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Combating Long-Term Sickness Absence with Private Medical Insurance

Discover how UK businesses use private medical insurance to tackle long-term sickness absence through rapid diagnostics and physiotherapy. WeCovr, an FCA-regulated broking firm whose network has issued over 1,000,000 policies, helps employers find a suitable option at no extra cost.

Last updated Oct 29, 2026

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Combating Long-Term Sickness Absence with Private Medical...

TL;DR

Discover how UK businesses use private medical insurance to tackle long-term sickness absence through rapid diagnostics and physiotherapy. WeCovr, an FCA-regulated broking firm whose network has issued over 1,000,000 policies, helps employers find a suitable option at no extra cost.

Key takeaways

  • Long-term sickness costs UK employers billions each year.
  • Musculoskeletal conditions are a primary driver of workplace absence.
  • Private medical insurance offers faster access, where available, to private diagnostics.
  • Early physiotherapy intervention keeps minor injuries from becoming chronic.
  • Standard UK PMI covers acute conditions, not chronic illnesses.

Tackling long-term sickness absence is a critical priority for businesses today. With private medical insurance in the UK, employers can empower their workforce to recover faster. As an experienced FCA-regulated broking firm whose network has issued over 1,000,000 policies, WeCovr helps companies implement health cover that truly supports employee wellbeing.

How UK employers are using rapid private diagnostics and physiotherapy to get their teams back to health and back to work

Long-term sickness absence (LTSA) has become one of the most pressing challenges for UK businesses. When an employee is absent for four weeks or more, the likelihood of them returning to their previous role drops significantly. The longer the absence, the greater the disruption to the business, and the harder the journey back to health becomes for the individual.

To combat this, forward-thinking employers are shifting from reactive absence management to proactive health intervention. By leveraging business private medical insurance, companies can bypass lengthy public health waiting lists. The twin pillars of this strategy are rapid private diagnostics and early-intervention physiotherapy.

Getting a swift diagnosis means an employee can begin an appropriate treatment plan weeks—or even months—earlier than they might otherwise. By combining this speed with targeted musculoskeletal (MSK) support, employers are successfully transforming their absence statistics and supporting their teams' health.

Get a quote through WeCovr, and a specialist from WeCovr or one of its broker partners will help you compare policies from a range of UK insurers.

The Growing Challenge of Workplace Absence in the UK

Recent data from the Office for National Statistics (ONS) highlights a growing trend of economic inactivity linked to long-term sickness. Millions of working-age adults in the UK are currently out of the workforce due to health conditions, placing immense strain on employers who must manage statutory sick pay, temporary cover costs, and lost productivity.

The two leading causes of long-term sickness absence are:

  1. Musculoskeletal (MSK) conditions: These include back pain, neck strain, repetitive strain injuries, and joint issues.
  2. Mental health conditions: Stress, anxiety, and depression.

While mental health requires a specialised approach, MSK issues are uniquely suited to the rapid intervention models provided by modern private medical insurance policies. A minor back strain, if left untreated while waiting for a scan or physiotherapy referral, can quickly degenerate into a chronic pain condition, resulting in months of lost work.

Understanding What Employer PMI Covers (and What it Does Not)

Before exploring how private medical insurance UK policies help manage sickness absence, it is vital to understand the fundamental parameters of how these policies operate.

Standard UK private medical insurance does not cover chronic or pre-existing conditions.

PMI is designed exclusively to cover acute conditions. An acute condition is a disease, illness, or injury that responds quickly to treatment and aims to return the patient to the state of health they were in immediately before the condition started. It must arise after the policy's start date (unless specific group underwriting applies).

Conversely, a chronic condition is a disease, illness, or injury that has one or more of the following characteristics:

  • It needs ongoing or long-term monitoring through consultations, examinations, or tests.
  • It requires ongoing or long-term control or relief of symptoms.
  • It requires rehabilitation, or you need to be specially trained to cope with it.
  • It has no known cure.
  • It comes back or is likely to come back.

By focusing on acute health events, PMI acts as a rapid-response mechanism. If an employee suffers a sudden MSK injury or requires urgent diagnostic testing for a new, acute symptom, the policy steps in to provide swift care, preventing that acute issue from dragging on and potentially becoming a chronic cause of absence.

The Power of Rapid Private Diagnostics

"Time to diagnosis" is often the most significant bottleneck in an employee's return-to-work journey. When an individual presents to their GP with a complex issue, such as severe joint pain or internal symptoms, they usually require a diagnostic scan (such as an MRI, CT, or ultrasound) or a specialist consultant appointment to determine the cause.

The Impact of Delays

Waiting for diagnostics can leave employees in a state of limbo. During this period, they are often unable to work, experiencing pain, and suffering from heightened anxiety about their health.

The PMI Solution

Private medical insurance transforms this timeline. Employees covered by a suitable business PMI policy can often secure a referral to a private consultant within days. Diagnostic scans are typically authorised quickly, meaning what could have been a multi-month wait is condensed into a matter of weeks or even days.

Once the diagnosis is confirmed, the treatment plan can begin immediately. Whether the solution involves surgery, medication, or physical therapy, rapid diagnostics are the key that unlocks the door to recovery.

Physiotherapy and MSK Interventions: Nipping Absence in the Bud

Musculoskeletal issues are notoriously progressive if ignored. An employee working at a desk who develops mild sciatica may push through the pain until they are completely immobilised.

Modern private health cover addresses this through proactive physiotherapy pathways.

Direct Access Pathways

Many UK PMI providers now offer "Direct Access" or "Open Referral" MSK services. This means an employee does not always need to see a GP first to access physiotherapy. Instead, they can call their insurer, speak directly to a triage nurse or senior physiotherapist, and be referred straight to a private physiotherapist near their home or workplace.

Comparing the MSK Journey

Stage of JourneyTypical Public Health PathwayPrivate Medical Insurance Pathway
Initial AssessmentWait for a GP appointment.Direct telephone triage with an MSK specialist.
Referral to PhysioGP referral; wait for public physiotherapy assessment.Immediate authorisation for private physiotherapy.
Treatment FrequencyOften limited sessions, spaced out.Intensive, tailored sessions to accelerate recovery.
Return to WorkPotentially delayed by weeks or months.Accelerated, often with ergonomic advice for the workplace.

By intervening early, physiotherapy prevents minor acute injuries from evolving into long-term absences.

Real-Life Scenario: The ROI of Early Intervention

Note: This is an illustrative scenario based on common brokerage insights to demonstrate how rapid intervention functions in practice.

The Situation: David, a senior operations manager, develops sudden and severe knee pain after a weekend sports injury. His role requires a mix of desk work and site visits, but he is currently unable to drive or walk without significant pain.

Without PMI: David visits his GP and is told to rest. The pain does not subside, so he is referred for an MRI. The wait for the scan takes several weeks. Once the scan confirms a torn meniscus, he waits further for an orthopaedic consultation, followed by a wait for surgery. David is signed off work for four months.

With Employer PMI: David's employer provides private medical insurance. Following a quick virtual GP appointment provided through his policy, David is referred to a private orthopaedic consultant whom he sees three days later. An MRI is conducted the following day, confirming the tear. David undergoes private day-case surgery two weeks later and immediately begins a course of private physiotherapy. He is back to work on light duties within a month and fully recovered shortly after.

The return on investment (ROI) for the employer is clear: they save three months of lost productivity, reduce the strain on the rest of the team, and foster immense loyalty from an employee who felt supported during a health crisis.

When setting up a corporate PMI programme, employers must make strategic decisions regarding how the policy is structured. A specialist broker from WeCovr or one of our broker partners can help guide you through these choices to find an appropriate level of cover.

Underwriting Options for Businesses

The way a policy is underwritten dictates how pre-existing conditions are treated (keeping in mind that chronic conditions are standard exclusions across the board).

  1. Moratorium Underwriting: The most common form for small to medium enterprises (SMEs). Employees do not need to fill out long medical questionnaires. Instead, the insurer automatically excludes any acute condition the employee suffered from in the five years prior to the policy start date. However, if they remain symptom-free and treatment-free for that condition for two continuous years after the policy starts, it may become covered.
  2. Full Medical Underwriting (FMU): Employees complete a medical questionnaire. The insurer explicitly outlines what is and isn't covered from day one.
  3. Medical History Disregarded (MHD): Usually only available for larger corporate groups (typically 20+ or 50+ employees, depending on the insurer). Under MHD, pre-existing acute conditions may be covered. This is the more comprehensive and sought-after underwriting type for businesses looking to minimise sickness absence entirely, though it carries a higher premium.

Managing Premiums with Excesses

An excess is the amount an employee must pay towards their own care before the insurance kicks in. By applying a standard excess (e.g., £100 or £250 per policy year), employers can significantly reduce the overall premium of the scheme, making rapid diagnostics and treatment more affordable to implement across the whole team.

Tax Implications for Business Health Insurance

When a business pays for an employee's private medical insurance, there are specific tax rules that apply to both the employer and the employee.

Typically, the premiums paid by the business are treated as an allowable business expense for Corporation Tax purposes. However, because the health insurance is a benefit provided to the employee, it is usually classed as a "Benefit in Kind" (BiK). This means the employer must report it to HMRC on a P11D form, and the employee may pay Income Tax on the value of the benefit, while the employer pays Class 1A National Insurance contributions.

Disclaimer: This is general guidance only and does not constitute formal tax or financial advice. Tax treatment depends on individual circumstances, policy terms, and HMRC interpretation, which cannot be guaranteed in advance. Whenever applicable, businesses and individuals should always consult a qualified accountant or tax adviser before arranging such policies.

Common Mistakes Employers Make When Implementing PMI

Information gain from our brokerage experience highlights several common pitfalls businesses fall into when sourcing health cover:

  • Focusing Solely on Price: Choosing the lower-cost policy often means selecting one with heavy hospital network restrictions or limited outpatient cover. If outpatient cover (which includes diagnostic scans and physiotherapy) is capped too low, the policy loses its effectiveness in combating long-term absence.
  • Failing to Educate Employees: Having a suitable option in place is useless if the team does not know how to use it. Employees must understand that they can access direct MSK pathways or virtual GPs with potentially shorter waits for physical GP appointments.
  • Misunderstanding Chronic Conditions: Employers sometimes expect PMI to manage an employee's lifelong asthma or diabetes. It is vital to manage expectations and communicate that PMI is for treating acute conditions.
  • Navigating the Market Alone: The UK health insurance market is complex. Going direct to a single insurer limits your options.

Why Partner with a Specialist Broker like WeCovr?

Selecting the right private medical insurance UK policy for your business requires market knowledge and strategic planning. As an independent, FCA-regulated broking firm, WeCovr and our trusted broker partners compare the market on your behalf. We help you find a well-matched policy tailored to your business's absence management goals.

Using a broker costs you nothing extra—our fees are paid by the insurers, but our loyalty remains entirely with you, the client. We help you navigate underwriting terms, excesses, and hospital lists to help your budget be used effectively.

Furthermore, when you arrange your cover through WeCovr, you benefit from a holistic approach to wellbeing. We offer complimentary access to our AI calorie-tracking app, CalorieHero, to help support your team's day-to-day nutritional health. We also offer multi-policy discounts; for example, if you decide to implement Business Life Insurance or Income Protection alongside your PMI, you can secure highly competitive terms.

With high customer satisfaction ratings and a network that has issued over 1,000,000 policies, you can trust us to find an appropriate level of cover to keep your team healthy, happy, and productive.

Get a quote through WeCovr, and a specialist from WeCovr or one of its broker partners will help you compare policies from a range of UK insurers.

Frequently Asked Questions (FAQs)

Does business private medical insurance cover chronic illnesses?

No, standard UK private medical insurance does not cover chronic illnesses (such as asthma, diabetes, or long-term incurable conditions). It is designed to cover acute conditions that respond quickly to treatment and arise after the policy has started.

Do my employees need a GP referral to access physiotherapy?

Not always. Many modern business PMI policies include a "Direct Access" or "Open Referral" pathway for musculoskeletal issues. This allows employees to undergo a telephone or video triage directly with the insurer's health team, who can then authorise private physiotherapy without a prior GP visit.

What is Medical History Disregarded (MHD) underwriting?

Medical History Disregarded (MHD) is a type of underwriting typically available to larger businesses. Under MHD, the insurer does not exclude pre-existing acute medical conditions. This means employees can claim for eligible acute conditions they suffered from before joining the scheme, provided they are not chronic.

How can a broker help me set up a company health insurance scheme?

An FCA-regulated broker like WeCovr or one of our partners will assess your business needs, compare policies from across the UK market, and explain complex terms like underwriting and excesses. They help you get a suitable option for your team's requirements at no additional cost to your business.

Sources

  • Office for National Statistics (ONS)
  • National Health Service (NHS England)
  • Financial Conduct Authority (FCA)
  • HM Revenue & Customs (HMRC)
  • National Institute for Health and Care Excellence (NICE)

Important Information and Risks

No advice: This article is for general information only. It is not financial, legal, insurance, or tax advice, and it is not a personal recommendation. WeCovr does not assess your individual circumstances or recommend a specific product through this article.

Policy exclusions and underwriting: Insurance policies, including life insurance, private medical insurance, critical illness cover, and income protection, are subject to insurer underwriting, eligibility, acceptance criteria, terms, conditions, limits, and exclusions. Pre-existing medical conditions may be excluded, restricted, or accepted on special terms unless an insurer confirms otherwise in writing.

Tax treatment: References to tax treatment, HMRC rules, or business reliefs are based on current UK legislation and guidance, which can change. Tax treatment depends on your personal or business circumstances and may differ from examples in this article.

Before you buy: Always read the Insurance Product Information Document (IPID), policy summary, and full policy terms before buying, renewing, changing, or keeping cover. If you are unsure whether a policy is suitable for you, speak to an insurance adviser.

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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 experienced 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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Any questions?

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.

Private medical insurance is designed for conditions that start after your policy begins, so pre-existing conditions are usually excluded, at least at first. With moratorium underwriting, a pre-existing condition may become eligible for cover once you have gone two continuous years on the policy without symptoms, treatment or advice for it. With full medical underwriting, the insurer tells you upfront which conditions are excluded. If you are switching from another policy or leaving a company scheme, you may be able to keep your existing underwriting terms, and some larger company schemes use Medical History Disregarded underwriting, where pre-existing conditions aren't excluded. Chronic conditions that need long-term management aren't covered by standard policies.

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. Some policies can also cover treatments and drugs that aren't routinely available on the NHS.

There's no fee to get quotes through WeCovr. WeCovr and its broker partners are typically paid a commission by the insurer when you take out a policy. The cost of the policy itself depends on your age, where you live, the cover you choose and your excess.

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 may benefit from Private Medical Insurance.

Private Medical Insurance is an important financial product, and policies differ in ways that matter. Speaking to a specialist at WeCovr or one of its broker partners helps make sure your requirements are understood so you can choose the right cover.

WeCovr's broker partners are firms authorised and regulated by the Financial Conduct Authority (FCA), which requires them to treat customers fairly. You can check any firm on the FCA Register.

WeCovr and its broker partners are typically paid a commission by the insurer when a policy is taken out. The premium is set by the insurer, and you don't pay a separate fee for using the service. You can ask about the commission at any time.

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 eligible conditions that arise after your policy begins. You pay a monthly or annual premium and can claim for private healthcare covered by your policy. Benefits can include quicker access to treatment than on the NHS and, on some policies, access to drugs or treatments that aren't routinely available on the NHS.

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, chronic conditions and conditions present before the policy started.

Usually not on a new personal policy: pre-existing conditions are generally excluded, whatever the premium. Depending on your underwriting, a condition may become eligible later, and if you are switching policies or leaving a company scheme you may be able to keep existing terms. If you have questions about what is covered, contact WeCovr and a specialist at WeCovr or one of its broker partners can explain the options.

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. Depending on the insurer, it applies once per policy year or once per claim. A specialist at WeCovr or one of its broker partners can explain the excess options available.

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.

Some insurers have an upper age limit for new customers, while others don't, and age affects the price. Many insurers will renew an existing policy regardless of age. A specialist at WeCovr or one of its broker partners can help you find insurers that accept your age.

A specialist at WeCovr or one of its broker partners can compare health insurance plans from a range of insurers for you, with no fee to you. Consider individual, couple, or family plans and review coverage details thoroughly before choosing.

Usually, yes. Many insurers let you add a partner or dependent children, either at any time or at renewal, depending on the insurer. The cost depends on factors like their age, where you live and the cover you choose. Contact WeCovr or your insurer for help adding someone to your policy.

UK private medical insurance is designed for treatment in the UK, although some policies include limited cover abroad. If you live or work abroad, international health insurance may be more suitable, and WeCovr or one of its broker partners can help you compare options. For holidays, travel insurance is recommended.

Comprehensive cover usually includes more extensive benefits, such as fuller outpatient cover for consultations, diagnostic tests, physiotherapy and mental health therapies, within the policy limits. A specialist at WeCovr or one of its broker partners can explain the different levels of cover.

Private health insurance typically does not cover routine dental treatment, although some insurers offer a dental option and there are standalone dental policies. A specialist at WeCovr or one of its broker partners can help you compare policies with dental options.

Most private medical insurance policies include cover for cancer diagnosed after the policy starts, but the level of cover varies: some policies limit drugs, treatment time or cost. A specialist at WeCovr or one of its broker partners can help you compare cancer cover between policies.

You can usually change your cover at renewal, and some insurers allow changes during the year. You also have a 14-day cooling-off period after receiving your policy documents, during which you can cancel. A specialist at WeCovr or one of its broker partners can help with changes.

Many policies include a digital GP service provided by the insurer, often with same-day or next-day appointments. Check what your policy includes.

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

Yes. Insurers offer a range of cover levels to suit different budgets and needs, and a specialist at WeCovr or one of its broker partners can talk you through the options.

Your insurer can tell you which hospitals and specialists are included in your policy. For help comparing policies' hospital lists, tap one of the buttons above or below and fill in a few details, and a specialist at WeCovr or one of its broker partners will be in touch.

A fee-assured (or fee-approved) consultant has agreed to charge within your insurer's fee limits, so for eligible, authorised treatment you shouldn't have to pay a shortfall for their fees.

Many policies include some mental health cover, either as standard or as an option, usually with limits on therapy sessions or costs. Cover varies between insurers, so check the details.

Yes, children up to a certain age can usually be included on your policy, and some insurers offer discounts for children.

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. Tap a button below to get your own personalised quote through WeCovr.

Private health insurance can offer quicker access to consultations and treatment for eligible conditions, and more choice over when and where you are treated.

Many policies include physiotherapy, sometimes with limits on sessions or cost. A specialist at WeCovr or one of its broker partners can help you find plans that include it.

Services such as the insurer's digital GP app are usually available as soon as your policy starts.

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 eligible new conditions that arise after the policy starts. Pre-existing conditions are usually excluded, chronic conditions aren't covered, and other exclusions apply.

Health insurance pays for eligible private healthcare, such as consultations and treatment, up to your policy limits. A specialist at WeCovr or one of its broker partners can help you arrange cover.

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

Usually, yes: cover for eligible new conditions starts when your policy starts, and services like a nurse helpline or digital GP app are usually available straight away. If you make a claim soon after starting, the insurer may ask for a 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. Visit your insurer's website, or ask a specialist at WeCovr or one of its broker partners, for details of member rewards.

You may be able to continue your cover with the same insurer on a personal policy, or take out a new policy. Continuing with the same insurer can mean keeping your existing underwriting, so conditions covered under the company scheme may stay covered. A specialist at WeCovr or one of its broker partners can talk you through your options.

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

Your cover may be similar but not identical, and ongoing medical conditions may be covered, depending on the terms. A specialist at WeCovr or one of its broker partners can help you find the right level of cover.

Usually not, because employers often pay for or contribute to staff cover and group schemes are priced differently. Your cover level and age also affect the price. A specialist at WeCovr or one of its broker partners can give you more detail.

There is usually a limited window after leaving, set by the insurer, so check as early as possible. Your personal policy can often start the day after your work cover ends, and a specialist at WeCovr or one of its broker partners can explain other options.

Have your leaving date and your current policy details ready, then contact WeCovr to discuss your options with a specialist at WeCovr or one of its broker partners.

Ongoing treatment may be covered if you continue with the same insurer on a personal policy, although it could affect the price. A specialist at WeCovr or one of its broker partners can explain your options.

Your insurer will explain how to pay your excess when you contact them for treatment authorisation. Usually you pay it to the hospital or consultant.

Usually not: with most insurers, there's no excess for services such as a digital GP. Check your policy.

Excess changes are usually made at renewal, although some insurers allow changes at other times.

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

Pre-existing conditions usually aren't covered on a new personal policy. A specialist at WeCovr or one of its broker partners can explain the underwriting options.

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 are medical issues that existed before your policy started. Many insurers treat any condition you've had symptoms of, treatment for or advice about in the five years before the policy started as pre-existing. A specialist at WeCovr or one of its broker partners can help you understand how pre-existing conditions affect your options.

While some insurance providers automatically renew your private healthcare cover, it's worth comparing policies when yours is due for renewal to check it still offers good value for the cover you need. A specialist at WeCovr or one of its broker partners can help you compare.

Typically, you must be over 18 to take out your own policy, but children can usually be included on a family policy. Some insurers have an upper age limit for new customers, and premiums typically increase with age. A specialist at WeCovr or one of its broker partners can explain the age rules of different insurers.

Some insurers charge less if you pay annually, but this depends on the insurer. A specialist at WeCovr or one of its broker partners can tell you whether paying annually would save you money.

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.

Usually not. With full medical underwriting you complete a medical questionnaire, and the insurer may occasionally ask your GP for a report. With moratorium underwriting there's no medical questionnaire upfront. A specialist at WeCovr or one of its broker partners can explain 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. A specialist at WeCovr or one of its broker partners can help you find policies that offer GP services.

With private health insurance, you can often get a GP appointment much more quickly, sometimes even on the same day, through the insurer's GP service. A specialist at WeCovr or one of its broker partners can help you find policies that include it.

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. A specialist at WeCovr or one of its broker partners can help you understand the different types of care and find a policy that suits your needs.

Private health insurance pays for eligible medical treatment if you fall ill, while critical illness cover pays a lump sum if you are diagnosed with one of the illnesses listed in the policy, which you can use however you choose, for example to replace lost income. A specialist at WeCovr or one of its broker partners can help you understand the differences.

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. A specialist at WeCovr or one of its broker partners can help you find appropriate cover.

If your employer pays for your health insurance, it's usually a taxable 'benefit in kind': you pay income tax on its value, normally through your tax code or payroll, and your employer pays Class 1A National Insurance. For the employer, the premiums are usually an allowable business expense. If you buy a personal policy, you pay for it from taxed income. For advice on your situation, speak to an accountant.

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. A specialist at WeCovr or one of its broker partners 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. A specialist at WeCovr or one of its broker partners can help you understand the differences and choose the right option for you.

Some private health insurance providers offer a no-claims discount, similar to car insurance. Each year you don't claim typically adds to your no-claims discount, which can reduce your premium at renewal. A specialist at WeCovr or one of its broker partners can help you find policies that offer no-claims discounts.

To find the right health insurance for you, compare 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. A specialist at WeCovr or one of its broker partners can help you evaluate your options.

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, check your policy terms to see whether your insurer requires a GP referral first (many do). Some policies offer direct access without a referral for certain conditions, such as muscle and joint problems or counselling 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 published 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 practise privately, so you could potentially see the same consultant either way. However, private healthcare typically offers shorter waiting times, usually a private room, and more flexible visiting. Some policies also give 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.

Usually, yes. If you have private tests or scans but then want NHS treatment, your GP or private consultant can refer you to the NHS and share your results, although the NHS team may want to repeat some tests.



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