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Health Insurance Excess vs Co Pay How to Reduce Your Premium by 40

Choosing the right private medical insurance (PMI) in the UK can feel like a balancing act between comprehensive cover and affordable premiums. At WeCovr, an insurance broker that has helped arrange over 1,000,000 policies, we know the secret isn't just what you cover, but how you share the cost.

Last updated Oct 29, 2026

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TL;DR

Choosing the right private medical insurance (PMI) in the UK can feel like a balancing act between comprehensive cover and affordable premiums. At WeCovr, an insurance broker that has helped arrange over 1,000,000 policies, we know the secret isn't just what you cover, but how you share the cost. Understanding the difference between an excess and a co-pay is the single most powerful tool you have to reduce your premium, sometimes by as much as 40%.

Key takeaways

  • Illustrative estimate: For claims below 2,000, the co-pay option is cheaper. You pay a smaller contribution.
  • Illustrative estimate: For claims above 2,000, the fixed 500 excess becomes significantly cheaper because your contribution is capped at 500, whereas the co-pay contribution rises until it hits its own cap (in this case, 1,000).
  • Excess/Co-Pay: Choose the level of shared cost you're comfortable with.
  • Hospital List: Most insurers offer a discount of 15-20% if you agree to use a curated network of high-quality, cost-effective private hospitals rather than having unrestricted choice.
  • The 6-Week Wait Option: This popular option means your PMI will only cover in-patient treatment if the waiting time for that treatment on the NHS is longer than six weeks. As NHS waiting lists for elective surgery remain long, this option often provides cover when you need it while delivering a solid premium discount.

Choosing the right private medical insurance (PMI) in the UK can feel like a balancing act between comprehensive cover and affordable premiums. At WeCovr, an insurance broker that has helped arrange over 1,000,000 policies, we know the secret isn't just what you cover, but how you share the cost. Understanding the difference between an excess and a co-pay is the single most powerful tool you have to reduce your premium, sometimes by as much as 40%.

This guide breaks down the maths, showing you precisely when a fixed excess is more economical than a percentage-based co-payment, empowering you to make the smartest choice for your health and your wallet.

Health Insurance Excess vs Co Pay How to Reduce Your Premium By

In the world of private health insurance, "shared responsibility" is the principle that you and your insurer share the cost of your treatment. This is the mechanism that makes premiums affordable. By agreeing to pay a portion of any claim, you demonstrate to the insurer that you will only claim when necessary, which reduces their overall risk and, in turn, lowers your monthly or annual premium.

The two primary ways to share this cost are through an excess and a co-pay (often called co-insurance).

  • Excess (illustrative): A fixed amount of money (e.g., £500) you agree to pay towards a claim.
  • Co-pay: A percentage of the total claim cost (e.g., 25%) you agree to pay.

The critical question is: which one saves you more money, both on your premium and if you need to claim? Let's run the numbers.

Imagine your standard premium is £1,200 per year. You are offered two options for a significant discount: (illustrative estimate)

  1. Option A (illustrative): A £500 excess, which reduces your premium by 25% to £900 per year.
  2. Option B (illustrative): A 25% co-pay (capped at £1,000 per claim), which reduces your premium by 35% to £780 per year.

Instantly, the co-pay option gives you a cheaper premium. But what happens when you actually make a claim?

Cost Scenario Analysis: Excess vs. Co-Pay

This table shows your total out-of-pocket cost (your contribution + your annual premium) under different claim scenarios.

Treatment CostOption A: £500 ExcessOption B: 25% Co-payCheaper Option
Claim AmountYour ContributionYour Contribution
£1,000£500£250Co-pay
£2,000£500£500Identical
£5,000£500£1,000 (capped)Excess
£10,000£500£1,000 (capped)Excess
£25,000£500£1,000 (capped)Excess
Total Annual Cost(Contribution + £900 Premium)(Contribution + £780 Premium)
£1,000 Claim£1,400£1,030Co-pay
£2,000 Claim£1,400£1,280Co-pay
£5,000 Claim£1,400£1,780Excess
£10,000 Claim£1,400£1,780Excess

The Break-Even Point:

As the table clearly shows, the break-even point for the claim itself is £2,000. (illustrative estimate)

  • Illustrative estimate: For claims below £2,000, the co-pay option is cheaper. You pay a smaller contribution.
  • Illustrative estimate: For claims above £2,000, the fixed £500 excess becomes significantly cheaper because your contribution is capped at £500, whereas the co-pay contribution rises until it hits its own cap (in this case, £1,000).

Key Insight: Choosing a co-pay is a calculated gamble. You secure a lower premium, betting that any claims you make will be for smaller, less expensive procedures like diagnostic tests or a few specialist consultations. If you need major surgery (e.g., a knee replacement costing £15,000), the fixed excess policy would have saved you £500 on the claim itself. (illustrative estimate)

What is a Health Insurance Excess? A Deep Dive

An excess is the most common form of cost-sharing in UK private medical insurance. It's a pre-agreed, fixed amount you contribute towards the cost of treatment before the insurer pays the rest.

How it Works:

  • Illustrative estimate: You select an excess level when you buy your policy (e.g., £0, £100, £250, £500, £1,000).
  • The higher your chosen excess, the lower your premium.
  • The excess is typically applied either per policy year or per claim. This is a crucial distinction.
    • Per Policy Year: You pay the excess only once per year, regardless of how many separate claims you make. This is generally more favourable.
    • Per Claim: You must pay the excess for each new, unrelated condition you claim for within the policy year.

The Impact of Excess on Your Premium

Choosing an excess is one of the quickest ways to manage your PMI cost. The savings are substantial and predictable.

Excess LevelTypical Premium Reduction (Approx.)Who is it for?
£00%Those wanting maximum peace of mind with no claim-time costs.
£100 - £25010% - 20%A good balance for moderate savings without a large out-of-pocket hit.
£50020% - 30%A popular choice for healthy individuals seeking significant premium savings.
£1,000+30% - 40%Best for those who see PMI as protection against major costs only.

Insider Adviser Tip: Many clients initially favour a £0 excess but are often surprised to learn they could potentially save £300-£400 a year by opting for a £250 excess. Over a 5-year period, that's a saving of up to £2,000. It's often worth self-insuring for that first small portion of a claim.

What is a Health Insurance Co-Pay? The Percentage Play

A co-pay, or co-insurance, is where you agree to pay a set percentage of every claim, not a fixed amount. Common options in the UK market are 10%, 20%, or 25%.

How it Works:

  • You choose a percentage (e.g., 20%) when setting up your policy.
  • For any claim, the insurer pays 80%, and you pay 20%.
  • Crucially, most UK insurers cap the co-pay amount. For example, a 25% co-pay might be capped at £1,000 per member, per policy year. This is a vital safety net that prevents your contribution from spiralling on very large claims. Without a cap, a 25% co-pay on a £100,000 cancer treatment claim would be an unaffordable £25,000.

Why Choose a Co-pay? The primary motivation is the premium discount, which is often greater than the discount for a mid-range excess.

  • Best for: Individuals who expect to make infrequent or low-cost claims (e.g., for diagnostics or consultations).
  • Riskier for: Those concerned about the cost of major, complex surgery or lengthy cancer treatments, where the percentage-based contribution can quickly reach its cap.

Some insurers, like Vitality and The Exeter, have popularised co-pay models by integrating them cleverly into their product structures, offering significant upfront premium reductions.

Get a quote through WeCovr, and a specialist from WeCovr or one of its broker partners will help you compare policies from a range of UK insurers.

How to Reduce Your Premium by 40%: The Layering Strategy

Achieving a 40% or even 50% reduction in your PMI premium is rarely about a single choice. It’s about intelligently layering several cost-sharing and policy-limiting options together. An expert broker can be invaluable here, but here is the strategy laid bare.

Let's assume a baseline premium for a comprehensive policy for a 40-year-old is £100 per month (£1,200 per year). (illustrative estimate)

StepActionPremium ImpactNew Monthly Premium
1Baseline Premium-£100
2Add a £500 Excess-25%£75
3Limit Hospital List (to a "Guided" or "Expert Select" network)-15%£63.75
4Add a 6-Week Wait Option (PMI only pays if NHS wait is > 6 weeks)-10%£57.38

Total Reduction: £42.62 per month, or a 42.6% saving.

In this scenario, by combining three key strategies, the annual premium drops from £1,200 to just £688. This transforms PMI from a significant expense into a much more manageable financial safety net.

Your main cost-saving levers are:

  1. Excess/Co-Pay: Choose the level of shared cost you're comfortable with.
  2. Hospital List: Most insurers offer a discount of 15-20% if you agree to use a curated network of high-quality, cost-effective private hospitals rather than having unrestricted choice.
  3. The 6-Week Wait Option: This popular option means your PMI will only cover in-patient treatment if the waiting time for that treatment on the NHS is longer than six weeks. As NHS waiting lists for elective surgery remain long, this option often provides cover when you need it while delivering a solid premium discount.
  4. Underwriting: While not a direct cost-sharing tool, choosing Moratorium underwriting over Full Medical Underwriting can affect your premium and claim process. A WeCovr adviser can explain the right fit for your circumstances.

Critical Information: What UK PMI Does Not Cover

It is essential to understand the limitations of private medical insurance in the UK. No policy covers everything. Standard UK PMI 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.

UK private health cover does not typically cover:

  • Pre-existing conditions: Any medical condition you had signs or symptoms of, or sought advice for, before your policy began.
  • Chronic conditions: Long-term conditions that cannot be cured, only managed. This includes diabetes, asthma, high blood pressure, and most forms of arthritis. Your GP and the NHS remain your primary carers for chronic illness.
  • Emergencies: A&E visits, ambulance services, and immediate life-threatening situations are handled by the NHS.
  • Normal pregnancy and childbirth.
  • Cosmetic surgery (unless for reconstructive purposes after an accident or eligible surgery).
  • Mental health treatment (this is often an optional add-on and may have specific limits).

PMI is a complement to the NHS, not a replacement for it. It provides you with choice, speed of access, and comfort for eligible, non-emergency conditions.

The UK market is home to several excellent insurers, each with a unique approach to excesses, co-pays, and policy structure.

  • Bupa: A household name, often offering straightforward excess options and extensive hospital networks.
  • AXA Health: Known for its flexible policies and strong focus on customer support through its claims process.
  • Aviva: A major player with competitive pricing and a "guided" hospital option called Expert Select that offers significant savings.
  • Vitality: Famous for its wellness-oriented approach, rewarding healthy living with premium discounts and other perks. Their co-pay options are a core part of their product design.
  • The Exeter: A friendly society known for its flexible underwriting and clear policy language, particularly popular with self-employed individuals.

Comparing these providers' subtle differences in how they apply an excess (per year vs. per claim) or cap a co-pay is almost impossible without specialist knowledge. A WeCovr specialist or one of our broker partners can compare the available market in minutes, finding the policy that truly matches your budget and health priorities, with no separate broker fee.

As a WeCovr client, you also get complimentary access to our AI-powered calorie and nutrition tracking app, CalorieHero, and can benefit from discounts on other insurance products like life or income protection cover.

Get a quote through WeCovr, and a specialist from WeCovr or one of its broker partners will help you compare policies from a range of UK insurers.

Your Final Checklist: Excess or Co-Pay?

To decide which is right for you, ask yourself these three questions:

  1. What is my risk tolerance?

    • Low Risk Tolerance: You prefer predictable costs. Choose a fixed excess. You'll know exactly what you have to pay if you claim, helping reduce exposure to large, unexpected bills.
    • Higher Risk Tolerance: You're comfortable with some variability to get a lower premium. A co-pay could be a great choice, especially if you're young and healthy.
  2. What kind of claim am I most likely to make?

    • Minor Claims: If you mainly want cover for diagnostics, consultations, or minor procedures, a co-pay will likely be cheaper overall.
    • Major Claims: If your main fear is the cost of major surgery or cancer care, a fixed excess offers better financial protection for large claims.
  3. How much can I afford to pay at the point of a claim?

    • Illustrative estimate: Be realistic. Don't choose a £1,000 excess if finding that money would be a major struggle. It's better to have a slightly higher premium with a £250 excess you can comfortably afford.

Ultimately, the best strategy is a personalised one. The maths shows there isn't a single "best" answer, only the best answer for you.

Ready to find out exactly how much you could save? An expert adviser can run these calculations for you in real-time, tailoring a quote that gives you the best of both worlds: robust protection and an affordable premium.

Get your free, no-obligation quote from WeCovr today and let us help you build the perfect health insurance plan.


Can I have both an excess and a co-pay on my health insurance policy?

Yes, some UK health insurers allow you to combine both an excess and a co-pay on the same policy. This is an advanced strategy to achieve the maximum possible premium discount. For example, you might have a £250 excess and then also pay 10% of the remaining claim cost. This significantly reduces the insurer's risk and therefore your premium, but increases your potential out-of-pocket costs, so it should be chosen with care.

Do I pay the health insurance excess for every single consultation?

Generally, no. How an excess is applied depends on your policy's terms. If your excess is "per policy year," you pay it towards the first eligible claim(s) of that year until the total is met. After that, all further claims in that year are paid in full by the insurer. If it's "per claim," you'd pay it for each new, unrelated medical condition. Even then, a 'claim' usually bundles together the consultation, diagnostics, and treatment for a single condition, not each individual appointment.

Is a higher excess always one effective way to manage costs on PMI?

A higher excess is one of the most effective ways to lower your premium, but it isn't always the "best" way for everyone. It's a trade-off between short-term savings (lower premium) and long-term risk (higher cost if you claim). If a £1,000 excess makes the policy affordable for you, it can be an excellent choice. However, if that amount would cause financial hardship, a smaller excess combined with other cost-saving measures, like a guided hospital list or a 6-week wait option, might be a more balanced and sustainable approach.

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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