
As an FCA-authorised expert that has helped arrange over 800,000 policies, WeCovr knows that navigating the world of private medical insurance in the UK can be complex. For parents, the question of whether to secure private health cover for their children is one of the most important decisions they'll face.
The United Kingdom is blessed with the National Health Service (NHS), a world-class institution providing comprehensive healthcare free at the point of use. For children, in particular, the care provided for emergencies, serious illnesses, and routine check-ups is second to none. So, the question naturally arises: is private medical insurance (PMI) for a child a necessary expense or a luxury?
While the NHS remains the bedrock of paediatric healthcare, an increasing number of parents are choosing to supplement this with private cover. This decision isn't about replacing the NHS but rather about gaining an extra layer of choice, speed, and comfort when dealing with non-urgent health issues. In this guide, we'll explore the compelling reasons behind this trend and provide the clarity you need to decide what's best for your family.
Before we delve into the private sector, it's essential to acknowledge the strengths of the NHS for paediatric care. For any parent whose child has had an accident or a sudden, serious illness, the NHS emergency services are, without question, the first and best port of call.
Private health insurance is not designed to replace this. In fact, most private hospitals in the UK do not have paediatric intensive care units (PICUs) or A&E departments, meaning all true emergencies are rightly handled by the NHS.
If the NHS is so comprehensive, what motivates a parent to pay for private cover? The reasons are nuanced and centre on the treatment of acute conditions that are not life-threatening but can significantly impact a child's quality of life, development, and a family's peace of mind.
The primary driver is the growing pressure on NHS resources, which has led to longer waiting lists for specialist consultations and elective procedures. According to recent NHS England data, while the median waiting time for treatment is around 15 weeks, hundreds of thousands of patients, including children, wait significantly longer for certain specialisms.
Here are the key benefits that parents seek through PMI.
For a parent, watching a child suffer from a persistent but non-urgent condition is distressing. This could be anything from recurring ear infections (glue ear), skin conditions like eczema or severe acne, to digestive problems or suspected allergies. While the NHS will provide excellent care, the waiting time to see a paediatric specialist can be lengthy.
Example: The Grommets Case A common childhood issue is "glue ear," where fluid builds up in the middle ear, causing hearing difficulties. This can affect speech development and performance at school. The standard treatment is the insertion of tiny tubes called grommets, a minor surgical procedure. While effective, the NHS waiting list for this elective surgery can be many months long. With PMI, a child could see an Ear, Nose, and Throat (ENT) specialist within days and have the procedure scheduled in a matter of weeks, potentially preventing months of developmental delays.
The NHS assigns you to a specific consultant and hospital based on your location and their availability. Private medical insurance gives you control. You can:
A hospital stay can be a daunting experience for a child and their parents. Private healthcare aims to make this as comfortable as possible.
| Feature | NHS Ward (Typical) | Private Hospital Room (Typical) |
|---|---|---|
| Accommodation | Shared ward with several other children. | Private, en-suite room. |
| Parent Stays | A fold-out chair or bed next to the child's bed, if space permits. | A proper bed for one parent to stay overnight comfortably in the same room. |
| Visiting Hours | Often restricted to specific times. | More flexible, allowing family to visit more freely. |
| Facilities | Shared bathroom facilities. | Private bathroom, TV, and often a better menu selection. |
This enhanced comfort isn't just a luxury; it can have a tangible impact on a child's recovery and a parent's ability to cope during a stressful time.
The National Institute for Health and Care Excellence (NICE) provides guidance on which drugs and treatments are available on the NHS, based on their clinical and cost-effectiveness. Occasionally, a newer, more advanced drug or a specific type of therapy may be approved for use in the private sector before it is funded by the NHS. A comprehensive PMI policy may provide cover for these licensed, evidence-based treatments that aren't yet standard on the NHS.
This is one of the most significant drivers for parents seeking private cover today. Waiting times for NHS Child and Adolescent Mental Health Services (CAMHS) are a well-documented national issue. Reports from organisations like the Children's Commissioner for England and mental health charities consistently highlight that many children wait months, and in some cases over a year, to receive an assessment, let alone treatment.
For conditions like anxiety, depression, eating disorders, or neurodevelopmental assessments (like ADHD or Autism), these delays can have a profound impact on a young person's education, social development, and overall well-being.
Private medical insurance can provide a vital lifeline, offering:
Understanding the scope of cover is crucial. PMI policies are designed for acute conditions—illnesses or injuries that are short-term and likely to respond quickly to treatment.
What is an Acute Condition? An illness, injury or disease that is likely to respond quickly to treatment which aims to return you to the state of health you were in immediately before suffering the illness, injury or disease, or which leads to your full recovery. Examples: infections, joint pain requiring surgery, hernias.
What is a Chronic Condition? A disease, illness or injury which has one or more of the following characteristics: it needs ongoing or long-term monitoring, it has no known cure, it is likely to come back, or it requires palliative care. Examples: asthma, diabetes, eczema.
Crucial Point: Standard UK private medical insurance does not cover chronic or pre-existing conditions.
This is the single most important limitation to understand. PMI is there for new health problems that arise after you take out the policy.
Here is a general breakdown of what's typically included and excluded:
| Typically Covered (For Acute Conditions) | Typically Excluded |
|---|---|
| In-patient and day-patient treatment (tests and surgery requiring a hospital bed). | Pre-existing conditions (illnesses you knew about before taking the policy). |
| Out-patient consultations with specialists. | Chronic conditions like asthma, diabetes, and most allergies. |
| Diagnostic tests like MRI scans, CT scans, and X-rays. | Emergency treatment (this is handled by the NHS A&E). |
| Cancer treatment (often a core benefit, with extensive cover). | Routine GP services, vaccinations, and developmental checks. |
| Mental health support (level of cover varies by policy). | Cosmetic surgery (unless medically necessary). |
| Physiotherapy and other therapies (often as an add-on). | Unproven or experimental treatments. |
An expert broker like WeCovr can help you understand the nuances of each provider's policy wording to ensure you know exactly what is and isn't covered.
There are three main ways to arrange private health cover for your children:
The cost of private medical insurance for a child is influenced by several factors:
Illustrative Monthly Premiums (for a single child)
These are example costs for guidance only. Your actual quote will depend on your specific circumstances.
| Scenario | Estimated Monthly Premium |
|---|---|
| Added to a parent's mid-range policy (outside London, £250 excess) | £20 - £40 |
| Standalone child-only mid-range policy (outside London, £250 excess) | £30 - £55 |
| Added to a comprehensive parent's policy (London access, zero excess) | £60 - £90+ |
When you set up a policy, the insurer needs to know about your child's medical history to determine what they will exclude. This process is called underwriting.
Moratorium (Mori) Underwriting: This is the most common type. You don't have to fill out a detailed medical questionnaire. Instead, the policy automatically excludes treatment for any medical conditions your child has had symptoms of, or received treatment for, in the 5 years before the policy start date. However, if your child then goes 2 continuous years on the policy without needing any treatment, advice, or medication for that condition, the exclusion may be lifted. It's simple and quick to set up.
Full Medical Underwriting (FMU): With this option, you complete a detailed health questionnaire for your child. The insurer assesses their medical history and tells you upfront exactly what is excluded from cover. It provides certainty from day one but can take longer to arrange.
An experienced PMI broker can advise on which underwriting method is most suitable for your child's specific health history.
Today's private medical insurance is about more than just paying for hospital bills. The best PMI providers include a suite of value-added benefits designed to support your family's overall health and wellbeing.
At WeCovr, we enhance this value further. When you arrange a PMI or Life Insurance policy through us, we provide complimentary access to CalorieHero, our advanced AI-powered calorie and nutrition tracking app, to support your family's healthy lifestyle goals. Furthermore, our clients benefit from exclusive discounts on other types of insurance cover they may need.
The decision to buy private medical insurance for your child is a personal one, weighing peace of mind against financial cost.
| Pros of PMI for Children | Cons of PMI for Children |
|---|---|
| ✅ Speed: Fast access to specialists, diagnostics, and treatment for non-urgent issues. | ❌ Cost: It is an ongoing monthly expense for the family budget. |
| ✅ Choice: Freedom to choose your preferred consultant and hospital. | ❌ Exclusions: Does not cover chronic or pre-existing conditions, or emergencies. |
| ✅ Comfort: Private room, better facilities, and flexible visiting hours. | ❌ NHS is Excellent: The NHS already provides superb free care for serious illnesses and emergencies. |
| ✅ Mental Health: Quicker access to CAMHS support, bypassing long NHS waits. | ❌ Potential for Over-medicalisation: Easy access could lead to unnecessary tests or treatments. |
| ✅ Added Benefits: Access to virtual GPs, wellness apps, and other perks. | ❌ Complexity: Policies can be complex to understand without expert guidance. |
Ultimately, PMI for children is not about a lack of faith in the NHS. It's about creating a safety net. It provides an alternative pathway for conditions where waiting can cause distress, discomfort, or developmental setbacks. It's for parents who value the ability to say, "I want my child to be seen as quickly as possible," and are in a financial position to make that happen.
The UK private medical insurance market is crowded with providers, each offering different levels of cover, benefits, and pricing. Trying to compare them on your own can be overwhelming.
This is where WeCovr comes in. As an independent, FCA-authorised PMI broker, our service is dedicated to you, the client.
Protecting your child's health is your number one priority. Let us help you make the most informed choice about how to do it.
Ready to explore your options? Get a free, no-obligation quote from WeCovr today and let our experts find the perfect health cover for your family.






