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PMI Options for Accessing Private Hospitals in London

Navigating the world of private medical insurance (PMI) in the UK can be complex, especially when seeking access to Londons elite hospitals. As a broking firm that has helped arrange over 1,000,000 policies of various kinds, WeCovr and, where appropriate, broker partners provide expert guidance to help you secure the best private health cover for your needs.

Last updated Oct 6, 2026

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TL;DR

Navigating the world of private medical insurance (PMI) in the UK can be complex, especially when seeking access to Londons elite hospitals. As a broking firm that has helped arrange over 1,000,000 policies of various kinds, WeCovr and, where appropriate, broker partners provide expert guidance to help you secure the best private health cover for your needs.

Key takeaways

  • Harley Street: This famous street and its surrounding area are synonymous with private medicine, hosting thousands of specialist consultants.
  • World-Class Hospitals: Facilities like The London Clinic, The Cromwell Hospital, The Lister Hospital, and London Bridge Hospital are known for their exceptional standards of care and specialist units.
  • Higher Costs: This excellence comes at a price. According to market analysis, procedures in Central London can cost 20-30% more than in other parts of the UK. Insurers factor this into their premiums, which is why a London-inclusive policy costs more.
  • PMI Covers Approved Consultants: Your policy covers treatment from a specialist consultant who is recognised by your insurer. Many of these top consultants do have consulting rooms on Harley Street.
  • Treatment is in a Hospital: While your initial consultation might be on Harley Street, any subsequent procedure (like surgery or an MRI scan) must take place in a hospital or diagnostic facility that is on your chosen hospital list.

Navigating the world of private medical insurance (PMI) in the UK can be complex, especially when seeking access to London’s elite hospitals. As a broking firm that has helped arrange over 1,000,000 policies of various kinds, WeCovr and, where appropriate, broker partners provide expert guidance to help you secure the best private health cover for your needs. This guide demystifies the options.

Top provider policies and coverage nuances for London's premium clinics

Choosing private medical insurance isn't just about picking a provider; it's about selecting the right level of cover to match your needs. For those wanting access to London's world-renowned medical facilities, this choice is even more critical. The key lies in understanding "hospital lists" – the directory of facilities your policy allows you to use.

A standard policy might be perfect for care in Manchester or Bristol, but it could leave you facing a significant shortfall if you need treatment at The London Clinic or a top HCA hospital in the capital. Insurers tier their hospital lists precisely because of the cost variation across the country, with Central London hospitals being the most expensive. To unlock access to these premium clinics, you need a policy with an "extended" or "London" hospital list.

Why London's Private Healthcare Scene is Unique

London is a global hub for medical excellence. It boasts an unparalleled concentration of leading specialists, cutting-edge diagnostic technology, and prestigious private hospitals.

  • Harley Street: This famous street and its surrounding area are synonymous with private medicine, hosting thousands of specialist consultants.
  • World-Class Hospitals: Facilities like The London Clinic, The Cromwell Hospital, The Lister Hospital, and London Bridge Hospital are known for their exceptional standards of care and specialist units.
  • Higher Costs: This excellence comes at a price. According to market analysis, procedures in Central London can cost 20-30% more than in other parts of the UK. Insurers factor this into their premiums, which is why a London-inclusive policy costs more.

For many, the extra premium is a worthwhile investment for the peace of mind and choice it provides, allowing them to access the best specialists without delay.

Understanding Hospital Lists: The Key to London Access

Insurers use tiered hospital lists to manage costs and offer choice. If you want comprehensive access to London's best, you must choose the correct tier. Getting this wrong is one of the most common and costly mistakes people make when buying private health cover.

Here's a simplified breakdown of the typical tiers:

Hospital List TierTypical CoverageWho is it for?
Local / GuidedA restricted network of hospitals, often excluding Central London to keep costs low.Budget-conscious individuals who are happy with a limited choice of local hospitals.
National / StandardAccess to most private hospitals across the UK, but may exclude the most expensive Central London facilities.People needing solid UK-wide cover but not specifically requiring access to premium London clinics.
Extended / LondonUnrestricted access to all partner hospitals, including the top-tier, high-cost hospitals in Central London.Anyone living in or near London, or those who want the option to travel to the capital for specialist care.

Crucial point: Always check the fine print. Some "national" lists might include a handful of London hospitals but exclude the most famous ones. A WeCovr specialist or one of our broker partners can instantly clarify which hospitals are on which list for each insurer.

Comparing the Top UK PMI Providers for London Coverage

The UK providers on our panel all offer excellent policies, but their approach to London coverage differs. Understanding these nuances is vital to making the right choice.

ProviderLondon Hospital List Name(s)Key Features for London AccessGood to Know
BupaExtended Hospital ListComprehensive and includes major London hospital groups like HCA as standard on this list.Bupa is a trusted, well-known brand, but its comprehensive options can be at the higher end of the price spectrum.
AXA HealthLondon Hospitals / Central London HospitalsOffers a flexible, tiered approach. You can select a list that specifically includes premium London facilities.Their 'Guided' options, while cheaper, severely restrict choice. Ensure you choose their full 'London Hospitals' directory for flexibility.
AvivaHospital Options - 'Extended'The 'Extended' list provides excellent coverage of London's top clinics. Aviva is often very competitively priced.Their standard 'Key' list is restrictive for London. The upgrade to 'Extended' is essential for comprehensive capital coverage.
VitalityConsultant Select + London Care'London Care' is their specific add-on for access to London hospitals. It integrates with their wellness programme.The base 'Consultant Select' plan uses a limited list. You must add 'London Care' for access to the city's premier hospitals.

Each provider has its strengths. Bupa offers brand reassurance, AXA provides granular choice, Aviva is often great value, and Vitality rewards a healthy lifestyle. The "best" one depends entirely on your personal priorities, health, and budget.

The "Harley Street" Question: Are All Consultants and Clinics Covered?

Many people assume that if they have private medical insurance, they can visit any consultant on Harley Street. This is a common misunderstanding.

  1. PMI Covers Approved Consultants: Your policy covers treatment from a specialist consultant who is recognised by your insurer. Many of these top consultants do have consulting rooms on Harley Street.
  2. Treatment is in a Hospital: While your initial consultation might be on Harley Street, any subsequent procedure (like surgery or an MRI scan) must take place in a hospital or diagnostic facility that is on your chosen hospital list.
  3. Outpatient Limits Apply: Your policy will have a limit for outpatient services (consultations and diagnostics). A basic policy might offer £500, while a comprehensive one might be unlimited. This limit will determine how many consultations or tests you can have before needing inpatient care.

So, yes, your London-centric PMI policy will almost certainly give you access to a top Harley Street consultant. However, the crucial part is ensuring the hospital they practise at for treatment is also on your insurer's approved list.

Critical Information: What UK Private Medical Insurance Does Not Cover

It is essential to understand the limitations of PMI. Private health cover is designed for a specific purpose and does not cover everything.

Pre-existing and Chronic Conditions

This is the most important exclusion to understand. Standard UK private medical insurance is designed to cover acute conditions that arise after your policy has started.

  • Acute Condition: A disease, illness, or injury that is likely to respond quickly to treatment and lead to a full recovery. Examples include a hernia, joint pain requiring replacement, or cataracts.
  • Chronic Condition: A condition that is long-lasting and often cannot be fully cured. It requires ongoing management. Examples include diabetes, asthma, high blood pressure, and Crohn's disease.
  • Pre-existing Condition: Any illness or injury for which you have experienced symptoms, received medication, advice, or treatment in the 5 years before your policy start date. These are typically excluded for at least the first two years of your policy.

PMI will not cover the routine management of chronic conditions or any pre-existing conditions. It is there for new, unexpected, and treatable health issues.

Other Standard Exclusions

Most policies will also not cover:

  • Emergency and A&E visits
  • Normal pregnancy and childbirth
  • Cosmetic surgery (unless for reconstructive purposes after an accident or eligible surgery)
  • Self-inflicted injuries
  • Drug and alcohol abuse and rehabilitation

How to Tailor Your PMI Policy for London and Manage Costs

A policy with a London hospital list is more expensive, but there are several ways to manage the premium without sacrificing the core benefit of access.

  1. Choose a Higher Excess: The excess is the amount you agree to pay towards a claim. An excess of £250 or £500 can significantly reduce your monthly premium. You only pay it once per policy year, regardless of how many claims you make.
  2. Adjust Outpatient Cover: Full, unlimited outpatient cover is expensive. Opting for a limit of £1,000 or £1,500 is often more than enough to cover the consultations and diagnostics needed for most conditions, and it lowers the price.
  3. Consider the 'Six-Week Wait' Option: This is a fantastic cost-saving feature. With this option, if the NHS can provide the inpatient treatment you need within six weeks of your specialist's recommendation, you use the NHS. If the wait is longer, your private cover kicks in immediately. This can reduce premiums by up to 25%.
  4. Work with a Broker: A specialist at WeCovr or one of our broker partners does all the hard work for you. We compare policies from our panel, explain the different hospital lists and options in plain English, and help you find the perfect balance between comprehensive London cover and an affordable premium. Our advice is regulated and comes with no separate broker fee.

Beyond Hospitals: Wellness and Additional Benefits

Modern private health cover is about more than just hospital stays. Providers now include a wealth of benefits designed to support your health and provide support when you need it.

  • Digital GP Services: All major insurers offer 24/7 access to a virtual GP via phone or video call, often with potentially same-day appointments. This is incredibly convenient for getting prescriptions, advice, and quick referrals.
  • Mental Health Support: This is now a core feature. Policies typically include access to a set number of therapy or counselling sessions, as well as digital tools for mental wellbeing.
  • Wellness Programmes: Vitality leads the way, rewarding you with discounts and perks for tracking your activity, but other providers also offer gym discounts and health-related benefits.
  • WeCovr's Exclusive Benefits: When you arrange your PMI policy through WeCovr, you also get complimentary access to our AI-powered calorie and nutrition tracking app, CalorieHero. Plus, our clients often receive discounts on other types of insurance, such as life or income protection cover, helping you protect your health and finances holistically.

Real-Life Example: David's Journey to a London Diagnosis

David, a 45-year-old architect living in London, started experiencing worrying, persistent headaches and dizziness. Here’s how his journey might look with a comprehensive PMI policy.

  1. Initial Concern: Instead of waiting for a GP appointment, David uses his insurer's Digital GP app and speaks to a doctor the same afternoon.
  2. Quick Referral: The GP is concerned about the symptoms and provides an open referral to a neurologist.
  3. Choice of Specialist: David's policy has an 'Extended London' hospital list. He calls his insurer, who provides a choice of three approved neurologists at leading clinics, including one at the Cromwell Hospital in Kensington. He books an appointment for the following week.
  4. Rapid Diagnostics: The neurologist suspects an inner ear issue and recommends an urgent MRI scan. The insurer approves the scan, and David has it done at the same hospital within three days.
  5. Diagnosis and Treatment: The MRI is clear, and further tests confirm a diagnosis of vestibular neuritis, an acute viral infection of the inner ear. The consultant prescribes medication and refers him to a specialist vestibular physiotherapist.

Without PMI, David could have faced a significant wait. The median NHS waiting time from referral to treatment was 15.2 weeks in July 2024, with hundreds of thousands waiting far longer for diagnostics and specialist appointments. With his policy, David went from initial symptom to diagnosis and treatment plan in under two weeks.


Frequently Asked Questions

Do I need a London hospital list if I don't live in London?

It depends on your preference. If you want the absolute freedom to choose the UK's top specialists, many of whom are based in London, then yes. A London hospital list gives you the option to travel to the capital for treatment, even if you live elsewhere. If you are happy with the excellent hospitals in your local area and want to keep costs down, a national list may be sufficient.

Is cancer treatment covered on London-specific private medical insurance?

Yes, comprehensive cancer cover is a core feature of most UK PMI policies, including those with London hospital lists. This cover typically includes diagnosis, surgery, chemotherapy, and radiotherapy. However, you must check the policy details carefully. Some policies may have limits on advanced or experimental treatments, and it's vital to ensure the specialist cancer centres you might want to use, such as The Royal Marsden (often available via an NHS cancer cover clause) or Leaders in Oncology Care (LOC), are included in your cover.

Can I add my family to my London PMI policy?

Absolutely. Insurers offer individual, couple, and family policies. Adding your partner and/or children to your policy is straightforward. While this will increase the premium, insurers often provide a discount for family plans compared to buying separate individual policies. It's a great way to ensure your whole family has access to the best care.

How does a WeCovr specialist or one of our broker partners help me find a strong fit for your needs?

A WeCovr specialist or one of our broker partners acts as your expert guide. Instead of you spending hours trying to compare complex policies, we do the work for you. We listen to your specific needs – such as guaranteed access to London hospitals – and your budget. We then search the market, explain the differences between providers in simple terms, and recommend the policy that offers good value. Our service is regulated and comes with no separate broker fee, as we are paid by the insurer.

Choosing the right private medical insurance is a significant decision. For those who prioritise access to London's outstanding medical facilities, selecting a policy with the correct hospital list is the most important step.

Take the guesswork out of finding the right cover. Get your free, no-obligation quote from WeCovr today and let our experts help you unlock access to London's finest medical care.

Sources

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

Important Information and Risks

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

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

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

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

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Why private medical insurance and how does it work?

What is Private Medical Insurance?

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

How does it work?

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

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

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

Questions to ask yourself regarding private medical insurance

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

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

Benefits offered by private medical insurance

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

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

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

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

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

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

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

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

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

Important Fact!

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

Why is it important to get private medical insurance early?

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

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

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

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

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

By tapping the button below, you can book a free call with them in less than 30 seconds right now:

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Claims may require additional information if under moratorium underwriting.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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



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