
Navigating the UK's private medical insurance market can be complex, but at WeCovr, an FCA-authorised broker that has helped over 750,000 people with their insurance needs, we're here to provide clarity. This guide offers a deep dive into two of the biggest names: Bupa and AXA Health.
Choosing between Bupa and AXA Health is a common dilemma for those seeking private health cover in the UK. Both are titans of the industry with long-standing reputations, comprehensive policies, and vast hospital networks. But they are not identical. Their approaches to core cover, optional extras, and member benefits have subtle but important differences.
This 2025 comparison will break down everything you need to know, helping you understand which provider might be the better fit for your personal circumstances and healthcare priorities.
Before we compare the providers, let's quickly recap what private medical insurance is for. In the UK, we are incredibly fortunate to have the National Health Service (NHS). PMI is not a replacement for the NHS; it's designed to work alongside it.
PMI is primarily for covering the cost of treatment for 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. Think of things like joint replacements, cataract surgery, or hernia repairs.
Crucially, standard UK private health insurance does not cover:
The main benefit of PMI is gaining faster access to specialist consultations, diagnostic tests, and eligible treatments, often in a private hospital with a private room.
| Feature | Bupa | AXA Health |
|---|---|---|
| Founded | 1947 | AXA Group founded in 1817; PPP founded 1940 |
| UK Origins | Formed by 17 British provident associations | Formed by the acquisition of Guardian Royal Exchange (inc. PPP) |
| Structure | A company limited by guarantee (no shareholders) | Part of the global AXA Group (a public company) |
| Brand Focus | Exclusively health-focused | Part of a wider insurance and financial services group |
| Reputation | A household name synonymous with UK private healthcare | A global insurance powerhouse with a strong UK health presence |
Bupa (the British United Provident Association) has been a cornerstone of UK healthcare for over 75 years. As a provident organisation, it has no shareholders. This means it reinvests its profits back into providing better healthcare services and facilities for its members. This unique structure is often seen as a key selling point, suggesting a focus on member well-being over shareholder returns.
AXA Health, formerly known as AXA PPP Healthcare, is part of the multinational AXA Group. Its roots in the UK are also deep, tracing back to Private Patients Plan (PPP), one of the pioneers of private healthcare. Being part of a global financial services leader gives AXA significant stability and resources, allowing it to invest heavily in technology and innovative health services.
Both Bupa and AXA build their policies around a core foundation of cover, primarily for in-patient and day-patient treatment. This is the most essential part of any policy, covering you if you need to be admitted to hospital for surgery or a procedure.
Here’s how their flagship personal plans, Bupa By You and AXA Personal Health, compare at their core.
| Core Benefit | Bupa By You (Comprehensive) | AXA Personal Health |
|---|---|---|
| In-patient & Day-patient Fees | Covered in full | Covered in full |
| Specialist & Surgeon Fees | Covered in full | Covered in full (within their fee guidelines) |
| Diagnostic Tests | Covered in full for in-patients & day-patients | Covered in full for in-patients & day-patients |
| Cancer Cover (Standard) | Full Cancer Cover (with some limits on aftercare) | Comprehensive Cancer Cover (no time limit) |
| Mental Health (Standard) | Support via Family Mental HealthLine. More extensive cover is optional. | Access to Mind Health service. More extensive cover is optional. |
| Digital GP Access | Digital GP powered by Babylon (24/7 access) | Doctor at Hand powered by Teladoc (24/7 access) |
| Post-treatment Therapies | Limited physiotherapy post-op included | Post-operative physiotherapy included |
Key Takeaways:
This is where you can truly tailor a policy to your needs and budget. By adding or removing optional benefits, you control the breadth and cost of your cover.
Bupa allows you to build your plan by adding specific modules:
AXA structures its options slightly differently. You start with the core plan and can then add:
| Option | Bupa Approach | AXA Approach | WeCovr Insight |
|---|---|---|---|
| Out-patient Cover | Flexible limits (£500, £1000, Full) to manage cost. | 'Standard' or 'Full' options, with further financial limits available. | Most people find out-patient cover essential for speedy diagnosis. Choosing a limit of £1,000 is a popular way to balance cost and cover. |
| Mental Health | A specific, comprehensive add-on for psychiatric treatment. | A specific, comprehensive add-on for psychiatric treatment. | Demand for this cover has soared. If mental wellbeing is a priority, this is a vital add-on to consider with either provider. |
| Therapies | Can be chosen with or without the need for a GP referral. | Usually requires a referral from your GP or the Doctor at Hand service. | Bupa's option for self-referral can offer slightly faster access for recurring muscular issues. |
| Dental & Optical | A cashback benefit for routine costs. | A cashback benefit for routine costs. | This is a 'nice-to-have' rather than essential cover. Check if the premium justifies the cashback you expect to claim. |
An expert broker like WeCovr can help you model the costs of these different options to find the sweet spot between comprehensive protection and an affordable premium.
Your choice of hospital list has a major impact on your premium. Both Bupa and AXA use a tiered system. Choosing a more restricted list that excludes expensive central London hospitals will lower your monthly cost.
Pro Tip: Don't pay for a hospital list you won't use. Before finalising your policy, check which hospitals on the list are genuinely convenient for you. If you live in rural Scotland, paying extra for central London hospitals makes little sense.
For many, cancer cover is the single most important reason to buy private medical insurance. It offers access to treatments, drugs, and specialists that may not be available on the NHS or may have long waiting lists.
| Feature | Bupa Full Cancer Cover (Standard on Comprehensive) | AXA Comprehensive Cancer Cover (Standard) |
|---|---|---|
| Promise | To cover all eligible cancer treatment costs. | No time limits on your cancer treatment as long as you have a policy. |
| Chemotherapy & Radiotherapy | Covered in full. | Covered in full. |
| Surgery | Covered in full. | Covered in full. |
| Experimental Drugs | Access to drugs not routinely available on the NHS if they are part of a clinical trial Bupa supports. | Extensive access to breakthrough drugs and treatments, even if not NHS-approved. |
| Palliative Care | Covered. | Covered. |
| End-of-life Care | Covered. | Covered. |
| Optional Downgrade? | Yes, you can choose 'NHS Cancer Cover Plus' which covers the cost of cancer drugs the NHS won't fund, but you receive treatment in an NHS hospital. | Yes, you can choose 'NHS Cancer Support', which provides the same drug cover benefit as Bupa's option. |
Key Differences:
The decision to downgrade to an 'NHS Cancer Support' option is a personal one. It can reduce your premium significantly, but you trade the comfort and speed of the private pathway for treatment within the NHS system, albeit with access to more drugs.
Awareness of mental health has grown, and insurers have responded by bolstering their support services.
Bupa's Mental Health Offering:
AXA's Mental Health Offering:
Verdict: AXA offers more practical mental health support as standard. However, Bupa's optional, unlimited mental health cover is arguably one of the most comprehensive on the market for those who choose to add it.
In today's world, instant access to a doctor is a huge perk. Both providers excel here.
Beyond digital doctors, both offer a suite of wellness tools and discounts to encourage a healthy lifestyle. This can include gym discounts, health assessments, and access to wellbeing apps. Taking care of your diet, sleep, and activity levels is the first line of defence in staying healthy, and these tools are designed to support that.
When you arrange your policy through WeCovr, you also get complimentary access to our AI-powered calorie and nutrition tracking app, CalorieHero, to further support your health goals.
Several factors determine the price of your private medical insurance UK policy:
What is an Excess? An excess is the amount you agree to pay towards a claim in each policy year. For example, if you have a £250 excess and your eligible treatment costs £3,000, you pay the first £250, and the insurer pays the remaining £2,750.
These are illustrative examples only. Costs are highly personalised. For an accurate quote, you must speak to an adviser.
Scenario: 35-year-old, non-smoker in Manchester, £250 excess, mid-range hospital list, £1,000 out-patient cover.
| Provider | Estimated Monthly Premium |
|---|---|
| Bupa | £65 - £80 |
| AXA Health | £60 - £75 |
Scenario: 55-year-old couple, non-smokers in Surrey, £500 excess, comprehensive hospital list with London, full out-patient cover.
| Provider | Estimated Monthly Premium (for two) |
|---|---|
| Bupa | £240 - £280 |
| AXA Health | £230 - £270 |
As you can see, the prices are often very competitive. AXA sometimes comes in slightly cheaper for equivalent cover, but this is not always the case. The only way to know for sure is to get a like-for-like comparison based on your exact details.
While you can go directly to Bupa or AXA, using an independent, FCA-authorised broker like WeCovr has significant advantages at no extra cost to you.
So, who wins in the battle of Bupa vs AXA? The honest answer is: it depends entirely on you.
Choose Bupa if: You value the ethos of a non-profit organisation and want their market-leading, unlimited optional Mental Health Cover. Their brand is deeply trusted and synonymous with quality UK healthcare.
Choose AXA Health if: You want slightly more generous mental health support included as standard, potentially a slightly lower premium, and the reassurance of being with a global financial powerhouse.
Both are outstanding providers. They both offer fast access to high-quality medical care, excellent cancer cover, and brilliant digital GP services. The 'better' option will come down to the fine details of the cover options you select and the price they quote for your specific circumstances.
The smartest move is not to choose one over the other in isolation, but to compare them side-by-side with quotes tailored to you.
Ready to find out whether Bupa, AXA, or another top UK insurer is the right choice for you?






