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Childrens Treatment in PMI 2026 Approach

Childrens Treatment in PMI 2026 Approach 2026

As an FCA-authorised expert with over 900,000 policies of various kinds issued, WeCovr is at the forefront of the UK private medical insurance market. This guide explores the significant evolution in children's PMI, detailing the expanded benefits and enhanced access parents can expect as we head into 2026.

Expanded benefits and access for minors

The landscape of private medical insurance (PMI) for children in the UK is undergoing a profound transformation. Gone are the days when a policy was simply a safety net for unexpected surgery. The 2026 approach is proactive, holistic, and digitally integrated, reflecting a deeper understanding of modern paediatric and adolescent health needs. Insurers are moving beyond reactive treatment to offer comprehensive wellness ecosystems designed to keep children healthy, happy, and thriving.

This shift is driven by several factors: growing parental demand for faster access to specialist care, significant waiting lists within the NHS for certain paediatric services, and a technological revolution that makes personalised healthcare more accessible than ever. For parents, this means private health cover is becoming a more powerful tool for managing their child's entire health journey.

The Current State of Play: Children's PMI in 2025

Before looking ahead, it's useful to understand what a typical family private health cover policy includes today. As of 2025, most standard PMI plans for children offer solid, if traditional, benefits.

Core Cover Typically Includes:

  • In-patient and day-patient treatment: Covers costs for surgery and procedures where your child needs a hospital bed, even for just a day.
  • Out-patient consultations: Access to specialist paediatricians for diagnosis following a GP referral.
  • Diagnostic tests: Includes MRI scans, CT scans, X-rays, and blood tests to get to the root of a problem quickly.
  • Cancer care: Comprehensive cover for chemotherapy, radiotherapy, and surgical procedures.

While effective for acute conditions like broken bones or the need for tonsil removal, this model has limitations that the 2026 approach aims to address, particularly around mental health, developmental conditions, and preventative wellness.

Crucial Reminder: Standard UK private medical insurance is designed to cover acute conditions—illnesses or injuries that are new, unexpected, and likely to respond quickly to treatment. It does not cover chronic conditions (long-term illnesses like asthma or diabetes) or any pre-existing conditions your child had before the policy started.

Why the Big Shift? Key Drivers of Change in Paediatric PMI

The evolution of children's health insurance isn't happening in a vacuum. It's a direct response to major shifts in the UK's healthcare environment and parental expectations.

1. NHS Waiting Times for Paediatric Services While the NHS provides outstanding care, it is under immense pressure. Recent statistics highlight the challenges families face in accessing timely care for non-urgent issues.

  • Mental Health (CAMHS): According to 2024 NHS Digital data, the demand for Child and Adolescent Mental Health Services (CAMHS) continues to outstrip capacity. Many children face waits of several months, and in some areas over a year, just for an initial assessment.
  • Community Paediatrics: Referrals for developmental assessments (such as for Autism or ADHD) often have waiting lists exceeding 18 months in many NHS trusts.
  • Elective Care: Waiting times for "routine" procedures like ENT (Ear, Nose, and Throat) surgery or orthopaedic consultations can also be lengthy, causing prolonged discomfort for children and anxiety for parents.

This reality has made parents seek out private medical insurance in the UK not as a luxury, but as a practical tool to bypass these queues and get faster answers and treatment.

2. A Growing Focus on Holistic Wellbeing Modern parenting has embraced a 360-degree view of child health. It's no longer just about the absence of illness. Parents are actively seeking support for:

  • Mental and Emotional Resilience: Building coping strategies and emotional intelligence.
  • Nutritional Guidance: Ensuring children have a balanced diet for growth and development.
  • Sleep Hygiene: Recognising the critical role of sleep in physical and mental health.
  • Developmental Support: Early identification of and support for learning differences or neurodiversity.

PMI providers are responding to this by building wellness benefits directly into their policies.

3. The Digital Health Revolution Technology is the engine driving many of these changes. The widespread adoption of smartphones and health apps has made it possible to deliver healthcare services remotely, efficiently, and on-demand. For busy families, this is a game-changer. Virtual GPs, digital therapy sessions, and wellness apps are no longer novelties but expected features of a modern private health cover plan.

The 2026 Approach: Pillars of Enhanced Children's Health Cover

Looking towards 2026, we see four key pillars defining the new generation of children's private medical insurance. These changes make policies more comprehensive and valuable than ever before.

Pillar 1: A Revolution in Mental and Developmental Health Support

This is arguably the most significant area of expansion. Insurers are finally tackling the mental health crisis among young people head-on, offering tangible benefits that go far beyond what was previously available.

What to Expect:

  • Faster Access to Assessments: Policies will increasingly offer cover for initial psychiatric assessments, helping to diagnose conditions like anxiety, depression, or OCD far more quickly than via standard pathways.
  • Digital Therapy Services: Access to a set number of therapy sessions (e.g., 8-10 sessions per year) via video call or text-based chat with qualified child psychologists or counsellors. This provides convenient and discreet support.
  • Neurodiversity Assessment Pathways: A groundbreaking development. Many top-tier policies are beginning to contribute towards the cost of formal assessments for Autism Spectrum Disorder (ASD) and Attention-Deficit/Hyperactivity Disorder (ADHD).
    • Important Note: While PMI may help with the diagnosis, the ongoing management of these chronic, long-term conditions is typically not covered. The value lies in getting a swift, clear diagnosis, which unlocks support in other areas, such as education.
  • Parental Support Lines: Recognising that a child's struggles affect the whole family, insurers are offering dedicated phone lines for parents to get advice from mental health professionals on how to support their child.

Example in Action: Mia, 14, has been showing signs of severe anxiety. Her parents, concerned by the 12-month CAMHS waiting list, use their family PMI policy. They book a virtual GP appointment the same day, get a referral, and Mia has an initial video assessment with a private child psychiatrist within two weeks. The policy then covers a course of 8 cognitive behavioural therapy (CBT) sessions, also delivered online, giving her immediate tools to manage her anxiety.

Pillar 2: Proactive Wellness and Preventative Care

The new mantra is "predict and prevent" rather than "wait and treat". The best PMI providers are now including a suite of wellness benefits designed to keep children healthy from the start.

Wellness BenefitDescriptionHow It Helps Your Child
Digital GP (24/7)Unlimited access to a GP via video call or phone, anytime.Get instant advice for fevers, rashes, or tummy bugs without leaving home, even on holiday in the UK.
Nutritionist ConsultationsA set number of sessions with a registered dietitian or nutritionist.Expert advice on managing fussy eating, allergies, or ensuring a balanced diet for sport.
Sleep Support ServicesAccess to sleep experts for advice on establishing healthy sleep routines.Helps tackle common issues like bedtime resistance or frequent waking, crucial for development.
Health & Fitness AppsFamily access to premium wellness apps for fitness, mindfulness, and nutrition tracking.Encourages an active lifestyle and healthy habits for the whole family.

At WeCovr, we enhance this further. When you arrange your family's private medical insurance with us, you get complimentary access to CalorieHero, our advanced AI-powered calorie and nutrition tracking app. It's an excellent tool to help the whole family understand and improve their dietary habits.

Pillar 3: Seamless Digital Integration and User Experience

In 2026, a clunky, paper-based insurance experience is unacceptable. Insurers are investing heavily in technology to make using your policy effortless.

Key Digital Features:

  • One-Stop App: A single smartphone app to manage the entire policy. This includes finding a specialist, getting pre-authorisation for treatment, submitting a claim by taking a photo of an invoice, and accessing virtual GP services.
  • AI-Powered Symptom Checkers: Guided questionnaires, often built into the app, that help parents understand their child's symptoms and direct them to the most appropriate care, whether it's a virtual GP, a pharmacist, or A&E.
  • Integrated Care Pathways: A seamless journey from virtual GP to specialist referral to treatment booking, all managed digitally with proactive updates and reminders.

This digital-first approach saves parents time, reduces administrative hassle, and puts them firmly in control of their child's healthcare journey.

Pillar 4: Expanded Access to Specialists and Diagnostics

The core benefit of PMI—speed—is being amplified. Insurers are not only making access faster but also broader, covering a wider range of paediatric specialisms.

ServiceTypical NHS Wait (Non-Urgent)Typical PMI Access Time
Paediatrician Consultation4-6 months1-2 weeks
ENT Specialist (e.g., for grommets)9-12 months2-4 weeks
Dermatology (e.g., for severe eczema)3-5 months1-2 weeks
MRI / CT Scan6-8 weeks3-7 days

Note: NHS waiting times are estimates based on 2024-2025 data and can vary significantly by region. PMI access times are typical but depend on the specialist and location.

This rapid access is invaluable. For a child with recurring tonsillitis, it can mean the difference between another year of missed school and painful antibiotics versus a definitive solution within a month.

How to Choose the Right PMI for Your Family

With these exciting new benefits, choosing a policy has become more complex. It's no longer just about the level of cancer cover or the hospital list. As an expert PMI broker, WeCovr can help you navigate the market at no extra cost to you.

Here are the key things to consider when choosing a private medical insurance UK plan for your family:

  1. Adding a Child to a Policy:

    • Newborns: Most insurers allow you to add a newborn baby to your policy free of charge for the first few months (usually up to 3 months), often on a "moratorium" basis. You must actively add them.
    • Older Children: You can add older children at any time, though their premium will be calculated based on their age.
    • Family Plans vs. Individual: It is almost always more cost-effective to have one family policy than separate policies for each family member.
  2. Key Features to Look For in a 2026-Ready Policy:

    • Mental Health Cover: Check the specifics. How many therapy sessions are offered? Does it include initial assessments? Is there a benefit for neurodiversity diagnosis?
    • Wellness Benefits: Does the policy include a 24/7 digital GP? What about nutritionist or sleep support?
    • Digital Experience: Is there a modern, easy-to-use app for managing the policy?
    • Underwriting Type:
      • Moratorium: The most common type. Any condition a child has had in the 5 years before joining is excluded for the first 2 years of the policy. If they remain symptom-free for that 2-year period, the condition may then be covered.
      • Full Medical Underwriting (FMU): You declare your child's full medical history upfront. The insurer will state precisely what is and isn't covered from day one. This provides certainty but may result in permanent exclusions.

Understanding the All-Important Exclusions

It is vital to be realistic about what private medical insurance covers. No matter how comprehensive, all UK policies have standard exclusions.

PMI Does NOT Cover:

  • Pre-existing Conditions: Any illness, disease, or injury your child had symptoms of, received advice for, or was treated for before the policy start date.
  • Chronic Conditions: Long-term conditions that require ongoing management rather than a cure. This includes asthma, diabetes, epilepsy, and the long-term management of diagnosed ADHD or Autism.
  • Emergency Services: A&E is provided by the NHS. PMI is for planned, non-emergency treatment.
  • Normal Childhood Development: Standard check-ups, vaccinations, and developmental milestones are not covered.
  • Uncomplicated Pregnancy & Birth: While complications can be covered by some high-end plans, routine maternity care is an NHS service.

An expert broker like WeCovr can help you understand the nuances of these exclusions and find a policy with the most favourable terms for your family's specific needs.

Nurturing a Healthy Child: Tips for Everyday Wellness

While insurance is a fantastic safety net, creating a healthy environment at home is the foundation of your child's wellbeing. The wellness ethos of modern PMI encourages a proactive approach.

Simple Tips for a Healthier Family:

  • Active Living: Aim for at least 60 minutes of moderate activity daily. This doesn't have to be structured sport; it can be a brisk walk to school, a family bike ride, or a game of tag in the park.
  • Balanced Diet: Use the "eat a rainbow" principle, encouraging a variety of fruits and vegetables. Involve children in cooking and meal planning. Limit processed foods, sugary drinks, and snacks.
  • Prioritise Sleep: Establish a consistent, screen-free bedtime routine. The amount of sleep needed varies by age:
    • Ages 3-5: 10-13 hours (including naps)
    • Ages 6-12: 9-12 hours
    • Ages 13-18: 8-10 hours
  • Manage Screen Time: Set clear boundaries for screen use. Encourage "unplugged" playtime and ensure devices are put away at least an hour before bed.
  • Open Communication: Create a safe space for your children to talk about their feelings and worries without judgement. Normalise conversations about mental health from a young age.

When you purchase a PMI or Life Insurance policy through WeCovr, we often provide discounts on other types of cover, such as home or travel insurance, helping you protect your family in every aspect of life.


Frequently Asked Questions (FAQs)

Can I get private health insurance just for my child?

Yes, it is possible to buy a standalone private medical insurance policy for a child. However, it is usually more cost-effective to add them to a parent's policy or purchase a family plan. Insurers often provide discounts for family policies, and it simplifies administration to have everyone under one plan. An adviser at WeCovr can run quotes for both scenarios to find the best value for you.

Does PMI cover vaccinations for my children?

Generally, no. Routine childhood immunisations and vaccinations, which are part of the national NHS immunisation programme, are considered preventative care and are not covered by standard private medical insurance policies. PMI is designed to cover the diagnosis and treatment of new, acute conditions that arise after you take out the policy.

Is a child's broken bone covered by private health insurance?

The initial emergency treatment for a broken bone will always happen in an NHS A&E department, which is not covered by PMI. However, private health cover can be extremely valuable for the subsequent treatment. This can include a private consultation with an orthopaedic surgeon, any necessary surgery (like inserting pins or plates), and follow-up care such as physiotherapy to aid recovery, all without the long waits that can be present in the NHS system.

If my child is diagnosed with ADHD through PMI, is the medication covered?

This is a crucial point. While some advanced PMI policies are starting to offer benefits towards the initial *diagnosis* of conditions like ADHD, the ongoing management is considered chronic and is therefore not covered. This means that the cost of long-term medication, regular psychiatric reviews, or ongoing behavioural therapy would typically not be paid for by the insurance policy. The primary benefit is getting a fast, official diagnosis.

The evolution of children's PMI towards the 2026 approach marks a new era of proactive and comprehensive family healthcare. By embracing digital technology and expanding cover to include vital areas like mental health and preventative wellness, insurers are offering more value than ever before.

Navigating this new and complex market requires expertise. Let WeCovr's team of friendly, professional advisers help you compare the best PMI providers and find the perfect policy to protect your family's health and wellbeing, all at no cost to you.

[Get Your Free, No-Obligation Family PMI Quote Today]


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Why private medical insurance and how does it work?

What is Private Medical Insurance?

Private medical insurance (PMI) is a type of health insurance that provides access to private healthcare services in the UK. It covers the cost of private medical treatment, allowing you to bypass NHS waiting lists and receive faster, more convenient care.

How does it work?

Private medical insurance works by paying for your private healthcare costs. When you need treatment, you can choose to go private and your insurance will cover the costs, subject to your policy terms and conditions. This can include:

• Private consultations with specialists
• Private hospital treatment and surgery
• Diagnostic tests and scans
• Physiotherapy and rehabilitation
• Mental health treatment

Your premium depends on factors like your age, health, occupation, and the level of cover you choose. Most policies offer different levels of cover, from basic to comprehensive, allowing you to tailor the policy to your needs and budget.

Questions to ask yourself regarding private medical insurance

Just ask yourself:
👉 Are you concerned about NHS waiting times for treatment?
👉 Would you prefer to choose your own consultant and hospital?
👉 Do you want faster access to diagnostic tests and scans?
👉 Would you like private hospital accommodation and better food?
👉 Do you want to avoid the stress of NHS waiting lists?

Many people don't realise that private medical insurance is more affordable than they think, especially when you consider the value of faster treatment and better facilities. A great insurance policy can provide peace of mind and ensure you receive the care you need when you need it.

Benefits offered by private medical insurance

Private medical insurance provides numerous benefits that can significantly improve your healthcare experience and outcomes:

Faster Access to Treatment
One of the biggest advantages is avoiding NHS waiting lists. While the NHS provides excellent care, waiting times can be lengthy. With private medical insurance, you can often receive treatment within days or weeks rather than months.

Choice of Consultant and Hospital
You can choose your preferred consultant and hospital, giving you more control over your healthcare journey. This is particularly important for complex treatments where you want a specific specialist.

Better Facilities and Accommodation
Private hospitals typically offer superior facilities, including private rooms, better food, and more comfortable surroundings. This can make your recovery more pleasant and potentially faster.

Advanced Treatments
Private medical insurance often covers treatments and medications not available on the NHS, giving you access to the latest medical advances and technologies.

Mental Health Support
Many policies include comprehensive mental health coverage, providing faster access to therapy and psychiatric care when needed.

Tax Benefits for Business Owners
If you're self-employed or a business owner, private medical insurance premiums can be tax-deductible, making it a cost-effective way to protect your health and your business.

Peace of Mind
Knowing you have access to private healthcare when you need it provides invaluable peace of mind, especially for those with ongoing health conditions or concerns about NHS capacity.

Private medical insurance is particularly valuable for those who want to take control of their healthcare journey and ensure they receive the best possible treatment when they need it most.

Important Fact!

There is no need to wait until the renewal of your current policy.
We can look at a more suitable option mid-term!

Why is it important to get private medical insurance early?

👉 Many people are very thankful that they had their private medical insurance cover in place before running into some serious health issues. Private medical insurance is as important as life insurance for protecting your family's finances.

👉 We insure our cars, houses, and even our phones! Yet our health is the most precious thing we have.

Easily one of the most important insurance purchases an individual or family can make in their lifetime, the decision to buy private medical insurance can be made much simpler with the help of FCA-authorised advisers. They are the specialists who do the searching and analysis helping people choose between various types of private medical insurance policies available in the market, including different levels of cover and policy types most suitable to the client's individual circumstances.

It certainly won't do any harm if you speak with one of our experienced insurance experts who are passionate about advising people on financial matters related to private medical insurance and are keen to provide you with a free consultation.

You can discuss with them in detail what affordable private medical insurance plan for the necessary peace of mind they would recommend! WeCovr works with some of the best advisers in the market.

By tapping the button below, you can book a free call with them in less than 30 seconds right now:

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Life Insurance and Private Medical Insurance cover you for two different purposes, so you will need to assess your needs but may wish to consider holding the two policies. Private Medical Insurance covers you if you get sick or need treatment and want or need to go privately. Life Insurance covers you in the case of death, giving a payout to family/those left behind.

Health insurance covers conditions that develop after your policy starts. Pre-existing conditions are typically not covered, and insurers may exclude related issues. Some policies may cover symptoms of pre-existing conditions under specific circumstances. Always review your policy's exclusions. Coverage for pre-existing medical conditions may be available if you currently hold a medical insurance policy or are transitioning from a company scheme. However, if you have never had medical insurance before or if your policy is not active at the moment, pre-existing conditions will not be covered. This limitation exists because health insurance is primarily intended to protect against unexpected health issues. To simplify, it's akin to getting into a car accident and then trying to obtain insurance coverage afterward to repair the vehicle — insurance companies typically do not cover such claims. Nevertheless, there is an option to gain coverage for pre-existing conditions after a two-year waiting period, subject to specific rules and conditions.

If you prefer to get straight into treatment in the private sector without the long waiting times with the NHS, or you just prefer the private sector anyway, without having to pay it all yourself, then you would need to have Private Medical Insurance to cover it. Sometimes treatments and drugs that are not covered by the NHS can be covered by Private Medical Insurance.

It's free to use WeCovr to find health insurance - we never charge you for quotes. Health or private medical insurance is an investment that can pay for itself the first time you might need medical treatment.

It depends on your personal choice and preferences. If you are prepared to limit yourself to NHS-covered treatments only and can or want to endure long waiting times to get into treatment, then yes, NHS might work for you. Your cover there is free. If you don't want to be exposed to long waiting times or if your treatment is not covered by the NHS, then you would benefit from Private Medical Insurance.

Private Medical Insurance is an important financial product that insurance companies take a lot of care and diligence so speaking to real human beings ensures that they understand your requirements fully so that you can get the right cover.

All of our partners are carefully vetted and authorised by the FCA, which means they are held to the highest standards that the FCA expects from them and treat all customers fairly!

Our revenue comes from commissions paid by the insurance providers when a policy is taken out through us. Essentially, when you choose to secure a policy from one of the providers we work with, they compensate us for facilitating the transaction. It's important to note that this commission does not impact the premium you pay. We remain committed to providing transparent and unbiased quotes to help you find the best insurance options tailored to your needs.

The cost of private health insurance depends on several factors, including your age, location, smoking status, and the type of policy you choose. Your health insurance policy is tailored to your needs, and the cost can vary based on the level of cover you require, such as the amount of excess and specific treatment allowances.

Private health insurance covers you for conditions that arise after your policy begins. You pay a monthly fee and can make claims for private healthcare covered by your policy. One of the main benefits of private healthcare is quicker access to treatment compared to the NHS, along with access to new drugs or specialist treatments.

Most health insurance covers private hospital stays and may include outpatient treatments like scans, tests, or appointments. Policies vary in coverage, and exclusions often include emergency treatment, maternity care, cosmetic surgery, and ongoing conditions present before the policy started.

Unfortunately, you cannot pay extra to have a pre-existing condition covered as part of your health insurance policy. However, you have access to support from a nurse or digital GP. If you have questions about what is covered under your policy, please contact us for clarification.

Your health insurance policy begins once you've selected your policy and set up your payment. After setup, you'll receive your cover documents detailing what is and isn't covered. It's important to review these details carefully as policies differ.

An excess is the amount you contribute towards treatment when you make a claim. Choosing a higher excess can reduce your policy's monthly cost but requires a larger contribution when claiming. WeCovr's experts will offer you flexible excess options depending on your preferences.

To reduce health insurance costs, consider choosing a higher excess, which lowers the monthly premium. However, ensure the plan still meets your needs. Other factors affecting cost include lifestyle choices like smoking and potential savings for couples or family plans.

There is no age limit for taking out health insurance, but age influences the policy's cost. The benefits of health insurance are consistent regardless of age. If you're considering health insurance, you can get a quote from WeCovr's experts regardless of your age.

Let WeCovr's experts do the legwork for you and compare health insurance plans at no cost to you to find the best fit for your needs. Consider individual, couple, or family plans and review coverage details thoroughly before choosing. WeCovr provides transparent information on coverage options for easy comparison.

Yes, you can add your partner (if you live at the same address) or dependents to your policy at any time. The cost of couple's or family health insurance depends on factors like location, age, health, and chosen excess. Contact WeCovr or your insurer for assistance in adding someone to your policy.

While WeCovr's private health insurance plans are tailored for the UK, we offer global health insurance options for those living or working abroad. For holiday coverage, travel insurance is recommended.

Comprehensive cover provides extensive benefits, including full outpatient services such as consultations, diagnostic tests, physiotherapy, and mental health therapies. Our team at WeCovr can assist in understanding the various coverage levels available.

Private health insurance typically does not cover dental treatment. However, WeCovr's experts can guide you to dental insurance policies offered by our partner insurers. Reach out to us to explore these options.

Yes, private health insurance covers cancer treatment from diagnosis through treatment. At WeCovr, we can help you navigate the cancer cover options that suit your needs.

At WeCovr, you have flexibility in adjusting your cover. Speak to our experts within 21 days of receiving your paperwork or at policy renewal to make changes.

Accessing a private GP appointment is fast and convenient with WeCovr's services, available through your digital platform provided under your chosen insurance plan.

Yes, family members on the same policy can potentially have different levels of cover tailored to their individual needs.

WeCovr works with insurers offering a range of cover levels to accommodate different budgets and needs. Our experts can discuss these options with you.

Discovering healthcare facilities and specialists is easy with WeCovr's resources. Contact us for personalised assistance by tapping one of the buttons above or below and filling in a few details for personalised assistance.

Fee-assured consultants provides transparency and no hidden costs for clients.

WeCovr prioritises mental health support with comprehensive coverage and access to specialist advice and services.

Children up to a certain age can be included in your policy, and we offer discounts for family coverage.

Like most health insurance plans, premiums may increase annually due to factors such as age and medical cost inflation.

The cost of health insurance varies based on several factors. Connect with our experts by tapping a button below and get your own personalised quote.

Private health insurance offers quicker access to consultations, treatments, and personalised care compared to the NHS.

Yes, WeCovr's experts can guide you which health insurance plans include coverage for physiotherapy treatments.

Immediate access to certain services like our digital GP app is available upon enrolment.

You can obtain a range of suitable quotes easily by tapping one of the buttons above or below and filling in a few details for personalised assistance.

Health insurance covers new conditions that arise after the policy starts. Pre-existing conditions and certain exclusions may apply.

WeCovr's experts help you arrange health insurance that simplifies access to private healthcare services, including consultations and treatments.

Outpatient cover includes consultations, physiotherapy, and mental health therapies outside hospital admissions.

Yes, you can use your health insurance cover immediately. You have access to a nurse through your helpline and can consult with a GP using the digital GP app. If you need to make a claim right away, we may require a medical report from your GP. Health insurance is designed to cover new conditions that arise after the policy has started.

No, health insurance does not cover A&E (Accident and Emergency) visits. Private hospitals do not typically have the facilities for handling A&E cases. In case of an emergency, please dial 999 or use the NHS emergency services. However, if you require follow-up treatment after an emergency situation, your private medical insurance may be able to assist.

Yes, many insurers offer rewards in leisure, wellbeing, and health. Speak to WeCovr's experts or visit your insurer's website for more details on member rewards.

You may continue your cover or get another own personal policy. If you continue your cover, existing or ongoing medical conditions might be covered depending on the level of cover you choose. Contact our friendly experts to discuss your options and find the right option for you.

You can tap one of the buttons above or below and fill in a quick form to arrange a call with us to discuss your options.

Your cover may be similar but not identical. We will help you find the right level of cover that suits your needs, and ongoing medical conditions may be covered. Contact our friendly advisers to explore all available options.

No, the price won't be the same as before since employers often contribute to the cost of employee cover. Additionally, different cover levels and medical histories may affect the price. Contact WeCovr's experts for detailed information.

You have a few weeks or months from leaving your job to decide to continue with your insurer or change to another one. Your policy may start the day after you left your work policy, and our experts can guide you through other available options.

After leaving your job, contact WeCovr's experts with your leave date to discuss available options.

Yes, ongoing treatment may be covered on your new personal policy, although it could affect the price. Contact our experts for personalised advice on your options.

Details on paying excess fees will be provided when you contact your insurer for treatment authorisation.

No, there is no excess fee for utilising these services.

Excess adjustments can be made at specific intervals during your policy term.

No claims discounts can impact renewal costs based on claims history.

Pre-existing conditions typically aren't covered but can be discussed with our healthcare specialists.

This involves health-related questions before policy enrolment to determine coverage.

Moratorium underwriting simplifies enrolment but may require health disclosures during claims.

Claims may require additional information if under moratorium underwriting.

Pre-existing conditions refer to medical issues existing before policy inception. A pre-existing condition is anything you've previously had medical treatment for, such as diabetes, heart disease, or asthma. Most insurance providers consider any condition you've had symptoms or treatment for in the past five years as pre-existing. Our experts at WeCovr can help you understand how pre-existing conditions affect your policy options.

While some insurance providers automatically renew your private healthcare cover, it's beneficial to compare policies when yours is about to end. This ensures you're still getting the best deal for the coverage you need. Our experts at WeCovr can assist you in finding the right policy for you.

Typically, you must be over 18 to take out your own policy, but minors can usually be included in a family policy. There may also be an upper age limit for private health insurance, and premiums typically increase with age. Our experts at WeCovr can provide guidance on age-related policy aspects.

Paying for health insurance annually often results in savings compared to monthly payments. However, this depends on your insurance provider. For help determining the most cost-effective option, consider consulting our experts at WeCovr.

If your employer offers private health insurance as part of your benefits package, you likely don't need additional cover. However, there may be limits on the cover you receive, and it may not extend to your entire family. Remember, any insurance you get through work only covers you while you're employed there.

If you don't have pre-existing conditions, a medical exam is usually not required. You'll just need to complete a medical history form and select your level of cover. However, if you're older, have a pre-existing condition, or lead an unhealthy lifestyle, a medical exam may be necessary. Our experts at WeCovr can clarify the requirements of different policies.

Many private health insurance providers now offer GP services, either digitally or face-to-face. This means you can often get a private GP appointment quickly, sometimes even on the same day. Our experts at WeCovr can help you find policies that offer GP services.

With private health insurance, you can often secure a GP appointment much quicker than with traditional methods, sometimes even on the same day. Our experts at WeCovr can help you find policies that offer quick GP appointment services.

Inpatient care refers to any treatment requiring a stay in a hospital or clinic for at least one night. Outpatient care refers to treatments or tests that don't require hospital admission, such as minor diagnostic tests or physiotherapy sessions. Our experts at WeCovr can help you understand the different types of care and find a policy that suits your needs.

Private health insurance covers your medical treatment if you fall ill, while critical illness cover provides additional financial help if you develop one of the critical illnesses listed in the policy, such as covering loss of income if you're unable to work. For assistance in understanding the differences and finding the right coverage, consult our experts at WeCovr.

Health insurance policies are designed for cover in the UK. For cover abroad, consider travel insurance for short trips or international health insurance for longer stays or if you have a holiday home overseas. Our experts at WeCovr can guide you in finding the appropriate coverage for your travel needs.

If your employer provides health insurance, it's considered a 'benefit in kind' and is not tax deductible. Your employer should calculate the tax you owe for your health insurance premiums and deduct it from your pay. There are some exceptions for small companies. For more information on tax implications, consider reaching out to our experts at WeCovr.

When you purchase a policy, you choose how much excess you pay, which is your contribution to the cost of treatment if you make a claim. The higher your excess, the lower your premium is likely to be. Our experts at WeCovr can help you understand how excess works and choose the right level for you.

These are two methods of underwriting a health insurance policy, relating to how insurance providers consider your pre-existing medical conditions when you take out cover. For help understanding the differences and choosing the right option for you, consult our experts at WeCovr.

Some private health insurance providers offer a no-claims discount, similar to car insurance. Every year you don't make a claim gives you an extra year of no-claims discount, potentially reducing your premium when you renew. Our experts at WeCovr can help you find policies that offer no-claims discounts.

To find the best health insurance for you, compare various policies to find one that offers the features you need at a price you can afford. Consider your personal circumstances and what you want from your policy. Our experts at WeCovr can assist you in evaluating your options and selecting the right coverage for you.

If you need treatment, a GP referral is not always necessary. However, this depends on how you plan to pay for your treatment. Most hospitals will allow you to book appointments with a consultant without a GP referral if you are paying out-of-pocket. If you have private medical insurance, you'll need to check the terms of your policy to see whether your insurer requires you to consult with a GP first (most insurers do). Some policies offer a direct booking system without a referral for certain conditions, such as counseling for mental health issues.

Yes, you can obtain financing for a loan to cover the cost of surgery. Many private healthcare companies have partnerships with finance companies to allow you to spread the cost of private treatment over time. You could also explore getting an ordinary loan from your bank if this option proves to be more cost-effective for you.

WeCovr has conducted extensive research into the cost of private health insurance in the UK. Click the link to find out more detailed information.

Yes, you can continue to receive treatment through the NHS even if you have private health insurance and have received private treatment in the past. This could be for rehabilitation after private surgery or for treatment that is not covered by your health insurance policy. For example, some cosmetic surgeries may be available through the NHS but are generally not covered by private medical insurance.

This is a difficult question to answer definitively. There are certain services that cannot be obtained privately, such as emergency treatment at an Accident and Emergency (A&E) department. Many NHS consultants also practice privately, so you could potentially see the same consultant regardless of whether you choose private or public healthcare. However, private healthcare typically offers shorter waiting times, guaranteed private rooms, and more relaxed visiting hours. Additionally, you may have access to treatments and drugs that are not routinely available through the NHS.

Yes, you can self-refer to a private specialist without the need for a GP referral. However, the British Medical Association believes that in most cases, it is best practice to start with your GP, as they are familiar with your medical history.

Yes, if you have a health concern and pay for private tests and scans but cannot afford to have private surgery, you should be able to have your test results transferred to an NHS provider for treatment.


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