Navigating your private medical insurance renewal in the UK can feel daunting. WeCovr, an FCA-authorised broker that has helped arrange over 900,000 policies of various kinds, provides this expert guide to empower you to find the best value, whether you're renewing your existing policy or switching to a new provider.
Step-by-step guidance for consumers in navigating annual renewal and switch
Your private health cover renewal letter has landed on your doormat. The premium has likely gone up, and your first instinct might be to simply accept it and move on. However, this could be a costly mistake.
The private medical insurance UK market is competitive, and loyalty rarely pays. Taking a proactive approach to your annual renewal can save you hundreds, even thousands, of pounds while potentially improving your level of cover. This guide will walk you through the process, step by step.
Your 6-Step Renewal and Switching Action Plan
- Receive and Review Your Renewal Notice (4-6 weeks before renewal): Don't just look at the price. Scrutinise every detail. Has the excess changed? Have any benefits been removed or reduced?
- Assess Your Current and Future Needs: Has your health changed? Are you planning a family? Do you need better mental health support? Your policy should reflect your life now, not when you first took it out.
- Shop the Market (This is crucial!): This is where you gain power. Use an independent expert broker, like WeCovr, to compare policies from a wide range of insurers. This service is free to you and provides a comprehensive view of your options.
- Compare Like-for-Like (and Beyond): When you get new quotes, make sure you're comparing apples with apples. Check the cover levels, hospital lists, and excess amounts. Also, consider if a different type of policy might now be a better fit.
- Understand Your Underwriting Options: If you switch, how will your medical history be treated? We'll explain terms like 'Moratorium' and 'Continued Personal Medical Underwriting' in detail below. This is the most critical technical decision you'll make.
- Make an Informed Decision: Switch or Stay: Armed with quotes and knowledge, you can now decide. You can either switch to a new provider or, in some cases, use your cheaper quotes as leverage to negotiate a better deal with your current insurer.
A Critical Note on Private Medical Insurance Coverage
It is a fundamental principle of the UK private medical insurance market that policies are designed to cover acute conditions. An acute condition is a disease, illness, or injury that is likely to respond quickly to treatment and lead to a full recovery.
Standard UK PMI policies do NOT cover:
- Pre-existing conditions: Any medical condition you had symptoms of, received advice for, or were treated for before your policy start date.
- Chronic conditions: Long-term, incurable illnesses that require ongoing management, such as diabetes, asthma, arthritis, or high blood pressure.
Management of these conditions will nearly always remain with the NHS. PMI is your partner for getting new, eligible acute conditions diagnosed and treated swiftly.
Understanding Your Renewal Notice in Detail
Your renewal notice is more than just an invoice; it's your policy's annual report card. Insurers are required by the Financial Conduct Authority (FCA) to make these documents clearer and show your previous year's premium alongside the new one, helping you spot price hikes.
Why Do Premiums Increase Every Year?
It’s frustrating, but your premium will almost certainly rise at renewal. There are two main reasons for this:
- Medical Inflation: The cost of medical treatments, new drugs, and advanced technology rises faster than general inflation. Insurers pass this cost on. Medical inflation in the UK typically runs between 7% and 10% per year.
- Age-Related Increases: As we get older, we are statistically more likely to claim. Most insurers have age brackets, and moving into a new one (e.g., from 49 to 50) can trigger a significant price jump on top of medical inflation.
Here’s a simple checklist for what to look for in your renewal pack:
| Item to Check | What to Look For | Why It Matters |
|---|
| New Premium | The total cost for the year ahead. Compare it to last year's premium (which must now be displayed). | This is the headline figure. A jump of over 15-20% should be a major red flag to review your options. |
| Policy Excess | Has the amount you pay per claim/per year changed? | A higher excess lowers your premium, but means you pay more out-of-pocket if you claim. |
| Benefit Changes | Read the small print. Has the cancer cover been altered? Has the outpatient limit been reduced? | Insurers sometimes tweak benefits to keep headline prices down. You could be losing valuable cover without realising it. |
| Hospital List | Has your chosen hospital list been downgraded or have specific hospitals been removed? | This could limit your choice of treatment centres, forcing you to travel further or use a hospital you don't prefer. |
| No Claims Discount (NCD) | How has your NCD been applied? If you claimed, how much has it been reduced? | Understanding your NCD is key to understanding your price. Some insurers have more generous NCD scales than others. |
Real-Life Example:
Sarah, a 45-year-old marketing manager, saw her premium jump by 22%. Her insurer explained this was due to her moving into a new age band and general medical inflation. By speaking to a broker, she found a policy with a near-identical level of cover from another major insurer that was £40 a month cheaper, saving her £480 a year.
The "Why": Reasons to Review Your Private Health Cover Annually
Treating your private health cover like your car or home insurance is the smartest financial move you can make. The "loyalty penalty" is a well-documented phenomenon across the insurance industry, and PMI is no exception.
Key Drivers for a Policy Review:
- Cost Savings: The number one reason. Competitors want your business and will often offer a sharper price to a new customer than your existing provider will offer to keep you.
- Changing Health Needs: Perhaps you've developed an interest in complementary therapies (like physiotherapy or osteopathy) and your current policy has poor cover for them. Or you're concerned about mental health and want a policy with better support.
- Family Changes: Getting married, having a baby, or adding a teenager to your policy are all significant life events. What was right for a single person may not be right for a family.
- Access to Better Benefits: The PMI market is constantly evolving. Newer policies often come with enhanced benefits like:
- Virtual GP Services: 24/7 access to a GP via phone or video call.
- Wellness Programmes: Discounts on gym memberships, fitness trackers, and healthy food.
- Poor Customer Service: If you've made a claim and had a bad experience, that's a perfectly valid reason to look elsewhere. Your peace of mind is paramount.
According to latest NHS England statistics, the waiting list for routine consultant-led treatment remains in the millions. This stark reality continues to be a primary driver for UK consumers seeking the speed and choice offered by private medical insurance. Ensuring your policy is fit for purpose has never been more important.
The Switching Process Explained: Underwriting is Key
Switching is straightforward, but it's vital to get the underwriting right. Underwriting is how an insurer assesses your medical history to decide what they will and will not cover.
When you switch, you generally have two main options for how your new insurer treats your medical history.
| Underwriting Type | How It Works | Pros | Cons | Best For |
|---|
| Continued Personal Medical Underwriting (CPME) | Your new insurer agrees to continue your cover on the same terms as your old policy. You effectively "transfer" your underwriting history. | Seamless cover. No new exclusions are added for conditions that were already covered. | Only available when switching from another PMI policy. Can sometimes be slightly more expensive. | Anyone with existing medical conditions that are currently covered by their policy. This is the safest option for most people who are switching. |
| New Moratorium Underwriting | You don't declare your full medical history upfront. The new insurer automatically excludes any condition you've had in the last 5 years. This exclusion can be lifted if you remain symptom-free and need no treatment/advice for that condition for a continuous 2-year period after your policy starts. | Simple and quick application process. No lengthy medical forms. | Risk of losing cover. A condition you were covered for on your old policy might now be excluded for at least 2 years on the new one. Can create uncertainty at the point of claim. | Young, healthy individuals with no significant medical history who are buying PMI for the first time or are confident they have had no medical issues in the last 5 years. |
A third, less common option is Full Medical Underwriting (FMU), where you complete a detailed health questionnaire. This is common for first-time buyers but less so for switchers unless they want to move from a Moratorium policy.
Why CPME is Usually the Best Choice for Switching
Imagine you developed knee pain three years ago. Your current insurer investigated, agreed it was an acute condition, and paid for your treatment. The condition is now covered.
- If you switch on CPME terms, your new insurer also agrees to cover that knee, should the problem flare up again.
- If you switch on a New Moratorium, the knee problem would be classed as a pre-existing condition from the last 5 years and would be excluded for the first 2 years of your new policy.
This is why working with an expert is so valuable. A good broker, like WeCovr, will assess your personal situation and recommend the underwriting method that protects your continuity of cover, ensuring there are no nasty surprises if you need to claim.
Enhancing Your Wellbeing: It's Not Just About a Hospital Bed
Modern private medical insurance is increasingly focused on keeping you healthy, not just treating you when you're ill. When comparing policies, look beyond the core hospital cover and explore the value-added wellness benefits.
Lifestyle and Wellness Perks to Look For:
- Nutrition and Diet: Some insurers offer access to nutritionists or provide discounts on healthy food services. As part of our commitment to our clients' health, WeCovr provides complimentary access to CalorieHero, our AI-powered calorie and nutrition tracking app, helping you build and maintain healthy eating habits.
- Fitness and Activity: Many top providers partner with major gym chains to offer discounted memberships. Others have programmes that reward you with cinema tickets or coffee for hitting activity goals tracked on a wearable device.
- Mental Health Support: This has become a huge focus. Look for policies that offer access to counselling or CBT sessions without needing a GP referral, or provide access to mental wellness apps like Headspace or Calm.
- Sleep and Recovery: Good sleep is foundational to health. Some insurers are now integrating sleep tracking and coaching into their wellness platforms, recognising its importance in preventing illness.
- Travel: While not a replacement for travel insurance, some PMI policies offer cover for emergency medical treatment when you are abroad for short periods. Check the policy wording carefully for limits and geographical restrictions.
Taking advantage of these benefits can improve your overall health and, in some cases, even lead to lower renewal premiums in the future. Furthermore, clients who purchase PMI or Life Insurance through WeCovr can benefit from exclusive discounts on other types of insurance cover, providing even greater value.
Common Pitfalls and How to Avoid Them
Navigating the renewal and switching process can be tricky. Here are some common mistakes to watch out for.
- Focusing Only on Price: The cheapest policy is rarely the best. A policy with a low headline price might have a very limited hospital list, a high excess, or poor outpatient cover. You could find yourself under-insured when you need it most.
- Misunderstanding Underwriting: As discussed, choosing the wrong underwriting method when switching can lead to a loss of cover for conditions you thought were protected. Always seek expert advice on this.
- Forgetting to Cancel Your Old Policy: If you decide to switch, you must inform your old insurer that you do not wish to renew. Don't assume it will cancel automatically. If you pay by direct debit, cancel it with your bank as well to be safe.
- Leaving it Too Late: Start the review process the moment your renewal notice arrives. This gives you plenty of time to get quotes and make a calm, informed decision without being rushed.
- Not Using a Broker: The UK private medical insurance market is complex, with dozens of policies from multiple providers. A specialist broker does the legwork for you, explains the differences in plain English, and helps you find the most suitable policy at a competitive price. Their high customer satisfaction ratings show that clients value this expertise. Best of all, their service is free to the consumer.
Will my pre-existing conditions be covered if I switch insurer?
Generally, no. Standard private medical insurance in the UK does not cover pre-existing conditions. However, if you switch using 'Continued Personal Medical Underwriting' (CPME), any conditions that were already covered by your previous insurer will continue to be covered by your new one. This is the safest way to switch if you have a medical history, as it preserves your continuity of cover. If you switch on 'New Moratorium' underwriting, any condition from the past 5 years will be excluded for a 2-year waiting period.
Can I negotiate a lower premium with my current insurer?
Yes, you can sometimes negotiate. The most effective way to do this is to have a cheaper like-for-like quote from a competitor. You can present this to your current insurer and ask if they can match or beat it. Some may offer a discount to retain you as a customer, while others may not. The only way to find out is to shop around first and then ask the question.
How much can I realistically save by switching my PMI policy?
Savings vary widely depending on your age, location, chosen cover, and current insurer, but it is not uncommon for consumers to save between 15% and 40% on their renewal premium by switching providers. For a family policy, this could easily amount to savings of over £500 per year. An independent broker can give you a precise comparison based on your circumstances.
Is it better to increase my excess or switch insurers to save money?
Increasing your excess is a quick way to lower your premium, but it means you'll pay more yourself if you need to make a claim. It is always best to first explore switching insurers on a like-for-like basis (including the same excess). You may find you can get a cheaper premium with a new provider without having to increase your out-of-pocket risk. If switching doesn't yield enough savings, you can then consider increasing the excess as a secondary cost-control measure.
Your Next Step to Better, Fairer Health Cover
Your annual renewal is an opportunity, not a chore. It's your chance to ensure you have the right protection for you and your family at the fairest possible price. By being proactive and exploring the market, you put yourself in control.
Ready to see if you could get better cover for a lower price? Let our experts do the hard work.
Get your free, no-obligation quote from WeCovr today and discover the right private medical insurance for you.