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Exeter vs General Medical Which PMI Is Best for Niche Needs

While both operate outside the "big four," they have distinctly different origins and areas of focus. The Exeter is a Friendly Society, which means it's a mutual organisation owned by its members, not shareholders.

Last updated Oct 26, 2026

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TL;DR

While both operate outside the "big four," they have distinctly different origins and areas of focus. The Exeter is a Friendly Society, which means it's a mutual organisation owned by its members, not shareholders. Established in 1927, its ethos is built around its community of members.

Key takeaways

  • Tailored Underwriting: They may have more flexible criteria for applicants, such as those who are older or have a complex medical history.
  • Niche Expertise: They build deep knowledge in specific areas, like cover for professional athletes or specific industry groups.
  • Personalised Service: As smaller organisations, they can sometimes offer a more personal and responsive customer service experience.
  • Unique Benefits: Their policies often include benefits and features specifically designed for their target audience.
  • In-patient and Day-patient Treatment: Covers hospital fees, specialist charges, and diagnostic tests when you are admitted to a hospital bed (even for a day).

As a broking firm that has helped arrange over 1,000,000 policies of various kinds, WeCovr understands that choosing the right private medical insurance in the UK can be complex. When standard policies don't fit, specialist insurers like The Exeter and General & Medical offer compelling alternatives for those with specific needs.

WeCovr looks at two specialist UK health insurers and their policies

In the bustling UK private health cover market, dominated by household names, it’s easy to overlook the specialist providers. Yet, for many people, these niche insurers offer a more tailored, flexible, and often more suitable solution. Two such providers are The Exeter and General & Medical.

While one is a historic Friendly Society known for its inclusive approach, the other is a dynamic provider with deep roots in the sports and professional sectors. This article will dissect their offerings, compare their strengths, and help you understand which might be the right fit for your unique circumstances.

Understanding Private Medical Insurance in the UK

Before we dive into the specifics, let's clarify what private medical insurance (PMI) is and, crucially, what it isn't.

PMI is an insurance policy designed to cover the costs of private healthcare for acute conditions that arise after your policy begins. An acute condition is a disease, illness, or injury that is likely to respond quickly to treatment and lead to a full recovery. Think of things like joint replacements, cataract surgery, or hernia repairs.

The Critical Distinction: Acute vs. Chronic Conditions

This is the single most important concept to grasp in UK health insurance.

  • Acute Condition: Curable. Examples include appendicitis, a broken bone, or infections that can be resolved with a course of treatment. PMI is designed for these.
  • Chronic Condition: Not curable. These are long-term conditions that can be managed but not cured. Examples include diabetes, asthma, arthritis, and high blood pressure. Standard UK PMI policies do not cover the routine management of chronic conditions.

Similarly, pre-existing conditions – any illness or injury you had before taking out the policy – are typically excluded from cover, at least for an initial period. This is a fundamental principle of private health cover in the UK. PMI is there to complement the excellent emergency and chronic care services of the NHS, not to replace them.

Why Choose a Specialist Health Insurer?

With major providers like Bupa and AXA offering a wide range of products, why look to a specialist? The answer lies in focus. Specialist insurers often excel in areas where larger companies may be more rigid.

  • Tailored Underwriting: They may have more flexible criteria for applicants, such as those who are older or have a complex medical history.
  • Niche Expertise: They build deep knowledge in specific areas, like cover for professional athletes or specific industry groups.
  • Personalised Service: As smaller organisations, they can sometimes offer a more personal and responsive customer service experience.
  • Unique Benefits: Their policies often include benefits and features specifically designed for their target audience.

Choosing a specialist can mean finding a policy that feels like it was made just for you, rather than a one-size-fits-all product.

Meet the Contenders: The Exeter and General & Medical at a Glance

Let's introduce our two specialists. While both operate outside the "big four," they have distinctly different origins and areas of focus.

The Exeter is a Friendly Society, which means it's a mutual organisation owned by its members, not shareholders. Established in 1927, its ethos is built around its community of members. Their reputation is built on providing cover to individuals who might be overlooked elsewhere, including older applicants and the self-employed.

General & Medical was founded in the 1980s and has carved out a strong identity providing flexible health insurance solutions for individuals, families, businesses, and particularly, sports professionals and associations. They are known for their tiered policy structure and specialist schemes.

Here is a brief overview of how they compare at a high level:

FeatureThe ExeterGeneral & Medical
Organisational StructureFriendly Society (owned by members)Private Company
Primary NicheOlder applicants, self-employed, flexible underwritingSports professionals, corporate & group schemes
Policy StructureCore cover with optional add-onsMultiple tiers of pre-packaged cover
Upper Age Limit to JoinNoneTypically 74 or 75 for new policies
Key StrengthInclusivity and community-rated renewals for over 70sBespoke schemes and specialist sports cover

A Deep Dive into The Exeter’s Health+ Policy

The Exeter’s flagship private medical insurance UK policy is called Health+. It’s built on a clear, modular principle: a comprehensive core cover to which you can add optional extras.

Core Cover: The Foundation of Your Policy

Every Health+ policy includes the following as standard:

  • In-patient and Day-patient Treatment: Covers hospital fees, specialist charges, and diagnostic tests when you are admitted to a hospital bed (even for a day).
  • Cancer Cover: Comprehensive cover for the diagnosis and treatment of cancer, including surgery, radiotherapy, chemotherapy, and monitoring.
  • Post-operative Consultations: Covers specialist consultations for up to six months after eligible surgery.
  • NHS Hospital Cash Benefit: If you choose to receive eligible treatment on the NHS instead of privately, you receive a cash payment for each night you spend in an NHS hospital.
  • Private Ambulance & Home Nursing: Covers costs for private road ambulances and necessary home nursing after in-patient treatment.
  • Parent Accommodation: Pays for a parent to stay in hospital with a child under 18 undergoing treatment.

Optional Add-ons for Tailored Cover

This is where you can customise the policy to your needs and budget.

Optional ExtraWhat It CoversWho It's For
Out-patient CoverSpecialist consultations, diagnostic tests, and scans that don't require a hospital bed. Available in different limits (£500, £1,000, or unlimited).Anyone who wants faster diagnosis and access to specialists with potentially shorter waits for a GP referral to the NHS hospital system.
Therapies CoverPhysiotherapy, osteopathy, chiropractic treatment, and acupuncture. Can be added if you have selected out-patient cover.Individuals with active lifestyles, those prone to musculoskeletal issues, or anyone who wants fast access to physical therapies.
Mental Health CoverCovers specialist consultations and in-patient/day-patient psychiatric treatment.Anyone wanting to ensure they have robust support for their mental wellbeing.

The Exeter’s Key Differentiators

What makes The Exeter stand out in a crowded market?

  1. No Upper Age Limit: You can apply for a new policy at any age. This is a significant benefit for those seeking cover in later life, as many insurers impose an age cap of 65 or 75 for new members.
  2. Community-Rated Renewals: For members aged 70 and over, The Exeter pools the claims risk across that age group. This helps to protect individuals from sharp premium increases based solely on their own claims history as they get older.
  3. Healthwise Member App: This is a fantastic value-add, providing all members with access to remote GP appointments, mental health support, and physiotherapy triage at no extra cost.
  4. Flexible Underwriting: They are known for taking a more individual approach to applicants with some pre-existing conditions, sometimes offering cover where others might decline.

The Exeter is often the right PMI provider for:

  • Individuals over 60 looking for new cover.
  • The self-employed who value income protection and health insurance from the same provider.
  • People with a minor or well-managed medical history who have struggled to get cover elsewhere.

Unpacking General & Medical’s Policies

General & Medical takes a different approach. Instead of a single core product with add-ons, they offer a range of tiered policies. This allows you to choose a package that most closely matches your desired level of cover and budget from the outset.

Their main policy options include:

  • Essentials: A budget-friendly plan focused on in-patient and day-patient treatment, with some cancer cover.
  • Everyday: Builds on the Essentials plan with the addition of out-patient consultations and diagnostics.
  • Lifestyle: A mid-range comprehensive option with more generous out-patient and therapy limits.
  • Premier: A high-tier plan with enhanced benefits and higher financial limits.
  • Elite: Their top-level cover, offering extensive benefits including private GP, dental, and optical cover.

A Comparison of General & Medical's Policy Tiers

BenefitEssentialsEverydayLifestylePremierElite
In-patient & Day-patientFull CoverFull CoverFull CoverFull CoverFull Cover
Out-patient ConsultationsNot CoveredUp to £750Up to £1,000Up to £1,500Full Cover
Therapies CoverNot CoveredNot CoveredUp to £500Up to £1,000Up to £1,500
Mental Health CoverLimitedLimitedIncludedEnhancedComprehensive
Dental & OpticalNot CoveredNot CoveredNot CoveredNot CoveredIncluded

Note: This table is illustrative. Benefit limits are subject to change and the full policy documents should be consulted. A WeCovr specialist or one of our broker partners can provide the most up-to-date details.

General & Medical's Specialist Focus

Where General & Medical truly shines is in its specialisms.

  1. Sports Health Insurance: This is their standout niche. They have deep expertise in providing cover for professional and semi-professional athletes, sports clubs, and governing bodies. Their policies can be tailored to cover injuries sustained during training and competition – something explicitly excluded by most standard PMI policies.
  2. Corporate and Group Schemes: They are highly adept at creating bespoke private health cover schemes for businesses and professional associations. This allows organisations to offer a highly valued employee benefit that is tailored to the specific needs of their workforce.
  3. Health and Wellbeing Services: All members get access to a 24-hour GP advice line, stress counselling helplines, and online health resources, providing support beyond just insurance claims.

General & Medical is an excellent choice for:

  • Amateur or professional sportspeople.
  • Sports clubs and associations.
  • Companies seeking a flexible and tailored group PMI scheme.
  • Individuals who prefer a tiered "package" approach to buying insurance.

Head-to-Head Comparison: The Exeter vs General & Medical

Let's put them side-by-side on the features that matter most to UK consumers.

FeatureThe Exeter (Health+)General & Medical (Tiered Policies)WeCovr's Expert Take
Target AudienceOlder applicants, self-employed, those needing underwriting flexibility.Sports professionals, corporate groups, individuals wanting packaged cover.This is the key difference. Your personal profile will heavily influence which is a better fit.
Policy StructureCore policy + optional modules (Out-patient, Therapies, Mental Health).Tiered packages (Essentials, Everyday, Lifestyle, etc.) with increasing benefit levels.The Exeter's model offers more granular control, while G&M's is simpler to understand at a glance.
Cancer CoverComprehensive cover as standard on all policies.Included on all tiers, but the extent of cover (e.g., for monitoring, experimental drugs) can vary by tier.Both offer strong cancer cover, but The Exeter's is more uniformly comprehensive across the board.
Mental HealthAn optional add-on for comprehensive cover. Healthwise app provides initial support.Level of cover depends on the policy tier chosen. Higher tiers offer more extensive psychiatric cover.If mental health is a priority, you need to compare the cost of The Exeter's add-on versus a higher G&M tier.
Member AppHealthwise: A powerful app with remote GPs, physio, and mental health support.Focus is more on telephone helplines and online resources rather than a single integrated app.The Exeter has a clear advantage here with its feature-rich and highly-regarded Healthwise app.
Hospital ListA national list of quality private hospitals. Options to reduce the list for a lower premium.A range of hospital lists tied to different policy tiers and price points.Both offer good access, but checking that your local private hospital is on the list is crucial. WeCovr can do this for you.
Excess OptionsWide range from £0 to £5,000, allowing for significant premium control.Good range of excess options, typically from £100 upwards.Both providers offer great flexibility here, which is a key way to manage the cost of your premium.
No Claims DiscountA straightforward scale, rewarding members for not claiming. Protected NCD is available.A standard NCD structure is in place to reward claim-free years.The mechanics are similar. A regulated PMI broker can model how a claim would affect future premiums with each.

The Cost Factor: What Influences Your PMI Premium?

It's impossible to give a single price for PMI, as it's highly personalised. Your premium is calculated based on several factors:

  • Age: Younger applicants pay less.
  • Location: Premiums are often higher in London and the South East due to higher hospital costs.
  • Level of Cover: An all-singing, all-dancing policy will cost more than a basic one.
  • Excess: A higher excess (the amount you pay towards a claim) means a lower premium.
  • Underwriting Type: Moratorium underwriting is often cheaper initially than Full Medical Underwriting.

To illustrate, a 35-year-old non-smoker in Leeds seeking mid-level cover might pay between £40-£60 per month. A 65-year-old in London seeking comprehensive cover could expect to pay upwards of £200-£300 per month. These are purely illustrative figures.

This is where working with a specialist at WeCovr or one of our broker partners is invaluable. We use our market knowledge to find the provider and policy that offers good value for your specific needs and budget, saving you time and money.

Beyond the Policy: Wellness, Support, and Added Value

Modern private health insurance isn't just about paying claims. The main PMI providers help you stay healthy.

The Exeter's Healthwise app is a prime example of this. Having on-demand access to a GP can help you deal with health niggles before they become major problems. Getting swift access to a physiotherapist can prevent an ache from becoming a chronic injury.

General & Medical's helplines provide a vital source of support for stress and other wellbeing concerns. Proactive health management is a cornerstone of their service.

WeCovr enhances this further. When you take out a PMI or Life Insurance policy through us, we provide:

  • Complimentary access to CalorieHero: Our AI-powered calorie and nutrition tracking app to help you manage your diet and health goals.
  • Exclusive discounts: You'll receive discounts on other types of cover you might need, such as travel or home insurance, adding even more value.

The world of insurance is full of jargon. Here are some key terms explained in Plain English.

  • Acute Condition: A health condition that comes on suddenly, has a limited duration, and is expected to be cured with treatment. This is what PMI covers.
  • Chronic Condition: A long-term health condition that cannot be cured, only managed (e.g., diabetes, asthma). PMI does not cover this.
  • Pre-existing Condition: Any health issue you had, sought advice for, or experienced symptoms of before your policy start date. These are typically excluded.
  • Moratorium (Mori) Underwriting: A popular option where the insurer doesn't ask for your full medical history upfront. Instead, they will exclude any condition you've had in the 5 years before the policy started. However, if you go 2 full years on the policy without any treatment, advice, or symptoms for that condition, it may become eligible for cover.
  • Full Medical Underwriting (FMU): You provide your full medical history at the start. The insurer reviews it and tells you exactly what is and isn't covered from day one. It provides certainty but can take longer.
  • Excess: The fixed amount you agree to pay towards the cost of any claim you make. For example, if your excess is £250 and your treatment costs £3,000, you pay £250 and the insurer pays £2,750.
  • Hospital List: The list of private hospitals and facilities where your policy may cover you for treatment.

Real-Life Scenarios: Which Insurer Fits Best?

Let's apply our knowledge to some common situations.

Scenario 1: Barbara, the 69-year-old retiree. Barbara is active and healthy but wants the peace of mind of private health cover for the first time. Many insurers have turned her down due to her age.

  • Right Fit: The Exeter. Their policy has no upper age limit for joining, and their community rating for over-70s will protect her from steep individual premium hikes in the future.

Scenario 2: David, the 26-year-old semi-pro rugby player. David's biggest concern is getting injured during a match and facing a long NHS wait for treatment, affecting his career.

  • Right Fit: General & Medical. Their specialist sports cover is designed for exactly this scenario, providing cover for sports-related injuries that standard policies would exclude.

Scenario 3: Sarah, the 42-year-old founder of a 15-person tech start-up. Sarah wants to offer private health cover as a key employee benefit to attract and retain talent. She needs a flexible scheme that can adapt as her company grows.

  • Right Fit: This is less clear-cut and where a broker is essential. General & Medical have a strong reputation for bespoke corporate schemes. However, The Exeter also offers business policies that could be competitive. An expert at WeCovr would compare both, presenting a detailed analysis of the costs and benefits of each to help Sarah make the best decision for her team.

Making the Right Choice with WeCovr

Choosing between two excellent specialist insurers like The Exeter and General & Medical depends entirely on your personal circumstances, health, lifestyle, and budget.

As a regulated, FCA-authorised PMI broker with high customer satisfaction ratings, WeCovr’s role is to provide regulated, expert guidance. We don't work for the insurers; we work for you. Our service is provided with no separate broker fee, and we can often secure the same or better prices than going direct.

We will help you:

  • Understand if The Exeter, General & Medical, or another provider is the right fit.
  • Compare policies and prices across our panel.
  • Decipher the jargon and understand the small print.
  • Complete the application and get your cover in place smoothly.

Will my private medical insurance cover my existing asthma?

Generally, no. Asthma is considered a chronic and pre-existing condition. Standard UK private medical insurance is designed to cover new, acute conditions that arise after you take out the policy. The day-to-day management of chronic conditions like asthma remains with the NHS.

Is it cheaper to buy a policy directly from The Exeter or General & Medical?

No. A WeCovr specialist or one of our broker partners has access to the same prices as going direct, and sometimes even WeCovr car insurance rates. The key benefit of using a broker is that you receive free, regulated advice across the available market, not just from one provider, ensuring you get the policy that is genuinely best for you.

Can I add my children or partner to my private health cover?

Yes, both The Exeter and General & Medical offer options to add family members to your policy. It can often be more cost-effective to have one family policy rather than multiple individual ones. We can help you find the most economical way to cover your whole family.

Ready to find the specialist health cover that’s right for your niche needs?

Contact WeCovr today for a free, no-obligation quote and let our experts guide you to the perfect private medical insurance solution.

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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