As an FCA-authorised broker that has helped UK customers find over 800,000 policies, WeCovr understands the nuances of private medical insurance. For couples, deciding between a joint or separate policy is a common question. The simple answer is yes, you can absolutely hold separate policies, and this article explores why.
Why some couples choose separate PMI and others combine cover
Navigating the world of private medical insurance (PMI) can feel complex, and when you’re making decisions as a couple, there’s an extra layer to consider. Should you merge your health cover into one neat package, or is it smarter to keep things separate?
There's no single "right" answer. The best choice depends entirely on your unique circumstances: your ages, individual health needs, employment benefits, and budget.
Some couples are drawn to the simplicity and potential savings of a joint policy. It offers one premium, one renewal date, and less administrative hassle. For others, particularly those with different health priorities or a significant age gap, maintaining two separate policies provides invaluable flexibility and can often be more cost-effective.
This guide will walk you through the pros and cons of each approach, helping you make an informed decision that secures the best possible health outcomes for you both.
A Critical Note on Private Health Insurance in the UK
Before we dive in, it is essential to understand a fundamental principle of the UK private health insurance market. Standard PMI policies are designed to cover acute conditions – illnesses or injuries that are short-term and likely to respond quickly to treatment. They do not cover pre-existing conditions (ailments you had before taking out the policy) or chronic conditions (long-term illnesses like diabetes, asthma, or high blood pressure that require ongoing management).
Understanding Joint vs. Separate Health Insurance Policies
Let's start by defining the two main options available to couples.
What is a Joint Private Health Insurance Policy?
A joint or "couples" policy is a single private medical insurance plan that covers two people living at the same address.
- One Policy: You both fall under one policy number and one set of documents.
- One Premium: You make a single monthly or annual payment to the insurer.
- One Renewal: The policy renews for both of you at the same time each year.
- Shared Benefits: Typically, you both share the same level of cover, including the hospital list, outpatient limits, and excess.
Think of it like a joint bank account – everything is managed together in one place. Most UK insurers offer a small discount, often around 5%, for adding a second person to a policy, which is a primary attraction of this option.
What are Separate Private Health Insurance Policies?
This approach is exactly as it sounds: you and your partner each take out an individual private health insurance policy.
- Two Policies: Each of you is the primary holder of your own policy.
- Two Premiums: You each have a separate payment schedule and premium amount.
- Personalised Cover: Each policy can be tailored to the individual's specific needs and budget.
- Independent Underwriting: Your medical history only affects your own policy and premium.
This is like having separate bank accounts. You each have full control and independence over your own cover, even if you choose the same insurance provider.
The Case for a Joint Policy: Simplicity and Savings
For many couples, combining their health insurance into a single plan is the most logical and straightforward choice. Here’s why it might be the right path for you.
Potential Cost Savings
The most significant draw of a joint policy is the multi-person discount. While it varies between insurers, a 5% discount is a common incentive for combining cover.
Let's look at a simple example:
| Policy Type | Partner A (Age 30) - Monthly Premium | Partner B (Age 32) - Monthly Premium | Total Monthly Cost |
|---|
| Separate Policies | £45 | £48 | £93 |
| Joint Policy | (Combined Premium of £93) | -5% Discount | £88.35 |
In this scenario, the couple saves £55.80 over the year. While not a huge sum, it's a tangible benefit for simply combining paperwork. For couples with similar profiles, these savings make a joint policy an attractive option.
Administrative Simplicity
Life is busy enough without juggling multiple insurance documents and renewal dates. A joint policy streamlines everything:
- One Payment: A single direct debit makes budgeting easier.
- Unified Renewal: You review and renew your cover once a year for both of you.
- Single Point of Contact: Whether making a claim or asking a question, you're dealing with one policy number.
- Less Paperwork: You receive one set of policy documents, not two.
When a Joint Policy Makes Most Sense
A joint policy is often the ideal solution for couples who are:
- Similar in Age and Health: If you're both in your 20s or 30s with no major health concerns, your risk profiles are similar, meaning a joint premium will be fair to both.
- Wanting the Same Level of Cover: If you agree on wanting a comprehensive plan with mental health support and full outpatient cover, a joint policy works perfectly.
- Prioritising Convenience: If you value ease of management over granular customisation, the simplicity of a joint plan is hard to beat.
The Case for Separate Policies: Flexibility and Personalisation
While joint policies offer simplicity, they can be a blunt instrument. Separate policies provide the flexibility to craft cover that truly fits each individual, which can lead to significant long-term benefits and even greater cost savings in certain situations.
Tailoring Cover to Individual Needs
You and your partner are individuals with different lifestyles and health priorities. Separate policies allow your health cover to reflect that.
- Example: Imagine Emma is a dedicated marathon runner who wants a policy with extensive physiotherapy and osteopathy cover. Her partner, Liam, works from home, is less active, and is happy with a more basic plan that just covers core diagnostics and treatment.
| Policy Option | Emma's Needs | Liam's Needs | Outcome |
|---|
| Joint Policy | Comprehensive cover | Comprehensive cover | Liam pays for benefits he doesn't need. |
| Separate Policies | Comprehensive cover (£70/month) | Basic cover (£40/month) | Total cost is £110/month, but perfectly tailored. |
With separate policies, Emma gets the high-level therapies cover she values, while Liam saves money with a plan that suits his needs. A joint comprehensive policy might have cost them £130/month, making the separate approach both more effective and cheaper.
Managing Different Health Profiles and Ages
This is one of the most compelling reasons to choose separate policies. Private health insurance premiums are heavily influenced by age and, to some extent, medical history.
The Age Gap Factor
Insurers see age as a primary risk factor. An older individual is statistically more likely to claim than a younger one. On a joint policy, the premium is often weighted heavily towards the older person.
- Scenario: Consider a couple, Susan (58) and Mark (43).
- An individual policy for Mark might be £70/month.
- An individual policy for Susan might be £120/month.
- A joint policy would likely be priced around £180/month (after a small discount).
By holding separate policies, Mark avoids subsidising Susan's age-related premium. The total cost is the same or very similar, but it feels psychologically fairer and gives each partner autonomy over their own cost.
Leveraging Workplace Health Insurance Schemes
This is an extremely common scenario in the UK. Many people have access to excellent private medical insurance through their employer.
- The Problem: While adding a partner to a company scheme is often possible, it can be surprisingly expensive. Furthermore, the cost of adding a partner is almost always treated as a 'benefit in kind' by HMRC, meaning the employee will pay income tax on the value of that benefit.
Let's look at an example:
- Aisha has PMI through her law firm. The company pays for her cover.
- To add her partner, Ben, would cost £85 per month.
- This £85/month (£1,020/year) is a taxable benefit. If Aisha is a higher-rate taxpayer (40%), she'll pay an extra £408 a year in tax just for this benefit. The effective cost becomes much higher.
In this situation, Ben should speak to an expert broker like WeCovr. It's highly likely he could find a standalone individual policy for £50-£60 per month with no associated tax implications. This would be a clear financial win.
Maintaining Policy Continuity After a Break-up
It’s an uncomfortable thought, but a practical one. If a relationship ends, untangling a joint health insurance policy can be messy.
- With a Joint Policy: You would need to decide who keeps the policy, or cancel it and each take out new ones. This means going through underwriting again, and any conditions that developed during the time you were covered by the joint policy would now be considered pre-existing by a new insurer.
- With Separate Policies: If you separate, nothing changes. You each keep your own policy, with your cover and underwriting history intact. This continuity is a significant, often overlooked, benefit.
Key Factors to Consider When Making Your Decision
To help you decide, sit down as a couple and work through these key factors. An independent PMI broker can provide quotes for all scenarios to make the comparison crystal clear.
1. Your Ages and Medical Histories
- Small age gap (e.g., under 5 years)? A joint policy could be simpler and slightly cheaper.
- Large age gap (e.g., 10+ years)? Get quotes for separate policies. It will likely be more cost-effective and fairer.
- One partner with a more complex medical history? Even if conditions aren't pre-existing, factors that affect risk (like smoking or high BMI) can inflate a joint premium. Separate policies isolate this risk.
2. Desired Level of Cover
Do you both want the same things from your insurance? Use this table to discuss your priorities.
| Level of Cover | Typically Includes | Best For |
|---|
| Basic (Entry-Level) | In-patient & day-patient treatment, limited cancer cover. | Healthy individuals wanting a safety net for major issues. |
| Mid-Range | As above, plus some outpatient diagnostics (scans, tests). | A good balance of cover and cost. The most popular choice. |
| Comprehensive | As above, plus full outpatient cover, therapies, mental health support. | Those wanting maximum peace of mind and access to a full range of treatments. |
If one of you wants a Basic plan and the other wants a Comprehensive one, separate policies are the only way to achieve this.
3. Your Budget
Be realistic about what you can comfortably afford each month.
- A joint policy offers a predictable, single cost.
- Separate policies offer more flexibility to adjust cover levels to meet a specific total budget. For example, if your total budget is £120/month, you could split this into a £70 comprehensive policy for one partner and a £50 mid-range policy for the other.
4. Employment Benefits
This is non-negotiable. If either of you has access to a company PMI scheme:
- Find out the exact cost to add a partner.
- Ask your HR department how this is treated for tax purposes (it's almost always a benefit in kind).
- Contact a broker like WeCovr to get a quote for a standalone policy for the uninsured partner.
- Compare the true costs. In a majority of cases, a separate policy is better value.
How Underwriting Affects Your Choice
Underwriting is the process an insurer uses to assess your risk and decide on the terms of your policy. The type of underwriting can influence whether a joint or separate policy is better.
Moratorium (Mori) Underwriting
This is the most common type for individual policies.
- How it works: You don't complete a full medical questionnaire. Instead, the insurer automatically excludes treatment for any medical conditions you've had symptoms, treatment, or advice for in the 5 years before your policy started.
- The "2-Year Rule": This exclusion may be lifted if you go for a continuous 2-year period after your policy starts without needing any treatment, symptoms, or advice for that condition.
- Impact: It's quick and simple. On a joint policy, the moratorium rules apply to each person individually based on their own medical history.
Full Medical Underwriting (FMU)
This is more detailed.
- How it works: You complete a full health questionnaire, disclosing your medical history. The insurer may also ask for access to your medical records.
- The Outcome: The insurer provides a definitive decision from day one about what is and isn't covered. They may apply specific exclusions (e.g., "no cover for issues related to the left knee") or increase the premium.
- Impact: It gives you complete clarity from the start. On a joint FMU policy, one partner's disclosures could lead to exclusions or a premium hike that affects the entire policy. With separate policies, any exclusions are confined to the individual.
Enhancing Your Wellbeing: Beyond Core PMI Cover
Modern private health insurance is evolving. It's no longer just about treatment when you're ill; it's about helping you stay healthy. When comparing policies, look beyond the core cover and explore the value-added benefits.
These perks are often included as standard and can significantly enhance the value of your policy:
- 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: Many policies now include access to telephone counselling or a set number of therapy sessions without needing a GP referral.
- Fitness and Wellness Rewards: Insurers like Vitality are famous for rewarding healthy behaviour with things like cinema tickets, coffee, and discounts on gym memberships and smartwatches.
- Nutritional Advice: Some plans offer consultations with nutritionists to help you improve your diet.
At WeCovr, we enhance this further. All our health and life insurance clients receive complimentary access to CalorieHero, our AI-powered calorie and nutrition tracking app, helping you take proactive control of your diet. Furthermore, clients who purchase PMI often receive discounts on other insurance products, like life or income protection cover, creating a holistic and cost-effective protection plan.
How a PMI Broker Can Help You Decide
Making this decision can feel overwhelming, but you don't have to do it alone. An independent private medical insurance broker acts as your expert guide.
The role of a broker like WeCovr is to:
- Listen to Your Needs: We take the time to understand the priorities of both you and your partner.
- Scan the Market: We use our expertise and technology to compare policies from a wide range of leading UK insurers.
- Provide Clear Comparisons: We'll present you with quotes for both joint and separate policies, breaking down the costs, benefits, and drawbacks of each option in plain English.
- Offer Impartial Advice: As we are authorised and regulated by the Financial Conduct Authority (FCA), our advice must be in your best interest. Our service is provided at no cost to you; we are paid a commission by the insurer you choose.
Our high customer satisfaction ratings reflect our commitment to finding the right solution, not just the easy one. We can quickly model all the scenarios discussed in this article, giving you the concrete data needed to make the best choice for your partnership.
Can we switch from two separate policies to a joint one later?
Yes, you can. At the renewal date for one of the policies, you can ask your broker or insurer to merge them into a single joint plan. The insurer will provide a new quote for the joint policy. However, be aware that this will create a new policy, and underwriting rules will apply. It's best to seek advice to ensure no continuity is lost.
What happens to our joint health insurance policy if we separate?
If you have a joint policy and your relationship ends, you will need to contact the insurer. Typically, one person can take over the policy as an individual, and the other person will need to take out a new policy. This can be problematic as the person taking out a new policy will have to go through underwriting again, and any conditions that arose during the joint policy's term may now be excluded as pre-existing. This is a key reason some couples opt for separate policies from the start.
Is it cheaper to add my partner to my work policy or get them a separate one?
In most cases, it is cheaper and more tax-efficient for your partner to get their own separate policy. Adding a partner to a company scheme is often expensive, and the cost is usually treated as a taxable benefit-in-kind by HMRC, increasing your income tax bill. A broker can provide a quote for a standalone policy to compare against the true cost of adding them to your work scheme.
Do we both need to have the same excess on a joint private medical insurance policy?
Generally, yes. On a joint policy, the core terms like the excess (the amount you pay towards a claim) and outpatient limits apply to the policy as a whole. While some insurers might offer minor flexibility, if you want significantly different excesses (e.g., one person wants a £0 excess and the other is happy with a £500 excess to lower their premium), you would need to take out separate policies.
Does private medical insurance UK cover pre-existing or chronic conditions?
No. This is the most important exclusion to understand. Standard UK private health insurance is designed to cover acute conditions that arise *after* you take out the policy. It does not cover pre-existing conditions (those you had before joining) or chronic conditions (long-term illnesses like diabetes or asthma) that require ongoing management rather than a curative treatment. The NHS continues to provide care for these conditions.
Find the Right Path for Your Partnership
The decision between joint and separate private health insurance is a personal one, with no one-size-fits-all answer. By considering your individual needs, ages, budget, and employment benefits, you can find the structure that offers the best protection and value for you both.
The easiest way to get clarity is to see the numbers side-by-side.
Contact WeCovr today for a free, no-obligation comparison quote. Our expert advisors will help you navigate the options and build the perfect health insurance solution for your future.