WeCovr

Group Health Insurance for Sole Director & Family Businesses Structuring Cover

Discover how small family businesses in the UK can structure private medical insurance. WeCovr, an FCA-regulated broking firm with over 1,000,000 policies issued of various kinds, explains group pricing, tax treatment, and policy limitations.

Last updated Oct 24, 2026

Editorial standards

We research and update guides regularly, keep commercial relationships separate from editorial rankings, and publish content for information only rather than personal advice.

Highly rated by our customers
over 1,000,000 policies arranged
Expert guidance
Group Health Insurance for Sole Director & Family...

TL;DR

Discover how small family businesses in the UK can structure private medical insurance. WeCovr, an FCA-regulated broking firm with over 1,000,000 policies issued of various kinds, explains group pricing, tax treatment, and policy limitations.

Key takeaways

  • Small limited companies may be able to take out small-business PMI.
  • UK PMI is designed for acute conditions; chronic conditions are generally not covered and pre-existing conditions are usually excluded.
  • Premiums may be treated as allowable business expenses.
  • Cover options include full medical underwriting or moratorium underwriting.
  • A specialist at WeCovr or one of its broker partners can help you compare policies.

This guide looks at structuring group health insurance for sole director and family businesses. WeCovr is an FCA-regulated broking firm with over 1,000,000 policies issued of various kinds, and finding the right private medical insurance in the UK can take specialist insight. This guide explains how micro-businesses can arrange cover that is a suitable option for their circumstances, while outlining key policy limitations and underwriting requirements.

Learn how small limited companies with just two or three family employees may be able to set up company health cover

For many UK micro-businesses, including husband-and-wife limited companies or small family run enterprises, private medical insurance (PMI) is often seen as something only larger companies offer. However, small limited companies with just two or three employees can often take out small-business health insurance.

A specialist at WeCovr or one of its broker partners can help you explore whether a small business PMI scheme is a suitable fit for your needs. Group policies often offer different pricing structures and underwriting options compared to individual personal policies, which can sometimes result in more appropriate cover for a family team.

However, it is crucial to understand the fundamental rules of UK health insurance. Standard UK PMI is designed to cover acute conditions—diseases, illnesses, or injuries that respond quickly to treatment and aim to return you to your previous state of health. It generally does not cover chronic conditions (such as asthma, diabetes, or ongoing hypertension), and pre-existing medical conditions you had before the policy started are usually excluded.

Personal vs Business PMI: Understanding the Differences

When evaluating whether to arrange individual policies or a single group scheme for your family business, it is helpful to look at the differences in structure, underwriting, and administration.

FeatureIndividual Personal PMISmall Business Group PMI
Minimum Members1 individualOften 2 or more employees/directors (varies by insurer)
Pricing StructureBased purely on the individual's age, location, and cover choicesBased on the group's ages and location, sometimes with pooled rates
AdministrationManaged individuallyCentralised administration under one company policy
PaymentPaid from personal post-tax incomePaid by the business (usually treated as a Benefit in Kind)

Disclaimer: This is general guidance only and does not constitute tax or financial advice. Tax treatment depends on individual circumstances, policy terms, and HMRC interpretation. Businesses and individuals should consult a qualified accountant or tax adviser before arranging such policies.

Get Tailored Quote

Key Limitations and Risks of Private Medical Insurance

Before arranging any insurance, it is important to weigh the benefits against the inherent limitations. A specialist at WeCovr or one of its broker partners can explain these factors so you can make an informed decision.

  1. Pre-existing Conditions: Any illness or injury you sought advice or treatment for before the policy begins is usually excluded.
  2. Reviewable Premiums: PMI premiums are not fixed. They are reviewable annually and typically rise each year due to age, medical inflation, and sometimes claims history.
  3. Cover Ceases if Unpaid: Your private medical cover will end if premium payments stop, meaning you would need to rely on the NHS for any ongoing acute treatment.
  4. Policy Excesses: Most policies include an excess (e.g., £100, £250, or £500) that you must pay towards your care before the insurer covers the rest of the eligible claim.

Tax Implications for Family Run Businesses

Structuring your PMI through a limited company changes how the premiums are handled from a tax perspective. For a sole director or a family business, the premiums paid by the company for employees' health insurance are usually treated as an allowable business expense for Corporation Tax purposes.

However, because the insurance provides a personal benefit to the employee (or director), HMRC classifies it as a Benefit in Kind (BiK). This means:

  • The company must report the benefit on a P11D form.
  • The company will typically pay Class 1A National Insurance Contributions (NICs) on the value of the benefit.
  • The employee or director will pay Income Tax on the value of the premiums, usually adjusted through their tax code.

A specialist at WeCovr or one of its broker partners can provide illustrative costs from a range of UK insurers, so your accountant can work out the tax implications for your specific business structure.

Underwriting Options for Micro-Businesses

When setting up a group health insurance policy for two or three family members, the way the insurer assesses your medical history—known as underwriting—is a critical factor. There are two primary underwriting methods available for micro-businesses.

1. Moratorium Underwriting (MORI)

This is a common option for small businesses. You do not need to fill out a lengthy medical questionnaire upfront. Instead, the insurer applies a blanket exclusion on any pre-existing conditions you have experienced within a set period (usually the 5 years before the policy starts).

If you go a continuous period (typically 2 years) on the policy without experiencing symptoms, seeking advice, or taking medication for that specific condition, it may become eligible for cover in the future, subject to policy terms.

2. Full Medical Underwriting (FMU)

With FMU, you provide a detailed medical history when applying. The insurer then tells you which personal exclusions apply before the policy starts. While this requires more effort upfront, it provides more certainty. Declared pre-existing conditions are usually excluded for as long as you hold the policy, unless the insurer agrees otherwise.

Note: Medical History Disregarded (MHD) underwriting, which does not apply pre-existing condition exclusions, is more commonly offered to larger groups. Some insurers offer it to smaller groups, often at a higher premium, and the minimum group size varies.

Core Cover and Optional Add-Ons

Group health insurance policies can usually be tailored to your budget and priorities. A specialist at WeCovr or one of its broker partners can compare policies from a range of providers to help you find an appropriate level of cover.

Standard Core Cover

Most base policies include:

  • Inpatient and Day-Patient Care: Hospital charges, specialist fees, and diagnostic tests when you are admitted to a hospital or clinic.
  • Cancer Cover: Cancer treatment such as chemotherapy and radiotherapy, sometimes including drugs not routinely available on the NHS. The extent of cancer cover varies by policy and insurer.
  • Digital GP Services: Often included, giving access to virtual GP appointments, which can help directors and employees access medical advice quickly without taking significant time away from the business.

Optional Extras

To enhance your policy, you can typically add:

  • Outpatient Cover: For specialist consultations, diagnostic tests, and scans when you are not admitted to hospital. This is often capped at a specific financial limit (e.g., £1,000 per year) or can be unlimited.
  • Mental Health Cover: Access to psychiatric care, counselling, and cognitive behavioural therapy (CBT).
  • Therapies Cover: Physiotherapy, osteopathy, and chiropractic treatments.
  • Dental and Optical: Routine check-ups, glasses, and major dental work (usually subject to strict financial caps).

How to Reduce Group PMI Premiums

If you are a family business looking to manage cash flow, there are several ways to lower the monthly premium. A specialist at WeCovr or one of its broker partners can model these options for you.

  • Add or Increase the Excess: Choosing a higher excess (e.g., £500 instead of £100) will lower your regular premium. You only pay the excess if you need to make a claim.
  • The 6-Week Option: This clause states that if the NHS can treat your condition within 6 weeks, you must use the NHS. If the NHS waiting list is longer than 6 weeks, your private cover can be used. This can reduce premiums.
  • Limit Outpatient Cover: Removing or capping outpatient cover can noticeably reduce costs while keeping cover for inpatient treatment and, depending on the policy, cancer treatment.
  • Guided Consultant Networks: Some insurers offer a discount if you agree to let them provide a shortlist of 3 to 4 approved consultants when you need to claim, rather than giving you a wider choice of specialists.

Illustrative Premium Examples for a Family Business

To provide a general idea of costs, the table below shows illustrative monthly premiums for a small family business (e.g., two directors).

Please note: These figures are purely hypothetical examples. Actual prices vary significantly based on personal factors (age, postcode), medical history, the level of cover chosen, and the specific insurer. These are not guaranteed quotes.

ScenarioCover Level ChosenIllustrative Monthly Premium
Two Directors (Aged 35 & 35)
Based outside London
Core cover, £250 excess, Full Outpatient£95 - £140 total for the group
Two Directors (Aged 50 & 50)
Based in London
Core cover, £500 excess, 6-Week Option£160 - £230 total for the group
Director & Spouse (Aged 45 & 43)
Based in Midlands
Core cover, £100 excess, Mental Health added£130 - £190 total for the group

To get an accurate illustration based on your specific ages and business location, you can arrange a no-obligation comparison through WeCovr or one of its broker partners. There is no fee to you for this; brokers are typically paid a commission by the insurer.

Switching an Existing Policy

If you already have a personal health insurance policy and wish to move it to your new limited company, this may be possible on a switch basis, such as Continued Personal Medical Exclusions (CPME) or a continued moratorium.

When switching on these terms, the new insurer usually carries over your existing underwriting terms, so you may keep the benefit of the cover you have built up, subject to its acceptance and standard terms. Not every insurer offers switch terms for every policy type. A specialist at WeCovr or one of its broker partners can help compare switch terms so you understand the effect on your cover before you cancel anything.

Added Value: CalorieHero and Multi-Policy Discounts

WeCovr provides eligible customers with complimentary access to WeCovr's AI calorie tracking app, CalorieHero. If your family business is also considering other forms of protection, such as Relevant Life Insurance or Key Person Cover, WeCovr may offer discounts on other types of cover to eligible customers who take PMI (subject to terms).

The Claims Process for Group Policies

Understanding how a claim works helps reduce stress should you or a family member fall ill. While processes vary slightly between insurers, they generally follow these steps:

  1. GP Referral: You experience acute symptoms and consult a GP (either your NHS GP or the digital GP provided by your policy). They issue a referral, often an "open referral", for a specialist.
  2. Contact the Insurer: Before booking any private appointments, you must contact your insurer to authorise the claim. They will check if the condition is acute, whether it is excluded under your underwriting, and confirm your excess.
  3. See the Specialist: Once authorised, you see the private consultant. The hospital or consultant typically bills the insurer directly.
  4. Pay the Excess: You will be asked to pay your agreed policy excess directly to the clinic or specialist.
  5. Ongoing Treatment: If further inpatient treatment or surgery is needed, you must keep the insurer updated to ensure ongoing pre-authorisation.

Taking the Next Step for Your Business

Structuring group health insurance for a sole director or a small family team requires balancing tax efficiency, budget, and the level of medical protection desired. Because standard UK PMI generally does not cover chronic conditions, and pre-existing conditions are usually excluded, understanding the underwriting options is vital to ensuring the policy is a suitable option for your circumstances.

There is no fee to you for using WeCovr or one of its broker partners. Brokers are typically paid a commission by the insurer, and the premium is set by the insurer.

Get a quote through WeCovr, and a specialist from WeCovr or one of its broker partners will help you compare small business PMI options from a range of UK insurers for your family business.

Frequently Asked Questions

Can a sole director get group private medical insurance?

Many insurers require a minimum of two or more employees to form a group scheme, although this varies. However, a sole director may still be able to have their limited company pay for a personal private medical insurance policy. This would still be treated as a Benefit in Kind for tax purposes. A specialist at WeCovr or one of its broker partners can clarify which insurers accept micro-businesses.

Do I need to declare pre-existing conditions for a business policy?

This depends on the underwriting method chosen. If you choose Full Medical Underwriting (FMU), you must answer the medical questions fully, and declared pre-existing conditions will typically be excluded. If you choose Moratorium underwriting, you do not declare them upfront, but conditions you have had symptoms, treatment or advice for in the past 5 years are usually excluded until you complete a continuous trouble-free period (usually 2 years). Standard UK PMI is designed for acute conditions and generally does not cover chronic ones.

Are business health insurance premiums a tax-deductible expense?

Typically, premiums paid by a limited company for employee health insurance are treated as an allowable business expense for Corporation Tax. However, the premiums are considered a Benefit in Kind (BiK), meaning the company pays Class 1A National Insurance, and the employee pays Income Tax on the benefit value. Always consult a qualified accountant for advice specific to your circumstances.

Can I add my spouse and children to the company policy?

Usually. Most group health insurance policies allow directors and employees to add their spouse, partner, and dependent children to the policy. If the company pays the increased premium, this will usually increase the Benefit in Kind value for the employee whose family members are added.

Sources

  • HM Revenue & Customs (HMRC) - Expenses and benefits: medical or dental treatment and insurance
  • HM Revenue & Customs (HMRC) - Business Income Manual: expenses rules
  • Association of British Insurers (ABI) - Private medical insurance guidance
  • MoneyHelper - Private medical insurance guidance

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.

Before you compare PMI quotes

Start with your Protection Score, then decide whether private health cover is the right fit

Check where health access sits in your overall protection picture before deciding whether to compare private health cover.

Check My Health Access GapGet PMI Help If It Fits

Spot whether NHS access risk is the real issue

See if PMI is the gap to fix first

Get health insurance help only if it makes sense for you

📚 Recommended reads

Best Private Health Insurance UK 2026

Read

Average Cost of PMI (UK)

Read

PMI Provider Reviews

Read

Get your score

Start with your protection score

Check your current position first, then get health insurance help if you need it.

1

Check your current resilience

Score your income, health access and family protection position in a few minutes.

2

See where private cover helps

Understand whether faster diagnosis and treatment is a priority gap.

3

Continue to tailored PMI help

If health access is the issue, continue to tailored PMI help.

What you get

A quick view of your current protection position

A clearer idea of where the biggest gaps may be

A direct route to tailored help if you want it


See Plans

Related tools


WeCovr is an FCA‑regulated insurance broker. We may earn a commission if you purchase a policy via us. This guide is written to be impartial and informational.


Explore insurance hubs

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:

Our Group Is Proud To Have Issued over 1,000,000 policies!

We've established collaboration agreements with leading insurance groups to create tailored coverage
Working with leading UK insurers
Allianz Logo
Ageas Logo
Covea Logo
AIG Logo
Zurich Logo
BUPA Logo
Aviva Logo
Axa Logo
Vitality Logo
Exeter Logo
WPA Logo
National Friendly Logo
General & Medical Logo
Legal & General Logo
ARAG Logo
Scottish Widows Logo
Metlife Logo
HSBC Logo
Guardian Logo
Royal London Logo
Cigna Logo
NIG Logo
CanadaLife Logo
TMHCC Logo

How It Works

1. Complete a brief form
Complete a brief form
2. Our experts analyse your information and find you best quotes
Experts discuss your quotes
3. Enjoy your protection!
Enjoy your protection

Any questions?

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.



...

Who Are WeCovr?

WeCovr is an insurance specialist for people valuing their peace of mind and a great service.

👍 WeCovr will help you get your private medical insurance, life insurance, critical illness insurance and others in no time thanks to our wonderful super-friendly experts ready to assist you every step of the way.

Just a quick and simple form and an easy conversation with one of our experts and your valuable insurance policy is in place for that needed peace of mind!