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Does PMI Cover Routine Check Ups

As an insurance private medical insurance broker in the UK that has helped arrange over 1,000,000 policies, WeCovr understands the nuances of health cover. A common question we hear is whether private medical insurance (PMI) includes routine check-ups.

Last updated Oct 6, 2026

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TL;DR

As an insurance private medical insurance broker in the UK that has helped arrange over 1,000,000 policies, WeCovr understands the nuances of health cover. A common question we hear is whether private medical insurance (PMI) includes routine check-ups. The short answer is typically no, but the full story is more detailed.

Key takeaways

  • The type of medical condition: Is it acute or chronic?
  • The type of care: Is it inpatient, day-patient, or outpatient?
  • The Principle of Insurance: PMI pools the premiums of many to pay for the unexpected, significant claims of a few. If it covered predictable, routine costs for everyone, the premiums would become unaffordable for the average person.
  • Focus on Acute Care: The primary value of private medical insurance in the UK is to reduce waiting times compared with NHS lists (subject to policy terms) for diagnosis and treatment of acute conditions. According to NHS England data, the waiting list for consultant-led elective care stood at around 7.54 million treatments in spring 2024. PMI gives you a path to get seen and treated faster for eligible conditions.
  • Moral Hazard: If check-ups were fully covered, there would be no limit to their use, driving up costs for the insurer and, subsequently, premiums for all policyholders.

As an insurance private medical insurance broker in the UK that has helped arrange over 1,000,000 policies, WeCovr understands the nuances of health cover. A common question we hear is whether private medical insurance (PMI) includes routine check-ups. The short answer is typically no, but the full story is more detailed.

WeCovr clarifies what counts as outpatient cover in PMI policies

Private medical insurance is designed to provide cover for the diagnosis and treatment of new, acute medical conditions that arise after your policy begins. It is not a pre-payment plan for routine, preventative, or foreseeable healthcare. This is the single most important principle to grasp when considering private health cover.

Think of it like your car insurance: it covers the cost of repairs after an unexpected accident, but it doesn't pay for your annual MOT, servicing, or new tyres. PMI works in a similar way for your health.

The distinction boils down to two key areas:

  1. The type of medical condition: Is it acute or chronic?
  2. The type of care: Is it inpatient, day-patient, or outpatient?

Understanding these concepts is the key to unlocking the true value of your policy and knowing exactly what you may be covered for.

Acute vs. Chronic Conditions: The Golden Rule of PMI

Every private medical insurance policy in the UK is built around this fundamental difference.

  • Acute Condition: A disease, illness, or injury that is likely to respond quickly to treatment and lead to a full recovery. Examples include a hernia, cataracts, joint pain requiring a replacement, or appendicitis. PMI is designed to cover these.
  • Chronic Condition: A disease, illness, or injury that has one or more of the following characteristics: it needs long-term monitoring, is incurable, has recurring symptoms, or requires ongoing management. Examples include diabetes, asthma, arthritis, and high blood pressure. Standard PMI does not cover the ongoing management of chronic conditions.

Similarly, pre-existing conditions—any medical issue for which you have experienced symptoms, sought advice, or received treatment before your policy started—are also excluded. PMI is for future, unforeseen health problems.

The Core of PMI: Inpatient vs. Outpatient Cover Explained

When you need medical care, it will fall into one of three categories. Your level of PMI cover for each will determine what your insurer pays for.

Type of CareDescriptionCommon Examples
InpatientTreatment that requires you to be admitted to a hospital and stay overnight in a bed.Major surgery (e.g., heart bypass, hip replacement), post-operative recovery, severe illness requiring overnight observation.
Day-PatientTreatment that requires you to be admitted to a hospital or clinic for the day, with a bed allocated, but you do not stay overnight.Minor surgical procedures (e.g., wisdom tooth removal, arthroscopy), some forms of chemotherapy, cataract surgery.
OutpatientMedical care that does not require a hospital bed. You visit a hospital or clinic for a test or consultation and go home the same day where available.Specialist consultations, diagnostic tests (MRI, CT scans, X-rays), physiotherapy, blood tests.

All PMI policies cover inpatient and day-patient treatment as standard. Where policies differ most significantly—and where you can tailor your plan to your budget—is the level of outpatient cover.

So, Why Aren't Routine Check-Ups Covered by Standard PMI?

Now we can circle back to the original question. A routine check-up, such as an annual health screening with your GP or a private wellness clinic, is preventative care, not treatment for a specific, symptomatic, acute condition.

Here are the main reasons why it's excluded from core PMI policies:

  1. The Principle of Insurance: PMI pools the premiums of many to pay for the unexpected, significant claims of a few. If it covered predictable, routine costs for everyone, the premiums would become unaffordable for the average person.
  2. Focus on Acute Care: The primary value of private medical insurance in the UK is to reduce waiting times compared with NHS lists (subject to policy terms) for diagnosis and treatment of acute conditions. According to NHS England data, the waiting list for consultant-led elective care stood at around 7.54 million treatments in spring 2024. PMI gives you a path to get seen and treated faster for eligible conditions.
  3. Moral Hazard: If check-ups were fully covered, there would be no limit to their use, driving up costs for the insurer and, subsequently, premiums for all policyholders.

Essentially, PMI is your safety net for when things go wrong, not a maintenance plan for when things are going right.

What Outpatient Services Are Typically Covered by PMI?

This is where the value of outpatient cover becomes clear. While a routine check-up isn't covered, the diagnostic process to investigate new symptoms absolutely is, provided you have the right level of cover.

Let's walk through a real-life example:

Scenario: David, a 45-year-old office worker.

  1. The Symptom: David develops persistent and worsening pain in his right knee after a weekend of gardening. It's not getting better with rest.
  2. The GP Visit: He visits his NHS GP, who examines the knee and suspects a possible meniscal tear. The GP says an MRI scan is needed, but the NHS waiting time is currently 8-10 weeks in his area.
  3. Using PMI: David calls his PMI provider. Because he has outpatient cover, they approve a referral to a private orthopaedic consultant.
  4. The Consultation (Outpatient): David sees the private consultant within a week. The consultant agrees an MRI is necessary. This consultation fee is covered by his outpatient limit.
  5. The Scan (Outpatient): David has his MRI scan two days later. The cost of the scan is covered.
  6. The Diagnosis: The scan confirms a significant meniscal tear requiring surgery (arthroscopy).
  7. The Treatment (Day-Patient): David has the surgery in a private hospital a fortnight later. As this is day-patient care, it is covered by his policy.
  8. The Recovery (Outpatient): His policy also includes post-operative physiotherapy to help him recover fully. The six sessions of physio are covered under his outpatient benefit.

In this scenario, David used his PMI to go from symptom to treatment in under a month, bypassing a potentially long wait and getting back on his feet quickly. Every step of his diagnosis and treatment for this new, acute condition was covered.

Choosing the right level of outpatient cover is one of the most important decisions you'll make when buying private medical insurance in the UK. This is where a WeCovr specialist or one of our broker partners can provide invaluable guidance.

Here are the typical options offered by providers:

Level of Outpatient CoverWhat It Typically IncludesBest For...
Full CoverNo annual financial limit on eligible consultations, diagnostic scans, and therapies.Those who want the more comprehensive cover and peace of mind, and for whom budget is less of a concern.
Capped CoverA set financial limit per policy year (e.g., £500, £1,000, or £1,500) for all outpatient services combined.A great middle-ground. Provides cover for initial diagnosis while keeping premiums more affordable. The most popular choice.
Diagnostics OnlyCover for diagnostic scans and tests (like MRI, CT, PET scans) only. Does not cover specialist consultations or therapies.People on a tighter budget who mainly want to speed up the diagnostic process, but are happy to use the NHS for consultations.
Inpatient OnlyNo outpatient cover at all. The policy only pays for treatment once you are admitted to hospital as an inpatient or day-patient.Those on the strictest budget whose main priority is covering the high cost of surgery and hospital stays.

Your choice depends on your personal attitude to risk and your budget. A higher outpatient limit will result in a higher premium, whereas a lower limit or no outpatient cover will significantly reduce your monthly cost.

The Rise of Wellness Benefits: A Modern Exception to the Rule

While standard PMI doesn't cover routine check-ups, the industry has evolved. Insurers recognise that a healthy client is less likely to make a large claim. Consequently, many of the main PMI providers now include a range of wellness and preventative benefits, either as standard or as an optional add-on.

These are not the same as core medical cover, but they are a fantastic value-add that can help you stay on top of your health.

Common wellness benefits can include:

  • Health Screenings: Some insurers offer a basic health check (e.g., blood pressure, cholesterol, BMI) once every year or two. This is the closest you'll get to a "covered check-up".
  • Digital GP Services: 24/7 access to a virtual GP via phone or video call. This is incredibly convenient for getting quick advice, prescriptions, and referrals.
  • Mental Health Support: Access to counselling or therapy sessions, often without needing a GP referral. This is a hugely valuable benefit, addressing issues like stress, anxiety, and depression early on.
  • Lifestyle Discounts: Money off gym memberships, fitness trackers (like Fitbit or Garmin), and healthy food services.
  • Nutrition and Health Coaching: Access to experts who can provide personalised advice on diet and lifestyle.

WeCovr believes in promoting this proactive approach to health. That's why clients who purchase PMI or Life Insurance through us receive complimentary access to CalorieHero, our proprietary AI-powered calorie and nutrition tracking app, to help them achieve their health goals.

A Critical Reminder: Pre-existing and Chronic Conditions

It is vital to be absolutely clear on this point: standard private medical insurance in the UK is for new, acute medical conditions that occur after your policy starts.

It does not cover:

  • Pre-existing conditions: Any illness or injury you had before taking out the policy.
  • Chronic conditions: Long-term illnesses like diabetes, Crohn's disease, asthma, or epilepsy that require ongoing management rather than a curative treatment.

Your policy will be underwritten in one of two ways to exclude these:

  1. Moratorium Underwriting: This is the most common method. Your policy automatically excludes any condition you've had in the 5 years before joining. However, if you go for a continuous 2-year period after your policy starts without any symptoms, treatment, or advice for that condition, it may become eligible for cover.
  2. Full Medical Underwriting (FMU): You provide a full medical history questionnaire upfront. The insurer then manually assesses your health and lists specific, permanent exclusions on your policy from the start.

Understanding this ensures there are no surprises when you need to make a claim.

How WeCovr Specialists or broker partners Help You Find the Right Balance of Cover

Navigating the complexities of outpatient limits, wellness benefits, and underwriting can be daunting. WeCovr, sometimes working with broker partners, can help make it simple.

  • We Listen: We take the time to understand your priorities, your health concerns, and your budget.
  • We Compare: We use our expertise to compare policies from across the insurers on our UK panel, including Bupa, AXA Health, Aviva, and Vitality, to find the perfect match.
  • We Explain: We break down the jargon and clearly explain the differences between policies, so you know exactly what you're buying.
  • We Add Value: On top of finding you a competitive price, we offer extra benefits like our CalorieHero app and discounts on other insurance products, such as life or income protection cover, when you buy through us. Our high customer satisfaction ratings reflect our commitment to providing exceptional service.

Practical Health & Wellness Tips from the WeCovr Team

While insurance is crucial for when things go wrong, preventing illness in the first place is always the best strategy. Here are some simple, evidence-based tips to support your wellbeing.

1. Nourish Your Body

A balanced diet is the foundation of good health. Focus on whole foods: fruits, vegetables, lean proteins, and whole grains. Try to limit processed foods, sugary drinks, and saturated fats. Using an app like CalorieHero, which WeCovr provides to its clients, can make it easy to track your intake and understand the nutritional content of your food.

2. Prioritise Sleep

Sleep is not a luxury; it's a biological necessity. Aim for 7-9 hours of quality sleep per night. To improve sleep hygiene, create a relaxing bedtime routine, avoid screens before bed, and ensure your bedroom is dark, quiet, and cool.

3. Move Every Day

The NHS recommends at least 150 minutes of moderate-intensity activity (like a brisk walk, cycling, or swimming) or 75 minutes of vigorous-intensity activity (like running or HIIT) a week. Find an activity you enjoy, as you're more likely to stick with it.

4. Manage Your Stress

Chronic stress can have a significant negative impact on both your physical and mental health. Incorporate stress-management techniques into your day, such as mindfulness, deep breathing exercises, spending time in nature, or connecting with loved ones. Many PMI policies now offer excellent resources for mental health support.

Does private medical insurance cover dental or optical check-ups?

Standard private medical insurance does not cover routine dental or optical check-ups. These are considered separate from general health. However, most insurers offer dental and optical cover as an optional add-on for an extra premium. This add-on can help cover the costs of routine examinations, hygiene appointments, glasses, and contact lenses.

Can I add a health screening benefit to my PMI policy?

Yes, many UK PMI providers now offer health screening or wellness benefits. Sometimes these are included as standard in higher-tier plans, or they can be added to your policy for an additional cost. These benefits typically provide for a basic check of key health markers like blood pressure, cholesterol, and BMI. They are a great way to proactively monitor your health, but they are separate from the core diagnostic cover for acute conditions.

What is the difference between an outpatient limit and a policy excess?

An outpatient limit is the maximum amount your insurer may pay out for all your eligible outpatient claims combined within a policy year (e.g., £1,000). Once you reach this limit, you must pay for any further outpatient care yourself. An excess is a fixed amount (e.g., £100 or £250) that you agree to pay towards the cost of a claim *before* the insurer pays anything. You typically only pay the excess once per policy year, regardless of how many claims you make. Choosing a higher excess is a common way to lower your monthly premium.

Why doesn't my PMI policy cover my long-term diabetes management?

UK private medical insurance is designed to cover the treatment of new, acute conditions that are expected to resolve with treatment. Diabetes is a chronic condition, meaning it requires long-term, ongoing management rather than a short-term cure. The NHS is structured to provide comprehensive care for chronic conditions. Therefore, the routine management of diabetes, including medication, regular check-ups, and monitoring, is not covered by standard PMI policies. However, if you were to develop a new, unrelated acute condition (like a hernia), your PMI would cover you for that.

Ready to find a private health cover plan that perfectly balances comprehensive protection with your budget? A WeCovr specialist or one of our broker partners is here to help. We provide free, regulated advice and can generate personalised quotes from the UK's top insurers in minutes.

Get your free, no-obligation PMI quote today and take control of your health.

Sources

  • NHS England: Waiting times and referral-to-treatment statistics.
  • Office for National Statistics (ONS): Health, mortality, and workforce data.
  • NICE: Clinical guidance and technology appraisals.
  • Care Quality Commission (CQC): Provider quality and inspection reports.
  • UK Health Security Agency (UKHSA): Public health surveillance reports.
  • Association of British Insurers (ABI): Health and protection market publications.

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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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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