back to AXA to authorize that. Each step ideally should be pre-approved. For instance, after an initial orthopaedic consult, they recommend knee surgery. You call AXA with the procedure details, they approve say 5 days of hospital and the surgeon’s fee as per schedule. You then proceed, the hospital bills AXA ~£15,000 for surgery, AXA pays it (minus any unpaid excess). AXA will also often authorize a certain number of physio sessions if needed as post-op – e.g. if you have the Therapies cover, they’ll approve maybe an initial set of 5 physio sessions, then review for more.
  • Claims settlement: Most claims are settled directly between AXA and the provider. If you do pay anything yourself that is covered (for example, you paid £200 for a specialist who wouldn’t bill AXA directly), you can submit the receipts to AXA (via online portal or post) and they will reimburse you the covered amount, usually within a couple of weeks, directly to your bank.
  • Using helplines or virtual services: Some “claims” aren’t really claims on your policy limit, but services. For example, calling the Health at Hand helpline (AXA’s nurse line) doesn’t cost anything and isn’t a claim – it’s included. Using the Doctor@Hand GP might be offered as part of policy (sometimes limited to 5 appointments a year or unlimited depending on plan). These you just access as a member benefit, no claims process needed.
Claims example: Suppose you have AXA cover with £250 excess and full outpatient. You develop severe sinus issues. You:
  • Use AXA’s virtual GP same day – GP refers to ENT specialist.
  • You call AXA, get authorization for ENT consult and a CT scan of sinuses.
  • You see ENT (fee £200) and get CT (£500). AXA covers both. You pay your £250 excess to the hospital (the first £250 of those combined bills). AXA pays the remaining £450.
  • ENT recommends surgery (sinus operation). You get approval from AXA for surgery. They agree to pay hospital and surgeon, anesthetist as per their fee schedule (AXA has agreed rates with most – if your surgeon charges above that, either they drop fee for AXA patients or you’d have to cover excess charges, but most are within AXA rates if “Fee Approved”).
  • You have surgery, costs £5,000. AXA pays it directly to hospital. Post-op, you claim a few follow-up consultations (AXA pays those too as within cover).
  • At renewal, this claim will likely reduce your NCD, possibly increasing your premium (but that’s a later issue).
AXA states in materials that making a claim “needn’t be difficult”, and indeed the steps are straightforward. It’s basically: get referral -> contact AXA -> get treated -> AXA pays.

Cover Management and Using WeCovr

Policy adjustments: If you need to change something mid-term (like your address, you quit smoking – do tell them that at renewal for a non-smoker rate, etc.), you can contact AXA customer service. If you find the cover too much or too little, you usually have to wait until renewal to alter benefits.
Cancellation: There’s a 14-day cooling-off period at the start when you can cancel for a full refund (if no claims)​
. After that, if you cancel mid-year, you might not get a pro-rated refund (insurers often don’t unless no claims – need to check AXA’s terms). Most just wait out the year then decline renewal if they want to stop.
Using WeCovr’s service: WeCovr is a broker that can assist at multiple stages:
  • At application, WeCovr’s experts help compare quotes from AXA vs others, ensuring you get the best deal tailored to your needs. They will explain the differences in plain language, which is great if the jargon is confusing.
  • They might highlight something like: “AXA fits your requirement for unlimited cancer cover and large hospital list, but note Vitality could be £5 cheaper if you are okay with their model; Bupa is £3 more but includes mental health.” They’ll help you weigh pros and cons.
  • If you choose AXA via WeCovr, they handle the paperwork and get you set up. They make the process effortless by doing the heavy lifting of forms and negotiation.
  • Going forward, WeCovr can be your point of contact for policy questions or issues. Rather than calling AXA’s general line and waiting, you might find it easier to call your WeCovr advisor for guidance, as they can often liaise with AXA on your behalf if needed (especially for any tricky situations or if you’re not satisfied with something).
  • At renewal, WeCovr can again shop around for you. Say AXA’s renewal comes in high; WeCovr can ask AXA for a loyalty discount or present you alternatives like “we can move you to Aviva with continued cover of your conditions for a lower price” (some insurers offer switch deals where they waive exclusions for pre-existing conditions that were covered by your old insurer, as long as you’ve been claim-free or sometimes even if not – it depends).
  • Mid-claim help: While you or your provider will typically talk to AXA for claims, WeCovr can advise if you hit a snag (e.g., AXA declines something you thought was covered – WeCovr can review your policy and help argue your case or clarify misunderstanding).
  • And importantly, WeCovr’s services are free to you as the user – they get a commission from the insurer when you take a policy. The premium you pay via a broker is usually the same or sometimes less than if you went direct, due to brokers having access to deals or ensuring you don’t pick unnecessary addons. So there’s no downside to using their help.
Selecting the right policy: WeCovr or a good broker will help you answer questions like:
  • Do I need full outpatient, or would a cost-saving plan suffice given I’m generally healthy?
  • Is AXA’s 6-week option a wise choice for me given my risk tolerance?
  • Which insurers cover my specific medication or treatment (if I have a concern)?
  • What excess can I afford comfortably?
  • Are my preferred doctors or hospitals covered by AXA? (WeCovr can check the AXA directory to ensure e.g. the local private hospital you like is on the list).
  • If you’re switching from another insurer, how to do so without losing cover for ongoing conditions – this often involves something called “continuation of personal medical exclusions” or “switch underwriting.” AXA might take you on and cover everything you had covered with Bupa, for instance, if you have a good claims history. WeCovr can manage that conversation.
In essence, WeCovr acts as your ally in dealing with the insurance world, making sure you get the right cover and that it remains suitable over time. They also keep up with market updates, so they’ll know if, say, “AXA just added a new virtual physiotherapy service” or “Aviva is offering 2 months free for new sign-ups” – information you might not have.
Finally, WeCovr emphasizes understanding every detail of your coverage. They will walk you through what’s covered, what isn’t (like those pesky exclusions). This is crucial – many complaints about PMI come from people not realizing an exclusion. With WeCovr’s guidance, you’re less likely to have those surprises. They can answer “Is this condition covered? How about that scenario?” upfront.
By following expert guidance and reading your policy docs, you’ll know how to use your AXA insurance effectively:
  • Use the right channels (GP or direct specialist as allowed).
  • Get approvals (to avoid any chance of a claim being rejected for not informing).
  • Keep receipts and reference numbers.
  • And utilize those added services (no point paying for AXA and then waiting ages for an NHS GP – use the 24/7 virtual GP!).
If done right, you’ll find AXA Health insurance can be a lifesaver – both literally and figuratively – sparing you long waits and giving you access to top medical care when it matters most, all with a fairly straightforward process.

How WeCovr Helps You Choose the Right AXA Policy (or Alternative)

Navigating the private health insurance market can be daunting – there are many insurers, plan options, and fine print to consider. This is where WeCovr comes in as a valuable resource for consumers. As an insurance broker and advisory service, WeCovr’s mission is to make it easy for you to find the best health cover for your needs and budget. Here’s how WeCovr can assist you in selecting and securing the right AXA policy or another suitable alternative:
  • Expert, Impartial Advice: WeCovr’s team are specialists in health insurance. They keep up with all the latest products, promotions, and rule changes. When you approach WeCovr for a consultation, they will listen to your specific requirements – for example, do you want comprehensive cover or just basic, are you concerned about including family, do you have any particular conditions to cover, etc. Based on that, they’ll explain in plain English which insurers and plans might fit. Crucially, WeCovr is impartial – they are not tied to one provider – so they can honestly say if AXA is a great match or if perhaps Bupa or WPA would suit you better. Their goal is long-term customer satisfaction, so they want you on the right policy, not just any policy.
  • Tailored Comparison: WeCovr will often present you with a side-by-side comparison of a few top options, say AXA vs Vitality vs Aviva, highlighting differences in coverage, price, pros and cons. This takes the research burden off your shoulders. For instance, they might provide a table or report comparing: premium quotes for each, what outpatient limit each offers at that price, any notable benefit differences (like “AXA has 34k specialists, Vitality requires using their app for referral”), and any customer rating info relevant. They’ll make sure you are aware of things like Defaqto ratings or Trustpilot scores as part of your decision framework.
  • Answering all your questions: You can ask WeCovr any number of questions, no matter how trivial they may seem. Maybe you’re confused by insurance jargon – terms like “excess”, “moratorium”, “acute condition” – they will clarify those. Or you might ask “Does AXA cover sports injuries? What if I’m skiing and get hurt?” They can explain that yes, AXA covers acute injuries and even offers worldwide emergency cover if you add travel, etc. Essentially, they act like your personal advisor, so you feel confident in understanding the policy.
  • Assistance with Application: Once you decide, say, “AXA Personal Health with outpatient and £200 excess” is your pick, WeCovr handles the application paperwork. They’ll fill out forms with you (over phone or online), making sure all details are correctly provided to avoid issues. If going for full medical underwriting, they’ll guide you through the health questionnaire so nothing important is missed (and thus no surprises later). If you choose moratorium, that’s simpler but they’ll still ensure you know how it works. This concierge service saves you time and ensures accuracy.
  • Access to Deals: WeCovr might have access to certain deals. For example, sometimes brokers have a discounted first-year rate arrangement or can waive certain fees. They will make sure you benefit from any available promotions, such as a month free or discounted gym membership sign-ups. They also help with no-claims continuity if switching – e.g., they can get a letter from your old insurer and provide it to AXA to possibly reduce waiting times or match NCD.
  • Mid-term support: After you’re on an AXA policy, WeCovr doesn’t disappear. If you have a question about coverage (“Is this new symptom likely covered? Should I call AXA?”), you can ask them. They can even advise on claims approach: e.g., “Yes, that sounds like it should be covered, let’s ensure your GP referral letter contains these key words to satisfy the insurer” – that kind of insider tip can smooth the claim. They basically act as an advocate if any dispute arises. For instance, if AXA were to decline a claim that you believe should be covered, WeCovr can intervene by contacting their AXA account manager or using their knowledge of policy wording to help you appeal.
  • Annual review and switching if needed: Health needs and insurer offerings can change. WeCovr will typically review your policy with you at renewal time. They might say, “AXA’s premium went up 10% – let’s see if that’s still competitive. Perhaps Vitality is offering a lower premium this year for similar cover, though note you had that knee claim with AXA, we need to ensure it would be covered if we move.” They’ll do that analysis. If staying with AXA is best, great – they might still negotiate a bit on your behalf (sometimes insurers give a small retention discount if a broker asks). If moving is advisable, WeCovr will handle the transition so you aren’t without cover at any point. This hand-holding is extremely useful because the market doesn’t stay static. WeCovr makes sure year after year, you have the best value plan – whether that remains AXA or another.
  • Assisting with complex scenarios: If you have a health issue at the time of taking a policy, choosing the right insurer is crucial. WeCovr can identify which insurers might offer a concession. For example, maybe you had a surgery 3 years ago. AXA’s moratorium would eventually cover it if no recurrence, Bupa might permanently exclude it unless a special arrangement, etc. WeCovr will know these nuances or can inquire discreetly with underwriters beforehand. They basically help pre-underwrite in tricky cases. They can also coordinate if you need dual cover for a period (some people keep NHS cash plans or existing conditions cover separately – though that’s rare, but a broker can advise if needed).
  • Focus on value: Health insurance isn’t just about the cheapest price; it’s about value for money and peace of mind. WeCovr’s advisors will highlight value: for example, “AXA is £5/month more than the cheapest quote, but offers a much larger hospital list and has that 5-star Defaqto rating, so we feel that’s worth it for you because you live in an area where hospital choice matters.” Or conversely, “You could save money by dropping Full Outpatient – do you feel you’d be comfortable paying for occasional specialist visits? If yes, that’s a way to cut cost while still being covered for big stuff.” This kind of personalized suggestion can help you tailor a plan that gives you the best bang for your buck.
  • One-stop-shop for ongoing insurance needs: WeCovr doesn’t only do health – they also handle life, travel, etc. If you trust them with your health insurance, you might later use them for other insurances, simplifying your life by having an advisor who knows you and can manage multiple policies in their “Vault” system.
In short, WeCovr is like a knowledgeable friend in the insurance industry, ensuring you’re neither over-insured (paying for cover you won’t use) nor under-insured (having nasty gaps). They interpret and demystify the fine print for you. For example, WeCovr will make sure you understand AXA’s chronic condition rule or the fact that private insurance won’t cover A&E emergencies (you’d go NHS for those). They bridge the understanding gap, so you set realistic expectations and utilize the insurance properly.
Many people who go it alone end up with either too costly a plan or frustration from mis-steps; WeCovr’s clients benefit from peace of mind. They know someone has their back who intimately understands “the system.”
For someone specifically eyeing AXA, WeCovr can:
  • Confirm AXA is a top choice given your doctors or region.
  • Ensure you get any applicable discounts (like sometimes AXA has a discount if you pay annually, or through certain professional affiliations).
  • Help with paperwork like employer helpline if you move jobs and had a company AXA plan, transitioning to personal, etc.
  • Provide ongoing advice on optimizing your AXA coverage (like reminding you to use that free health check voucher if your plan included it, or that you can add your baby within 3 months for free).
Ultimately, WeCovr’s assistance means you get the right policy, at the right price, and you fully understand how to use it. This aligns perfectly with their value proposition: “We specialise in helping you compare and choose the best health insurance policy tailored to your needs. Our expertise ensures you get the most value for your money while understanding every detail of your coverage.”.

Conclusion

Private health insurance has become increasingly important in 2025’s UK healthcare landscape, and AXA Health Insurance stands out as a strong contender for those seeking fast access to quality medical treatment. AXA offers comprehensive coverage – from specialist consultations and advanced cancer care to mental health support and worldwide travel options – with the flexibility to tailor policies to individual needs. We’ve seen that AXA’s strengths include a vast network of hospitals and specialists, robust benefits like unlimited diagnostic tests, and useful perks such as 24/7 virtual GP access and gym discounts.
In the broader context of the UK private health insurance market, AXA holds its own against rivals like Bupa, Vitality, Aviva, and WPA. Each insurer has its pros and cons, but AXA strikes a good balance for many consumers who want extensive cover, reliable claims service, and some wellness benefits, all backed by a trusted global brand. AXA’s 5-star Defaqto rating and solid customer feedback underscore its quality. While competitors might excel in niche areas (Bupa for mental health, Vitality for rewards, WPA for personal service), AXA is undoubtedly among the top-tier choices, especially for those who prefer a traditional, comprehensive insurance experience with the option to customize.
We’ve also highlighted how market trends – like NHS waiting times and rising consumer expectations – have made PMI more popular than ever. With around 6+ million people now covered by PMI in the UK and growing, insurers are responding with better products and technology. AXA has kept pace by launching integrated digital tools and staying innovative in coverage (even if not as flashy as some rivals). The UK PMI market in 2025 is competitive, and that’s good news for consumers: it means you can shop around and find a policy that fits your exact needs.
On the topic of costs, we saw that premiums can vary, but by understanding the factors (age, cover level, excess, etc.) and using strategies like voluntary excess or the 6-week option, you can make private health insurance affordable. The example comparisons show AXA is competitively priced relative to peers for similar coverage. And with WeCovr’s help, one can navigate to a great deal without sacrificing important benefits.
Speaking of WeCovr, this guide demonstrated the value of expert advice. WeCovr can simplify the entire process – from comparing AXA against other insurers to handling your application and providing ongoing support. In a world where fine print matters (for example, understanding that no PMI covers pre-existing chronic conditions), having someone to clarify those points ensures you won’t be caught off guard when you claim. WeCovr’s guidance can be the difference between a frustrating insurance experience and a smooth one. They help you avoid common pitfalls, such as not realizing you could add your newborn for free or not using your insurer’s added services that could save you time and money.

To conclude, let’s summarize key takeaways:
  • AXA Health Insurance Review: AXA is a top-tier provider with comprehensive coverage options. It offers fast-track access to over 34,000 medical professionals, full in-patient care, strong cancer cover, optional outpatient and mental health benefits, and useful extras (digital GP, gym savings, etc.). Its policies are highly rated (5★ by Defaqto) and suitable for individuals, families, and businesses seeking quality private healthcare. Downsides are relatively minor – such as needing to pay attention to the no-claims discount impact – and can be managed with informed use.
  • UK PMI Market Overview 2025: The private health insurance market is growing significantly (up 12%+ in value in 2023) due to NHS pressures. About 11-12% of Brits have PMI now. The big four insurers (AXA included) cover 95% of the market, with Bupa the largest and AXA/Vitality/Aviva not far behind in influence. Trends include more corporate PMI, more digital health services, and product innovations like wellness rewards and new treatments coverage. There are no major regulatory hurdles – if anything, regulators are pushing for clearer info and fair value, which benefits customers.
  • Comparisons: Versus Bupa, AXA offers similar quality; Bupa includes a few extras (mental health standard, direct access, some dental) but AXA allows more customization and often similar pricing. Versus Vitality, it’s a question of whether you prefer a straightforward plan (AXA) or an interactive wellness-based plan (Vitality). Versus Aviva, both are broadly similar in offering and price; slight differences in approach and possibly Aviva’s bundling with other insurance if relevant. Versus WPA, AXA offers scale and broad benefits, while WPA offers boutique service – both can yield great outcomes depending on customer priorities. Knowing these differences helps consumers decide with eyes open.
  • AXA Policy Mechanics: We walked through how an AXA policy is set up and used. Key points: Decide underwriting (moratorium vs FMU), always pre-authorize claims by contacting AXA (to ensure they pay!), and use things like the virtual GP to your advantage. Understand exclusions (no pre-existing or chronic cover) to avoid misunderstandings. With an AXA policy in hand, you have a powerful tool: access to private consultants and hospitals typically within days, which can lead to faster diagnoses and treatment – potentially improving health outcomes significantly, not to mention peace of mind.
  • WeCovr’s Role: WeCovr makes the journey easier at every step. They ensure you get the right cover at the right price and continue to have appropriate cover as years go by. Especially for something as important as health, having an expert guide means you won’t leave it to chance. WeCovr basically helps you maximize the value of your health insurance – whether that’s ensuring you don’t overspend or making sure you utilize the benefits fully. They are there to answer questions any time, which is invaluable when dealing with something as complex and crucial as one’s healthcare.
In closing, AXA Health Insurance can be an excellent choice in 2025 for those seeking private medical cover, and when paired with knowledgeable advice from a service like WeCovr, consumers can confidently secure the protection they need. With the NHS under strain, PMI offers a way to take control of your healthcare – and AXA’s plans, along with its peers, are rising to the challenge by providing broad coverage and innovative solutions.
Ultimately, the “best” health insurance comes down to individual circumstances and preferences. We hope this in-depth article has armed you with the information needed to make an informed decision. Whether you choose AXA or another provider, the key is that you and your loved ones get the timely care you deserve, and that the policy you invest in truly meets your needs.
Remember, if in doubt or need personalized guidance, WeCovr is ready to help at no extra cost – from answering initial queries to getting you set up with an ideal plan. Here’s to your health and peace of mind in 2025 and beyond!

Why get private health insurance?

Health insurance allows you get back on your feet quicker:


✅ Avoid long NHS waiting lists of many weeks and get treated faster with private medical insurance, which can be really important for a successful recovery
✅ Get early diagnosis so you can get the treatment you need right away done privately
✅ Business owners can save on their tax bill with private medical insurance
✅ You are free to choose your hospital to suit your needs by place and time
✅ You often get a private room with better facilities for your treatment or surgery
✅ With private medical health insurance you gain access to advanced treatments not available on the NHS

Benefits offered by private health insurance

Private medical health insurance is an insurance policy that covers the costs of private healthcare, from diagnosis to treatment. You just pay an affordable monthly premium that covers all or some of the cost of treatment for acute conditions that develop after your health insurance policy has begun.

Our mission is to put you in touch with not only the best, but the most suitable private medical health insurance companies. With even more risk on the rise for personal health today, it makes more sense than ever to have private medical health insurance cover.

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

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 increasing numbers of individuals and families opt for PMI insurance

👉 We insure our cars, houses, bicycles and even bags! Yet our health is one the most precious things we have.

People buy life, critical illness and private medical health insurance for a variety of reasons – easily one of the most important insurance purchases an individual or family can make in their lifetime. PMI insurance is still seen as a luxury in the UK. Indeed, only around 11% of the population has private medical insurance. However, an increasing number of people are taking out private medical insurance due to a number of reasons:
  • Avoid NHS waiting lists and be treated more quickly
  • Faster diagnosis (comprehensive cover)
  • More access to latest cancer drugs and treatments, some of which may be unavailable on the NHS
  • Greater choice over where and when your treatment takes place
  • Have a private room should you need treatment in hospital
Our experienced FCA-authorised insurance partner experts are ready to provide you with a FREE Consultation.

👍 Simply get your affordable private medical health insurance plan in place for the necessary peace of mind! Just tap or click the button below to book a FREE call now! 👇

Compare private medical health insurance plans suitable for your circumstances from these insurers and more

PMI Insurers

It's as easy as 1, 2, 3!

1. Complete a brief form

2. Our experts will find and discuss your quotes

3. Enjoy your protection!

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Any questions?

Do I need Private Medical Insurance if I have Life Insurance?

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.

Are Pre-existing Medical Conditions Covered?

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.

Why Do I Need Private Medical Insurance?

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.

How Much Does It Really Cost?

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.

Isn't NHS Treatment and Coverage Enough?

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.

Why Do I Need to Speak to Someone?

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.

Are Your Insurance Partners Trustworthy?

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!

How Do You Make Money If the Quotes Are Free to Get?

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.

How Much Is Private Health Insurance?

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.

How Does Private Health Insurance Work?

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.

What Does Health Insurance Cover?

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.

Can I Pay Extra to Have a Pre-existing Condition Covered?

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.

When Will My Health Insurance Policy Start?

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.

Will I Need an Excess on My Private Health Insurance Policy?

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.

How Can I Reduce the Cost of Health Insurance?

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.

Is There an Age Limit for Private Medical Insurance?

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.

How Can I Compare Health Insurance Plans?

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.

Can I Add Other People Onto My Health Insurance Policy?

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.

Can I Use Health Insurance Abroad?

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.

What is Comprehensive Cover?

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.

Does Health Insurance Cover Dental Treatment?

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.

Does Health Insurance Cover Cancer?

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.

Can I Change My Cover Once I Have Signed Up?

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.

How Quickly Can I Get an Appointment with a Private GP?

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

Can Each Person on My Policy Have Different Options of Cover?

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

Are There Different Levels of Cover?

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

Where Can I Find Out More About Hospitals or Treatment Providers?

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.

What Does Fee Assured Mean?

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

Does Health Insurance Cover Mental Health?

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

Can I Cover My Children as Well?

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

Will the Cost Go Up Every Year?

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

How Much Does Health Insurance Cost?

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.

What's the Difference Between Health Insurance and NHS?

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

Does Health Insurance Cover Physiotherapy?

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

Can I Use My Cover Straight Away?

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

How Can I Get a Quote?

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.

What Does Health Insurance Cover and What Can't It Cover?

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

How Does Health Insurance Work?

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

What is Outpatient Cover?

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

Can I Use My Health Insurance Cover Immediately?

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.

Does Health Insurance Cover A&E (Accident and Emergency)?

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.

Are There Any Rewards for Being a PMI Plan Holder?

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.

I'm Leaving My Job and Have Health Insurance with Them, What Do I Do?

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.

How Do I Get a Quote After I've Left My Job?

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.

If I Continue My Health Insurance After I've Left My Job, Will My New Cover Be the Same as Before?

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.

If I Continue My Health Insurance After I Left My Job, Will the Price for My New Cover Be the Same?

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.

How Long Do I Have After Leaving My Job to Decide to Stay with My Insurer?

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.

What Do I Need Before Asking About Continuing My Cover After I've Left My Job?

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

I've Ongoing Treatment But I'm Leaving My Work Health Insurance Policy, Can I Still Have Treatment?

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.

When And How Do I Pay My Excess?

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

Do I Pay an Excess for Using Services Like Digital GP?

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

Can I Change My Excess Partway Through the Year?

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

What is a No Claims Discount?

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

Can I Pay Extra to Have a Pre-existing Condition Covered?

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

What is Full Medical Underwriting?

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

What is Moratorium Underwriting?

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

Will My Claim Take Longer If I Have Moratorium Underwriting?

Claims may require additional information if under moratorium underwriting.

What is a Pre-existing Condition?

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.

Is An Annual Review Of My Health Insurance Necessary?

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.

Are There Age Restrictions For Health Insurance?

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.

Is It More Cost-Effective To Pay For Health Insurance Monthly Or Annually?

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.

Do I Need Private Health Insurance If My Employer Provides Coverage?

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.

Is A Medical Exam Required To Get Coverage?

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.

Do I Need A GP Referral To Go Private?

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.

How Much Quicker Can I Get A GP Appointment With Private Medical Insurance?

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.

What's The Difference Between Inpatient And Outpatient Care?

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.

What's The Difference Between Health Insurance And Critical Illness Cover?

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.

Will My Policy Cover Me Outside Of The UK?

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.

How Are Health Insurance Premiums Taxed? Are They Tax Deductible?

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.

How Does The Excess Work?

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.

What Is The Difference Between Full Medical And Moratorium Underwriting?

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.

Can I Get A No-Claims Discount On My Private Health Insurance?

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.

How Can I Find The Best UK Private Health Insurance For Me?

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.

Do I Need a GP Referral for Private Medical Treatment?

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.

Can I Get Finance for a Loan for Surgery?

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.

How Much Does Private Medical Insurance Cost in the UK?

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

Can I Go Private and Then Return to the NHS?

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.

Is Private Healthcare Better than the NHS?

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.

Can I Self-Refer to a Private Consultant?

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.

Will the NHS Accept a Private Diagnosis?

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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The guidance contained within the website is subject to the UK regulatory regime and is therefore targeted at customers in the UK. A FCA regulated expert will contact you after you submit your details to discuss further. WeCovr is a trading style of Political And Credit Risks Ltd which is authorised and regulated by the Financial Conduct Authority. FCA Number 735613.


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