TL;DR
As an FCA-authorised broker that has helped arrange over 900,000 policies, WeCovr provides expert insight into private medical insurance (PMI) costs in the UK. This guide breaks down what you can expect to pay and how you can secure affordable, high-quality cover for you and your family. WeCovr explains the real costs of PMI and how to keep premiums affordable Navigating the world of private health insurance can feel daunting.
Key takeaways
- Pre-existing conditions are any health issues you had before your policy started.
- Chronic conditions are long-term illnesses that cannot be cured, only managed (e.g., diabetes, asthma, high blood pressure).
- Speedy Access: Get prompt access to specialists and diagnostic tests like MRI and CT scans.
- Choice and Control: Choose your specialist, consultant, and hospital from an approved list.
- Comfort and Privacy: Recover in a private room with an en-suite bathroom, more flexible visiting hours, and better food options.
As an FCA-authorised broker that has helped arrange over 900,000 policies, WeCovr provides expert insight into private medical insurance (PMI) costs in the UK. This guide breaks down what you can expect to pay and how you can secure affordable, high-quality cover for you and your family.
WeCovr explains the real costs of PMI and how to keep premiums affordable
Navigating the world of private health insurance can feel daunting. With premiums varying wildly based on everything from your postcode to your chosen hospital, it’s easy to feel overwhelmed. But understanding the costs and the factors that influence them is the first step towards getting the right protection without overpaying.
In this comprehensive guide, we'll demystify the pricing of private medical insurance in the UK. We’ll explore average costs for 2025, break down the key drivers of your premium, and share expert tips on making your policy as affordable as possible.
What is Private Medical Insurance (PMI) and Why Consider It?
Private Medical Insurance, often called private health cover, is an insurance policy designed to cover the costs of private healthcare for 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.
Crucially, standard UK PMI does not cover chronic or pre-existing conditions.
- Pre-existing conditions are any health issues you had before your policy started.
- Chronic conditions are long-term illnesses that cannot be cured, only managed (e.g., diabetes, asthma, high blood pressure).
So, why do millions of people in the UK choose PMI? The primary reason is to gain more control over their healthcare journey and bypass potential delays in the NHS.
According to recent NHS England data, the waiting list for routine hospital treatment remains a significant concern, with millions of people waiting for appointments. For many, PMI offers peace of mind through:
- Speedy Access: Get prompt access to specialists and diagnostic tests like MRI and CT scans.
- Choice and Control: Choose your specialist, consultant, and hospital from an approved list.
- Comfort and Privacy: Recover in a private room with an en-suite bathroom, more flexible visiting hours, and better food options.
- Access to Specialist Drugs: Some policies provide access to drugs and treatments not yet available on the NHS due to cost or NICE (National Institute for Health and Care Excellence) approval delays.
Average Cost of Private Health Insurance in the UK: 2025 Data
The single most common question we hear is: "How much will it cost?" While a personalised quote is the only way to get an exact figure, we can provide some reliable averages based on 2025 market analysis.
The table below shows the estimated average monthly premiums for a new, healthy, non-smoking individual seeking a mid-range policy with a £250 excess.
| Age Group | Average Monthly Premium (Basic Cover) | Average Monthly Premium (Comprehensive Cover) |
|---|---|---|
| 20s | £30 - £45 | £55 - £70 |
| 30s | £40 - £60 | £70 - £95 |
| 40s | £55 - £80 | £90 - £125 |
| 50s | £75 - £110 | £120 - £180 |
| 60s | £115 - £170 | £180 - £260 |
| 70+ | £180 - £250+ | £280 - £400+ |
Disclaimer: These figures are for illustrative purposes only. Your actual premium will depend on the specific factors we explore below.
The Key Factors That Determine Your PMI Premium
Your private health insurance premium isn't a random number. It's a carefully calculated figure based on risk. Insurers assess several key factors to determine the likelihood of you making a claim.
1. Your Age
This is the most significant factor. As we get older, the statistical likelihood of needing medical treatment increases. Therefore, premiums rise with age, often with noticeable jumps each decade.
2. Your Location
Where you live in the UK has a direct impact on your premium. This is due to the varying costs of private medical treatment across the country. Central London, with its world-renowned but expensive private hospitals, typically commands the highest premiums.
| Region | Relative Cost Indication |
|---|---|
| Central London | Very High |
| Greater London/Surrey | High |
| South East England | Above Average |
| Major Cities (e.g., Manchester) | Average |
| Scotland & Wales | Below Average |
| Northern Ireland | Low |
3. Level of Cover
You can tailor your policy to your needs and budget. Policies are generally grouped into three tiers:
- Basic/Entry-Level: Primarily covers the cost of in-patient treatment (when you need to stay in a hospital bed overnight). Some may include limited out-patient cover for diagnostics.
- Mid-Range: The most popular choice. It includes full in-patient cover plus comprehensive out-patient cover for consultations, scans, and tests.
- Comprehensive: Covers everything in a mid-range policy, plus additional benefits like mental health support, dental and optical cover, and therapies (physiotherapy, osteopathy).
| Feature | Basic Cover | Mid-Range Cover | Comprehensive Cover |
|---|---|---|---|
| In-patient & Day-patient | ✅ | ✅ | ✅ |
| Cancer Cover | ✅ (Core) | ✅ (Enhanced) | ✅ (Full) |
| Out-patient Diagnostics | Limited | ✅ | ✅ |
| Out-patient Consults | ❌ or Capped | ✅ (often up to a limit) | ✅ (often unlimited) |
| Mental Health Cover | ❌ | Optional | ✅ (often included) |
| Therapies | ❌ | Optional | ✅ (often included) |
| Dental & Optical | ❌ | ❌ | Optional |
4. Your Policy Excess
An excess is the amount you agree to pay towards the cost of any claim you make. 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 is one of the easiest ways to lower your monthly premium.
| Excess Amount | Typical Premium Reduction |
|---|---|
| £0 | Standard Premium |
| £100 | ~5-10% reduction |
| £250 | ~15-20% reduction |
| £500 | ~25-30% reduction |
| £1,000 | ~35-45% reduction |
5. Your Hospital List
Insurers have different 'lists' or 'networks' of hospitals that you are eligible to use. Choosing a more restricted list that excludes premium-priced central London facilities can significantly reduce your costs.
- Local/Trust Network: A limited list of hospitals in your local area.
- National Network: A wide range of private hospitals across the UK, but may exclude the most expensive ones.
- Premium Network: Includes all national hospitals plus top-tier facilities in Central London.
6. Underwriting Method
This is how an insurer assesses your medical history.
- Moratorium Underwriting (Most Common): You don't declare your full medical history upfront. Instead, the policy automatically excludes treatment for any medical conditions you've had symptoms, advice, or treatment for in the five years before the policy started. However, if you go two full, consecutive years on the policy without needing treatment, advice or medication for that condition, it may become eligible for cover.
- Full Medical Underwriting (FMU): You provide a detailed medical history questionnaire. The insurer reviews it and states upfront exactly what will be excluded from your policy. This provides certainty but can be more complex to set up.
Remember: Neither method will provide cover for pre-existing or chronic conditions from day one. PMI is for new, acute conditions.
7. Lifestyle Factors
While less impactful than age or location, lifestyle choices matter. Insurers will ask if you smoke or use nicotine products. Smokers always pay a higher premium due to the increased health risks.
How to Make Your Private Health Insurance More Affordable: WeCovr's Top Tips
Securing quality health cover doesn't have to break the bank. Here are our expert strategies for getting the best value:
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Increase Your Excess (illustrative): As shown above, opting for an excess of £250 or £500 is a proven way to reduce your premiums significantly. Just ensure you can comfortably afford to pay this amount if you need to claim.
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Choose the Right Hospital List: Be realistic about where you would want to be treated. If you live in Leeds, do you really need cover for premium London hospitals? Opting for a national or local list can generate substantial savings.
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Consider a 'Guided' Option: Many leading providers now offer a "guided" or "expert select" option. With this, you agree that the insurer will choose from a shortlist of approved specialists for your condition. This gives the insurer more control over costs, and they pass those savings on to you in the form of a lower premium (often a 15-20% discount).
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Pay Annually: If you can afford to, paying your premium in one annual lump sum can often secure you a small discount compared to paying in monthly instalments.
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Add a 6-Week Wait Option: This is a clever way to use the NHS to your advantage. A 6-week wait option means your PMI will only kick in if the NHS waiting list for the in-patient treatment you need is longer than six weeks. If you can be seen on the NHS within that time, you use the NHS. This can reduce your premium by up to 25%.
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Embrace Wellness and Rewards: Many modern PMI policies actively reward you for living a healthy lifestyle. Providers like Vitality are famous for this, offering discounts on gym memberships, fitness trackers, and even healthy food. At WeCovr, we support our clients' health journeys by providing complimentary access to our AI-powered calorie and nutrition tracking app, CalorieHero, helping you stay on top of your wellness goals.
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Use an Independent PMI Broker: This is perhaps the most important tip. An expert broker like WeCovr doesn't work for one insurer; we work for you. We use our market knowledge and technology to compare policies from all the leading UK providers. We find the cover that best fits your needs and budget, saving you time and money. Our advice is impartial, and our service is free of charge to you.
Real-Life Examples: PMI Cost Scenarios
Let's bring these factors to life with some examples.
Scenario 1: The Young Professional
- Who: Sarah, a 32-year-old non-smoker living in Manchester.
- Needs: Fast access to diagnostics and a private room if she needs surgery. She's happy to use a local hospital network.
- Policy Choice: A mid-range policy with a £500 excess and a national hospital list.
- Estimated Monthly Cost: £45 - £60
Scenario 2: The Family
- Who: David (48) and Emily (46), with two children (12 and 15), living in Surrey.
- Needs: Comprehensive cover for the whole family, including some mental health support and access to a wide range of hospitals.
- Policy Choice: A comprehensive family policy with a £250 excess per person and a full national hospital list.
- Estimated Monthly Cost: £180 - £240
Scenario 3: The Retiree
- Who: Robert, a 67-year-old non-smoker living in Edinburgh.
- Needs: The best possible cover with no financial hurdles at the point of claim. He wants full cancer care and choice of any hospital in Scotland.
- Policy Choice: A top-tier comprehensive policy with a £0 excess and a full UK hospital list.
- Estimated Monthly Cost: £220 - £290
The WeCovr Difference: More Than Just a Quote
Choosing private medical insurance is a big decision. At WeCovr, we believe in making it a simple, transparent, and positive experience.
- Expert, Human Advice: We are an FCA-authorised brokerage with years of experience. Our friendly advisors take the time to understand your unique circumstances.
- Whole-of-Market Comparison: We're not tied to any single insurer. We compare dozens of policies from providers like Aviva, AXA Health, Bupa, and Vitality to find you the perfect match.
- Value-Added Benefits: When you arrange a policy through us, you gain access to exclusive benefits, including our CalorieHero wellness app and potential discounts on other insurance products like life or income protection cover.
- Trusted Service: Our high customer satisfaction ratings are a testament to our commitment to putting our clients first. We handle the paperwork and explain the jargon, so you don't have to.
Frequently Asked Questions (FAQs)
Is private health insurance worth it in the UK?
Can I get health insurance if I have a pre-existing medical condition?
Do I have to pay tax on my private medical insurance?
How does a No Claims Discount work for health insurance?
Ready to find the right private health cover at the right price? The experts at WeCovr are here to help. We make the process simple, clear, and efficient.
Get your free, no-obligation PMI quote today and discover your options.
Sources
- Department for Transport (DfT): Road safety and transport statistics.
- DVLA / DVSA: UK vehicle and driving regulatory guidance.
- Association of British Insurers (ABI): Motor insurance market and claims publications.
- Financial Conduct Authority (FCA): Insurance conduct and consumer information guidance.









