Finding the right private medical insurance in the UK can feel complex, especially if you don't have a fixed home. At WeCovr, an FCA-authorised broker that has helped arrange over 900,000 policies, we specialise in demystifying this process for everyone, including those with less traditional living situations.
Options for nomads, digital workers, and those between permanent homes
The world of work and life is changing. An increasing number of people in the UK are embracing a more flexible lifestyle. You might be a digital nomad working from different UK cities, a professional living in temporary accommodation for a project, or someone who has recently sold their home and is travelling before buying a new one.
This freedom is liberating, but it can create practical challenges, particularly when it comes to essential services like private health insurance. Traditional application forms love certainty, and a blank "permanent address" field can often feel like a roadblock.
The good news is, that it's not an impossible situation. While it requires a more nuanced approach, you do have options. This guide will walk you through everything you need to know to secure the private health cover you need, no matter where your laptop (or your life) is based.
Why a Permanent UK Address is Usually Required for PMI
Before we explore the solutions, it’s helpful to understand why insurers place so much importance on a permanent UK address. It isn't just a box-ticking exercise; it's fundamental to how private medical insurance UK policies are designed and priced.
- Establishing UK Residency: Private Medical Insurance (PMI) is designed to work alongside the NHS. The NHS is a residency-based service, meaning it's generally available to people who are "ordinarily resident" in the UK. Insurers need to be confident that you are primarily based in the UK and eligible for NHS care, as PMI is meant to complement it, not replace it entirely.
- Risk and Pricing (Postcode Lottery): Your postcode is a key factor in calculating your premium. The cost of private medical treatment can vary significantly across the country. For example, treatment in a central London hospital is often more expensive than in a hospital in a smaller town. Insurers use your address to assess this geographical risk.
- Fraud Prevention: A verifiable address is a cornerstone of identity verification (Know Your Customer checks). It helps insurers confirm you are who you say you are and reduces the risk of fraudulent applications.
- Communication: Insurers need a reliable address to send you critical documents, including your policy schedule, renewal information, and any other important correspondence. While much of this is now digital, a physical address remains a legal and practical requirement for many providers.
Essentially, a permanent address acts as an anchor, tethering your policy to the UK's specific healthcare landscape and regulatory framework.
The Critical Distinction: Acute vs. Chronic Conditions
This is the single most important concept to understand about UK private health insurance. Misunderstanding it can lead to confusion and disappointment at the point of claim.
Standard UK PMI is designed to cover acute conditions that arise after your policy has started.
- 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 a broken arm, appendicitis, cataracts, or a hernia. The treatment has a clear beginning and an end.
- A chronic condition is a long-term health issue that may not have a known cure and requires ongoing management. Examples include diabetes, asthma, high blood pressure, and most types of arthritis.
- Pre-existing conditions are any ailments for which you have experienced symptoms, received medication, or sought advice from a medical professional before the start of your policy.
Crucially, all standard UK PMI policies exclude chronic and pre-existing conditions. They are not designed for the day-to-day management of long-term illnesses. Their purpose is to help you bypass NHS waiting lists for eligible, new, acute conditions.
| Condition Type | Covered by UK PMI? | Example |
|---|
| New Acute Condition | Yes | You develop gallstones six months after your policy starts and need surgery. |
| Pre-existing Condition | No | You have a history of back pain and sought physio for it before buying your policy. |
| Chronic Condition | No | You have been managing Type 2 diabetes for several years. |
Navigating the System: Your Options Without a Fixed UK Address
If you're a UK resident without a permanent abode, you'll need to think creatively and be transparent. Here are the most viable paths forward.
Option 1: Use a Stable Correspondence Address
This is often the most straightforward solution for those who are "between homes" or travelling within the UK.
- What it is: You can use the address of a trusted family member or close friend as your primary correspondence address. This must be a stable, long-term address where you can reliably receive mail.
- How it works: When applying, you must be completely honest with the insurer or your broker. Explain your situation: you are a UK resident but currently have no fixed address, and you wish to use a relative's address for all correspondence.
- Who it's for: People who have sold their house and are travelling, individuals in short-term lets while renovating, or young professionals who move frequently between furnished rentals.
Key Consideration: The person whose address you use must be reliable in forwarding your mail. Missing a renewal notice could cause your cover to lapse unintentionally.
Option 2: International Private Medical Insurance (IPMI)
For true digital nomads who spend significant time both in and out of the UK, an international policy might be more suitable.
- What it is: IPMI is a more comprehensive and portable type of health insurance. It’s specifically designed for expatriates and people who live and work in multiple countries.
- How it differs from UK PMI:
- Geographical Scope: IPMI offers cover in a wide range of countries, sometimes worldwide (often with an option to include or exclude the USA due to its high healthcare costs). UK PMI is strictly for treatment within the UK.
- Comprehensiveness: IPMI policies are often more extensive, sometimes including wellness check-ups, dental, and maternity cover as standard.
- Cost: As a result of its broader scope and benefits, IPMI is significantly more expensive than domestic PMI.
UK PMI vs. International PMI (IPMI)
| Feature | UK Private Medical Insurance (PMI) | International Private Medical Insurance (IPMI) |
|---|
| Geographical Cover | United Kingdom only | Regional or Worldwide (as chosen) |
| Primary Purpose | Bypassing NHS waits for acute conditions | Primary health cover for expatriates/nomads |
| Portability | No, tied to UK residency | Yes, designed to move with you |
| Typical Cost | ££ | ££££ |
| Best For | UK residents, even those travelling within the UK | People spending large parts of the year abroad |
An expert broker like WeCovr can help you determine whether a domestic or international plan is the right fit for your travel patterns and healthcare needs.
Option 3: Proving UK Residency Through Other Means
If your lack of a fixed address is the only issue, you can strengthen your application by providing other evidence of your ties to the UK. Being upfront and providing this information proactively can make a huge difference.
- NHS GP Registration: Being registered with an NHS General Practitioner is a strong indicator of UK residency.
- UK Bank Account: Statements from a long-standing UK bank account show financial ties.
- Tax Records: Evidence that you are registered with HMRC and pay UK taxes.
- UK Driving Licence or Mobile Phone Contract: These add further weight to your application.
Presenting a clear picture of your life as a UK resident, albeit a mobile one, can help an underwriter approve your application.
How to Apply for PMI with a Non-Standard Address Situation
A methodical approach will maximise your chances of success.
- Gather Your Documents: Before you begin, collect all the evidence that proves your UK residency. This includes your ID (passport), details of your correspondence address, and any supporting documents like a recent bank statement or proof of GP registration.
- Be Honest and Upfront: This is the golden rule. Do not be tempted to use a temporary address (like an Airbnb) as a permanent one. Insurers have sophisticated ways of checking information, and a discovered misrepresentation could void your policy, leaving you without cover when you need it most. Explain your lifestyle clearly from the outset.
- Work With an Expert PMI Broker: This is where you can save yourself a huge amount of time and stress. Instead of applying to multiple insurers and getting rejected, use a broker.
- An independent broker, such as WeCovr, works with a panel of leading UK insurers.
- We understand the specific underwriting criteria of each provider and know which ones are more likely to be flexible with address requirements.
- We can advocate on your behalf, presenting your case clearly to the insurer to get the best possible outcome.
- This service comes at no extra cost to you.
Understanding Underwriting: How Insurers Assess Your Application
When you apply for health insurance, your application goes through a process called underwriting. This is how the insurer assesses your risk and decides on the terms of your policy. There are two main types.
| Underwriting Type | How It Works | Pros | Cons |
| :--- | :--- | :--- |
| Full Medical Underwriting (FMU) | You complete a detailed questionnaire about your medical history. The insurer may write to your GP. They then offer you a policy with specific exclusions listed from the start. | Clarity: You know exactly what is and isn't covered from day one. May be better for those with complex address situations as it shows full transparency. | Lengthy Process: The application takes longer to complete and for the insurer to assess. |
| Moratorium Underwriting (MORI) | A much simpler application with fewer medical questions. The policy automatically excludes any condition you've had symptoms of or treatment for in the past 5 years. | Quick and Simple: You can get cover in place very quickly. | Uncertainty: You may not be 100% sure if a condition is covered until you make a claim. Exclusions can be lifted if you remain symptom-free for a continuous 2-year period on the policy. |
For someone in a non-standard situation, Full Medical Underwriting can sometimes be a better choice, as it involves a more detailed conversation with the insurer and allows you to explain your circumstances fully.
Beyond Insurance: Maintaining Your Health on the Move
A nomadic or semi-settled lifestyle presents unique challenges to staying healthy. Having private medical insurance is a crucial safety net, but proactive wellness is your first line of defence.
Nurturing Your Body with Good Nutrition
Living out of a suitcase doesn't mean you have to live off takeaways.
- Embrace One-Pan Meals: If you have access to a kitchenette, focus on simple, nutritious one-pan recipes.
- Smart Supermarket Choices: Prioritise pre-chopped vegetables, cooked grains, and lean proteins like rotisserie chicken or canned fish.
- Track Your Intake: It's easy for calories to creep up when you're not in a routine. At WeCovr, we provide our health and life insurance clients with complimentary access to CalorieHero, our AI-powered calorie and nutrition tracking app, to help you stay on top of your diet goals.
Staying Active, Wherever You Are
- Bodyweight Circuits: You don't need a gym. A simple routine of squats, push-ups, planks, and lunges can be done in any hotel room.
- Explore on Foot: Make walking or cycling your primary mode of transport for exploring a new area. It's a fantastic way to stay active and discover hidden gems.
- Find Local Green Spaces: Use online maps to find local parks for a run, a walk, or an outdoor workout.
Prioritising Sleep and Mental Wellbeing
Constant movement can disrupt your body clock and create underlying stress.
- Create a Wind-Down Routine: Even in a new place, try to maintain a consistent pre-sleep routine, like reading a book, avoiding screens, or listening to calming music.
- Stay Connected: A nomadic life can sometimes be lonely. Make a conscious effort to schedule video calls with friends and family.
- Use Digital Tools: Many modern PMI policies now include access to mental health support through apps and virtual therapy sessions, a vital resource for those on the move.
The Cost of Private Health Insurance in the UK (2025 Data)
The price of a PMI policy is highly personalised. The main factors that determine your monthly premium are:
- Age: This is the most significant factor; premiums increase as you get older.
- Level of Cover: Policies range from basic plans covering only inpatient treatment to comprehensive options that include outpatient consultations, diagnostics, and therapies.
- Excess: This is the amount you agree to pay towards the cost of any claim. A higher excess (£500 or £1,000) will lower your premium.
- Hospital List: Choosing a policy with a more limited list of hospitals (e.g., excluding expensive central London facilities) can reduce the cost.
- No-Claims Discount: Like car insurance, you can build up a discount for every year you don't make a claim.
Below are some illustrative examples of monthly premiums for a non-smoker with a £250 excess on a mid-range policy. These are for guidance only; your actual quote will depend on your specific circumstances.
| Age Bracket | Estimated Monthly Premium (Mid-Range Cover) |
|---|
| 25-35 | £45 – £65 |
| 35-45 | £60 – £85 |
| 45-55 | £80 – £120 |
| 55-65 | £110 – £180+ |
Source: General market data analysis, 2024/2025. Prices are illustrative examples.
The only way to get an accurate price is to get a personalised quote based on your unique needs and situation.
WeCovr: Your Partner in Finding the Right PMI
Navigating the private medical insurance UK market is what we do best, especially when your situation isn't straightforward. As an FCA-authorised broker with high customer satisfaction ratings, WeCovr is perfectly positioned to help you.
Why choose WeCovr?
- Expert, Unbiased Advice: We work for you, not the insurers. Our job is to find the best private health cover for your specific needs, drawn from a panel of the UK's most trusted providers.
- Specialist Knowledge: We understand the nuances of each insurer's rules. We know who is more likely to consider an application with a correspondence address and can present your case in the most favourable light.
- No Cost to You: Our service is completely free for you to use. We receive a commission from the insurer if you decide to proceed with a policy.
- Exclusive Benefits: When you arrange your PMI or Life Insurance through us, you get complimentary access to our CalorieHero AI app. Furthermore, our clients often receive discounts on other types of cover, such as income protection or life insurance.
Don't let an unconventional address stop you from getting the peace of mind that private medical insurance provides.
Can I use a temporary address like an Airbnb for my PMI application?
It is strongly advised not to. Insurers require a stable, reliable address for communication and identity verification. An Airbnb or short-term holiday let does not meet this standard. It's much better to be transparent and propose using a stable correspondence address, such as a family member's home, while explaining your living situation. Misrepresenting a temporary address as permanent could lead to your policy being cancelled.
Do I need to be registered with an NHS GP to get private health insurance?
While not always a strict requirement from every insurer, being registered with an NHS GP is highly recommended. It serves as strong evidence of your UK residency, which is a key eligibility criterion for a domestic UK PMI policy. If you don't have a fixed address, having a GP registration can significantly strengthen your application.
What happens to my UK PMI policy if I move abroad permanently?
You must inform your insurer immediately. A UK Private Medical Insurance policy is designed for UK residents and provides cover for treatment within the UK. If you move abroad permanently, your policy will be cancelled as you no longer meet the core eligibility criteria. For those planning such a move, International Private Medical Insurance (IPMI) would be the appropriate type of cover to arrange before you leave.
Does UK private medical insurance cover pre-existing conditions?
No, standard UK private medical insurance does not cover pre-existing or chronic conditions. Its purpose is to provide cover for new, acute conditions (illnesses or injuries that are short-term and curable) that arise after your policy begins. Any condition for which you have had symptoms, advice, or treatment before taking out the policy will be excluded from cover.
Ready to Find Your Solution?
Your address shouldn't be a barrier to your health. Let our friendly experts at WeCovr do the hard work for you. We'll compare policies from leading providers to find one that understands your lifestyle, all at no cost to you.
Get your free, no-obligation quote from WeCovr today and secure the health cover you deserve.