TL;DR
Considering switching your private medical insurance in the UK? As an FCA-authorised broker that has helped arrange over 900,000 policies of various kinds, WeCovr provides expert guidance to help you navigate your options safely and find the best private health cover for your needs in 2026. Guidance on renewing and switching safely Your private medical insurance (PMI) renewal letter has landed on your doormat or in your inbox.
Key takeaways
- Rising Premiums: Premiums almost always increase at renewal. This is due to a combination of factors including your age, medical inflation (the rising cost of treatments and technology), and any claims you may have made. According to industry analysis, medical inflation often runs significantly higher than the general rate of inflation (CPI).
- Changing Needs: Your life isn't static, and your health cover shouldn't be either. Have you started a family? Moved to a new area? Developed new health goals? Your policy should adapt to your life, not the other way around.
- Market Innovation: The private medical insurance UK market is constantly evolving. Insurers introduce new benefits, digital health tools, and more competitive pricing to attract customers. You might be missing out on enhanced cover or valuable perks by staying with an outdated policy.
- Performance of Your Current Insurer: Are you happy with the service you've received? How easy was it to make a claim or get pre-authorisation? Your annual renewal is the perfect time to vote with your feet if the service has been subpar.
- New Premium: The most obvious figure. Compare this directly to what you paid last year to see the percentage increase.
Considering switching your private medical insurance in the UK? As an FCA-authorised broker that has helped arrange over 900,000 policies of various kinds, WeCovr provides expert guidance to help you navigate your options safely and find the best private health cover for your needs in 2026.
Guidance on renewing and switching safely
Your private medical insurance (PMI) renewal letter has landed on your doormat or in your inbox. The premium has likely increased, and you're left wondering: should I simply renew, or is there a better, more affordable option out there?
Navigating the world of PMI can feel complex, but it doesn't have to be. This guide will walk you through the best practices for reviewing your cover, comparing your options, and making a confident decision about whether to renew or switch your insurer in 2026.
Why You Should Review Your PMI Policy Annually
It's easy to let your health insurance roll over each year without a second thought. However, this "set it and forget it" approach can be a costly mistake. Here are the key reasons why an annual review is essential:
- Rising Premiums: Premiums almost always increase at renewal. This is due to a combination of factors including your age, medical inflation (the rising cost of treatments and technology), and any claims you may have made. According to industry analysis, medical inflation often runs significantly higher than the general rate of inflation (CPI).
- Changing Needs: Your life isn't static, and your health cover shouldn't be either. Have you started a family? Moved to a new area? Developed new health goals? Your policy should adapt to your life, not the other way around.
- Market Innovation: The private medical insurance UK market is constantly evolving. Insurers introduce new benefits, digital health tools, and more competitive pricing to attract customers. You might be missing out on enhanced cover or valuable perks by staying with an outdated policy.
- Performance of Your Current Insurer: Are you happy with the service you've received? How easy was it to make a claim or get pre-authorisation? Your annual renewal is the perfect time to vote with your feet if the service has been subpar.
Understanding Your Renewal Offer: Decoding the Jargon
Your renewal pack can be filled with confusing terms. Let's break down what you need to look for:
- New Premium: The most obvious figure. Compare this directly to what you paid last year to see the percentage increase.
- No Claims Discount (NCD): If you haven't claimed, your NCD may have increased, offsetting some of the premium rise. Conversely, if you've made a claim, your NCD level will likely be reduced, leading to a steeper price hike.
- Underwriting Terms: The document will state the type of underwriting on your policy, such as 'Moratorium' or 'Full Medical Underwriting'. This is crucial when considering a switch.
- Changes to Your Policy: Insurers can and do change their terms and conditions. They might alter the hospital list, change the excess options, or add new exclusions. Read the fine print carefully.
Real-Life Example: Sarah, a 45-year-old marketing manager, saw her premium jump by 18% at renewal, despite not making a claim. By using a broker to compare the market, she found a policy with a near-identical level of cover from a different major insurer for 10% less than her original premium. The switch saved her over £200 a year.
The Critical Rule of UK Private Medical Insurance
Before we go any further, it is vital to understand the fundamental principle of standard UK private health cover.
PMI is designed to cover acute conditions that arise after you take out your 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., joint replacement, cataract surgery, hernia repair).
- A chronic condition is a disease, illness, or injury that has one or more of the following characteristics: it needs ongoing or long-term monitoring, has no known cure, or is likely to come back (e.g., diabetes, asthma, high blood pressure, arthritis).
Standard PMI policies do not cover pre-existing conditions or chronic conditions. This is the single most important concept to grasp when renewing or switching. Any attempt to hide a pre-existing condition will invalidate your policy.
The Two Main Ways to Switch Your PMI Policy
When you decide to move to a new insurer, you don't necessarily lose all the cover you've built up. There are two established methods for switching, each with its own pros and cons.
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Moratorium Underwriting (Mori): This is the most common and straightforward method. You don't have to fill out a detailed medical questionnaire. Instead, the new insurer applies a "waiting period" (the moratorium). Typically, they will not cover any medical conditions you've had symptoms of, or received treatment, medication, or advice for, in the five years before your new policy starts. However, if you then go two continuous years on the new policy without any symptoms, treatment, or advice for that condition, it may become eligible for cover.
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Full Medical Underwriting (FMU): With FMU, you provide a full declaration of your medical history by completing a detailed health questionnaire. The insurer's underwriting team then assesses your application and decides what they will and will not cover. Any pre-existing conditions will be explicitly excluded from day one.
Here’s how they compare:
| Feature | Moratorium (Mori) Underwriting | Full Medical Underwriting (FMU) |
|---|
| Application Process | Simple and quick. No upfront medical forms. | Lengthy. Requires a detailed medical questionnaire. |
| Initial Certainty | Less certainty. Cover for past conditions is determined at the point of a claim. | Full certainty. You know exactly what is excluded from the start. |
| Cover for Past Issues | Conditions from over 5 years ago are typically covered. Recent conditions may become covered after a 2-year clear period. | Conditions you declare are usually permanently excluded. |
| Admin & Speed | Faster to set up. | Slower to set up due to medical assessment. |
| Best For... | People in good health with no recent medical issues, who want a quick and simple switch. | People who want absolute clarity on their cover from day one, even if it means more admin. |
Continuing Your Underwriting: The 'Protected' Switch
There is a third, highly valuable option known as Continued Personal Medical Exclusions (CPME). This isn't a type of underwriting itself, but a special way of switching.
With a CPME switch, your new insurer agrees to take on the exact same underwriting terms as your old one. This means any conditions that were already covered by your previous policy will continue to be covered by the new one, and any exclusions you had will be carried over.
Why is this so powerful? It allows you to switch insurers and potentially save money without the risk of losing cover for a condition that developed while you were with your old insurer.
This is a specialist transfer method and is best managed by an expert PMI broker like WeCovr. They have the expertise to negotiate these terms with insurers and ensure your cover remains seamless.
A Step-by-Step Guide to Switching Your Health Insurer Safely
Follow these steps for a smooth and successful switch.
- Review Your Renewal Offer (6-8 Weeks Before Renewal): Don't leave it to the last minute. As soon as your renewal documents arrive, scrutinise them. Note the new premium and any changes to your cover.
- Define Your Needs for the Year Ahead: What's important to you now? Do you need comprehensive cancer cover? Access to mental health support? A specific list of hospitals? Write down your top 3-5 priorities.
- Contact an Independent Broker: This is the most crucial step. A broker’s job is to do the hard work for you. They will:
- Analyse your current policy.
- Discuss your needs and budget.
- Compare policies from a wide range of leading UK insurers.
- Advise on the best way to switch (Mori, FMU, or CPME).
- Present you with clear, easy-to-understand options.
- Handle all the application paperwork.
- The best part? This service comes at no cost to you, as brokers are paid a commission by the insurer you choose.
- Compare the Quotes: Your broker will provide quotes that match your requirements. Don't just look at the price. Compare the following:
- Level of Cover: Is it for inpatient only, or does it include out-patient diagnostics, consultations, and therapies?
- Excess: How much would you have to pay towards a claim? A higher excess lowers the premium.
- Hospital List: Does it include the hospitals and treatment centres you'd prefer to use?
- Cancer Cover: Is it comprehensive? Does it cover chemotherapy, radiotherapy, and experimental treatments?
- Added Benefits: What else is included? A 24/7 digital GP service, mental health support lines, or wellness rewards?
- Make Your Decision & Apply: Once you've chosen a new policy, your broker will help you complete the application. Be completely honest about your medical history, especially if you are opting for Full Medical Underwriting.
- Cancel Your Old Policy: Only cancel your existing policy after you have received confirmation that your new policy is active. Ensure there is no gap in cover. The ideal scenario is for your new policy to start the day your old one ends.
What to Look For in a New PMI Policy in 2026
The best private medical insurance policy is the one that fits your personal circumstances. Here is a checklist of features to consider:
| Feature | What to Consider |
|---|
| Core Cover | Always includes in-patient and day-patient treatment (tests and surgery requiring a hospital bed). |
| Out-Patient Cover | How much is covered for specialist consultations and diagnostic tests that don't require a hospital bed? Options often range from £0 to £1,500 or even 'unlimited'. |
| Cancer Cover | This is a cornerstone of PMI. Check if the cover is comprehensive, including surgery, chemotherapy, radiotherapy, and access to new drugs not yet available on the NHS. |
| Therapies | Cover for services like physiotherapy, osteopathy, and chiropractic treatment. Usually has an annual limit on the number of sessions. |
| Mental Health | A growing priority. Does the policy cover out-patient consultations with a psychiatrist or psychologist and in-patient psychiatric treatment? |
| Hospital List | Insurers have tiered hospital lists. A "national" list might exclude expensive central London hospitals to keep premiums down. Check the list covers facilities convenient for you. |
| Excess Level | The amount you agree to pay towards the first claim each year. An excess of £250 or £500 can significantly reduce your premium. |
| Six-Week Option | A cost-saving option where you agree to use the NHS if the treatment you need has a waiting list of less than six weeks. If the NHS wait is longer, you can use your PMI. |
The UK Health Landscape: Why PMI Matters in 2026
The pressure on the NHS continues to be a major factor for those considering private healthcare. Recent data paints a clear picture.
According to the latest NHS England statistics, the Referral to Treatment (RTT) waiting list remains historically high. As of late 2025, millions of treatment pathways were waiting to start. The median waiting time for non-emergency treatment can stretch for several months, a significant increase from pre-pandemic levels.
This isn't a criticism of the incredible work done by NHS staff; it's a reflection of sustained high demand and resource constraints. For many, PMI offers a parallel route to faster diagnosis and treatment for acute conditions, providing peace of mind and a quicker return to health.
Beyond Insurance: Wellness Programmes and Added Value
Modern PMI is about more than just paying for treatment when you're ill. Top insurers now compete on the value they add to your daily life, focusing on prevention and wellbeing.
Look for policies that include:
- Digital GP Services: 24/7 access to a GP via phone or video call, often with the ability to get prescriptions delivered.
- Mental Health Support: Access to helplines, counselling sessions, and apps for stress and anxiety management.
- Wellness Rewards: Discounts on gym memberships, fitness trackers, and healthy food. Some providers even reduce your premium for staying active.
- Specialist Health Support: Direct lines to nurses, physiotherapists, and midwives for quick advice.
As an added benefit, clients who purchase PMI or Life Insurance through WeCovr receive complimentary access to CalorieHero, our AI-powered calorie and nutrition tracking app. We also offer discounts on other types of cover, like home or travel insurance, when you have a health policy with us, providing even greater value.
Common Pitfalls to Avoid When Switching
- Focusing Only on Price: The cheapest policy is rarely the best. It might have a restrictive hospital list, a high excess, or minimal out-patient cover that doesn't suit your needs.
- Non-Disclosure: Failing to declare a medical condition on an FMU application is a serious mistake. It can lead to your policy being cancelled and claims being rejected when you need them most. Always be truthful.
- Leaving a Gap in Cover: Mismanaging the switch and ending up uninsured for a period is risky. A new condition that arises during this gap would not be covered.
- Ignoring the Fine Print: Don't just read the glossy brochure. Your policy documents contain the legally binding terms. Pay attention to what is excluded.
- Not Using a Broker: Going direct to an insurer means you only see one option. A broker provides a whole-of-market view, specialist advice, and can often find deals not available to the public, all while championing your best interests.
FAQs: Your Switching Questions Answered
What happens to conditions I've claimed for if I switch insurer?
This is the most critical question. If you switch on a standard Moratorium basis, any condition you've claimed for (or had symptoms of) in the last 5 years will be excluded for at least the first 2 years. The only way to guarantee continuous cover for an existing condition is to switch on a 'Continued Personal Medical Exclusions' (CPME) basis, which a specialist broker can arrange for you.
Will my premium be cheaper if I switch?
Frequently, yes. Your current insurer's renewal price is based on their own claims experience and pricing model. Another insurer might have a different view of risk, be running a promotion to attract new customers, or offer a policy structure that better suits your needs at a lower price point. Comparing the market is the only way to know for sure.
Is it better to stay with the same insurer for loyalty?
Unlike some other types of insurance, loyalty in the private medical insurance market rarely translates into the best price. Insurers tend to offer their most competitive rates to new customers. While good service is worth something, you should always benchmark your renewal offer against the open market to ensure you are getting fair value. An expert broker can do this for you quickly and easily.
Do I need to have a medical examination to switch my health insurance?
No, a medical examination is not typically required to take out or switch private medical insurance in the UK. The process is based on declaration. If you choose Full Medical Underwriting (FMU), you will fill out a detailed health questionnaire. If you opt for Moratorium underwriting, no health questions are asked upfront.
Your Next Step: Get an Expert Opinion
Reviewing your private medical insurance each year is a smart financial and health decision. While the prospect of switching can seem daunting, you don't have to do it alone.
Working with an experienced, FCA-authorised broker like WeCovr removes the complexity and empowers you to make the best choice. We provide impartial advice, compare leading PMI providers on your behalf, and ensure your switch is handled safely and seamlessly—all at no cost to you.
Ready to see if you could get better cover for a better price? Contact WeCovr today for a free, no-obligation review of your private health cover.