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Health Coverage Calculator UK Budget Mid Tier and Comprehensive Plans

As an insurance broker that has arranged over 1,000,000 policies, WeCovr understands that navigating the world of private medical insurance in the UK can feel complex. This guide acts as your personal health coverage calculator, breaking down costs and benefits across different plans to help you find the right fit.

Last updated Oct 7, 2026

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TL;DR

As an insurance broker that has arranged over 1,000,000 policies, WeCovr understands that navigating the world of private medical insurance in the UK can feel complex. This guide acts as your personal health coverage calculator, breaking down costs and benefits across different plans to help you find the right fit.

Key takeaways

  • In-patient and Day-patient Treatment: This is the core of any PMI policy. It covers costs if you are admitted to a hospital bed overnight (in-patient) or for a planned procedure during the day (day-patient). This includes surgery fees, hospital accommodation, and nursing care.
  • Cancer Cover: Most basic plans include comprehensive cancer cover, covering surgery, chemotherapy, and radiotherapy. This is a significant reason many people take out PMI.
  • Your Age: This is the single biggest factor. As we get older, the statistical likelihood of needing medical treatment increases. Premiums are therefore significantly lower for a 25-year-old than for a 55-year-old.
  • Your Location: Healthcare costs vary across the UK. Treating a patient in a private hospital in central London is more expensive than in a hospital in Manchester or rural Wales. Insurers have "hospital lists" based on postcodes, with London postcodes attracting the highest premiums.
  • Your Lifestyle: Most insurers will ask if you smoke or use nicotine products. Smokers present a higher health risk and will always pay more for cover.

As an insurance broker that has arranged over 1,000,000 policies, WeCovr understands that navigating the world of private medical insurance in the UK can feel complex. This guide acts as your personal health coverage calculator, breaking down costs and benefits across different plans to help you find the right fit.

Estimate costs across three coverage tiers to match your needs and budget

Deciphering private medical insurance (PMI) quotes can feel like learning a new language. How much should you be paying? What level of cover is truly necessary? This article demystifies the process, helping you estimate potential costs for budget, mid-tier, and comprehensive health plans in the UK.

Understanding these tiers is the first step toward securing peace of mind and timely access to medical care, tailored perfectly to your circumstances and finances.

What is Private Medical Insurance (PMI)?

Private Medical Insurance, often called private health cover, is a type of insurance policy designed to cover the costs of private medical treatment for specific health conditions. It works alongside the NHS, offering you more choice and flexibility when you need it most.

Think of it as a way to bypass long waiting lists for eligible treatments, giving you access to:

  • Faster diagnosis and treatment
  • A choice of specialist consultants and surgeons
  • A selection of high-quality private hospitals
  • A private, comfortable room during your hospital stay

It’s about gaining control over your healthcare journey, ensuring you get the care you need, when and where you want it.

The Golden Rule: Acute vs. Chronic Conditions

Before we delve into costs, it is crucial to understand a fundamental principle of the UK PMI market.

Private medical insurance is designed to cover acute conditions that arise after you take out your policy.

  • An acute condition is a disease, illness, or injury that is likely to respond quickly to treatment and lead to a full recovery. Examples include joint replacements, cataract surgery, or treatment for hernias.
  • A chronic condition is a long-term illness that cannot be cured but can be managed with medication, therapy, or lifestyle changes. Examples include diabetes, asthma, arthritis, and high blood pressure.

Standard UK PMI policies do not cover the ongoing management of chronic conditions. They also do not cover pre-existing conditions you had before your policy began. This is why it complements the NHS, which provides excellent care for chronic and emergency conditions.

The Three Tiers of Health Coverage Explained

UK private health cover isn't a one-size-fits-all product. Insurers typically structure their policies into three distinct tiers, allowing you to balance the level of coverage with your budget.

1. Budget (Basic) Plans: The Essentials Covered

A budget or basic plan is the most affordable entry point into private healthcare. It provides a crucial safety net for significant medical events, focusing primarily on the most expensive aspects of treatment.

What's typically included?

  • In-patient and Day-patient Treatment: This is the core of any PMI policy. It covers costs if you are admitted to a hospital bed overnight (in-patient) or for a planned procedure during the day (day-patient). This includes surgery fees, hospital accommodation, and nursing care.
  • Cancer Cover: Most basic plans include comprehensive cancer cover, covering surgery, chemotherapy, and radiotherapy. This is a significant reason many people take out PMI.

Who is it for? A budget plan is ideal for individuals who are happy to use the NHS for initial diagnostics and consultations but want peace of mind that they may be covered for major surgical procedures, avoiding lengthy NHS waiting lists for operations like hip replacements or heart surgery.

Mid-tier plans are the most popular option in the UK, offering a superb balance between comprehensive coverage and affordability. They include everything from a budget plan and add valuable out-patient benefits.

What's typically included?

  • All Budget Plan Benefits: Full in-patient and day-patient cover.
  • Out-patient Diagnostics (illustrative): This covers tests to find out what's wrong, such as MRI scans, CT scans, and blood tests, up to a set financial limit (e.g., £1,000 per year).
  • Out-patient Consultations: Covers the cost of seeing a specialist consultant before and after your treatment.
  • Therapies: May include a limited number of sessions for treatments like physiotherapy or osteopathy after surgery.

Who is it for? This plan suits those who want to speed up the entire patient journey, from diagnosis to recovery. If you're concerned about waiting times not just for surgery, but also for the scans and specialist appointments needed beforehand, a mid-tier plan is an excellent choice.

3. Comprehensive (Premium) Plans: The Ultimate Peace of Mind

As the name suggests, a comprehensive plan offers the highest level of private health cover available. It aims to cover almost every aspect of your private medical journey, with fewer limits and more extensive benefits.

What's typically included?

  • All Mid-Tier Plan Benefits: Often with much higher or unlimited financial limits for out-patient care.
  • Full Therapies Cover: Extensive cover for physiotherapy, osteopathy, chiropractic treatment, and podiatry.
  • Mental Health Support: Broader cover for psychiatric treatment, therapy, and counselling sessions.
  • Dental and Optical Cover: May include routine dental check-ups, emergency dental work, and contributions towards glasses or contact lenses.
  • Alternative Therapies: Cover for treatments like acupuncture.

Who is it for? A comprehensive plan is for those who want the most complete health protection available and are prepared to pay a higher premium for it. It's for people who value convenience and want to ensure every step of their healthcare, from a bad back to major surgery, can be managed privately.

UK Health Insurance Cost Calculator: What Influences Your Premium?

Your monthly PMI premium is not a fixed number; it's a personalised calculation based on several risk factors. Understanding these allows you to see which levers you can pull to adjust the cost.

  1. Your Age: This is the single biggest factor. As we get older, the statistical likelihood of needing medical treatment increases. Premiums are therefore significantly lower for a 25-year-old than for a 55-year-old.
  2. Your Location: Healthcare costs vary across the UK. Treating a patient in a private hospital in central London is more expensive than in a hospital in Manchester or rural Wales. Insurers have "hospital lists" based on postcodes, with London postcodes attracting the highest premiums.
  3. Your Lifestyle: Most insurers will ask if you smoke or use nicotine products. Smokers present a higher health risk and will always pay more for cover.
  4. Level of Cover: As we've seen, a comprehensive plan will cost more than a budget plan because it offers more benefits.
  5. Policy Excess: An excess is the amount you agree to pay towards a claim. For example, if you have a £250 excess and your treatment costs £3,000, you pay the first £250 and the insurer pays the remaining £2,750. Choosing a higher excess (e.g., £500 or £1,000) will significantly reduce your monthly premium.
  6. Hospital List: Insurers offer different tiers of hospital access. A plan that only gives you access to local hospitals will be cheaper than one that includes premium national hospitals and those in central London.
  7. The 6-Week Wait Option: Some policies offer a cost-saving feature where if the NHS can provide the in-patient treatment you need within six weeks, you agree to use the NHS. If the waiting list is longer than six weeks, your private cover kicks in. This could reduce your premium by up to 20-30%.

Estimated Monthly PMI Costs in the UK (2025)

The tables below provide an estimated monthly cost for a healthy non-smoker, based on common market pricing. Please remember, these are for illustrative purposes only. The only way to get a precise figure is to request a personalised quote.

A PMI specialist at WeCovr or one of our broker partners can compare the available market in minutes, ensuring you get a competitive price for your chosen level of cover, with no separate broker fee.


Table 1: Estimated Monthly Premiums for a 30-Year-Old

(Based on a non-smoker with a £250 excess) (illustrative estimate)

Coverage TierEstimated Monthly Cost (National Hospitals)Estimated Monthly Cost (Incl. London Hospitals)Key Benefits Included
Budget£35 - £50£45 - £65In-patient & day-patient treatment, comprehensive cancer care
Mid-Tier£55 - £75£70 - £95All budget benefits + out-patient diagnostics & consults
Comprehensive£80 - £110£100 - £140All mid-tier benefits + therapies, dental, mental health

Table 2: Estimated Monthly Premiums for a 45-Year-Old

(Based on a non-smoker with a £250 excess) (illustrative estimate)

Coverage TierEstimated Monthly Cost (National Hospitals)Estimated Monthly Cost (Incl. London Hospitals)Key Benefits Included
Budget£50 - £70£65 - £90In-patient & day-patient treatment, comprehensive cancer care
Mid-Tier£80 - £110£100 - £140All budget benefits + out-patient diagnostics & consults
Comprehensive£120 - £160£150 - £200All mid-tier benefits + therapies, dental, mental health

Table 3: Estimated Monthly Premiums for a 60-Year-Old

(Based on a non-smoker with a £250 excess) (illustrative estimate)

Coverage TierEstimated Monthly Cost (National Hospitals)Estimated Monthly Cost (Incl. London Hospitals)Key Benefits Included
Budget£90 - £130£120 - £170In-patient & day-patient treatment, comprehensive cancer care
Mid-Tier£140 - £190£180 - £240All budget benefits + out-patient diagnostics & consults
Comprehensive£200 - £280£250 - £350All mid-tier benefits + therapies, dental, mental health

Disclaimer: These figures are estimates based on 2025 market analysis. Actual premiums will vary based on your individual circumstances, chosen insurer, and specific policy options.

Is Private Medical Insurance Worth It in the UK?

This is a personal decision, but weighing the pros and cons can help you decide.

Pros of PMI:

  • Reduce Waiting Times Compared with NHS Lists (Subject to Policy Terms): The primary driver for many. As of early 2025, NHS England figures show millions of people are waiting for routine treatment. PMI allows you to be seen and treated in weeks, not months or years.
  • Choice and Control: You can choose your specialist and the hospital where you are treated, giving you more control over your care.
  • Comfort and Privacy: Treatment is typically in a private room with an en-suite bathroom, a TV, and more flexible visiting hours.
  • Access to Specialist Drugs and Treatments: Some newer, innovative drugs or treatments may be available privately before they are approved for widespread NHS use.

Cons of PMI:

  • The Cost: It is an ongoing financial commitment, and premiums tend to rise each year with age and medical inflation.
  • The Exclusions: It does not cover everything. As stated, chronic conditions, pre-existing conditions, emergency treatment (A&E), and cosmetic surgery are standard exclusions.
  • It's Not a Replacement for the NHS: You will always need the NHS for emergency care, managing long-term conditions, and GP services.

Beyond Insurance: WeCovr’s Commitment to Your Wellbeing

We believe that true health coverage goes beyond just paying for treatment. It’s about empowering you to live a healthier life. That’s why WeCovr clients who purchase Private Medical Insurance or Life Insurance receive valuable extra benefits designed to support their overall wellbeing.

  • Complimentary Access to CalorieHero: As a WeCovr client, you'll get free access to our advanced AI-powered calorie and nutrition tracking app, CalorieHero. It's a fantastic tool to help you manage your diet, achieve fitness goals, and take proactive steps towards better health.
  • Discounts on Other Cover: We value your loyalty. When you take out a PMI policy with us, you become eligible for exclusive discounts on other types of insurance, such as life insurance or income protection, helping you build a complete financial safety net for less.

This holistic approach, combining prevention with protection, is part of our commitment to our clients.

How to Get good value from Your Private Health Cover

Finding the right private medical insurance UK has to offer is about maximising value, not just minimising cost. Here are some tips:

  1. Work with a Regulated Broker: A specialist at WeCovr or one of our broker partners has a panel-based view. We are not tied to any single insurer. Our job is to understand your needs and budget, then compare policies from well-known providers like Aviva, Bupa, AXA, and Vitality to find the ideal match. This service has no separate broker fee for you, as we are paid a commission by the insurer you choose.
  2. Tailor Your Policy: Don't pay for what you don't need. If you live far from London, remove the expensive central London hospitals from your list. If you are comfortable with a small wait, consider the 6-week option.
  3. Review Your Excess: A higher excess is one of the easiest ways to lower your premium. Consider what you could comfortably afford to pay towards a claim and set your excess accordingly.
  4. Check for Group Discounts: If you run a small business, a group PMI scheme for your employees can be significantly more cost-effective than individual policies.

Frequently Asked Questions about UK Health Coverage

What is the difference between an acute and a chronic condition?

Generally, an acute condition is a disease, illness or injury that is expected to respond quickly to treatment and from which you will make a full recovery. Examples include a broken bone, appendicitis, or a hernia. A chronic condition is a long-term illness that cannot be cured, but can be managed. Examples include diabetes, asthma, and high blood pressure. UK private medical insurance is designed to cover acute conditions, while the NHS manages chronic ones.

Will my private health insurance premium increase every year?

Yes, it is very likely your premium will increase at your annual renewal. This happens for two main reasons. Firstly, you are a year older, which moves you into a higher age-related risk bracket. Secondly, medical inflation – the rising cost of new medical technology, drugs, and hospital fees – means the potential cost of claims also increases each year. Reviewing your policy annually with a broker can help manage these increases.

Does private health insurance cover pre-existing conditions?

No, standard private medical insurance policies in the UK do not cover pre-existing conditions. A pre-existing condition is any disease, illness, or injury for which you have experienced symptoms, received medication, advice, or treatment before your policy start date. The insurance is designed to cover new, eligible conditions that arise after you join.

Can I add my family to my private health insurance policy?

Yes, absolutely. Insurers make it easy to add your partner and children to your policy. You can create a joint policy or a family policy. While this will increase the overall premium, it is often more cost-effective and convenient than taking out separate policies for each family member.

Ready to Find Your Perfect Health Plan?

Navigating the options for private health cover doesn't have to be a chore. With a clear understanding of the coverage tiers and the factors that affect your premium, you are already in a powerful position.

Let us do the heavy lifting for you. Our expert advisors at WeCovr provide free, regulated advice to help you compare the insurers on our UK panel. We'll find a policy that protects your health, respects your budget, and gives you the peace of mind you deserve.

[Get Your Free, No-Obligation Quote Today and Compare the Market in Minutes]

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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