
TL;DR
As an experienced UK broker that has arranged over 900,000 policies, WeCovr understands that your employees are your most valuable asset. This guide provides a definitive overview of group private medical insurance, helping you compare costs, providers, and benefits to make the best decision for your UK business. Compare group private medical insurance providers and policies for UK businesses Choosing the right private medical insurance (PMI) for your company can feel complex.
Key takeaways
- Attract & Retain Top Talent: In a competitive job market, a strong benefits package is a key differentiator. PMI is consistently ranked as one of the most desired employee benefits, helping you stand out to high-calibre candidates.
- Reduce Sickness Absence: NHS waiting lists can mean long delays for diagnosis and treatment. According to recent ONS data, an estimated 1.8 million working-age people are out of work due to long-term sickness. PMI provides fast-track access to specialists and treatment, getting your employees back to health and work sooner.
- Boost Productivity & Morale: Knowing they are cared for improves employee morale and loyalty. Healthy, supported employees are more engaged, focused, and productive.
- Fulfilling a Duty of Care: Offering health insurance demonstrates a genuine commitment to your team's wellbeing, fostering a positive and supportive company culture.
- In-patient & Day-patient Treatment: This covers costs when an employee is admitted to hospital for a procedure or surgery and requires a bed, either overnight (in-patient) or for the day (day-patient). This includes hospital fees, specialist fees, and anaesthetist charges.
As an experienced UK broker that has arranged over 900,000 policies, WeCovr understands that your employees are your most valuable asset. This guide provides a definitive overview of group private medical insurance, helping you compare costs, providers, and benefits to make the best decision for your UK business.
Compare group private medical insurance providers and policies for UK businesses
Choosing the right private medical insurance (PMI) for your company can feel complex. With multiple providers, different levels of cover, and confusing jargon, it's easy to feel overwhelmed. This guide cuts through the noise, providing clear, actionable insights to help you navigate the market and secure a plan that boosts employee wellbeing and protects your business.
We will cover everything from the average costs and tax implications to a direct comparison of the UK's leading insurers, ensuring you have all the information you need in one place.
What is Group Private Medical Insurance?
Group Private Medical Insurance, often called business health insurance or company PMI, is a highly valued employee benefit that provides your team with access to private healthcare. An employer purchases a single policy that covers a defined group of staff members, often at a lower cost per person than individual policies.
The core purpose of UK private medical insurance is to cover the cost of treatment for acute conditions. An acute condition is a disease, illness, or injury that is likely to respond quickly to treatment and lead to a full recovery.
Crucially, standard UK PMI does not cover pre-existing conditions or chronic conditions. Chronic conditions are those that require long-term monitoring and management, such as diabetes, asthma, or high blood pressure. These are managed by the NHS.
The Tangible Business Case: Why Offer Group Health Cover?
Investing in your team's health is one of the most effective strategic decisions a business can make. The benefits go far beyond simply being a "nice perk".
- Attract & Retain Top Talent: In a competitive job market, a strong benefits package is a key differentiator. PMI is consistently ranked as one of the most desired employee benefits, helping you stand out to high-calibre candidates.
- Reduce Sickness Absence: NHS waiting lists can mean long delays for diagnosis and treatment. According to recent ONS data, an estimated 1.8 million working-age people are out of work due to long-term sickness. PMI provides fast-track access to specialists and treatment, getting your employees back to health and work sooner.
- Boost Productivity & Morale: Knowing they are cared for improves employee morale and loyalty. Healthy, supported employees are more engaged, focused, and productive.
- Fulfilling a Duty of Care: Offering health insurance demonstrates a genuine commitment to your team's wellbeing, fostering a positive and supportive company culture.
How Much Does Group Private Medical Insurance Cost in the UK?
The cost of a group PMI policy is not one-size-fits-all. Premiums are calculated based on a range of risk factors. As a guide, UK businesses can expect to pay between £35 and £95 per employee per month.
Here are the primary factors that determine your final premium:
| Factor | Impact on Cost | Why it Matters |
|---|---|---|
| Average Age | High | Older employees are statistically more likely to claim, so the higher the average age of the group, the higher the premium. |
| Location | High | Treatment costs vary significantly across the UK. Policies with access to central London hospitals are the most expensive. |
| Level of Cover | High | A basic policy covering only in-patient care will be much cheaper than a comprehensive one with full out-patient, mental health, and dental cover. |
| Excess Level | Medium | A higher excess (the amount an employee pays towards their claim) will lower the overall premium. A typical excess is £100 or £250. |
| Industry | Medium | Some industries, such as manual labour or construction, may carry a higher risk of injury, which can influence the price. |
| Underwriting | High | The method used to assess pre-existing conditions (more on this below) has a significant impact on both price and coverage. |
Sample Group PMI Costs (Illustrative Examples)
To give you a clearer idea, here are some estimated monthly costs per employee for a company of 15 staff with a £250 excess and mid-level cover.
| Business Profile | Average Age | Location | Estimated Monthly Cost Per Employee |
|---|---|---|---|
| Tech Startup | 32 | Shoreditch, London | £75 - £95 |
| Marketing Agency | 38 | Manchester | £55 - £70 |
| Accountancy Firm | 45 | Edinburgh | £60 - £80 |
| Logistics Company | 42 | Birmingham | £58 - £75 |
These figures are for illustrative purposes only. For an accurate price, it's essential to get a tailored quote.
Decoding Your Policy: Core vs. Optional Benefits
Group PMI policies are built in layers. You start with core cover and then add optional modules to create a plan that fits your budget and your employees' needs.
Core Cover (Included as Standard)
All credible UK PMI policies will cover these non-negotiable essentials.
- In-patient & Day-patient Treatment: This covers costs when an employee is admitted to hospital for a procedure or surgery and requires a bed, either overnight (in-patient) or for the day (day-patient). This includes hospital fees, specialist fees, and anaesthetist charges.
- Comprehensive Cancer Cover: This is a cornerstone of modern PMI. Policies typically offer full cover for the diagnosis and treatment of cancer, including surgery, chemotherapy, and radiotherapy. Many insurers also provide access to cutting-edge drugs and treatments not yet available on the NHS.
Popular Optional Add-ons
Tailoring your policy with these options provides more comprehensive protection.
| Optional Benefit | What It Covers | Why It's Valuable |
|---|---|---|
| Out-patient Cover | Consultations with specialists, diagnostic tests, and scans that do not require a hospital bed. | This is the most popular add-on. It speeds up the entire diagnostic process, meaning your employee gets a diagnosis and treatment plan far more quickly. |
| Mental Health Cover | Access to psychiatric consultations, therapy sessions (e.g., CBT), and in-patient treatment for mental health conditions. | With mental health issues being a leading cause of workplace absence, this cover is increasingly seen as essential for providing holistic support. |
| Therapies Cover | Physiotherapy, osteopathy, and chiropractic treatment to help with musculoskeletal issues. | Speeds up recovery from injuries, especially common issues like back and neck pain, helping employees return to work faster. |
| Dental & Optical | A contribution towards routine dental check-ups, treatments, eye tests, and glasses/contact lenses. | A highly tangible and appreciated benefit that helps employees with everyday healthcare costs. |
Expert Tip: Out-patient cover is the most impactful add-on. Without it, your employees must rely on the NHS for all diagnostics, which can defeat the primary purpose of PMI: speed of access.
The "Big Four" UK Group Health Insurance Providers Compared
The UK market is dominated by four major insurers, each with its own strengths and focus. A specialist broker like WeCovr can provide a detailed comparison of the entire market, but here is a high-level overview.
| Provider | Key Selling Point | Value-Added Extras | Mental Health Focus |
|---|---|---|---|
| Aviva | Strong all-round cover and a highly-rated cancer pledge. Often competitive on price. | Digital GP, "Get Active" fitness discounts, stress counselling helpline. | Comprehensive mental health options, including their "Mental Health Pathway". |
| AXA Health | Excellent pathways and strong clinical support. Known for its extensive hospital network. | 24/7 "Doctor at Hand" digital GP service, dedicated heart and cancer nurses. | Strong focus on proactive support, with access to counsellors and therapists. |
| Bupa | The UK's best-known health insurance brand with a vast network, including its own facilities. | "Anytime HealthLine" nurse support, rewards, and wellbeing programmes. | Extensive mental health cover, including support for more complex conditions. |
| Vitality | Unique "Shared Value" model that rewards healthy living with discounts and perks. | Heavily gamified wellness programme with cinema tickets, coffee, and Apple Watch discounts. | Integrated approach linking physical and mental wellbeing. Cover is a standard benefit. |
The Most Important Decision: Choosing Your Underwriting
Underwriting is how an insurer assesses medical risk, specifically how it will treat pre-existing conditions. This is the single most critical decision you will make.
- Moratorium (Mori) Underwriting: This is the most common type for small groups. No medical questionnaire is required upfront, making it quick and easy to set up. With a moratorium, any medical condition that existed in the 5 years prior to the policy start date is excluded. However, if an employee goes 2 full years without any symptoms, treatment, or advice for that condition after joining, it may become eligible for cover.
- Full Medical Underwriting (FMU): Each employee completes a full medical history questionnaire. The insurer then assesses this and applies specific exclusions to the policy for any pre-existing conditions. It's more administration-heavy but provides absolute clarity from day one on what is and isn't covered.
- Medical History Disregarded (MHD): This is the gold standard of underwriting, typically available to groups of 15-20+ employees. As the name suggests, the insurer agrees to disregard all prior medical history and cover eligible conditions regardless of whether they are pre-existing. It is the most comprehensive and expensive option but removes all ambiguity for employees.
Broker Insight: For businesses looking to provide the best possible benefit and avoid any confusion at the point of claim, MHD underwriting is the ultimate goal. A broker can advise if your company is eligible and negotiate these terms on your behalf.
Understanding the Tax Rules for Company Health Insurance
The tax treatment of group PMI is straightforward but important to understand.
- For the Employer: The premiums you pay for a group health insurance policy are considered an allowable business expense. This means you can deduct the full cost from your pre-tax profits, reducing your Corporation Tax bill.
- For the Employee: The provision of private medical insurance is treated as a ‘benefit in kind’. This means the value of the premium is added to their income for tax purposes. The employer reports this on a P11D form at the end of the tax year, and the employee pays income tax (but not National Insurance) on the benefit.
Example: If the premium for an employee is £600 per year and they are a basic rate (20%) taxpayer, they will pay an extra £120 in tax per year (£10 per month). For a higher rate (40%) taxpayer, this would be £240 per year (£20 per month).
How to Switch Your Group PMI Provider Seamlessly
Many businesses wrongly assume they are locked in with their current provider, fearing that switching would mean their staff lose cover for conditions that have developed. This is not the case.
When you switch a group scheme, you can do so on a Continued Personal Medical Exclusions (CPME) basis. This special type of underwriting ensures that your team members carry over the same level of cover they had on their old policy. Any exclusions they had will remain, but crucially, any new conditions that arose while they were covered by the old insurer will continue to be covered by the new one.
This allows you to test the market each year to ensure you are getting the best value, without disadvantaging your employees. An expert adviser at WeCovr can manage this entire switching process for you, ensuring a smooth and risk-free transition.
Why Use a Specialist Broker Like WeCovr?
Navigating the group PMI market alone can be time-consuming and lead to costly mistakes. Partnering with a specialist, FCA-regulated broker offers significant advantages.
- Whole-of-Market Expertise: We work with all the leading UK insurers and understand the intricate details of their policies. We find the cover that truly matches your company's needs.
- Unbeatable Value: We use our industry relationships and market knowledge to negotiate competitive terms and premiums on your behalf.
- Time-Saving: We handle all the legwork, from gathering quotes and comparing policies to managing the application and renewal process.
- Ongoing Support: Our service doesn't stop once the policy is live. We are here to assist with claims queries, policy administration, and annual reviews.
- No Cost to You: Our service is free. We are paid a commission by the insurer you choose, which is already built into the premium, so you pay no more than going direct.
As a WeCovr client, your employees also gain complimentary access to our AI-powered nutrition app, CalorieHero, and you can benefit from discounts on other business and personal insurance policies.
Frequently Asked Questions about Group PMI
How many employees do I need for a group private medical insurance scheme?
Does group PMI cover pre-existing medical conditions?
Is group private medical insurance a taxable benefit in the UK?
Ready to protect your team and grow your business?
Choosing the right group health insurance is a powerful investment in your people and your company's future. The right plan can transform your benefits package, reduce absenteeism, and create a culture of care and loyalty.
Contact our friendly team of experts today for a free, no-obligation market review. We'll help you compare leading providers and find the perfect policy for your budget and your business.












