As an FCA-authorised broker that has helped arrange over 800,000 policies, WeCovr understands that managing family private medical insurance in the UK requires flexibility. This guide provides expert advice on adding, removing, or changing members on your policy to ensure your cover remains relevant and cost-effective as your family evolves.
Real-world advice for dynamic family needs and saving money annually
Family life is anything but static. From celebrating the arrival of a new baby to watching adult children fly the nest, our families are constantly changing. Your family's private medical insurance (PMI) policy needs to be just as dynamic.
Simply letting your policy auto-renew year after year is a common mistake that can lead to you paying for cover you no longer need, or worse, leaving a new family member uninsured. Actively managing your policy isn't just about administration; it's a powerful strategy for ensuring your loved ones have the right protection while saving hundreds, or even thousands, of pounds each year.
This article is your definitive guide to navigating changes to your family PMI policy. We’ll cover adding partners and children, removing dependants, and handling the complexities of separation or divorce. We'll provide real-world advice to help you make informed decisions that protect both your family's health and your finances.
First, a Critical Note on UK Private Health Cover
Before we dive in, it's essential to understand a fundamental principle of private medical insurance in the UK. Standard policies are designed to cover acute conditions – illnesses or injuries that are likely to respond quickly to treatment and return you to your previous state of health.
PMI does not cover pre-existing conditions (ailments you had before the policy started) or chronic conditions (long-term illnesses like diabetes, asthma, or high blood pressure that require ongoing management). Understanding this distinction is key to managing your expectations and your policy effectively.
Understanding the Basics of Family PMI
A family health insurance policy bundles cover for multiple family members under a single plan. This is often more convenient and can be more cost-effective than buying separate individual policies.
Key Terms to Know:
- Policyholder: The main person who owns and manages the policy.
- Dependants: The other family members covered by the policy, typically a spouse/partner and children.
- Underwriting: The process an insurer uses to assess risk and decide on the terms of your policy. The two main types are:
- Moratorium (Mori): The most common type. The insurer excludes treatment for any medical condition you've had symptoms, treatment, or advice for in the five years before joining. However, if you go two full, consecutive years on the policy without any symptoms, treatment, or advice for that condition, it may become eligible for cover.
- Full Medical Underwriting (FMU): You provide a full medical history declaration when you apply. The insurer then states upfront what will and won't be covered. This provides certainty but any declared pre-existing conditions will likely be permanently excluded.
Adding a New Family Member to Your PMI Policy
Life events often mean your family grows. Here’s how to handle adding new members to your private health cover.
Adding a Spouse or Partner
When you get married or move in with a partner, adding them to your PMI is a sensible step.
- The Process: Contact your insurer or PMI broker. You will need to provide your partner's name, date of birth, and some basic medical history information, depending on the underwriting terms.
- Underwriting: Your partner will be underwritten as a new member. If your policy is on a moratorium basis, their pre-existing conditions from the past five years will be excluded. If it's FMU, they will need to complete a health questionnaire.
- Cost: Adding an adult will increase your premium. The cost is based on their age and the level of cover. Interestingly, for many insurers, the premium for a couple is based on the age of the youngest adult, which can sometimes result in a smaller-than-expected increase.
Adding a Newborn Baby
Welcoming a newborn is an exciting time, and most insurers make it easy to add your baby to your policy.
- Newborn Benefit: Many top UK PMI providers offer a 'newborn benefit'. This often means you can add your new baby to the policy without any medical underwriting, sometimes even if they are born with a health condition.
- Time Limits are Crucial: You usually have a specific window, typically between 3 and 6 months from the date of birth, to add your baby on these special terms. Miss this deadline, and you may have to go through standard underwriting.
- Cost: Some insurers provide free cover for the first child under one year old, while others charge a nominal fee. The cost for children is significantly lower than for adults.
Example Scenario: The Thompson Family
The Thompsons have a family policy with Bupa. When their daughter, Chloe, was born, they contacted their broker. Because they added her within 90 days of birth, she was added to the policy on a 'medical history disregarded' basis, meaning even a minor congenital issue she had would be covered. Their premium increased by just £25 per month.
Adding an Adopted or Older Child
If you are expanding your family through adoption or creating a blended family, you can add children to your policy. The process is similar to adding a partner. The child will be medically underwritten based on their health history. It is vital to do this through a broker, who can ensure the process is handled smoothly and you get the best possible terms.
| Member Type | Typical Process & Considerations | Potential Cost Impact |
|---|
| Spouse/Partner | New underwriting required (Mori or FMU). Provide name, DOB. | Significant premium increase based on age. |
| Newborn Baby | Use 'Newborn Benefit'. Add within 3-6 months for no underwriting. | Free for first year with some insurers, or a small monthly fee. |
| Older/Adopted Child | New underwriting required. Medical history will be assessed. | Moderate premium increase, much less than an adult. |
Removing a Family Member from Your Policy
As children grow up or circumstances change, you may need to remove someone from your policy. This is usually a straightforward process that can lead to significant annual savings.
Common Reasons for Removing a Dependant:
- Child Reaches the Age Limit: Most insurers allow children to remain on a family policy until age 21, or often up to 25 if they are in full-time education. Once they exceed this limit, they must be removed.
- Child Becomes Financially Independent: Even if they are under the age limit, your child might get a job that offers its own private medical insurance.
- Divorce or Separation: We cover this complex scenario in detail below.
The Process and its Implications
- How to Remove: Simply contact your insurer or broker and request the removal of the dependant, stating the reason. The change is usually processed at your next monthly payment date or on a pro-rata basis.
- Financial Impact: Your premium will decrease. Removing a young adult can save you a substantial amount, as premiums begin to rise more steeply after age 20.
- Crucial Advice for the Removed Member: This is critical. Once removed, that person is no longer insured. They lose their 'continuity of cover'. If they want to get their own private medical insurance, they will be starting from scratch. This means any health conditions they developed while on the family policy will now be considered 'pre-existing' on their new policy and will likely be excluded.
- The Solution: The best approach is for the person leaving the policy to arrange their new cover before being removed. A broker like WeCovr can help them find an individual policy on "Continued Personal Medical Exclusions" (CPME) terms, which allows them to carry over their existing underwriting and keep cover for conditions that arose under the old family policy.
How to Split a Family Policy: Navigating Divorce and Separation
Splitting up is emotionally and logistically challenging, and dealing with finances like health insurance adds another layer of stress. Approaching this correctly is vital to ensure continuous health protection for everyone involved.
You generally have two options:
Option 1: One Partner Takes Over the Policy
One person (often the original main policyholder) keeps the existing policy, removing their ex-partner but keeping any children on it. The ex-partner who was removed must then source a brand new policy for themselves.
- Pros: Simple for the person keeping the policy. Continuity of cover is maintained for them and the children.
- Cons: The departing partner loses all continuity. They will be subject to full new underwriting, and any conditions they developed during the marriage will now be excluded as pre-existing. This can be a major disadvantage.
Option 2: Cancel and Both Start Afresh (The 'Clean Break')
The joint policy is cancelled. Both partners then work with a broker to set up new, separate policies. One or both may include the children.
- Pros: Provides a clean financial break.
- Cons: If not handled correctly, everyone (including the children) could lose their continuity of cover.
The Broker-Led Solution: The 'Switch'
There is a much better way. By using an expert PMI broker, you can arrange to 'split' the policy while preserving everyone's underwriting history.
- Contact a Broker: Before making any changes, speak to a specialist broker. WeCovr handles these sensitive situations regularly and can liaise with insurers on your behalf.
- Arrange New Policies on 'Switch' Terms: The broker will help both partners set up new, individual policies on CPME or 'switch' terms.
- Coordinate the Changeover: The broker ensures the old policy is cancelled on the exact same day the two new policies start.
This coordinated switch means that no one has a gap in cover, and crucially, the original underwriting terms are carried over to the new policies. Any conditions that were covered under the old family policy will remain covered under the new individual ones.
Cost Implications: How Changes Affect Your Annual Premium
Every change you make to your policy will affect your premium. The cost is calculated based on the collective risk of all members.
| Change to Policy | Likely Impact on Annual Premium | Key Factors |
|---|
| Adding a Partner (35) | Increase of £600 - £1,200+ | Age, smoker status, level of cover. |
| Adding a Newborn | Increase of £0 - £300 | Insurer's newborn benefit, level of cover. |
| Adding a Child (10) | Increase of £250 - £450 | Age, level of cover. |
| Removing an Adult (40) | Decrease of £700 - £1,400+ | Their age and underwriting history. |
| Removing a Young Adult (22) | Decrease of £400 - £700 | Their age, as premiums rise after 21. |
Note: These are illustrative estimates for 2025. Actual costs vary significantly between insurers and depend on your specific cover choices and location.
Top Tips for Saving Money on Your Family Health Insurance
Managing your members is one way to control costs. Here are several other proven strategies to reduce your annual premium without sacrificing essential cover.
- Increase Your Excess: The excess is the amount you pay towards a claim. Increasing it from £100 to £500 can reduce your premium by 15-25%.
- Choose a Six-Week Wait Option: This popular option can cut your premium by up to 30%. With it, you agree to use the NHS if they can provide the treatment you need within six weeks. If the NHS waiting list is longer, your private cover kicks in. Given that NHS England data from mid-2024 shows millions on waiting lists, this option still provides immense value.
- Select a Guided Hospital List: Instead of having access to every private hospital in the UK, agreeing to use a curated list of high-quality hospitals chosen by your insurer can lead to significant savings.
- Review Your Cover Annually: Do you still need full outpatient cover, which pays for all diagnostics and consultations? Perhaps a limit of £1,000 would suffice and save you money. Do you use the dental and optical add-ons? Don't pay for benefits you don't use.
- Pay Annually: Most insurers offer a discount of around 5% if you pay for the year upfront, saving you from monthly interest charges.
- Embrace Wellness Programmes: Providers like Vitality and Aviva reward you with premium discounts, cinema tickets, and coffee for staying active. Tracking your steps and activity can directly lower your renewal price.
- Use an Independent Broker: This is the single most effective tip. An independent, FCA-authorised broker like WeCovr compares the entire market for you. They can spot where your current insurer has become uncompetitive and find a better-value policy, often with enhanced benefits, for the same or lower price. This service comes at no cost to you.
Beyond Insurance: Proactive Steps for a Healthier Family
While having the right insurance is vital for peace of mind, the best strategy is always to foster a healthy lifestyle for your family. Many insurers actively support this.
- Nutrition and Diet: A balanced diet rich in fruits, vegetables, and whole grains is the foundation of good health. Make cooking a fun family activity. To help with this, WeCovr provides clients with complimentary access to CalorieHero, our AI-powered calorie and nutrition tracking app, making healthy eating easier than ever.
- Stay Active Together: The NHS recommends children get at least 60 minutes of physical activity a day, and adults 150 minutes a week. Family bike rides, walks in the park, or even just a kickabout in the garden all count.
- Prioritise Sleep: Poor sleep is linked to a host of health problems. Establish consistent bedtimes and create a restful, screen-free environment in bedrooms.
- Manage Stress: Modern life is stressful for all ages. Open communication, mindfulness apps, and ensuring everyone has downtime are key to mental well-being. Many PMI policies now include excellent access to mental health support, including therapy sessions.
Furthermore, when you arrange your PMI or Life Insurance through WeCovr, you may also be eligible for discounts on other types of cover, helping you protect your family and your finances in a holistic way.
Can I add my elderly parents to my family private medical insurance?
Generally, no. In the UK, family PMI policies are designed to cover the main policyholder, their partner, and their dependent children. Elderly parents cannot usually be added as dependants. They would need to take out their own individual private medical insurance policy. A broker can help them find a policy suited to their age and health needs.
What happens to my No Claims Discount if I split a policy due to divorce?
This depends on the insurer, but in most cases, a good broker can negotiate for both partners to retain the same level of No Claims Discount on their new, separate policies. If you simply cancel the policy, you may lose the discount. This is another key reason to manage the split carefully with expert advice rather than just cancelling the cover.
Do I have to tell my insurer if my child moves to university in a different city?
Yes, it's good practice to update your address details. While your child can remain on the policy if they are in full-time education (up to the age limit), their location can be relevant. Some insurers have different hospital lists or pricing based on postcode. Informing them ensures there are no issues if your child needs to make a claim near their university.
Will adding a baby with a known minor health condition affect my premium?
If you add your baby within the insurer's 'newborn benefit' window (e.g., the first 3-6 months), most providers will add them without medical underwriting. This means a known minor condition would typically be covered, and it wouldn't affect the premium beyond the standard charge for adding a child. However, if you miss this window, the condition would be treated as pre-existing and likely excluded.
Take Control of Your Family's Health and Finances
Your family is unique, and your health insurance should be too. Navigating the market and managing your policy through life's changes can be complex, but you don't have to do it alone.
The expert, friendly team at WeCovr is here to help. As an FCA-authorised independent broker with high customer satisfaction, we compare policies from all leading UK providers to find the perfect fit for your family's needs and budget. Our advice is always free, impartial, and without obligation.
Get your free, personalised family PMI quote today and discover how much you could save.