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Axa vs Aviva PMI Options for Comprehensive Outpatient Cover

AXA Health and Aviva are household names in the UK, both with a long-standing reputation for providing robust insurance products. They are titans of the industry, underwriting policies for millions of individuals and businesses.

Last updated Oct 6, 2026

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TL;DR

AXA Health and Aviva are household names in the UK, both with a long-standing reputation for providing robust insurance products. They are titans of the industry, underwriting policies for millions of individuals and businesses. Both providers offer excellent core products, but their approach to optional benefits like outpatient cover has key differences.

Key takeaways

  • Speedy Diagnosis: It pays for the initial consultations with specialists and the diagnostic tests (like MRI, CT scans, and blood tests) needed to find out what's wrong.
  • Prompt Treatment: It covers treatments that don't require a hospital bed, such as physiotherapy, osteopathy, and sessions with a clinical psychologist.
  • Avoiding NHS Queues: With NHS waiting lists in England reaching record levels, having outpatient cover means you can bypass these queues for diagnosis and get on the path to recovery much faster. According to recent NHS England data, millions are waiting for consultant-led elective care, with many waiting over 18 weeks.
  • Specialist Consultations: No limit on the number of sessions.
  • Diagnostic Tests & Scans: MRI, CT, and PET scans may be covered in full when referred by a specialist.

As a broking firm that has helped arrange over 1,000,000 policies of various kinds, WeCovr and, where appropriate, broker partners provide expert analysis of the UK private medical insurance market. This guide compares comprehensive outpatient cover from two well-known providers, AXA Health and Aviva, helping you make an informed choice for your health and peace of mind.

A WeCovr specialist or trusted broker partner compares outpatient benefits from two top UK providers

Choosing the right private medical insurance (PMI) can feel like navigating a maze of options, especially when it comes to outpatient cover. This single feature can be the difference between a policy that simply covers hospital stays and one that provides faster access, where available, to diagnostics and treatment from the very first consultation.

In this comprehensive guide, we put two of the UK’s most respected PMI providers, AXA Health and Aviva, under the microscope. We’ll break down exactly what their outpatient options include, how they differ, and which might be the right fit for you and your family.

What is Outpatient Cover and Why Does It Matter?

Before we dive into the specifics, let's clarify what "outpatient" means in the context of health insurance.

An outpatient is someone who receives medical care—such as a consultation, test, or minor procedure—at a hospital or clinic but does not need to be admitted for an overnight stay. In contrast, an inpatient is formally admitted to a hospital bed.

Outpatient cover is arguably one of the most valuable components of a modern PMI policy. Why? Because it covers the crucial first steps of your medical journey:

  • Speedy Diagnosis: It pays for the initial consultations with specialists and the diagnostic tests (like MRI, CT scans, and blood tests) needed to find out what's wrong.
  • Prompt Treatment: It covers treatments that don't require a hospital bed, such as physiotherapy, osteopathy, and sessions with a clinical psychologist.
  • Avoiding NHS Queues: With NHS waiting lists in England reaching record levels, having outpatient cover means you can bypass these queues for diagnosis and get on the path to recovery much faster. According to recent NHS England data, millions are waiting for consultant-led elective care, with many waiting over 18 weeks.

Without outpatient cover, you would rely on the NHS for your initial diagnosis and then potentially use your PMI only for the inpatient surgery itself. Comprehensive outpatient cover ensures your entire private healthcare journey is seamless and swift.

A Quick Look at AXA and Aviva: Two Titans of UK Insurance

AXA Health and Aviva are household names in the UK, both with a long-standing reputation for providing robust insurance products. They are titans of the industry, underwriting policies for millions of individuals and businesses.

  • AXA Health: Part of the global AXA Group, AXA Health is a specialist health and wellbeing company. They are known for their focus on proactive health support and a wide range of policy options, including their flagship 'Personal Health' plan.
  • Aviva: As the UK's largest general insurer, Aviva has a vast presence. Their 'Healthier Solutions' policy is a cornerstone of the private medical insurance UK market, prized for its clarity and comprehensive cancer cover.

Both providers offer excellent core products, but their approach to optional benefits like outpatient cover has key differences.

Core PMI Cover: What's Included as Standard Before Outpatient Add-ons?

All PMI policies start with a core module. This is the foundation of your cover and typically includes treatment received as an inpatient or day-patient.

Here’s what is generally included as standard with both AXA and Aviva's core plans:

FeatureDescription
Inpatient TreatmentCovers costs if you are admitted to a hospital bed for treatment, including surgery, accommodation, and nursing care.
Day-Patient TreatmentCovers scheduled surgery or treatment where you are admitted to a hospital or clinic but do not stay overnight.
Comprehensive Cancer CoverBoth providers offer extensive cancer cover as standard, including surgery, chemotherapy, and radiotherapy.
Hospital Fees & Specialist ChargesPays for the costs associated with your hospital stay and the fees charged by surgeons and anaesthetists.

Outpatient cover is an optional extra that you add to this core plan. You can choose different levels of cover, from full, unlimited cover to a capped amount per policy year.

Critical Reminder: Pre-existing and Chronic Conditions

This is one of the most important principles of private medical insurance in the UK. Standard PMI policies are designed to cover acute conditions that arise after you take out the policy.

  • An acute condition is a disease, illness, or injury that is likely to respond quickly to treatment and lead to a full recovery (e.g., a cataract, joint replacement, hernia).
  • A chronic condition is an illness that cannot be cured, only managed (e.g., diabetes, asthma, high blood pressure, arthritis).
  • A pre-existing condition is any ailment for which you have experienced symptoms, received medication, or sought advice before your policy's start date.

Standard PMI policies from AXA, Aviva, and other UK providers do not cover the routine management of chronic conditions or treatment for pre-existing conditions. This is a fundamental rule of the market. The purpose of PMI is to get you diagnosed and treated for new, curable medical issues, quickly.

AXA Health's Outpatient Cover Options: A Deep Dive

AXA Health's 'Personal Health' plan is modular, allowing you to build a policy that suits your needs and budget. Their outpatient options are clear and flexible.

1. Full Outpatient Cover This is their more comprehensive option. If you choose this, AXA may pay in full for:

  • Specialist Consultations: No limit on the number of sessions.
  • Diagnostic Tests & Scans: MRI, CT, and PET scans may be covered in full when referred by a specialist.
  • Outpatient Therapies: Physiotherapy, osteopathy, and chiropractic treatment may be covered if you add the 'Therapies' option.

2. Standard Outpatient Cover This option provides a good balance of cover and cost. It includes:

  • Specialist Consultations & Diagnostic Tests: Covered in full.
  • MRI, CT, and PET Scans: Covered in full.
  • Important Note: This option does not cover outpatient therapies like physiotherapy unless you purchase the separate 'Therapies' add-on.

3. Limited Outpatient Cover (Financial Cap) A more budget-friendly choice where you set a financial limit on your outpatient claims per year. AXA typically offers caps such as £500, £1,000, or £1,500.

  • This limit applies to all outpatient consultations, tests, and scans combined.
  • Once you reach your annual limit, you would need to self-fund any further outpatient care or use the NHS.

4. The 'Therapies' Option For AXA, therapies are a separate add-on. If you want cover for physiotherapy, osteopathy, or chiropractic sessions, you must add this option. It covers a set number of sessions per year following a GP or specialist referral.

AXA's Outpatient Structure Summary

OptionSpecialist Consultations & TestsScans (MRI, CT, PET)Therapies (Physio, etc.)
Full OutpatientCovered in FullCovered in FullRequires 'Therapies' add-on
Standard OutpatientCovered in FullCovered in FullRequires 'Therapies' add-on
Limited OutpatientCovered up to annual limitCovered up to annual limitRequires 'Therapies' add-on

Aviva's Outpatient Cover Options: A Detailed Analysis

Aviva’s 'Healthier Solutions' policy also offers different tiers of outpatient cover. Their approach integrates therapies more directly into their outpatient limits, which is a key point of difference from AXA.

1. Full Outpatient Cover Aviva’s top-tier option pays in full for eligible outpatient treatment, including:

  • Consultations & Diagnostics: No yearly financial limit.
  • Physiotherapy & Complementary Therapies: Covered in full when referred by a specialist.

2. Limited Outpatient Cover (Financial Cap) Aviva provides several financial limits to choose from, typically £500, £1,000, or £1,500 per policy year. (illustrative estimate)

  • This single financial pot covers specialist consultations, diagnostic tests, scans, and therapies (including physiotherapy).
  • This is a crucial difference: with Aviva's capped options, your physiotherapy sessions will draw down from the same limit as your MRI scan and specialist consultations.

3. Diagnostics Only Cover Aviva also offers a 'Limited Diagnostics' option. This does not cover consultations with a specialist but may cover the cost of diagnostic tests and scans if a specialist refers you on the NHS. It's a lower-cost way to speed up the diagnostic part of your journey.

Aviva's Outpatient Structure Summary

OptionSpecialist ConsultationsScans & DiagnosticsTherapies (Physio, etc.)
Full OutpatientCovered in FullCovered in FullCovered in Full
Limited Outpatient (£500-£1500)Covered up to annual limitCovered up to annual limitCovered up to annual limit
Limited DiagnosticsNot CoveredCovered (on NHS referral)Not Covered

Side-by-Side Comparison: AXA vs Aviva Outpatient Benefits

This table highlights the key differences in how AXA and Aviva structure their comprehensive outpatient cover.

FeatureAXA Health (Personal Health)Aviva (Healthier Solutions)WeCovr's Expert Take
'Full Cover' Philosophy'Full Outpatient' covers consultations and scans. Therapies are a separate add-on.'Full Outpatient' is truly comprehensive and includes consultations, scans, and therapies under one umbrella.Aviva's 'Full' option is simpler and more all-inclusive. AXA's modular approach offers more granular control, which may suit some buyers.
'Limited Cover' StructureThe financial cap applies only to consultations and diagnostics. Therapies may be covered separately if added.The financial cap is a single pot for consultations, diagnostics, and therapies combined.Aviva's single pot is easier to understand but can be used up quickly. AXA's separation can protect your therapy cover from being eroded by expensive scans.
Therapy AccessRequires the specific 'Therapies' add-on. Can be accessed via GP referral (on some plans).Included within the main outpatient limits. Typically requires a specialist referral.AXA's direct GP referral for physio can be faster. Aviva's inclusion is simpler if you opt for full cover.
Diagnostics Only OptionNot typically offered as a standalone outpatient option.Available as 'Limited Diagnostics', covering scans only.This is a useful budget option from Aviva for those mainly concerned with the cost and wait times for scans like MRIs.
Mental Health PathwayStrong mental health cover, often with options for outpatient psychology sessions.Also provides robust mental health cover, with access to therapists and psychologists.Both are excellent in this area. The specifics of which conditions may be covered can vary, making a detailed comparison by a PMI broker essential.

Real-Life Scenarios: How Outpatient Cover Works in Practice

Let's see how these differences play out with a common medical issue.

Scenario: Persistent Back Pain

  • Policyholder: David, a 42-year-old office worker with a new policy.
  • Problem: Develops persistent lower back pain that isn't getting better.

Journey with Aviva 'Full Outpatient' Cover:

  1. David's GP refers him to an orthopaedic specialist.
  2. He sees the specialist privately within a week. (Consultation covered).
  3. The specialist recommends an MRI scan to rule out a disc issue. David has the scan two days later. (Scan covered).
  4. The scan reveals muscle strain, and the specialist refers him for six physiotherapy sessions. (Therapy covered).
  5. All costs may be covered in full by his Aviva policy.

Journey with AXA 'Standard Outpatient' + 'Therapies' Add-on:

  1. David's GP refers him to an orthopaedic specialist.
  2. He sees the specialist privately. (Consultation covered).
  3. The specialist recommends an MRI scan. (Scan covered).
  4. The scan reveals muscle strain, and the specialist recommends physiotherapy. Because David wisely included the 'Therapies' add-on, his six sessions may be covered.
  5. All costs may be covered. If he hadn't chosen the 'Therapies' add-on, he would have had to pay for the physio himself or use the NHS.

Journey with Aviva '£1,000 Outpatient Limit' Cover:

  1. Illustrative estimate: Specialist Consultation: £250
  2. Illustrative estimate: MRI Scan: £450
  3. Illustrative estimate: Remaining Limit: £1,000 - £250 - £450 = £300
  4. Illustrative estimate: The specialist recommends six physiotherapy sessions at £60 each (£360 total).
  5. Illustrative estimate: Aviva covers the first five sessions (£300). David must self-fund the final session (£60).

As you can see, the structure of the outpatient cover matters immensely. The WeCovr team — and, where appropriate, our broker partners — can walk you through these scenarios to find the policy structure that best protects you against the health issues you're most concerned about.

How Much Does Comprehensive Outpatient Cover from AXA and Aviva Cost?

The cost of private health cover is highly personal. It's influenced by:

  • Age: Premiums increase as you get older.
  • Location: Costs are higher in central London and other major cities due to higher hospital charges.
  • Level of Cover: Full outpatient cover is the most expensive option.
  • Excess: A higher excess (the amount you pay towards a claim) will lower your premium.
  • Hospital List: Choosing a more restricted hospital list reduces the price.
  • No Claims Discount (NCD): Your premium will be lower if you have a history of not claiming.

Below are illustrative monthly premiums for a 40-year-old non-smoker living in Manchester. These are estimates only and will vary.

Provider & Cover LevelExcessEstimated Monthly Premium
AXA Personal Health (Core + Full Outpatient + Therapies)£250£95
AXA Personal Health (Core + £1,000 Outpatient + Therapies)£250£70
Aviva Healthier Solutions (Core + Full Outpatient)£250£90
Aviva Healthier Solutions (Core + £1,000 Outpatient)£250£65

Key Takeaway: The pricing is often very competitive. Aviva's limited option may appear slightly cheaper because the £1,000 cap has to cover therapies as well, whereas the AXA example includes a separate therapy allowance. This is why a simple price comparison is not enough—you need to understand what you're getting for your money.

Added Value Benefits: What Else Do AXA and Aviva Offer?

PMI is no longer just about claims. Both providers offer a suite of wellness benefits to help you stay healthy.

  • Digital GP Services: Both AXA (Doctor at Hand) and Aviva (Aviva Digital GP) provide 24/7 access to a GP via phone or video call, often with prescription delivery services.
  • Wellness Programmes: AXA's 'ActivePlus' and Aviva's wellbeing services offer discounts on gym memberships, fitness trackers, and health screenings.
  • Mental Health Support: Both have dedicated phone lines and resources for mental health, separate from the main policy benefits.
  • Member Discounts: Policyholders get access to exclusive offers on a range of products and services.

WeCovr's Added Value: WeCovr believes in promoting proactive health. That's why when you take out a PMI or Life Insurance policy through us, we provide:

  • Complimentary access to our AI-powered calorie and nutrition tracking app, CalorieHero.
  • Exclusive discounts on other types of insurance, such as travel or home cover, helping you manage costs across the board.

Why Use a WeCovr Specialist or Trusted Broker Partner?

You could go directly to AXA or Aviva, but you would only see one side of the picture. A WeCovr specialist or trusted broker partner can work for you, not the insurer.

  1. Panel-based Advice: We compare policies from AXA, Aviva, Bupa, Vitality, and other UK providers on our panel to find the perfect match for your needs.
  2. Expert Guidance: We decipher the jargon and explain the crucial differences in policy wording (like the therapy cover example) that you might otherwise miss.
  3. No Separate Broker Fee: Our service has no separate broker fee for you. We are paid a commission by the insurer you choose, which is already built into the premium. You don't pay a penny more for our regulated guidance.
  4. Hassle-Free Process: We handle the paperwork and application, ensuring it's all done correctly.
  5. High Customer Satisfaction: Our clients consistently rate our service highly for its clarity, friendliness, and effectiveness.

Frequently Asked Questions (FAQs) about AXA, Aviva, and Outpatient Cover

What's the main difference between AXA's and Aviva's limited outpatient cover?

The main difference lies in how they treat therapies like physiotherapy. With Aviva's limited outpatient options, the cost of therapy sessions is deducted from your single annual financial limit (e.g., £1,000), alongside consultations and scans. With AXA, therapies may be covered under a separate 'Therapies' add-on, so an expensive MRI scan won't reduce your allowance for physiotherapy. This makes AXA's capped cover potentially more robust if you anticipate needing hands-on treatment.

Is full outpatient cover always worth the extra cost?

Full outpatient cover provides the ultimate peace of mind, ensuring all your diagnostic tests, scans, and consultations are paid for without you worrying about hitting a limit. It is particularly valuable for complex conditions that may require multiple specialist visits and different types of scans. However, a capped option (e.g., £1,000 or £1,500) offers a significant premium saving and is often sufficient to cover the diagnosis for most common acute conditions. The best choice depends on your budget and your attitude to risk.

Does private health insurance cover pre-existing or chronic conditions?

No, standard UK private medical insurance, including policies from AXA and Aviva, is designed to cover acute conditions that begin after your policy starts. It does not cover pre-existing conditions (illnesses you had before joining) or the long-term management of chronic conditions like diabetes, asthma, or hypertension. The primary purpose of PMI is to provide fast access to treatment for new, curable health problems.

The Verdict: AXA or Aviva for Comprehensive Outpatient Cover?

Both AXA and Aviva offer outstanding private medical insurance with excellent comprehensive outpatient options. There is no single "best" provider—only the best provider for you.

  • Choose Aviva if you value an all-in-one, simple-to-understand 'Full Outpatient' benefit that bundles everything together.
  • Choose AXA if you prefer a more modular approach, allowing you to protect your therapy allowance separately from your diagnostic cover, which can be advantageous on capped plans.

Ultimately, the subtle but important differences in their policy structures, hospital lists, and pricing mean that the right choice requires a personalised comparison.

Take the guesswork out of choosing your private health cover. A WeCovr specialist or one of our broker partners is here to provide clear, regulated advice tailored to your exact needs and budget.

Get your free, no-obligation PMI quote from WeCovr today.

Sources

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

Important Information and Risks

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

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

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

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

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Why private medical insurance and how does it work?

What is Private Medical Insurance?

Private medical insurance (PMI) is a type of health insurance that provides access to private healthcare services in the UK. It covers the cost of private medical treatment, allowing you to bypass NHS waiting lists and receive faster, more convenient care.

How does it work?

Private medical insurance works by paying for your private healthcare costs. When you need treatment, you can choose to go private and your insurance will cover the costs, subject to your policy terms and conditions. This can include:

• Private consultations with specialists
• Private hospital treatment and surgery
• Diagnostic tests and scans
• Physiotherapy and rehabilitation
• Mental health treatment

Your premium depends on factors like your age, health, occupation, and the level of cover you choose. Most policies offer different levels of cover, from basic to comprehensive, allowing you to tailor the policy to your needs and budget.

Questions to ask yourself regarding private medical insurance

Just ask yourself:
👉 Are you concerned about NHS waiting times for treatment?
👉 Would you prefer to choose your own consultant and hospital?
👉 Do you want faster access to diagnostic tests and scans?
👉 Would you like private hospital accommodation and better food?
👉 Do you want to avoid the stress of NHS waiting lists?

Many people don't realise that private medical insurance is more affordable than they think, especially when you consider the value of faster treatment and better facilities. A great insurance policy can provide peace of mind and ensure you receive the care you need when you need it.

Benefits offered by private medical insurance

Private medical insurance provides numerous benefits that can significantly improve your healthcare experience and outcomes:

Faster Access to Treatment
One of the biggest advantages is avoiding NHS waiting lists. While the NHS provides excellent care, waiting times can be lengthy. With private medical insurance, you can often receive treatment within days or weeks rather than months.

Choice of Consultant and Hospital
You can choose your preferred consultant and hospital, giving you more control over your healthcare journey. This is particularly important for complex treatments where you want a specific specialist.

Better Facilities and Accommodation
Private hospitals typically offer superior facilities, including private rooms, better food, and more comfortable surroundings. This can make your recovery more pleasant and potentially faster.

Advanced Treatments
Private medical insurance often covers treatments and medications not available on the NHS, giving you access to the latest medical advances and technologies.

Mental Health Support
Many policies include comprehensive mental health coverage, providing faster access to therapy and psychiatric care when needed.

Tax Benefits for Business Owners
If you're self-employed or a business owner, private medical insurance premiums can be tax-deductible, making it a cost-effective way to protect your health and your business.

Peace of Mind
Knowing you have access to private healthcare when you need it provides invaluable peace of mind, especially for those with ongoing health conditions or concerns about NHS capacity.

Private medical insurance is particularly valuable for those who want to take control of their healthcare journey and ensure they receive the best possible treatment when they need it most.

Important Fact!

There is no need to wait until the renewal of your current policy.
We can look at a more suitable option mid-term!

Why is it important to get private medical insurance early?

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

👉 We insure our cars, houses, and even our phones! Yet our health is the most precious thing we have.

Easily one of the most important insurance purchases an individual or family can make in their lifetime, the decision to buy private medical insurance can be made much simpler with the help of experienced advisers. They are the specialists who do the searching and analysis helping people choose between various types of private medical insurance policies available in the market, including different levels of cover and policy types most suitable to the client's individual circumstances.

It certainly won't do any harm if you speak with one of our experienced insurance experts who are passionate about advising people on financial matters related to private medical insurance and are keen to provide you with a free consultation.

You can discuss with them in detail what affordable private medical insurance plan for the necessary peace of mind they would recommend! WeCovr works with some of the best advisers in the market.

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Life Insurance and Private Medical Insurance cover you for two different purposes, so you will need to assess your needs but may wish to consider holding the two policies. Private Medical Insurance covers you if you get sick or need treatment and want or need to go privately. Life Insurance covers you in the case of death, giving a payout to family/those left behind.

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

If you prefer to get straight into treatment in the private sector without the long waiting times with the NHS, or you just prefer the private sector anyway, without having to pay it all yourself, then you would need to have Private Medical Insurance to cover it. Some policies can also cover treatments and drugs that aren't routinely available on the NHS.

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

It depends on your personal choice and preferences. If you are prepared to limit yourself to NHS-covered treatments only and can or want to endure long waiting times to get into treatment, then yes, NHS might work for you. Your cover there is free. If you don't want to be exposed to long waiting times or if your treatment is not covered by the NHS, then you may benefit from Private Medical Insurance.

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

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

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

The cost of private health insurance depends on several factors, including your age, location, smoking status, and the type of policy you choose. Your health insurance policy is tailored to your needs, and the cost can vary based on the level of cover you require, such as the amount of excess and specific treatment allowances.

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

Most health insurance covers private hospital stays and may include outpatient treatments like scans, tests, or appointments. Policies vary in coverage, and exclusions often include emergency treatment, maternity care, cosmetic surgery, chronic conditions and conditions present before the policy started.

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

Your health insurance policy begins once you've selected your policy and set up your payment. After setup, you'll receive your cover documents detailing what is and isn't covered. It's important to review these details carefully as policies differ.

An excess is the amount you contribute towards treatment when you make a claim. Choosing a higher excess can reduce your policy's monthly cost but requires a larger contribution when claiming. Depending on the insurer, it applies once per policy year or once per claim. A specialist at WeCovr or one of its broker partners can explain the excess options available.

To reduce health insurance costs, consider choosing a higher excess, which lowers the monthly premium. However, ensure the plan still meets your needs. Other factors affecting cost include lifestyle choices like smoking and potential savings for couples or family plans.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

The cost of health insurance varies based on several factors. Tap a button below to get your own personalised quote through WeCovr.

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

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

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

You can obtain a range of suitable quotes easily by tapping one of the buttons above or below and filling in a few details for personalised assistance.

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

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

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

Usually, yes: cover for eligible new conditions starts when your policy starts, and services like a nurse helpline or digital GP app are usually available straight away. If you make a claim soon after starting, the insurer may ask for a report from your GP. Health insurance is designed to cover new conditions that arise after the policy has started.

No, health insurance does not cover A&E (Accident and Emergency) visits. Private hospitals do not typically have the facilities for handling A&E cases. In case of an emergency, please dial 999 or use the NHS emergency services. However, if you require follow-up treatment after an emergency situation, your private medical insurance may be able to assist.

Yes, many insurers offer rewards in leisure, wellbeing, and health. Visit your insurer's website, or ask a specialist at WeCovr or one of its broker partners, for details of member rewards.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Claims may require additional information if under moratorium underwriting.

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

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

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

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

If your employer offers private health insurance as part of your benefits package, you likely don't need additional cover. However, there may be limits on the cover you receive, and it may not extend to your entire family. Remember, any insurance you get through work only covers you while you're employed there.

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

Many private health insurance providers now offer GP services, either digitally or face-to-face. This means you can often get a private GP appointment quickly, sometimes even on the same day. A specialist at WeCovr or one of its broker partners can help you find policies that offer GP services.

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

Inpatient care refers to any treatment requiring a stay in a hospital or clinic for at least one night. Outpatient care refers to treatments or tests that don't require hospital admission, such as minor diagnostic tests or physiotherapy sessions. A specialist at WeCovr or one of its broker partners can help you understand the different types of care and find a policy that suits your needs.

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

Health insurance policies are designed for cover in the UK. For cover abroad, consider travel insurance for short trips or international health insurance for longer stays or if you have a holiday home overseas. A specialist at WeCovr or one of its broker partners can help you find appropriate cover.

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

When you purchase a policy, you choose how much excess you pay, which is your contribution to the cost of treatment if you make a claim. The higher your excess, the lower your premium is likely to be. A specialist at WeCovr or one of its broker partners can help you understand how excess works and choose the right level for you.

These are two methods of underwriting a health insurance policy, relating to how insurance providers consider your pre-existing medical conditions when you take out cover. A specialist at WeCovr or one of its broker partners can help you understand the differences and choose the right option for you.

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

To find the right health insurance for you, compare policies to find one that offers the features you need at a price you can afford. Consider your personal circumstances and what you want from your policy. A specialist at WeCovr or one of its broker partners can help you evaluate your options.

If you need treatment, a GP referral is not always necessary. However, this depends on how you plan to pay for your treatment. Most hospitals will allow you to book appointments with a consultant without a GP referral if you are paying out-of-pocket. If you have private medical insurance, check your policy terms to see whether your insurer requires a GP referral first (many do). Some policies offer direct access without a referral for certain conditions, such as muscle and joint problems or counselling for mental health issues.

Yes, you can obtain financing for a loan to cover the cost of surgery. Many private healthcare companies have partnerships with finance companies to allow you to spread the cost of private treatment over time. You could also explore getting an ordinary loan from your bank if this option proves to be more cost-effective for you.

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

Yes, you can continue to receive treatment through the NHS even if you have private health insurance and have received private treatment in the past. This could be for rehabilitation after private surgery or for treatment that is not covered by your health insurance policy. For example, some cosmetic surgeries may be available through the NHS but are generally not covered by private medical insurance.

This is a difficult question to answer definitively. There are certain services that cannot be obtained privately, such as emergency treatment at an Accident and Emergency (A&E) department. Many NHS consultants also practise privately, so you could potentially see the same consultant either way. However, private healthcare typically offers shorter waiting times, usually a private room, and more flexible visiting. Some policies also give access to treatments and drugs that are not routinely available through the NHS.

Yes, you can self-refer to a private specialist without the need for a GP referral. However, the British Medical Association believes that in most cases, it is best practice to start with your GP, as they are familiar with your medical history.

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



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