WeCovr

Group vs Individual PMI Which Is Right for Your Business

As a broking firm that has helped arrange over 1,000,000 policies of various kinds, WeCovr understands the nuances of private medical insurance in the UK. This guide explores whether a group or individual PMI approach is best for your business, helping you make an informed decision for your team's health and wellbeing.

Last updated Oct 7, 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



TL;DR

As a broking firm that has helped arrange over 1,000,000 policies of various kinds, WeCovr understands the nuances of private medical insurance in the UK. This guide explores whether a group or individual PMI approach is best for your business, helping you make an informed decision for your team's health and wellbeing.

Key takeaways

  • Reduces Sickness Absence: Faster diagnosis and treatment mean employees can return to work sooner. The Office for National Statistics (ONS) estimated that 185.6 million working days were lost due to sickness or injury in 2022, the highest level in a decade. PMI is a direct strategy to mitigate this cost.
  • Attracts and Retains Talent: In a competitive job market, a quality health insurance plan is a highly sought-after employee benefit. It signals that you are an employer who genuinely cares for your team's wellbeing.
  • Boosts Morale and Productivity: Employees who feel valued and have peace of mind about their health are typically more engaged, loyal, and productive.
  • Supports Employee Wellbeing: Modern PMI often includes a suite of wellness tools, from mental health support to 24/7 digital GP access, promoting a proactive approach to health.
  • For the Business: The premiums you pay for a group PMI scheme are considered an allowable business expense. This means you can deduct the cost from your pre-tax profits, reducing your Corporation Tax bill.

As a broking firm that has helped arrange over 1,000,000 policies of various kinds, WeCovr understands the nuances of private medical insurance in the UK. This guide explores whether a group or individual PMI approach is best for your business, helping you make an informed decision for your team's health and wellbeing.

A WeCovr specialist or trusted broker partner compares corporate PMI schemes with private cover

Deciding how to support your employees' health is one of the most significant choices a business owner can make. It impacts morale, productivity, and your ability to attract top talent. The two main pathways are offering a comprehensive group Private Medical Insurance (PMI) scheme or providing a cash allowance for employees to purchase their own individual cover.

Both options have distinct advantages and suit different business models. This comprehensive guide will break down the features, costs, and practical considerations of each, empowering you to choose the right strategy for your organisation.


A Critical Note on UK Private Medical Insurance

Before we delve deeper, it's vital to understand a fundamental principle of the UK PMI market. Standard private health insurance is designed to cover acute conditions – diseases, illnesses, or injuries that are likely to respond quickly to treatment and return you to your previous state of health.

PMI does not typically cover:

  • Pre-existing conditions: Any medical condition you had before your policy began.
  • Chronic conditions: Conditions that are long-lasting and require ongoing management, such as diabetes, asthma, or high blood pressure.

While some group schemes can offer ways to cover pre-existing conditions (which we'll explore below), the rule for acute, post-policy conditions is the bedrock of how PMI works in the UK.


What is Private Medical Insurance and Why Do UK Businesses Bother?

Private Medical Insurance, often called private health cover, is an insurance policy that pays for the costs of private healthcare treatment for new, acute medical conditions. For a monthly or annual premium, policyholders gain access to private hospitals, specialists, and treatments, often much faster than would be possible through the NHS.

In the context of a challenging healthcare landscape, where NHS England reported a waiting list of 7.54 million treatments in April 2024, the appeal of PMI is clear. For businesses, the benefits extend far beyond simply "skipping the queue."

Key drivers for businesses offering PMI:

  • Reduces Sickness Absence: Faster diagnosis and treatment mean employees can return to work sooner. The Office for National Statistics (ONS) estimated that 185.6 million working days were lost due to sickness or injury in 2022, the highest level in a decade. PMI is a direct strategy to mitigate this cost.
  • Attracts and Retains Talent: In a competitive job market, a quality health insurance plan is a highly sought-after employee benefit. It signals that you are an employer who genuinely cares for your team's wellbeing.
  • Boosts Morale and Productivity: Employees who feel valued and have peace of mind about their health are typically more engaged, loyal, and productive.
  • Supports Employee Wellbeing: Modern PMI often includes a suite of wellness tools, from mental health support to 24/7 digital GP access, promoting a proactive approach to health.

A Deep Dive into Group Private Medical Insurance

Group Private Medical Insurance (also known as a company or corporate PMI scheme) is a single policy purchased by a business to cover a group of its employees. It is the most common way for UK businesses to provide health benefits.

The company chooses the level of cover, and all eligible employees are invited to join the scheme. This collective approach creates economies of scale and unlocks unique benefits not available to individuals.

Key Features of Group PMI Schemes

  1. A Single Master Policy: The business holds one overarching policy, which dramatically simplifies administration. Rather than dealing with dozens of individual policies, the company manages a single scheme, a single renewal date, and a single point of contact—especially when using a WeCovr specialist or one of our broker partners.

  2. Cost-Effectiveness: Insuring a group spreads the risk for the provider. This means the average cost per person is almost always lower than it would be for an equivalent individual policy. The more members in the scheme, the greater the potential saving.

  3. Powerful Underwriting Options: This is the most significant advantage of group PMI. Underwriting is how an insurer assesses risk and decides what it will and won't cover.

Underwriting TypeHow It WorksBest For
Medical History Disregarded (MHD)The gold standard. The insurer agrees to cover all eligible acute conditions, regardless of a member's prior medical history. No medical questionnaires are needed.Larger groups (typically 20+ employees). It's the most inclusive and attractive option for attracting senior talent.
Full Medical Underwriting (FMU)Each employee completes a detailed health questionnaire. The insurer then lists specific conditions that will be excluded from their cover.Smaller groups where cost control is the top priority and clarity on exclusions from day one is preferred.
Moratorium UnderwritingA simplified approach. Pre-existing conditions from the past 5 years are automatically excluded for a set period (usually 2 years). If the employee remains free of symptoms, treatment, or advice for that condition during the 2-year period, it may become eligible for cover.A very common option for small business schemes (2-19 employees) as it's quick to set up and requires no forms.
  1. Inclusivity and Team Cohesion: Providing the same core benefit to all employees fosters a sense of fairness and community. It shows that everyone's health is valued equally by the organisation.

The Alternative: An Allowance for Individual PMI

An alternative to a group scheme is to offer employees a fixed cash sum as part of their salary, specifically intended for them to purchase their own individual health insurance policy. This is sometimes called a "health stipend" or "PMI allowance."

With this model, the responsibility shifts from the company to the employee. The business provides the funds, and the employee researches, chooses, and manages their own private health cover.

Key Features of Individual PMI Policies

  1. Complete Personalisation: The employee has total control. They can choose the insurer, the level of cover (e.g., diagnostics only, full treatment), the excess they are willing to pay, and the specific list of hospitals they want access to.

  2. Strict Underwriting: Individual policies are almost always sold on a Full Medical Underwriting (FMU) or Moratorium basis. Medical History Disregarded (MHD) underwriting is not available. This means pre-existing conditions will be a key consideration and will likely be excluded.

  3. Full Portability: The policy belongs to the employee, not the company. If they leave their job, they can continue the policy seamlessly, provided they keep paying the premiums. This offers excellent continuity of cover.

  4. Higher Cost: Lacking the risk-spreading benefit of a group, individual policies are assessed on the specific risk of that one person (and their family, if included). This typically results in a higher premium for a comparable level of cover.

Head-to-Head: Group PMI Scheme vs. Individual Policy Allowance

So, which is right for your business? The answer depends on your company size, goals, budget, and administrative capacity. Let's compare them directly.

FeatureGroup PMI SchemeIndividual PMI (via Cash Allowance)
Cost Per Person✅ Lower. Risk is spread across the group, leading to more favourable premiums.❌ Higher. Risk is assessed individually, resulting in more expensive cover.
Administration for Business✅ Simpler. One master policy, one renewal date, one point of contact.❌ More Complex. Requires managing payroll allowances; no oversight on whether employees actually buy cover.
Cover for Pre-existing Conditions✅ Often possible. Medical History Disregarded (MHD) underwriting on larger schemes covers past conditions.❌ Almost never. Pre-existing conditions are typically excluded via FMU or Moratorium underwriting.
Flexibility for Employee❌ Less flexible. Cover level is standardised for all employees (or within tiers).✅ Fully flexible. Employee chooses their own insurer, cover level, excess, and hospital list.
Employee Experience✅ Effortless. Simple to join, often with no medical questions to answer (on MHD/Moratorium schemes).❌ High-effort. Employee must research the market, compare quotes, and manage their own policy.
Portability❌ Ends with employment. Cover ceases when the employee leaves, though they may have an option to continue on a personal basis at a higher cost.✅ Fully portable. The policy is owned by the employee and is unaffected by a change in employer.
Tax ImplicationsA taxable benefit-in-kind for the employee. Business can claim the premium as an expense.The allowance is treated as salary, subject to Income Tax and National Insurance for both parties.

Real-Life Scenarios: Which Model Works Best?

Scenario 1: The Fast-Growing Tech Start-Up (25 Employees)

  • Goal: Attract the best developers in a fiercely competitive market. They need a standout benefits package that is also easy to manage.
  • Best Choice: A Group PMI Scheme with Medical History Disregarded (MHD) underwriting.
  • Why? The MHD underwriting is a huge selling point. A new senior hire with a history of back problems knows they will be covered for any new flare-ups. The administrative simplicity allows the small HR team to focus on growth, and the scheme builds a strong, unified company culture.

Scenario 2: The Small Consultancy Firm (5 Employees)

  • Goal: Provide a meaningful health benefit without the administrative burden of a full group scheme. The team is young and healthy.
  • Best Choice: A Group PMI Scheme with Moratorium underwriting.
  • Why? It's incredibly simple to set up, with no medical forms. The cost per head will be significantly lower than five individual policies. It provides a solid foundation of cover and shows the partners are invested in their small team's wellbeing. A WeCovr specialist or trusted broker partner can help compare the market to find the most cost-effective small business scheme.

Scenario 3: The Highly Distributed Business (50 Remote Workers)

  • Goal: Offer a flexible health benefit that accommodates employees with very different needs and priorities across the UK.
  • Best Choice: A Cash Allowance for Individual PMI.
  • Why? This model gives ultimate flexibility. A young employee in a low-cost area might prioritise a basic policy and pocket the difference. An older employee in London with a family might top up the allowance to buy comprehensive cover. The downside is the less favourable tax treatment and lack of cover for pre-existing conditions.

More Than Just Treatment: The Modern Wellness Ecosystem

Today's private medical insurance is about far more than just paying for operations. The main PMI providers now include a rich ecosystem of wellness benefits designed to keep your employees healthy and out of hospital in the first place.

These added-value services are often included as standard with group schemes and are a major part of their appeal.

Common Value-Added Services in UK PMI

  • 24/7 Digital GP: Quick access, where available, to a GP via phone or video call, often with potentially same-day appointments. This is invaluable for busy employees and reduces time off work for minor ailments.
  • Mental Health Support: This is now a cornerstone of PMI. It can include access to telephone counselling, referrals to therapists or psychiatrists, and subscriptions to mindfulness apps like Headspace. With workplace stress and burnout being major concerns, this support is critical.
  • Physiotherapy and Musculoskeletal (MSK) Support: Many policies offer a set number of physiotherapy sessions without needing a GP referral, helping to quickly resolve back, neck, and joint pain—a leading cause of sickness absence.
  • Wellness Programmes and Discounts: This can include discounts on gym memberships, fitness trackers, and online health assessments to encourage a proactive approach to health.

WeCovr Client Benefit: As part of our commitment to holistic wellbeing, WeCovr provides clients who purchase PMI or Life Insurance with complimentary access to CalorieHero, our AI-powered calorie and nutrition tracking app. We also offer discounts on other insurance policies, helping your team build comprehensive financial and physical resilience.

Understanding the Costs and Tax Rules for Business Health Insurance

The financial side of business health insurance can seem complex, but the rules are quite clear. How you structure your offering has direct tax implications for both the business and your employees.

How Group PMI is Taxed

  • For the Business: The premiums you pay for a group PMI scheme are considered an allowable business expense. This means you can deduct the cost from your pre-tax profits, reducing your Corporation Tax bill.
  • For the Employee: The health insurance is treated as a 'benefit-in-kind'. This means the value of the premium is added to their income for tax purposes, and they may pay income tax on it. This is usually handled via an adjustment to their tax code. The employee does not pay National Insurance on the benefit.
  • Employer's National Insurance: The business must pay Class 1A National Insurance Contributions (currently 13.8%) on the total value of the premiums paid. This is reported to HMRC annually using a P11D form.

How a Cash Allowance for Individual PMI is Taxed

This model is much simpler from a tax perspective because the allowance is treated exactly like a normal salary payment.

  • For the Business: The allowance is part of your payroll costs and is an allowable business expense. You will also pay Employer's Class 1 National Insurance (13.8%) on the amount.
  • For the Employee: The cash allowance is added to their gross pay. They may pay standard Income Tax and Employee's National Insurance contributions on it through PAYE.

This difference in National Insurance treatment is a key reason why, from a pure tax-efficiency standpoint, a group scheme can sometimes be more advantageous than a cash allowance, despite the P11D administration.

How to Choose the Right Path: Partnering with a PMI Broker

Navigating the private medical insurance UK market alone can be overwhelming. The terminology is complex, the providers are numerous, and the policy details are intricate. This is where a regulated, WeCovr specialist or one of our broker partners provides immense value.

Partnering with us means you get:

  1. Expert, Unbiased Advice: As an insurance broker, our duty is to you, our client. We listen to your business goals, budget, and team demographics to recommend the right approach—be it a group scheme or guidance on a cash allowance model.
  2. Panel-based Comparison: We have access to policies and rates from all the UK's leading health insurers, including Aviva, Bupa, AXA Health, and Vitality. We do the shopping around so you don't have to.
  3. Clarity and Simplicity: We translate the jargon and present your options in a clear, easy-to-understand format. We'll explain the difference between moratorium and MHD in plain English, ensuring you make a confident decision.
  4. Hassle-Free Implementation: Once you've chosen a policy, we handle the application and setup process, saving you valuable administrative time. We remain on hand to support you with renewals, claims queries, and adding new staff to your scheme.

Best of all, our service comes at no extra cost to you. We are paid a commission by the insurer you choose, so you get expert guidance without adding to your bottom line.


Can I cover pre-existing conditions with business health insurance?

Generally, individual policies and smaller group schemes exclude pre-existing conditions. However, larger group PMI schemes (typically for 20+ employees) can be set up on a 'Medical History Disregarded' (MHD) basis. This is a powerful benefit where the insurer agrees to cover eligible acute conditions, even if they are related to a pre-existing medical issue. For smaller schemes, 'Moratorium' underwriting may eventually cover past conditions after a claim-free and symptom-free period of two years.

How many employees do I need for a group PMI scheme?

You can start a group private medical insurance scheme with as few as two employees (in some cases, one, for a director). However, the most attractive benefits, such as Medical History Disregarded underwriting, typically become available once your group size reaches around 20 members. The more employees you have, the more competitive the pricing becomes.

Is dental and optical cover included in private medical insurance?

Standard private medical insurance in the UK does not typically include routine dental check-ups, hygienist visits, or eye tests. These are usually available as optional add-ons to a core PMI policy for an additional premium. Some policies may cover major dental surgery required as part of an inpatient hospital stay, but routine care is almost always an extra.

What happens to an employee's health cover if they leave the company?

When an employee leaves a company with a group PMI scheme, their cover under that scheme ceases. However, most insurers offer a 'leaver option'. This allows the individual to continue their health insurance on a personal policy without needing to go through medical underwriting again. They will be offered a new individual premium, which is typically higher than the group rate they enjoyed previously, but it ensures their continuity of cover.

Ready to build a healthier, more resilient team? The right health insurance strategy is a cornerstone of a modern, caring business.

Contact the WeCovr team — and, where appropriate, our broker partners — today for a free, no-obligation chat about your business needs. We'll compare the market and provide expert, tailored advice to help you find a suitable option for your circumstances.

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.

Get Quote
Compare private health insurance

Compare private health insurance quotes from leading UK insurers

Answer a few quick questions and a specialist from WeCovr or one of its broker partners will help you compare cover from insurers such as Bupa, AXA, Aviva and Vitality. No obligation.

Get My Health Insurance QuoteNot sure yet? Check your protection score

Takes about 2-3 minutes

Compare cover from leading UK insurers

No obligation to buy

📚 Recommended reads

Best Private Health Insurance UK 2026

Read

Average Cost of PMI (UK)

Read

PMI Provider Reviews

Read

Get a quote

Get a private health insurance quote

Answer a few questions, then a specialist helps you compare cover and prices.

1

Tell us who needs cover

Just you, a partner, your family or your staff.

2

Compare your options

A specialist compares cover and prices from leading UK insurers.

3

Decide in your own time

There is no obligation to buy.

What you get

A specialist from WeCovr or one of its broker partners

Options compared across leading UK insurers

No obligation to buy


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!