
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.
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.
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:
Your renewal pack can be filled with confusing terms. Let's break down what you need to look for:
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.
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.
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.
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.
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.
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. |
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.
Follow these steps for a smooth and successful switch.
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 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.
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:
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.
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.






