
TL;DR
As an FCA-regulated broking firm involved in over 1,000,000 policies issued, WeCovr explains how Continued Moratorium (CMOR) underwriting in UK private medical insurance allows you to switch providers while preserving your elapsed waiting periods.
Key takeaways
- CMOR underwriting lets you switch PMI providers without restarting your waiting periods.
- Standard UK PMI covers acute conditions; chronic conditions aren't covered and pre-existing ones are usually excluded.
- You carry over your original moratorium start date to your new health insurance policy.
- A specialist at WeCovr or a partner broker can help you compare suitable options.
- Switches are subject to underwriting, eligibility, and the new insurer's policy terms.
When looking for private medical insurance in the UK, many policyholders feel trapped with their current insurer because they fear losing the time they have already built up towards covering a past medical issue. If you are experiencing rising premiums or simply want to explore other providers, you might be worried that switching will mean resetting your underwriting clock.
As an FCA-regulated broking firm that has been involved in over 1,000,000 policies issued of various kinds, WeCovr understands these concerns. This guide explains how Continued Moratorium (CMOR) underwriting may offer a suitable option for your circumstances, allowing you to move to a new insurer while carrying over your existing waiting periods.
WeCovr explains how CMOR underwriting allows you to switch private medical insurance providers while preserving your elapsed waiting periods
Before exploring how to switch, it is essential to understand the basics of health insurance underwriting. Underwriting is the process an insurer uses to assess your medical history and decide what they will and will not cover.
In standard UK private medical insurance (PMI), cover is designed for acute conditions—short-term illnesses or injuries that respond quickly to treatment and arise after your policy starts. Standard UK PMI typically does not cover chronic conditions (long-term, incurable illnesses like asthma or diabetes) or pre-existing conditions (medical issues you had before the policy began).
One of the most common ways insurers apply these rules is through a "Moratorium" (sometimes called MORI). If you are considering a switch, you need to know how a standard moratorium works before looking at a Continued Moratorium (CMOR).
What is a Standard Moratorium (MORI)?
When you take out a new private medical insurance policy on a standard moratorium basis, you do not usually need to fill out a lengthy medical questionnaire. Instead, the insurer automatically excludes any medical conditions you have had symptoms of, received medication for, or sought advice on during the five years immediately before your policy start date.
To eventually get cover for these pre-existing conditions (provided they are acute and not chronic), you must complete a "waiting period"—usually two consecutive years—after your policy starts, during which you remain completely free of symptoms, advice, treatment, or medication for that specific condition.
If you achieve two clear years, the condition may become covered for acute flare-ups, subject to your policy terms. If you have symptoms or treatment during those two years, the two-year clock restarts.
What happens if you switch without CMOR?
If you decide to leave your current insurer and take out a brand-new policy on a standard moratorium basis, the new insurer will look back at the five years prior to your new start date. Any time you spent symptom-free on your old policy is wiped out. Your two-year waiting clock restarts from day one.
This is where Continued Moratorium (CMOR) underwriting provides a potential solution.
What is Continued Moratorium (CMOR) Underwriting?
Continued Moratorium (CMOR) is an underwriting method designed specifically for people who already have health insurance and want to switch to a different provider.
With CMOR, the new insurer agrees to honour the original moratorium start date from your previous policy. This means you do not lose the "clear" time you have already accrued. If you have already been symptom-free for a year under your old policy, you will only need one more symptom-free year under the new policy to potentially gain cover for that past acute condition.
If you have held your original policy for more than two years and have successfully cleared a pre-existing condition, CMOR allows you to carry that cleared status over to the new insurer, subject to their specific terms, exclusions, and continued eligibility.
How CMOR Works: Practical Scenarios
To make this easier to understand, let us look at some illustrative scenarios. Please note that these are examples only, and individual outcomes will depend on specific medical facts and the insurer’s terms and conditions.
Scenario 1: The partially completed waiting period
Imagine you had a minor knee injury three years before taking out your first PMI policy. Because it was within the five-year look-back period, it was excluded under a standard moratorium.
You hold your first policy for 12 months. During this time, you have no knee pain, no physiotherapy, and take no medication for it. You then decide to switch insurers using CMOR underwriting.
- Without CMOR: Your new policy starts, and the two-year waiting period for your knee resets to zero.
- With CMOR: Your new insurer adopts your original start date. Because you already completed 12 months symptom-free on your old policy, you only need 12 more consecutive symptom-free months on your new policy before acute treatments for your knee might be covered.
Scenario 2: The fully cleared condition
Imagine you had a brief episode of back pain four years before your original policy started. You held your original PMI policy for three years, during which your back was completely fine—no doctors, no painkillers, no symptoms. You successfully completed the two-year clear period.
- With CMOR: When you switch to the new insurer, they look back at your original start date. Because you already cleared the moratorium for your back pain, the new insurer may cover future acute back issues immediately, subject to their standard policy terms.
Scenario 3: The Chronic Condition Limitation
Imagine you have been diagnosed with arthritis. You hold a policy for five years, but because arthritis is a chronic condition (it cannot be cured), standard UK PMI will not cover its ongoing monitoring or routine maintenance.
If you switch using CMOR, you preserve your start date, but the new policy still will not cover the chronic condition. CMOR preserves time; it does not change the fundamental rule that UK PMI excludes chronic ailments.
Why Consider Switching PMI Providers Using CMOR?
You might wonder why someone would go to the effort of switching health insurance if they already have cover. There are several reasons why reviewing your policy with a specialist at WeCovr or one of its broker partners could be a well-matched move based on your priorities.
1. Managing Premium Increases
Health insurance premiums naturally tend to rise as we age, and medical inflation (the rising cost of healthcare, treatments, and hospital running costs) also pushes prices up across the market. If you have experienced a steep increase at your annual renewal, switching to a different insurer via CMOR might help you find an appropriate level of cover at a different price point, without losing your underwriting history.
2. Access to Different Hospitals or Specialists
Insurers have different hospital directories. You might move to a new part of the UK and find that your local private hospital is not on your current insurer's standard list. Switching providers might grant you access to the facilities you prefer.
3. Better Digital Tools and Member Benefits
The UK PMI market is highly competitive. Some insurers may offer more comprehensive digital GP services, better mental health support pathways, or wellness rewards. While extras outside the insurance contract should never be the main reason to buy a policy, they can be a helpful addition to eligible customers.
For instance, WeCovr provides eligible customers with complimentary access to WeCovr's AI calorie tracking app, CalorieHero. WeCovr may also offer discounts on other types of cover, such as Life insurance, to eligible customers who take PMI (subject to terms).
4. Moving from Employer Cover to a Personal Policy
If you are leaving a job that provided company health insurance, your cover will usually end when you leave. Many insurers offer a "continuation" policy with the same insurer, which keeps your existing underwriting but can be expensive. If your company scheme was on a moratorium basis, some other insurers may offer CMOR terms for a personal policy. If it was on a Medical History Disregarded basis, continuing with the same insurer is usually the way to keep cover for conditions you already have.
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.
Key Limitations and Exclusions to Keep in Mind
While CMOR underwriting can be a strong fit for your needs, it is vital to have a balanced view. Every insurance policy has exclusions, limits, and conditions. Whenever you consider switching, a specialist at WeCovr or one of its partner brokers will help you understand these limitations clearly.
- No Guarantee of Acceptance: Insurers are not obliged to accept a CMOR transfer. If you are currently undergoing investigations, awaiting surgery, or undergoing active treatment, a new insurer will likely decline the switch until your treatment is finished.
- Differing Policy Terms: Your original moratorium date carries over, but the new insurer's rules apply to the cover. If your old insurer covered a specific obscure treatment but your new insurer explicitly excludes it in their standard terms, you will not be covered for it, regardless of CMOR.
- Chronic and Pre-existing Conditions: As stated, standard UK PMI does not cover chronic conditions, and pre-existing conditions are usually excluded. Preserving your moratorium date only helps for acute conditions that you can genuinely remain symptom-free from for two years.
- Excesses May Apply: If you switch to lower your premium, you might need to agree to a higher voluntary excess. You must ensure you can afford this excess if you need to make a claim.
- Premiums Must Be Maintained: Private medical insurance is a continuing contract. If you stop paying your premiums, your cover ends, and you will lose your accrued moratorium status entirely. Furthermore, premiums are usually reviewable annually and can rise.
CMOR vs Other Underwriting Types
To fully grasp where CMOR fits in, it helps to compare it to the other main types of health insurance underwriting in the UK. Comparing options is complex, which is why a specialist at WeCovr or one of its broker partners can help you navigate these choices at no extra cost to you.
| Underwriting Type | How It Works | Best Suited For (Generally) |
|---|---|---|
| Standard Moratorium (MORI) | Excludes conditions from the past 5 years. You must serve a 2-year symptom-free period on the new policy to gain cover for past acute conditions. | New applicants with relatively minor or infrequent past medical issues. |
| Full Medical Underwriting (FMU) | You complete a detailed medical questionnaire. The insurer tells you upfront exactly what is and isn't covered. Exclusions are usually permanent. | People who want more certainty about what is excluded before they pay their first premium. |
| Continued Moratorium (CMOR) | You switch insurers but keep your original MORI start date. The time you have already spent symptom-free counts towards the 2-year clear period. | Existing policyholders wanting to switch providers without resetting their waiting periods. |
| Continued Personal Medical Exclusions (CPME) | You switch insurers and carry over the exact permanent exclusions from an existing FMU policy. | Existing policyholders on an FMU basis who want to switch providers. |
Note: The suitability of any underwriting type depends entirely on your personal medical history and circumstances. WeCovr and its broker partners do not offer personal recommendations in this guide, but they can provide general information and compare policies from a range of UK insurers to help you make an informed decision.
The Switching Process: Step-by-Step
Changing health insurance might sound daunting, but the process is usually straightforward when you have professional support. A specialist at WeCovr or one of its partner brokers can handle the heavy lifting.
Step 1: Review Your Current Cover
Before doing anything, you need to know what you currently have. You will need your current policy certificate, which shows your underwriting type (it must be a Moratorium for a CMOR switch), your original start date, your current excess, and your hospital list.
Step 2: Assess Your Current Health
Are you currently experiencing any new symptoms? Are you waiting for a referral, a scan, or test results? If you are mid-claim or awaiting treatment, it is rarely a good idea to switch insurers. A new insurer typically will not take on an active, open claim.
Step 3: Compare the Market
A specialist at WeCovr or one of its broker partners will compare policies from a range of UK insurers. They will look at illustrative prices, hospital lists, and specific benefits to find a suitable option for your circumstances. They will not pressure you with fear-based selling or urgent deadlines; they will simply present fair, clear, and balanced comparisons.
Step 4: Apply for the Switch
Once you select a new policy, the application for CMOR begins. The new insurer will usually ask a few "switch" questions, such as:
- Are you currently undergoing medical treatment?
- Have you seen a specialist in the last 12 months?
- Are you waiting for any test results?
Subject to underwriting and eligibility, the new insurer will confirm if they can offer CMOR terms.
Step 5: Cancel the Old Policy
Crucial tip: Never cancel your old policy until your new CMOR policy is officially set up and confirmed in writing. A specialist at WeCovr or one of its broker partners will typically advise you on the correct timings to ensure you do not suffer a break in cover. A break in cover, even for a few days, can void your right to use CMOR underwriting, forcing you to start a brand new standard moratorium.
Illustrative Premium Factors
When you switch using CMOR, your new premium is calculated based on the new insurer's pricing structure. Prices vary significantly based on personal factors and the level of cover chosen. These figures are not quotes or guarantees, but they illustrate the factors insurers use:
- Age: Premiums typically increase as you get older.
- Location: Healthcare costs more in central London than in other parts of the UK, so your postcode affects your price.
- Cover Level: Comprehensive policies (covering outpatient consultations, therapies, and inpatient care) cost more than basic inpatient-only policies.
- Excess: Choosing a £500 voluntary excess will typically result in a lower monthly premium than a £100 excess.
- Hospital List: Access to premium central London hospitals carries a higher premium than a standard national hospital list.
To get an accurate idea of costs, you can request an illustrative quote through WeCovr, where a specialist will compare options tailored to your needs.
Why Use a Broker to Switch?
Navigating the nuances of private medical insurance can be complex. While you could attempt to switch directly with an insurer, there are distinct advantages to using an intermediary.
There is no fee to you for using WeCovr or one of its broker partners. Brokers are typically paid a commission by the insurer, and the premium is set by the insurer.
A broker can also explain differences in policy wording. For example, insurers may define a "symptom-free" period slightly differently, and a specialist can help you answer the switch questions accurately so your underwriting carries over as expected.
Frequently Asked Questions
Can I switch my health insurance if I am currently having treatment?
Does Continued Moratorium mean my pre-existing conditions are instantly covered?
Will my premium definitely be lower if I switch using CMOR?
Does CMOR cover chronic conditions like diabetes or asthma?
Can I switch from Full Medical Underwriting (FMU) to Continued Moratorium (CMOR)?
Sources
- Association of British Insurers (ABI) - Private medical insurance guidance, including underwriting and switching
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 and check whether Continued Moratorium terms are available for your switch.
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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