
As an FCA-authorised broker that has helped arrange over 800,000 policies, WeCovr provides expert insight into the UK’s private medical insurance market. This guide explores if, and how, treatments like osteopathy, chiropractic, and acupuncture are covered, helping you make an informed decision about your health.
In recent years, millions of Britons have turned to complementary therapies to manage pain, improve mobility, and boost their overall well-being. From nagging back pain to persistent headaches, these treatments offer a hands-on approach that many find effective. But when it comes to funding this care, a common question arises: will my private health insurance pay for it?
The answer is often yes, but the details are crucial. Let's unravel the complexities of cover for these popular therapies.
First, it’s important to distinguish between "complementary" and "alternative" medicine.
Private medical insurance in the UK focuses almost exclusively on established complementary therapies with a solid evidence base, particularly for musculoskeletal conditions. The "big three" that insurers are most likely to cover are:
Musculoskeletal (MSK) conditions are a significant issue in the UK, affecting mobility, quality of life, and the economy.
According to the Office for National Statistics (ONS), musculoskeletal problems were one of the leading causes of sickness absence in the UK. In 2022, an estimated 25.3 million working days were lost due to these conditions, including back pain, neck and upper limb problems.
The NHS confirms that low back pain is the largest single cause of disability in the UK, with around one in three adults affected each year. While the NHS provides excellent care, waiting times for physiotherapy and specialist appointments can be long. This is where private medical insurance can provide a vital, speedy alternative, often including access to complementary therapies that can get you back on your feet faster.
So, does your policy cover that trip to the chiropractor? The answer is nuanced: many comprehensive private medical insurance UK policies do offer cover, but it's rarely a default feature on basic plans.
Here are the fundamental principles that govern whether you'll be covered:
This is the most critical rule in all private health insurance. PMI is designed to cover acute conditions—illnesses or injuries that are new, unexpected, and likely to respond quickly to treatment.
If you have received advice, medication, or treatment for a condition (e.g., sciatica) in the years leading up to taking out your policy, it will be considered a pre-existing condition and excluded from cover, typically for the first two years.
Insurers won't simply let you book a course of acupuncture and send them the bill. To ensure the treatment is medically necessary, they almost always require a formal referral.
Insurers will only pay for treatment from practitioners who are members of a recognised professional body. This ensures quality and safety.
While every policy is different, the UK's leading insurers have general approaches to complementary therapies. Finding the best PMI provider depends on what level of cover you need.
| Provider | Typical Approach to Complementary Therapies | Key Considerations |
|---|---|---|
| AXA Health | Often included as a core benefit in their 'Personal Health' plan. They typically provide a set number of sessions following a GP or specialist referral. | AXA has a strong focus on MSK health and often provides good access to physiotherapy and other therapies. Limits on sessions or financial value will apply. |
| Bupa | Usually available on their 'Bupa By You' comprehensive policies. It may be an optional add-on for some plans. | Bupa has an extensive network of recognised therapists. You must check your specific policy documents to see if therapies are included as standard. |
| Aviva | Therapies are typically an optional add-on called the "Expert Select" or "Extended Cancer Cover and Therapies" benefit on their 'Healthier Solutions' policy. | Choosing this add-on gives you access to osteopathy, chiropractic, and acupuncture, but increases your premium. Without it, you won't be covered. |
| Vitality | Often included as a core benefit but may also be an optional add-on. They have a strong focus on physiotherapy and may guide you to that first. | Vitality's approach is integrated with their wellness programme. The amount of cover you get could be influenced by your Vitality status. |
Important Note: This table is a simplified guide. The specifics of your cover will always depend on the exact policy you choose. This is where an expert PMI broker like WeCovr adds immense value, comparing the fine print from each insurer to find the plan that truly meets your needs at no extra cost.
When complementary therapies are included in a private health cover plan, they are always subject to limits. Understanding these is key to avoiding unexpected bills.
Here’s a real-life example of how it works:
Case Study: David's Acute Neck Pain
David, a 45-year-old accountant, wakes up with severe neck pain and stiffness after a long week at his desk. He can barely turn his head.
- GP Visit: He uses the digital GP service included in his private medical insurance. The GP diagnoses an acute case of torticollis (wry neck) and refers him for chiropractic treatment.
- Authorisation: David calls his insurer with the referral. They confirm his policy covers up to 6 chiropractic sessions per year for acute conditions. They provide him with an authorisation number and a list of approved local chiropractors.
- Treatment: David books an appointment with a registered chiropractor from the list. The chiropractor bills the insurance company directly.
- Outcome: After four sessions, David's neck pain is resolved. He has two sessions remaining on his policy for the year should another acute issue arise. His private health cover meant he was seen and treated within 48 hours of the problem starting.
Navigating the world of optional benefits, policy limits, and provider networks can be overwhelming. Do you need the therapy add-on? Is a £350 limit enough? Which insurer offers the fastest access?
This is where WeCovr steps in. As an independent, FCA-authorised broker, our service is designed to give you clarity and confidence—at no cost to you.
Furthermore, when you purchase a policy through WeCovr, you gain complimentary access to our AI-powered nutrition app, CalorieHero, to support your wellness goals. You can also benefit from exclusive discounts on other insurance products, such as life or income protection insurance.
While having the right insurance is crucial, preventing problems in the first place is even better. A holistic approach to health can significantly reduce your risk of developing the acute back and neck pain that sends so many people to a therapist.
Chronic inflammation can contribute to joint pain and stiffness. Incorporate these foods into your diet:
Movement is medicine for your muscles and joints.
Sleep is when your body repairs itself. Aim for 7-9 hours of quality sleep per night. A supportive mattress and pillow that keep your spine in a neutral alignment are essential investments in your health.
Incorrect lifting technique is a primary cause of acute back injuries. Always remember to:
By combining these healthy habits with a robust private medical insurance plan, you create a powerful strategy for maintaining your physical well-being for years to come.
Understanding the role of complementary therapies within private medical insurance is key to choosing a policy that truly protects your well-being. While basic plans may not include these benefits, many comprehensive options do, providing fast access to valuable treatments when you need them most.
Ready to find a private health insurance policy that covers the treatments you value? The expert team at WeCovr is here to provide clarity and guidance.






