As an FCA-authorised broker that has helped arrange over 800,000 policies, WeCovr understands that circumstances change. Our expert guide explains everything you need to know about cancelling your private medical insurance (PMI) policy in the UK, ensuring you make an informed decision without any surprises.
WeCovr explains cancellation and refund terms
Private medical insurance is a valuable investment in your health, offering peace of mind and swift access to high-quality medical care. However, life is unpredictable. Your financial situation might change, your employer may offer a new benefits package, or you might simply find a policy that better suits your needs.
Whatever the reason, understanding your right to cancel and the rules surrounding refunds is crucial. The process isn't always as simple as stopping a direct debit. Insurers have specific terms and conditions outlined in your policy documents, and failing to follow them can have financial and health-related consequences.
In this comprehensive guide, we'll break down the rules, explain your rights, and explore the potential implications of cancelling your private health cover.
The Critical Rule of UK Private Health Insurance
Before we dive into cancellations, it's vital to remember the fundamental principle of private medical insurance in the UK:
PMI is designed to cover acute conditions that arise after you take out your policy. It does not cover pre-existing conditions (illnesses or injuries you already had) or chronic conditions (long-term illnesses that require ongoing management, like diabetes or asthma).
This rule is central to how all PMI policies work and is a key factor to consider before cancelling an existing policy.
Your Right to Cancel: The 14-Day Cooling-Off Period
When you first purchase a private medical insurance policy, you are legally protected by a "cooling-off" period. This gives you a chance to review the policy in detail and make sure it's the right choice for you.
- Duration: The cooling-off period lasts for 14 days.
- Start Date: It begins on the day you receive your policy documents or the day your policy officially starts, whichever is later.
- Purpose: It allows you to cancel your policy for any reason without penalty.
If you decide to cancel within these 14 days, you are entitled to a full refund of any premium you have paid. The only exception is if you have already made a claim on the policy during that time. In that scenario, the insurer is unlikely to provide a refund.
Example:
Sarah takes out a new PMI policy on 1st March and pays her first monthly premium. Her policy documents arrive by email on 2nd March. Her 14-day cooling-off period starts on 2nd March. On 10th March, after reading the full terms, she decides the outpatient cover isn't what she expected. She calls her insurer to cancel. Because she is within the cooling-off period and hasn't made a claim, the insurer cancels the policy and refunds her first premium in full.
Cancelling Your PMI Policy After the Cooling-Off Period
If you decide to cancel after the 14-day window has closed, the process and refund eligibility become more complex. The rules depend heavily on how you pay for your policy and whether you have made a claim.
Cancelling an Annual Policy Paid Upfront
Many people choose to pay their premium for the whole year in one go, often securing a small discount. If you cancel mid-way through the year, you may be eligible for a partial refund.
- Pro-Rata Refund: Insurers will typically calculate a pro-rata refund. This means they will refund you for the number of days remaining on your policy.
- Administration Fee: Most insurers will charge an administration fee for processing the mid-term cancellation. This fee is usually between £30 and £60 and will be deducted from your refund.
- The "No Claim" Rule: This is the most important factor. If you have made a claim, or even just started the process of making a claim (e.g., obtained a pre-authorisation code), you will almost certainly not receive any refund. You may even be required to pay the remainder of the year's premium if you were on a monthly plan that formed part of an annual contract.
Cancelling a Monthly Policy
Paying for your PMI via a monthly Direct Debit is a popular and convenient option.
- Notice Period: You will typically need to give your insurer 30 days' notice to cancel. You should check your policy documents for the exact period.
- No Refunds: As you are paying for cover one month at a time, you will not receive a refund for the premiums you have already paid. Your cover will simply cease at the end of the notice period.
- The "No Claim" Rule (Annual Contract): Be careful! Many monthly payment plans are effectively a credit agreement for an annual contract. If you have made a claim and try to cancel, the insurer may demand that you pay the remaining premiums for the rest of the policy year. This prevents people from taking out a policy, having expensive treatment, and then immediately cancelling.
Cancelling at Renewal
The most common and straightforward time to cancel your policy is at your annual renewal.
- Renewal Notice: Your insurer will send you a renewal pack around 30 days before your policy is due to end. This will include your new premium for the upcoming year and details of any changes to the policy terms.
- Review and Decide: This is the perfect time to assess whether the policy still meets your needs and budget. Premium increases are common at renewal due to age and medical inflation.
- Give Notice: If you decide not to renew, you must inform your insurer before the renewal date. If you do nothing, many policies are set to auto-renew, and the insurer will collect the next premium.
Cancelling at renewal avoids any admin fees or complications with pro-rata refunds. It's the cleanest way to end your cover.
Will I Get a Refund if I Cancel My Health Insurance? A Detailed Breakdown
To make things crystal clear, here’s a summary of the likely refund outcomes in different scenarios.
| Cancellation Timeframe | Payment Method | Claim Made? | Likely Refund Outcome |
|---|
| Within 14-Day Cooling-Off | Annual or Monthly | No | Full Refund of premium paid. |
| Within 14-Day Cooling-Off | Annual or Monthly | Yes | No Refund. |
| After 14 Days | Annual (Paid Upfront) | No | Pro-rata refund for unused days, minus an admin fee. |
| After 14 Days | Annual (Paid Upfront) | Yes | No Refund. Insurer has paid for treatment. |
| After 14 Days | Monthly | No | No Refund. Cover stops after notice period. |
| After 14 Days | Monthly (Annual Contract) | Yes | No Refund. You may owe premiums for the rest of the year. |
| At Renewal | Any | N/A | No Refund Due. Your policy simply ends. |
What to Consider Before You Cancel Your PMI
Cancelling your private medical insurance is a big decision with potentially significant long-term consequences. Before you proceed, it's vital to weigh the following factors.
1. Loss of Continuous Cover and Underwriting Terms
When you first buy a policy, you go through underwriting. The two main types are:
- Full Medical Underwriting (FMU): You declare your full medical history. The insurer then lists specific conditions that will be excluded.
- Moratorium Underwriting (MORI): You don't declare your medical history upfront. Instead, the policy automatically excludes any condition you've had symptoms, treatment, or advice for in the last 5 years.
If you cancel your policy and decide to get a new one later, you will have to start the underwriting process all over again. Any medical conditions you have developed while you were covered by your old policy will now be classed as pre-existing by the new insurer and will be excluded from cover.
This is the single biggest risk of cancelling. You could find yourself uninsured for conditions you were previously covered for.
2. The Impact of Age and Health
Private medical insurance premiums are based on your age and health. The older you are, the more expensive your cover will be. If you cancel your policy today and re-apply in three years' time, your new premium will be based on your older age and any new health issues, making it significantly more expensive than if you had maintained continuous cover.
According to NHS data, the need for healthcare services increases with age. In 2022-23, individuals aged 65 and over accounted for a disproportionately high number of hospital admissions in England, highlighting the growing importance of health cover as we get older.
3. NHS Waiting Lists
A key reason for having PMI is to bypass long NHS waiting lists. In recent years, these lists have grown substantially. As of early 2025, millions of people in the UK are waiting for routine NHS treatment. By cancelling your policy, you lose this valuable benefit and will rely solely on the NHS, which, while excellent in emergencies, is under immense pressure for elective care.
Alternatives to Cancelling Your PMI Policy
If rising costs are the main reason you're thinking of cancelling, there are several ways to reduce your premium without losing cover completely. This is where an expert PMI broker like WeCovr can be invaluable, helping you explore options at no extra cost to you.
- Increase Your Excess: The excess is the amount you pay towards a claim. Increasing it from, say, £100 to £500 can significantly reduce your monthly premium.
- Reduce Your Outpatient Cover: Comprehensive outpatient cover is a major driver of cost. You could reduce your limit (e.g., to £1,000 per year) or remove it entirely, relying on the NHS for initial diagnostics.
- Add a 6-Week Option: This is a clever cost-saving feature. The policy will only pay for treatment if the NHS waiting list for that procedure is longer than six weeks. If it's shorter, you use the NHS. This can cut premiums by up to 30%.
- Review Your Hospital List: Most insurers have different tiers of hospitals. Ensuring you are on a list that matches your needs, rather than a premium London-based list, can save money.
- Switch Providers: Don't just cancel – switch! A specialist broker can compare the market for you. Crucially, they can help you switch to a new insurer on a Continued Personal Medical Exclusions (CPME) basis. This means the new insurer agrees to maintain the same underwriting terms as your old policy, so you don't lose cover for conditions that developed while you were insured.
If you have considered all the alternatives and still wish to cancel, follow these steps to ensure a smooth process:
- Check Your Policy Documents: Find the "Cancellation" section in your policy wording. This will state the required notice period and the correct contact details.
- Contact Your Insurer or Broker: Call the provider to inform them of your intention to cancel. If you used a broker like WeCovr to set up your policy, it's often best to contact them first, as they can manage the process on your behalf.
- Put it in Writing: Follow up your phone call with a written cancellation request via email or post. State your name, policy number, and the date you wish the cancellation to be effective. This creates a paper trail.
- Cancel Your Direct Debit: Once you have received confirmation from the insurer that your policy is cancelled, make sure you cancel the Direct Debit with your bank to prevent any further payments from being taken. Do not cancel it before you have received confirmation.
- Get Written Confirmation: Ensure you receive a final letter or email from the insurer confirming that the policy has been terminated and detailing any final payments or refunds.
A Focus on Wellness: A Proactive Approach to Health
While insurance is there for when things go wrong, taking proactive steps to stay healthy can improve your quality of life and potentially help manage long-term health costs. Small, consistent habits can make a big difference.
- Balanced Diet: Focus on whole foods, including plenty of fruits, vegetables, lean proteins, and whole grains. Understanding your calorie intake is key to managing your weight. As a bonus, WeCovr provides all its health and life insurance customers with complimentary lifetime access to CalorieHero, our AI-powered diet and calorie tracking app.
- Regular Activity: The NHS recommends at least 150 minutes of moderate-intensity activity a week. This could be brisk walking, cycling, swimming, or dancing. Find something you enjoy to make it a sustainable habit.
- Prioritise Sleep: Aim for 7-9 hours of quality sleep per night. Good sleep is essential for mental and physical health, helping to regulate hormones, repair cells, and consolidate memories.
- Manage Stress: Chronic stress can impact your physical health. Practices like mindfulness, yoga, or spending time in nature can be powerful tools for managing stress levels.
By investing in your health, you build resilience. And when you purchase PMI or Life Insurance through WeCovr, we support you further by offering discounts on other types of cover, such as travel or home insurance, helping you protect all aspects of your life.
Can I get a refund if I cancel my PMI after making a claim?
Generally, no. If you have made a claim on your private medical insurance policy, insurers will not provide a refund for the unused part of your policy year, even if you paid your premium annually. This is because the policy has fulfilled its purpose by paying for your treatment. If you pay monthly, you may be liable for the remaining premiums for that policy year.
What happens to my pre-existing conditions if I cancel and buy a new policy later?
If you cancel your policy and take out a new one later, any medical conditions that developed while you were covered by your old policy will now be considered pre-existing by the new insurer. This means they will be excluded from your new cover. This is a major risk of breaking your continuity of cover. It is often better to switch providers on a "continued underwriting" basis with the help of a broker.
Is it better to cancel or switch my health insurance provider?
It is almost always better to switch providers rather than cancel your policy outright. Switching, especially with the help of a PMI broker, allows you to move to a new insurer while keeping your original underwriting terms. This means you retain cover for conditions that have developed since you first took out insurance. Cancelling and restarting later means you lose this valuable protection.
How much notice do I need to give to cancel my health insurance?
Most UK private health insurance providers require a 30-day notice period if you wish to cancel your policy mid-term. However, you should always check the specific terms and conditions in your policy documents, as this can vary. If you are cancelling at the point of annual renewal, you simply need to inform the insurer before the renewal date.
Ready to Review Your Options?
Whether you're thinking of cancelling, switching, or simply want to understand your policy better, expert advice is key. The rules of private medical insurance UK can be complex, but you don't have to navigate them alone.
At WeCovr, our team of specialists can review your current policy, compare it against the market's leading providers, and help you find the right cover for your needs and budget – all at no cost to you.
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