TL;DR
Private health insurance in the UK typically costs from around £40 a month for a young adult on basic cover to £300 or more for someone in their late 60s on comprehensive cover. Age, postcode, outpatient limits, hospital list, excess and underwriting all move the price. This guide explains each factor and the trade-offs that bring a premium down.
Key takeaways
- Age is the biggest single factor: premiums usually rise each year as you get older.
- Outpatient limits, the hospital list and the excess are the three main levers for lowering a premium.
- Central London hospital access typically adds noticeably to the cost.
- Moratorium underwriting is quicker to set up; full medical underwriting gives more certainty about what is excluded.
- Insurance Premium Tax of 12% is included in every UK quote.
How Much Does Private Health Insurance Cost in the UK? (2026 Guide)
There is no single price for private health insurance (also called private medical insurance, or PMI). Two people of the same age can pay very different amounts because of where they live, which hospitals they want access to and how much of the cost of a claim they are willing to pay themselves.
This guide sets out typical price ranges, explains what drives them and shows which choices lower a premium without stripping out the cover that matters most.
Typical monthly costs by age
The figures below are illustrative ranges for one adult, non-smoker, with no significant medical history, living outside central London and choosing a £250 excess. They are not quotes. Real prices vary between insurers and can change at any time.
| Age | Basic cover (mainly inpatient and day-patient) | Comprehensive cover (with outpatient, therapies and cancer cover) |
|---|---|---|
| 20 to 29 | £35 to £55 | £60 to £85 |
| 30 to 39 | £45 to £70 | £75 to £110 |
| 40 to 49 | £60 to £95 | £100 to £150 |
| 50 to 59 | £90 to £135 | £150 to £220 |
| 60 to 69 | £130 to £190 | £210 to £310 |
| 70 and over | £175 to £260 | £300 to £480 or more |
Couples and families pay more in total, but the cost per person can be lower than buying separate policies. Children are often cheaper to add than adults. For family pricing, see how much family private health insurance costs.
What decides the price
1. Your age
Insurers price on the likelihood of a claim, and that rises with age. Most policies are renewed each year at a new price, and age is one reason renewal prices go up. This is also why the same cover can cost several times more at 65 than at 30.
2. Where you live
Treatment costs vary across the UK. Premiums are usually lower in much of Wales, Scotland, northern England and Northern Ireland, and higher in London and the South East, where hospital fees are higher.
3. The hospital list
Every policy comes with a list of hospitals you can use. A restricted or "guided" list is the cheapest. A standard national list costs more. Adding central London hospitals usually costs noticeably more again. If you live outside London and would not travel there for treatment, leaving those hospitals out is one of the simplest savings.
4. Outpatient cover
Outpatient cover pays for consultations, tests and scans when you are not admitted to hospital. It is often how a diagnosis starts, so it matters. But full outpatient cover is one of the most expensive parts of a policy. Common options are:
- No outpatient cover: cheapest, but diagnosis before admission is paid by you or done on the NHS.
- A yearly limit, such as £500, £1,000 or £1,500: a popular middle ground.
- Full cover: the highest premium.
5. The excess
The excess is the amount you pay towards a claim before the insurer pays. Choosing £250 or £500 instead of £0 usually lowers the premium. Check whether the excess applies per claim or per policy year, because that changes how much you could pay if you claim more than once. See how a health insurance excess works.
6. The six-week option
With a six-week option, if the NHS can treat you as an inpatient within six weeks of when treatment is needed, you use the NHS. If not, the policy pays for private treatment. This can reduce the premium significantly, and is worth considering if your main worry is long waits.
7. Underwriting
Underwriting decides how pre-existing conditions are treated:
- Moratorium underwriting: no medical questionnaire up front. Conditions you had symptoms of, treatment for or advice about in the five years before cover started are usually excluded until you go a set period (often two years) on the policy without symptoms, treatment or advice for them.
- Full medical underwriting: you complete a health questionnaire and the insurer lists any exclusions at the start, which gives more certainty about what is covered.
The moratorium vs full medical underwriting guide explains the trade-offs in detail.
8. Optional extras
Mental health cover, therapies (such as physiotherapy), dental and optical benefits and extended cancer cover all add to the price. Some come as standard on comprehensive plans; others are add-ons.
9. Smoking and lifestyle
Some insurers charge more for smokers. A few reward healthy activity with discounts or rewards, though the value of these depends on how much you use them.
10. Insurance Premium Tax
Insurance Premium Tax (IPT) is charged at 12% on PMI and has been at that rate since June 2017. It is already included in the prices insurers quote.
Why prices go up at renewal
Renewal increases usually come from three things: you are a year older, the cost of medical treatment is rising, and, with some insurers, the claims you made in the past year. Some policies include a no-claims discount that reduces after a claim. Comparing at renewal can help, but switching insurer can mean new exclusions for conditions you have claimed for. Some insurers offer "continued personal medical exclusions" (CPME) or similar switch terms to carry over your existing underwriting. See switching insurers without resetting the clock.
How to lower the cost without losing important cover
- Pick a hospital list that suits where you live. Leave central London out if you would not use it.
- Cap outpatient cover at a level that pays for initial consultations and scans.
- Raise the excess to an amount you could comfortably pay.
- Consider the six-week option if your main concern is NHS waiting times.
- Keep cancer cover comprehensive. Cancer drugs and treatment are where costs can be highest, and trimming cover here can leave large gaps.
- Review your cover at renewal and compare the same level of cover across insurers.
Is it worth it?
That depends on your circumstances. The NHS remains free at the point of use, including for emergencies, and is where most people get urgent care. Private cover is mainly about speed and choice for non-urgent, eligible treatment. In July 2026, the NHS England waiting list for planned hospital treatment stood at about 7.33 million, with around 65% of patients waiting less than 18 weeks, well short of the 92% constitutional standard.
Private health insurance does not cover everything. It is designed for acute conditions, which respond to treatment, and usually excludes chronic conditions that need long-term management. It does not cover emergency care. If you mainly want help with everyday costs such as dental check-ups, physiotherapy or optical bills, a health cash plan can be a lower-cost alternative.
Getting an accurate price
Because so many choices affect the price, the most reliable way to know what you would pay is to get quotes for the same cover from more than one insurer. WeCovr is an FCA-regulated broking firm. 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 and explain the differences in cover, not just price. Brokers are usually paid a commission by the insurer when a policy is arranged.
Get a private health insurance quote
Frequently asked questions
How much is private health insurance per month in the UK?
What is the cheapest way to get private health insurance?
Does private health insurance cover pre-existing conditions?
Is private health insurance cheaper through an employer?
Why has my private health insurance gone up?
Sources
- NHS England: Consultant-led Referral to Treatment Waiting Times, July 2026
- HM Revenue & Customs: Insurance Premium Tax rates
- Association of British Insurers: private medical insurance claims and membership figures for 2024 (published January 2026)
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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