
As an FCA-authorised broker that has helped arrange over 900,000 policies, WeCovr understands the nuances of private medical insurance in the UK. This guide clarifies the rules on holding multiple policies, helping you make an informed decision and avoid common pitfalls for your private health cover.
In the UK, it is perfectly legal to hold more than one private medical insurance (PMI) policy. There is no law preventing you from having a policy from your employer and another personal policy simultaneously. However, the critical point to understand is that you cannot claim twice for the same medical treatment.
This is governed by a fundamental principle of insurance known as the ‘Contribution Clause’.
Imagine you need a knee operation costing £8,000. You have two separate PMI policies. You might think you can claim £8,000 from each, but this is not the case. The Contribution Clause means that your two insurance providers will communicate with each other and share the cost of the £8,000 bill. You will not receive a payout greater than the actual cost of your treatment.
In essence, while you can pay two sets of premiums, you will only get one set of benefits for any single claim. This prevents individuals from 'profiting' from an insurance claim, which is a core tenet of insurance regulation in the UK.
While often inefficient, there are several common scenarios where an individual might find themselves with more than one private health cover policy. Understanding these situations can help you assess your own cover.
This is the most frequent reason for holding multiple policies. Many UK employers offer PMI as a valuable employee benefit. However, this cover can sometimes be quite basic.
A standard workplace scheme might have:
In this case, an individual might purchase a separate personal policy to fill these gaps.
Real-Life Example:
It's common for both partners in a relationship to be offered private health cover through their respective jobs. They might both be enrolled in their own company’s scheme, effectively having two policies covering the family.
When a family member needs treatment, they can choose which policy to claim on—typically the one with the better benefits (e.g., lower excess or a more extensive hospital list). However, they cannot claim on both for the same treatment.
This is a more strategic way of holding multiple policies. Instead of overlapping, the policies are complementary.
These policies are designed to work together. Your PMI won't cover a routine dental filling, but your dental plan will. Your PMI will cover a knee replacement, but your cash plan might give you money back for the initial physiotherapy sessions.
A temporary overlap can occur when you are switching from one provider to another. You might have a few days or weeks where both your old and new policies are active to ensure there are no gaps in your cover. This is usually a short-term situation.
While there are scenarios where multiple policies exist, actively maintaining two overlapping plans is rarely the most efficient or cost-effective strategy. Here are the significant disadvantages.
This is the most obvious drawback. You are paying two monthly or annual premiums but, due to the Contribution Clause, you will only receive the value of one payout for any given claim. It is almost always more economical to have one single, comprehensive policy that is tailored to your needs.
How Contribution Works in Practice
Let's say you have two policies and need a procedure costing £6,000.
| Policy Details | Policy A (Workplace) | Policy B (Personal) | Total Claim |
|---|---|---|---|
| Annual Premium | £800 (paid by employer) | £1,200 (paid by you) | N/A |
| Excess | £500 | £250 | N/A |
| Claim Cost | £6,000 | £6,000 | £6,000 |
| Your Contribution (Excess) | N/A | £250 (you'd use the policy with lower excess) | £250 |
| Insurer A's Payout | £2,875 | ||
| Insurer B's Payout | £2,875 | ||
| Total Insurer Payout | £5,750 |
In this scenario, you're paying £1,200 a year for Policy B, but for this specific claim, its main benefit was a lower excess. The insurers simply split the remaining bill. You have not gained £12,000 of cover; you have simply had one £6,000 bill paid.
Making a claim can be more complicated when two insurers are involved.
When you apply for a new policy, you undergo underwriting. This is the process an insurer uses to assess your health risk. Having multiple policies can create confusion, especially concerning pre-existing conditions. If you try to claim for a condition on one policy that was excluded by the other, it can raise red flags and complicate the claims process.
It is vital to understand the fundamental limitations of standard private medical insurance UK policies. Misunderstanding these points is the source of most customer complaints and disappointment.
PMI is designed to cover
acute conditionsthat arise after you take out the policy.
A chronic condition is a long-term illness that can be managed but not cured. Examples include:
Standard PMI will not cover the ongoing management of these conditions. The NHS remains the primary provider for chronic care in the UK. A PMI policy might cover an acute flare-up of a chronic condition, but not the day-to-day monitoring, medication, or check-ups.
A pre-existing condition is any disease, illness, or injury for which you have experienced symptoms, received medication, or sought advice from a medical professional before the start of your policy.
There are two main ways insurers handle this:
| Underwriting Type | How It Works | Pros | Cons |
|---|---|---|---|
| Moratorium (Mori) | Automatically excludes any condition you've had in the last 5 years. This exclusion can be lifted if you go for a continuous 2-year period after your policy starts without any symptoms, treatment, or advice for that condition. | No lengthy medical forms to fill out. Quicker to set up. | Less certainty. You only find out if something is covered when you make a claim. |
| Full Medical Underwriting (FMU) | You complete a detailed health questionnaire, declaring your full medical history. The insurer then states upfront exactly what will be excluded from your policy. | Provides full clarity from day one. You know precisely what is and isn't covered. | The application process is longer. Exclusions are often permanent. |
An expert PMI broker can help you decide which underwriting method is best for your personal circumstances.
Instead of juggling two policies and paying for overlapping benefits, the most sensible approach is to create a single policy that perfectly matches your needs and budget.
Benefits of a Single Policy:
Navigating the private health insurance market can be daunting. With dozens of providers and complex policy options, it's hard to know if you're getting the best deal. That's where we come in.
As an FCA-authorised broker, WeCovr provides free, impartial advice to help you find the best PMI provider for your unique situation. We don't favour one insurer over another; our goal is to find the right cover for you.
Our simple, four-step process:
Exclusive WeCovr Benefits:
While having robust private medical insurance provides peace of mind, the best strategy is always to invest in your long-term health. Many modern PMI providers, like Vitality, actively reward members for healthy living.
Here are some evidence-based tips for improving your overall wellbeing, supported by data from UK health organisations.
Ready to simplify your health cover and ensure you have the best protection without overpaying?
The expert team at WeCovr is here to help. We'll compare the UK's leading insurers to find you the perfect single policy, tailored to your needs and budget—all at no cost to you.
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