When you're self-employed, your health isn't just personal—it's your business's most critical asset. At WeCovr, an FCA-authorised broker that has helped arrange over 800,000 policies, we understand that waiting for treatment means lost income. This guide explores private medical insurance in the UK, designed specifically for you.
WeCovr's complete 2025 guide for freelancers, contractors, and sole traders
Being your own boss offers incredible freedom, but it also comes with unique responsibilities. Unlike traditional employment, there's no sick pay, no employer-funded health plan, and no one to cover for you when you're unwell. Every day you're unable to work is a day of lost earnings.
This is where private medical insurance (PMI) becomes an essential tool for the modern self-employed professional in the UK. It's not a luxury; it's a strategic investment in your continuity and peace of mind.
Why is Health Insurance So Crucial for the Self-Employed?
For the UK's 4.25 million self-employed individuals (ONS, 2023), time is literally money. An unexpected illness or injury can have a devastating financial impact. While we are all incredibly fortunate to have the NHS, it is facing unprecedented pressures.
- NHS Waiting Lists: As of early 2025, the NHS referral to treatment (RTT) waiting list in England remains substantial, with millions of cases waiting to start treatment. The median waiting time can be several months, a period most freelancers simply cannot afford to be out of action.
- No Statutory Sick Pay: If you're a sole trader or freelancer, you are not entitled to Statutory Sick Pay (SSP). While you might be eligible for Employment and Support Allowance (ESA), it is often not enough to cover business and personal overheads.
- Protecting Your Income: Private health cover gives you faster access to specialists, diagnostic tests, and treatment. This means a quicker diagnosis, a faster recovery, and a speedier return to your clients and your income stream.
Think of it this way: a few months of waiting for a routine operation like a hernia repair or knee surgery could cost you thousands in lost earnings, far exceeding the annual cost of a PMI policy.
What is Private Medical Insurance (and What Isn't It)?
In simple terms, private medical insurance is a policy you pay for that covers the costs of private healthcare for specific conditions. Its primary purpose is to work alongside the NHS, allowing you to bypass waiting lists for eligible treatments.
The most critical thing to understand is that UK private medical insurance 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. Examples include joint pain requiring surgery, cataracts, hernias, or specific diagnostic procedures.
- Chronic Condition: A disease, illness, or injury that has one or more of the following characteristics: it needs long-term monitoring, has no known cure, is likely to recur, or requires ongoing management. Examples include diabetes, asthma, arthritis, and high blood pressure.
Crucially, standard private medical insurance in the UK does not cover chronic conditions or pre-existing conditions. A pre-existing condition is any ailment you had symptoms of, or received advice or treatment for, before your policy began.
| Condition Type | Is it Covered by Standard PMI? | Examples |
|---|
| Acute | Yes | Bone fractures, appendicitis, gallstones, joint replacement, most cancers. |
| Chronic | No | Diabetes, asthma, high blood pressure, Crohn's disease, multiple sclerosis. |
| Pre-existing | No | A knee injury you had treated two years ago; anxiety you saw a GP about before your policy started. |
PMI is also not intended for emergencies. For things like a suspected heart attack, stroke, or serious accident, you should always call 999 and rely on the NHS emergency services.
How a PMI Policy Works: A Real-Life Example
Let's imagine Sarah, a freelance graphic designer.
- The Problem: Sarah develops persistent shoulder pain, making it difficult to use her mouse and tablet for long hours. Her work slows down, and she risks missing deadlines.
- The GP Visit: She visits her NHS GP, who suspects a rotator cuff injury and refers her to a specialist. The GP mentions the current waiting list to see an NHS orthopaedic consultant is around 20 weeks.
- Using Her PMI: Sarah calls her PMI provider. They confirm her policy covers this type of condition.
- Fast-Tracked Treatment: The insurer provides a list of approved private specialists. Sarah sees one the following week. An MRI scan, also covered by her policy, is done a few days later, confirming the diagnosis.
- The Solution: The specialist recommends a course of physiotherapy. Her policy's therapies add-on covers the sessions. Within six weeks, Sarah's pain is managed, her mobility is restored, and she is back to working at full capacity.
Without PMI, Sarah could have faced nearly five months of reduced income and growing anxiety. With it, she protected her health and her livelihood.
How Insurers Assess Your Health: Underwriting Explained
When you apply for PMI, the insurer needs to understand your medical history to determine what they will and won't cover. This process is called underwriting. There are two main types for individuals:
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Moratorium Underwriting (Mori): This is the most common and straightforward option. You don't declare your full medical history upfront. Instead, the insurer applies a "wait and see" approach. They will not cover any condition you've had symptoms, advice, or treatment for in the five years before your policy started. However, if you go for a continuous two-year period after your policy begins without needing any treatment, advice, or medication for that condition, it may become eligible for cover.
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Full Medical Underwriting (FMU): With FMU, you complete a detailed health questionnaire, declaring your entire medical history. The insurer then reviews this and tells you from day one exactly what is excluded from your policy. It provides more certainty but involves more paperwork initially.
| Feature | Moratorium (Mori) | Full Medical Underwriting (FMU) |
|---|
| Upfront Process | Quick and easy. No medical forms. | Longer. Requires a full health questionnaire. |
| Exclusions | Automatically excludes conditions from the last 5 years. | Exclusions are listed specifically in your policy documents. |
| Claim Process | Can be slower as the insurer may need to check your medical history at the point of a claim. | Generally faster as exclusions are already defined. |
| Best For | People with a clean bill of health or those who prefer less initial admin. | People who want absolute clarity on what's covered from the start. |
An expert broker like WeCovr can help you decide which underwriting method is best for your personal circumstances.
Customising Your Policy: Core Cover and Optional Extras
No two freelancers are the same, and your health cover can be tailored to match your needs and budget. Policies are built from a core foundation with optional extras.
Core Cover (Typically Included as Standard)
- In-patient and Day-patient Treatment: This is the heart of any PMI policy. It covers costs when you are admitted to hospital for a bed overnight (in-patient) or for a planned procedure where you don't stay overnight (day-patient). This includes surgery, hospital accommodation, nursing care, specialist fees, and medication.
- Cancer Cover: Most policies offer comprehensive cancer cover, including chemotherapy, radiotherapy, and surgical procedures. This is often one of the most valued components of a PMI policy.
- Out-patient Cover: This is the most common add-on. It covers diagnostic tests and consultations with a specialist that do not require a hospital bed. For example, the initial consultation and MRI scan in Sarah's case would be covered by this. You can often choose a limit (e.g., £500, £1,000, or unlimited) to manage your premium.
- Therapies Cover: Covers treatments like physiotherapy, osteopathy, and chiropractic care, often up to a set number of sessions. Essential for those in physically demanding roles or who suffer from musculoskeletal issues.
- Mental Health Cover: Increasingly vital for the self-employed, who can face isolation and high-pressure environments. This add-on provides cover for consultations with psychologists or psychiatrists and may include psychiatric treatment.
- Dental and Optical Cover: Helps with the costs of routine check-ups, dental treatments, and prescription eyewear.
- Hospital List Choice: Insurers have different tiers of hospitals. A "local" list is cheaper, while a "national" list including prestigious London hospitals will increase the premium. Choosing the right list is a key way to control costs.
How Much Does Health Insurance Cost for a Freelancer in 2025?
The cost of your premium depends on several factors:
- Age: Premiums increase as you get older.
- Location: Living in London or the South East is typically more expensive due to higher hospital costs.
- Smoker Status: Smokers pay more than non-smokers.
- Level of Cover: The more optional extras you add, the higher the cost.
- Excess: This is the amount you agree to pay towards a claim. A higher excess (e.g., £500) will significantly lower your monthly premium.
Here is an illustrative table of potential monthly costs for a non-smoker. These are estimates and your actual quote will vary.
| Age | Basic Cover (High Excess, Local Hospitals) | Comprehensive Cover (Low Excess, National Hospitals) |
|---|
| 30 | £35 - £50 | £60 - £85 |
| 40 | £45 - £65 | £80 - £110 |
| 50 | £60 - £90 | £115 - £160 |
Smart Ways to Reduce Your Premiums
- Increase Your Excess: Choosing a £250 or £500 excess is one of the easiest ways to make your policy more affordable.
- The 6-Week Option: A popular cost-saving feature. If the NHS can provide the in-patient treatment you need within six weeks of when it is recommended, you agree to use the NHS. If the wait is longer, your private policy kicks in. This can reduce your premium by 20-30%.
- Review Your Hospital List: Do you really need access to every hospital in the UK, including the most expensive ones in Central London? Opting for a more local list can provide significant savings.
- Talk to a Broker: An independent PMI broker like WeCovr can compare the entire market for you, finding a policy that balances cost and benefits perfectly. Our service is free to you, as we are paid by the insurer.
Is Self-Employed Health Insurance a Tax-Deductible Expense?
This is a common and important question. The answer depends on your business structure.
- For Sole Traders and Partnerships: Unfortunately, HMRC generally considers a personal health insurance policy to be a personal expense, not a business one. Therefore, you cannot claim the premiums as a tax-deductible expense against your income.
- For Limited Company Directors: If you operate as a limited company, the company can pay for your health insurance policy. In this case, the premium is considered an allowable business expense and can be offset against the company's corporation tax bill. However, it is treated as a P11D benefit-in-kind for the director. This means you will have to pay income tax on the value of the benefit, and the company will have to pay Class 1A National Insurance contributions.
While there's a tax implication, many directors still find it a worthwhile and tax-efficient way to arrange cover. We always recommend speaking to your accountant for advice specific to your business.
Choosing the Best PMI Provider for Your Needs
The UK private medical insurance market is home to several excellent providers, each with its own strengths.
| Provider | Key Feature / Focus | Best For... |
|---|
| Aviva | Strong core product with a solid reputation and a large hospital network. Often highly rated for its cancer cover. | Someone looking for straightforward, comprehensive cover from a trusted household name. |
| AXA Health | Excellent mental health pathways and flexible out-patient options. Strong focus on customer support. | Freelancers who prioritise mental health support and want a highly customisable policy. |
| Bupa | The UK's best-known health insurer. Offers direct access to services without a GP referral for certain conditions. | Individuals who value brand recognition and want the option to bypass their GP for faster access. |
| Vitality | Unique wellness-based model that rewards healthy living with premium discounts, Apple Watches, and other perks. | Active individuals who are motivated by rewards and want their insurance to double as a wellness programme. |
Comparing these providers and their dozens of policy variations can be overwhelming. This is where using a specialist broker is invaluable. WeCovr partners with all these leading insurers and more, giving us a complete view of the market. We can help you navigate the options to find the perfect fit, ensuring you don't pay for benefits you don't need.
The WeCovr Advantage: Holistic Health Support
When you arrange your private medical insurance through WeCovr, you get more than just a policy. You get a partner in your health and wellbeing.
- Expert, Free Advice: Our FCA-authorised specialists provide impartial advice to help you compare quotes and understand the small print.
- High Customer Satisfaction: We pride ourselves on our service, and our high ratings on customer review platforms reflect our commitment to helping clients.
- Complimentary CalorieHero App: All our health and life insurance clients receive free access to CalorieHero, our AI-powered nutrition and calorie tracking app, helping you build healthy habits.
- Multi-Policy Discounts: When you take out a PMI or life insurance policy with us, you can often get discounts on other types of cover, such as income protection—another vital safety net for the self-employed.
Beyond Insurance: A Wellbeing Guide for Freelancers
Protecting your health goes beyond insurance. As a freelancer, proactive self-care is a core business strategy.
- Ergonomics: Your workspace matters. Invest in a good chair, position your screen at eye level, and ensure your wrists are straight when typing. Regular breaks to stretch are essential to prevent repetitive strain injury (RSI).
- Mental Boundaries: The line between work and life can blur when you're self-employed. Set clear working hours, create a dedicated workspace, and schedule downtime. Avoid the temptation to be "always on."
- Combat Isolation: Freelancing can be lonely. Make time for networking, join a co-working space once a week, or schedule calls with other freelancers to maintain social connections.
- Smart Nutrition: It's easy to rely on caffeine and snacks when you're busy. Plan simple, healthy meals. Batch cooking on a Sunday can save you time and money during the week. Use an app like CalorieHero to stay mindful of your intake.
- Prioritise Sleep: A lack of sleep cripples productivity and harms long-term health. Aim for 7-9 hours per night. Establish a relaxing bedtime routine and keep screens out of the bedroom.
By combining a robust private medical insurance policy with healthy daily habits, you build a powerful defence for both your personal wellbeing and your business's future.
Can I get health insurance with a pre-existing medical condition?
Generally, standard UK private medical insurance does not cover pre-existing conditions you have received treatment, medication, or advice for in the years leading up to your policy start date. It is designed to cover new, acute conditions that arise after you join. However, some policies may cover a pre-existing condition after a set moratorium period (usually two years) has passed without any symptoms or treatment for it.
Do I need a GP referral to use my private health insurance?
In most cases, yes. The typical process is to visit your NHS GP first, who will assess your symptoms and provide an open referral to a specialist if needed. You then give this referral to your insurer, who will authorise the treatment with an approved private consultant. Some insurers are now offering 'Digital GP' services or direct access for specific conditions like cancer or mental health, which can speed up the process.
Can I add my family to my self-employed health insurance policy?
Yes, absolutely. You can easily add your partner and children to your personal private medical insurance policy. This creates a single family policy with one renewal date and direct debit, which is often simpler to manage. While it may not always be cheaper than separate policies, it provides peace of mind that your entire family has access to the same level of private healthcare.
Ready to protect your health and your freelance business?
Don't let an unexpected health issue derail your career. Take control today. Get a free, no-obligation quote from a WeCovr expert. We'll compare the UK's leading insurers to find a policy that gives you fast access to the best care, at a price that works for you.