Navigating the world of private medical insurance (PMI) in the UK can feel complex, especially after a life-changing diagnosis like cancer. As an FCA-authorised broker that has helped arrange over 800,000 policies, WeCovr understands your concerns and is here to provide clear, expert guidance on your options.
Options for securing PMI after cancer treatment, moratorium implications for cancer survivors, specialized insurers, and managing ongoing monitoring needs
A cancer diagnosis brings many questions, and one of the most common is, "Can I still get private health insurance?" The short answer is yes, it is often possible. However, the cover you can get will have important limitations. This guide will walk you through the entire process, explaining how underwriting works, what to expect, and how a policy can still provide immense value for your future health.
The First Principle of UK PMI: Understanding Pre-existing and Chronic Conditions
Before we dive into the specifics of cancer, it's vital to grasp the fundamental rule of the UK private health insurance market.
PMI is designed to cover acute conditions that arise after you take out your policy.
- Acute Condition: A disease, illness, or injury that is likely to respond quickly to treatment and lead to a full recovery. Think of conditions like a hernia, appendicitis, or a joint injury.
- Chronic Condition: A disease, illness, or injury that has one or more of the following characteristics: it needs ongoing or long-term monitoring, it requires control or relief of symptoms, it has no known cure, or it is likely to recur. Diabetes, asthma, and high blood pressure are common examples.
Insurers consider cancer, even when in remission, to be a pre-existing and often chronic condition due to the need for long-term monitoring and the possibility of recurrence. Therefore, any new private health cover you take out will not cover the cancer you've been diagnosed with, its treatment, or its ongoing monitoring.
Despite this, a PMI policy can still be an incredibly worthwhile investment, providing fast access to diagnosis and treatment for a vast range of new, unrelated medical issues you may face in the future.
Why is it Challenging to Get Health Insurance After Cancer?
Insurers work by assessing risk. A history of a serious illness like cancer signals a higher potential risk of future health complications, not just related to the cancer itself but sometimes from the side effects of treatment.
From an insurer's perspective:
- There is a risk the cancer could return.
- There is a risk of secondary cancers developing.
- Past treatments (like chemotherapy or radiotherapy) can sometimes lead to other health issues later in life.
Because of this increased risk, insurers will always place an "exclusion" on your policy for cancer and any related conditions. This is standard practice across the industry. The key is to understand what this exclusion means for you and to find a policy that still offers robust protection for everything else.
Your Underwriting Options: The Gateway to Cover
When you apply for PMI, the insurer will "underwrite" your application. This is the process they use to assess your health and decide what they can and cannot cover. For someone with a history of cancer, there are two main paths.
1. Full Medical Underwriting (FMU)
This is the most transparent option.
- How it works: You complete a detailed health questionnaire, declaring your entire medical history, including your cancer diagnosis, dates of treatment, and current status (e.g., in remission, having check-ups).
- The outcome: The insurer reviews your information and issues a policy with specific, named exclusions written into your policy documents. For example, it might state, "We will not cover any claims relating to breast cancer, its symptoms, treatment, or related complications."
- Pros: You know from day one, with 100% certainty, exactly what is and isn't covered. There are no grey areas.
- Cons: The application process is more involved. It can be emotionally taxing to revisit your medical history in detail.
2. Moratorium Underwriting
This is a more common and simpler approach, but its rules can be complex for cancer survivors.
- How it works: You don't declare your medical history upfront. Instead, the policy automatically excludes any condition for which you have had symptoms, treatment, or advice in the 5 years before your policy started.
- The "2-Year Rule": An exclusion can be lifted, but only if you go for a continuous 2-year period after your policy begins without experiencing any symptoms, needing any treatment, or seeking any medical advice for that specific condition.
- The Crucial Implication for Cancer: This is where it gets tricky. For a cancer survivor, "medical advice" or "treatment" includes:
- Routine check-ups with an oncologist.
- Annual or biennial scans (e.g., mammograms, CT scans).
- Prescription medication to reduce the risk of recurrence (e.g., Tamoxifen, Letrozole).
- Consultations about a symptom, even if it turns out to be nothing.
Because most cancer survivors have some form of follow-up care for at least 5-10 years post-treatment, it is highly unlikely they will be able to satisfy the 2-year "clear" period. This means that under a moratorium policy, the exclusion for cancer will almost certainly be permanent.
Comparison: FMU vs. Moratorium After Cancer
| Feature | Full Medical Underwriting (FMU) | Moratorium Underwriting |
|---|
| Application Process | Detailed health questionnaire required. | No health questions at the start. |
| Clarity of Cover | Very clear. Exclusions are named in your policy documents from day one. | Can be uncertain. You may not know if a condition is covered until you claim. |
| Cancer Exclusion | The cancer and related conditions will be explicitly and permanently excluded. | The cancer is automatically excluded. This exclusion is effectively permanent due to ongoing monitoring. |
| Best For... | Someone who wants absolute certainty about what their policy covers and doesn't mind a longer application. | Someone who wants a quicker application and understands the limitations, particularly regarding the pre-existing cancer. |
For most people post-cancer, Full Medical Underwriting is the recommended path. It provides upfront clarity and avoids any potential disputes or disappointments when you need to make a claim. An expert PMI broker like WeCovr can guide you through the FMU process to ensure it's as smooth as possible.
What Can a PMI Policy Cover After a Cancer Diagnosis?
This is the most important question. While the cancer itself is excluded, a private medical insurance policy opens the door to prompt, high-quality care for a huge range of other health concerns.
Your policy is there to protect you from the unexpected. Here are just a few examples of new, acute conditions that would typically be covered:
- Diagnostics for New Symptoms: Fast access to MRI, CT, and PET scans to investigate a new pain or lump (provided it's not suspected to be related to your previous cancer).
- Joint and Muscle Problems: Consultation with a specialist and treatment for arthritis, a torn ligament, or back pain. This can include physiotherapy and joint replacement surgery (e.g., hip or knee replacement).
- Heart Conditions: Seeing a cardiologist quickly for new symptoms, including investigations and potential surgery.
- Digestive Issues: Access to a gastroenterologist for conditions like gallstones or hernias.
- Common Surgeries: Procedures like cataract surgery, varicose vein removal, and wisdom tooth extraction.
- Mental Health Support: Many policies include access to therapy and counselling, which can be invaluable for managing the emotional impact of a serious illness.
Table: Example of Cover on a New PMI Policy for a Cancer Survivor
| Condition / Situation | Likely Covered by a New PMI Policy? | Why? |
|---|
| Annual mammogram after breast cancer | No | This is routine monitoring for a pre-existing condition. |
| Knee pain from a new running injury | Yes | This is a new, acute condition unrelated to the cancer. |
| Consultation for a lump in the other breast | Maybe (initially) | Diagnostics to determine the cause would likely be covered. If it's a new primary cancer, it may be covered. If it's a recurrence, it won't be. |
| Prescription for Tamoxifen | No | This is part of the ongoing treatment/prevention for the pre-existing cancer. |
| Hernia repair surgery | Yes | This is a standard acute condition covered by PMI. |
| Mental health support for anxiety | Yes (on most plans) | Many modern PMI policies include a set number of therapy sessions for mental wellbeing. |
The Role of a Specialist PMI Broker
Trying to navigate the insurance market alone after a cancer diagnosis can be stressful and disheartening. This is where an independent broker becomes your greatest asset.
An FCA-authorised broker like WeCovr works for you, not the insurance companies. Here's how we help:
- Market Knowledge: We know the underwriting stances of all the major UK insurers. We know which providers are more likely to offer favourable terms and can save you from applying to ones that will simply decline.
- Expert Guidance: We can explain the pros and cons of moratorium vs. full medical underwriting for your specific situation, ensuring you make an informed choice.
- Application Support: We help you complete the application forms accurately, presenting your medical history in the clearest way to the insurer. This minimises back-and-forth and speeds up the process.
- No Cost to You: Our service is free. We receive a commission from the insurer if you decide to proceed, but the premium you pay is the same as if you went direct.
- Ongoing Support: We are here for you at renewal or if you have questions about your policy, ensuring you always have the best private health cover for your needs.
Are There "Specialist" Insurers for Cancer Survivors?
In the UK, there are no mainstream private medical insurance providers that specialise solely in covering people with a history of cancer. Standard underwriting rules will apply across the board with providers like Bupa, AXA Health, Aviva, and Vitality.
However, the way each insurer interprets your medical information can differ slightly. Some may apply a broader "cancer exclusion," while others might be more specific. This is another reason why using a broker is so beneficial; they can find the insurer with the most favourable and precise wording for your exclusion.
The Best Route: Group Health Insurance
If you have the opportunity to join a company health insurance scheme through your employer, this is often the single best way to get comprehensive cover. Many group schemes, particularly for larger companies, are set up on a "Medical History Disregarded" (MHD) basis.
MHD underwriting does exactly what it says: it disregards your previous medical history. This means your cancer history would be covered, just like any other illness. If changing jobs is a possibility, actively look for employers who offer a group PMI scheme as part of their benefits package.
Enhancing Your Wellbeing: The Added Benefits of PMI
Modern private medical insurance UK policies are about more than just hospital treatment. They are increasingly focused on proactive health and wellbeing, offering a suite of benefits that are particularly valuable for anyone focused on their health post-cancer.
- Digital GP Services: Get a 24/7 video or phone consultation with a private GP, often within hours. This is perfect for quick advice and prescriptions without waiting for an NHS appointment.
- Mental Health Support: Access to telephone counselling or a set number of face-to-face therapy sessions can provide crucial support for your mental and emotional recovery.
- Wellness Programmes: Many insurers, like Vitality, reward you for healthy living. You can get discounts on gym memberships, fitness trackers, and healthy food for staying active.
- Nutrition and Diet Support: At WeCovr, we provide our health and life insurance clients with complimentary access to CalorieHero, our AI-powered calorie and nutrition tracking app. Maintaining a healthy diet is a cornerstone of wellness and recovery, and this tool makes it simple and easy.
Furthermore, when you purchase a policy through WeCovr, you can often benefit from discounts on other essential protection, such as life insurance or income protection.
Managing Your Health Journey: Diet, Activity, and Travel
Living well after cancer treatment is a priority. Your PMI policy can support this, but it's part of a bigger picture.
- Diet: Focus on a balanced diet rich in fruits, vegetables, lean proteins, and whole grains. This can help with energy levels, recovery, and overall health. Using an app like CalorieHero can help you stay on track.
- Activity: Gentle, regular exercise, as approved by your medical team, is proven to improve both physical and mental health. This could be walking, swimming, yoga, or pilates.
- Sleep: Prioritise good sleep hygiene. Aim for 7-9 hours per night to allow your body to repair and recharge.
- Travel: Getting away is important for wellbeing, but travel insurance is essential. You must declare your cancer diagnosis to your travel insurer. Standard policies may not cover you, so look for specialist providers who cover pre-existing medical conditions. A broker can also help with this.
Frequently Asked Questions (FAQs)
Do I have to declare my cancer diagnosis when applying for health insurance?
Yes, you absolutely must. If you choose Full Medical Underwriting, you will declare it on the application form. If you choose Moratorium underwriting, you don't declare it upfront, but the condition is automatically excluded. Failing to disclose a condition when asked is known as 'non-disclosure' and could invalidate your entire policy, not just claims related to the cancer. Honesty is always the best policy.
Will my PMI premiums be much higher because I've had cancer?
Not necessarily. Because the insurer will exclude the cancer and any related conditions from cover, they are no longer taking on the risk for that specific illness. Therefore, your premium will be based on your age, location, and the level of cover you choose, just like anyone else. It should not be "loaded" or increased simply because of your cancer history.
Can I get health insurance if I am still having check-ups or taking preventative medication?
Yes, you can. You can apply for a policy at any point. However, these ongoing check-ups, scans, and medications will confirm the cancer as a pre-existing condition, and it will be excluded from your new policy. The policy will be there to cover you for new, unrelated health problems that may arise in the future.
What happens if I get diagnosed with a completely new, different type of cancer?
This is a nuanced area and depends on the specific wording of your exclusion. If the exclusion is very specific (e.g., "prostate cancer"), then a new, unrelated primary cancer (e.g., "bowel cancer") might be covered. If the exclusion is broad (e.g., "cancer"), it may not be. This is a key reason why working with a broker to get the clearest possible terms with Full Medical Underwriting is so important.
Your Next Step to Peace of Mind
Securing private medical insurance after a cancer diagnosis is a positive step towards protecting your future health. While your policy will not cover your pre-existing cancer, it provides a vital safety net for a wide range of other conditions, giving you fast access to specialists, diagnostics, and treatment when you need it most.
The market can seem daunting, but you don't have to navigate it alone. The expert, friendly team at WeCovr is here to provide no-obligation advice, compare the UK's leading insurers, and find the right policy for you, at no cost.
Contact WeCovr today for a free, confidential chat and let us help you secure the peace of mind you deserve.