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Group PMI Policies Maximising Staff Benefits

As a broking firm that has helped arrange over 1,000,000 policies of various kinds, WeCovr understands the vital role a strong benefits package plays in a successful UK business. This guide explores how group private medical insurance (PMI) can become the cornerstone of your employee wellness strategy, boosting morale and your bottom line.

Last updated Oct 7, 2026

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TL;DR

As a broking firm that has helped arrange over 1,000,000 policies of various kinds, WeCovr understands the vital role a strong benefits package plays in a successful UK business. This guide explores how group private medical insurance (PMI) can become the cornerstone of your employee wellness strategy, boosting morale and your bottom line.

Key takeaways

  • Reduced Sickness Absence: A healthier workforce means fewer sick days. According to the Office for National Statistics (ONS), an estimated 185.6 million working days were lost because of sickness or injury in the UK in 2022. With PMI, employees get diagnosed and treated faster, enabling a quicker return to work and minimising disruption.
  • Enhanced Staff Retention: A generous benefits package makes employees feel valued. In a competitive job market, health insurance is a highly sought-after perk that can significantly improve loyalty and reduce costly staff turnover.
  • A Powerful Recruitment Tool: When a candidate is weighing up two similar job offers, a comprehensive health plan can be the deciding factor. It signals that you are a caring employer willing to invest in your people's long-term wellbeing.
  • Increased Productivity and Morale: When employees aren't worried about their health or languishing on waiting lists, they are more focused, engaged, and productive. Knowing they have support reduces stress and boosts overall morale.
  • Faster Medical Care: Swift access to consultations, diagnostic tests (like MRI and CT scans), and treatment.

As a broking firm that has helped arrange over 1,000,000 policies of various kinds, WeCovr understands the vital role a strong benefits package plays in a successful UK business. This guide explores how group private medical insurance (PMI) can become the cornerstone of your employee wellness strategy, boosting morale and your bottom line.

Guide for employers on setup and tax tips

Navigating the world of corporate health benefits can seem complex, but the rewards are significant. Offering group private medical insurance is a powerful statement about how much you value your team. This comprehensive guide will walk you through the process, from understanding the core benefits to mastering the setup and navigating the tax landscape.

What is Group Private Medical Insurance (PMI)?

Group private medical insurance is a single policy taken out by an employer to provide healthcare cover for its employees. Instead of individuals seeking out their own cover, the business arranges it on their behalf, often securing more favourable terms and broader cover than an individual could typically access.

It’s designed to work alongside the NHS, offering your staff quicker access to diagnosis and treatment for acute conditions.

Critical Point: Standard UK private medical insurance is designed for acute conditions—illnesses or injuries that are likely to respond quickly to treatment. It does not cover pre-existing conditions (ailments you had before joining) or chronic conditions (long-term illnesses like diabetes, asthma, or high blood pressure that require ongoing management rather than a cure).

The primary benefit is speed. With NHS waiting lists reaching record levels—the referral to treatment (RTT) waiting list in England stood at around 7.54 million in late 2024—PMI allows employees to bypass these queues, see a specialist, and receive treatment promptly.

Why Should Your Business Offer Group Health Cover?

Investing in your team's health is one of the smartest financial decisions a business can make. The benefits extend far beyond simply providing medical care; they create a resilient, motivated, and loyal workforce.

Tangible Benefits for Your Business

  1. Reduced Sickness Absence: A healthier workforce means fewer sick days. According to the Office for National Statistics (ONS), an estimated 185.6 million working days were lost because of sickness or injury in the UK in 2022. With PMI, employees get diagnosed and treated faster, enabling a quicker return to work and minimising disruption.

  2. Enhanced Staff Retention: A generous benefits package makes employees feel valued. In a competitive job market, health insurance is a highly sought-after perk that can significantly improve loyalty and reduce costly staff turnover.

  3. A Powerful Recruitment Tool: When a candidate is weighing up two similar job offers, a comprehensive health plan can be the deciding factor. It signals that you are a caring employer willing to invest in your people's long-term wellbeing.

  4. Increased Productivity and Morale: When employees aren't worried about their health or languishing on waiting lists, they are more focused, engaged, and productive. Knowing they have support reduces stress and boosts overall morale.

Invaluable Benefits for Your Employees

  • Faster Medical Care: Swift access to consultations, diagnostic tests (like MRI and CT scans), and treatment.
  • Choice and Control: Employees often have a choice of leading specialists and a nationwide network of high-quality private hospitals.
  • Access to Advanced Treatments: Some policies provide access to new drugs or treatments not yet available on the NHS due to cost or other restrictions.
  • Peace of Mind: The psychological benefit of knowing you and your family can get help when you need it most is immeasurable.

Setting Up Your Group PMI Policy: A Step-by-Step Guide

Creating a group scheme is a structured process. Following these steps will ensure you build a plan that aligns with your company's goals and budget.

Step 1: Define Your Objectives and Budget

Before looking at policies, ask yourself:

  • What is our goal? Is it to reduce absenteeism, boost recruitment, or simply reward our staff?
  • Who do we want to cover? The entire company, specific teams, or management only?
  • What is our budget? Work out a realistic cost per employee per month or year. This will be the single biggest factor in determining the level of cover you can offer.

Step 2: Choose Who to Cover

You have flexibility in how you structure your scheme:

  • All Employees: This is the most inclusive approach and fosters a strong sense of company-wide equality.
  • Defined Groups: You can create different tiers of cover. For example, senior managers might receive a comprehensive policy, while other staff receive a more basic level of cover. This can help manage costs but must be handled carefully to avoid perceived inequality.
  • Voluntary Schemes: You can facilitate a scheme where employees can opt-in and pay for their own cover, but at a discounted corporate rate you've negotiated.

Step 3: Select the Right Level of Cover

PMI policies are built from a core foundation with optional extras. Understanding these components is key to tailoring your plan.

Level of CoverDescriptionBest For
BasicCovers in-patient and day-patient treatment (requiring a hospital bed). Often has limits on out-patient diagnostics and consultations.Businesses on a tight budget looking to provide a safety net for major medical events.
Mid-RangeIncludes full in-patient cover plus a reasonable allowance for out-patient diagnostics, consultations, and therapies.The most popular choice, offering a great balance between comprehensive cover and cost.
ComprehensiveFull cover for in-patient and out-patient treatment. Often includes add-ons like mental health, dental, and optical cover as standard or at a reduced cost.Companies wanting to offer a top-tier benefits package to attract and retain senior talent.

Common Add-ons to Consider:

  • Out-patient Cover: For specialist consultations and diagnostic tests that don't require a hospital bed. This is arguably the most valuable part of PMI, as it speeds up diagnosis.
  • Mental Health Cover: Provides access to therapy, counselling, and psychiatric support. In today's climate, this is a highly valued benefit.
  • Dental and Optical Cover: Helps with the costs of routine check-ups, treatments, and new eyewear.
  • Therapies: Covers physiotherapy, osteopathy, and chiropractic treatment.

Step 4: Understand Underwriting Options

Underwriting is how an insurer assesses risk. The method you choose has a big impact on what is covered, especially concerning pre-existing conditions.

Underwriting TypeHow It WorksBest For
Moratorium (Mori)No medical questionnaire is needed upfront. Instead, the insurer applies a waiting period (usually 2 years) during which they won't cover conditions that existed in the 5 years before the policy started.Small groups (2-19 employees) who want a quick and simple setup.
Full Medical Underwriting (FMU)Each employee completes a detailed health questionnaire. The insurer then decides what to cover and may apply specific exclusions to individuals based on their medical history.Very small groups or where clarity on cover from day one is essential.
Medical History Disregarded (MHD)The insurer agrees to cover eligible pre-existing conditions. No medical information is required from employees. This is the 'gold standard' of group cover.Larger groups, typically 20+ employees. It is a major selling point for staff.
Continued Personal Medical Exclusions (CPME)For groups switching from another provider. It ensures that employees carry over the same underwriting terms they had on their previous policy, providing continuity of cover.Businesses looking to switch their PMI provider without disadvantaging their staff.

Step 5: Partner with an Expert PMI Broker

Trying to compare the complex offerings from providers like Bupa, AXA, Aviva, and Vitality can be overwhelming. A WeCovr specialist or trusted broker partner handles the hard work for you.

A specialist at WeCovr or one of our broker partners provides regulated advice, comparing the available market to find a policy that matches your specific needs and budget. We can explain the nuances of each policy, negotiate terms on your behalf, and help with the setup and annual review process—all with no separate broker fee to your business.

The Financials: Understanding Costs and Tax Implications

A clear understanding of the costs and tax rules is essential for any employer considering group PMI.

How Are Group PMI Premiums Calculated?

Insurers consider several factors to determine your company's premium:

  • Average Age: A younger workforce will generally result in a lower premium.
  • Company Size: Larger groups often benefit from lower per-person rates.
  • Industry: Some professions (e.g., manual labour) are considered higher risk than office-based roles.
  • Location: Premiums can be higher in areas with more expensive private hospitals, such as Central London.
  • Level of Cover: Comprehensive policies cost more than basic ones.
  • Excess: A higher policy excess (the amount an employee pays towards a claim) will lower the premium.

Tax Implications Explained

The tax treatment of group PMI is a key consideration. It's beneficial for the company but creates a small tax liability for the employee.

PartyTax TreatmentHow it Works
The EmployerPremiums are an allowable business expense.The total cost of the premiums can be deducted from your company's revenue before calculating your Corporation Tax bill. With Corporation Tax at 25%, this provides a significant saving.
The EmployerEmployer must pay Class 1A National Insurance.You must pay National Insurance Contributions (currently 13.8%) on the value of the benefit provided to each employee.
The EmployeePMI is a taxable benefit-in-kind (BIK).The value of the premium is treated as additional income for the employee, who must pay income tax on it at their marginal rate (20%, 40%, or 45%).

Example of Tax Calculation:

Let's assume your company pays a £700 annual premium for an employee who is a basic-rate (20%) taxpayer.

  1. Employer's Position:

    • Corporation Tax Saving (illustrative): The £700 premium is a business expense. The company saves £175 in Corporation Tax (£700 x 25%).
    • National Insurance Cost (illustrative): The company must pay Class 1A NICs of £96.60 (£700 x 13.8%).
    • Net Cost to Employer (illustrative): £700 (Premium) - £175 (Tax Saving) + £96.60 (NICs) = £621.60
  2. Employee's Position:

    • Income Tax Liability: The employee pays tax on the benefit. £700 x 20% = £140 for the year, or about £11.67 per month.

The employer is responsible for reporting this benefit to HMRC on a P11D form for each employee who receives the cover.

Maximising the Value of Your PMI Policy: Beyond Medical Treatment

Modern private medical insurance UK policies are evolving into holistic health and wellbeing platforms. To get the most from your investment, encourage your staff to engage with all the available features.

Promote Integrated Wellness Programmes

Most well-known providers now include a wealth of added-value services at no separate broker fee:

  • Digital GP: 24/7 access to a GP via phone or video call, often with the ability to get prescriptions delivered. This is incredibly convenient and reduces time away from work for minor appointments.
  • Mental Health Support: Access to confidential helplines, therapy sessions (often without needing a GP referral), and mindfulness apps like Headspace or Calm.
  • Wellness Incentives: Providers like Vitality are famous for rewarding healthy behaviour. Employees can earn discounts on gym memberships, smartwatches, and healthy food by tracking their activity.
  • Health and Fitness Resources: Many insurers offer online portals with fitness plans, nutritional advice, and health assessments.

As a WeCovr client, your employees also gain complimentary access to our proprietary AI-powered calorie and nutrition tracking app, CalorieHero. This tool integrates seamlessly into a broader wellness strategy, helping staff manage their diet and achieve health goals.

Effective Communication is Key

You can have the right PMI policy in the world, but it's worthless if your staff don't know how to use it.

  • Launch and Onboard: When you introduce the scheme, hold a meeting or webinar (perhaps with your broker) to explain the benefits and the claims process.
  • Include in a Benefits Hub: Create a central place on your company intranet with policy documents, contact numbers, and a simple guide on how to make a claim.
  • Regular Reminders: Use internal newsletters or team meetings to remind staff about the wellness features, like the 24/7 Digital GP or mental health support line.

Annual Policy Review

The private health cover market is dynamic, with prices and features changing constantly. It is crucial to review your policy every year before renewal. A specialist at WeCovr or one of our broker partners will proactively manage this for you, re-broking the market to ensure you continue to get good value without compromising on the quality of cover for your team. Furthermore, clients who purchase PMI or Life Insurance through us may be eligible for discounts on other types of insurance cover.

Comparing Top UK Group PMI Providers

While a direct price comparison requires a bespoke quote, you can compare providers based on their core strengths and focus areas. WeCovr and, where appropriate, broker partners work with all these well-known insurers and more to find the perfect match for your business.

ProviderKey Selling Point / FocusTypical Wellness Features
AXA HealthStrong clinical focus and a wide range of flexible options. Excellent muscle, bone, and joint support pathways.24/7 online GP, dedicated mental health support, 'Health at Hand' medical information line.
BupaOne of the most recognised healthcare brands in the UK, with its own network of hospitals and clinics. Known for comprehensive cover.Digital GP, mental health services, extensive online health hub with advice and tools.
AvivaKnown for its 'Expert Select' hospital list to manage costs and a strong digital offering. Good value and comprehensive options.24/7 GP, stress counselling helpline, discounts on gym memberships and health tech.
VitalityUnique focus on incentivising healthy living. Rewards employees for being active, which can also reduce the employer's premium at renewal.Discounted smartwatches, gym memberships, cinema tickets, and healthy food, all linked to activity tracking.

FAQs: Your Group PMI Questions Answered

Is Group PMI a taxable benefit for employees in the UK?

Yes. Group private medical insurance is considered a 'benefit-in-kind' by HMRC. This means the employee must pay income tax on the value of the premium paid by their employer. The employer must report this on a P11D form each year and also pay Class 1A National Insurance contributions on the premium amount.

What is the minimum number of employees for a group policy?

Generally, a group policy can be set up for a business with as few as two employees. However, some of the most attractive underwriting options, such as 'Medical History Disregarded' (which covers pre-existing conditions), are typically only available to larger groups, often starting at 20 or more employees.

Are pre-existing and chronic conditions covered by Group PMI?

Generally, no. Standard UK PMI is designed to cover new, acute conditions that arise after you join. Chronic conditions (like diabetes or asthma) are not covered. Pre-existing conditions are also typically excluded, especially on policies with Moratorium or Full Medical Underwriting. However, larger group schemes (e.g., 20+ employees) can often get 'Medical History Disregarded' underwriting, which does cover eligible pre-existing conditions, making it a highly valuable benefit.

Can we offer different levels of cover to different staff members?

Yes, you can. It's common for businesses to create different 'tiers' of cover based on job role or seniority. For example, directors might receive a comprehensive policy with dental and optical benefits, while other staff receive a mid-range policy. This allows you to manage your budget while still providing a valuable benefit across the company.

Take the Next Step

Ready to enhance your employee benefits package and invest in your team's health? A well-structured Group PMI policy is a clear sign of a forward-thinking, supportive employer.

The specialists at WeCovr or broker partners are here to help. We compare the market to find a policy that fits your business needs and budget, handling all the complexity so you can focus on running your business. Our service is provided with no separate broker fee.

Get your free, no-obligation quote today and discover how private medical insurance can transform your business.

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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