TL;DR
As an FCA-authorised expert insurance broker that has arranged over 900,000 policies, WeCovr specialises in helping UK consumers navigate the private medical insurance market. This guide explains how you can switch providers to get a better deal, often without losing the cover you've carefully built up over time. WeCovr shows you how to change providers without losing valuable cover Feeling trapped by your current health insurance provider?
Key takeaways
- Soaring Renewal Premiums: This is the number one reason. Insurers often increase premiums each year due to your age and medical inflation (the rising cost of private treatment). Sometimes, these increases can feel disproportionate, and a competitor may offer the same cover for less.
- Finding a Better Price: The UK private medical insurance market is competitive. Other insurers may be keen to win your business and offer a more attractive price for a comparable level of cover.
- Changes in Your Circumstances: Life events can change your insurance needs. You might be starting a family, your children might have left home, or you may wish to add your partner to the policy.
- Needing Different Benefits: Your priorities might shift. You may now want a policy with comprehensive mental health support, better cancer care, or access to a wider range of hospitals.
- Poor Customer Service: A slow claims process or unhelpful customer service can be incredibly frustrating, especially when you need support the most.
As an FCA-authorised expert insurance broker that has arranged over 900,000 policies, WeCovr specialises in helping UK consumers navigate the private medical insurance market. This guide explains how you can switch providers to get a better deal, often without losing the cover you've carefully built up over time.
WeCovr shows you how to change providers without losing valuable cover
Feeling trapped by your current health insurance provider? Perhaps your renewal premium has shot up unexpectedly, or you’ve found that the cover you thought you had doesn’t quite meet your family’s needs anymore. You’re not alone. Many people in the UK stick with their existing private medical insurance (PMI) provider for fear of a complex switching process and, crucially, the risk of losing cover for medical conditions.
The good news is that switching your private health cover can be straightforward and highly beneficial, provided you do it correctly. This guide will walk you through everything you need to know, from understanding the jargon to a step-by-step process for making the move seamlessly.
Why Switch Your Private Health Insurance Provider?
Before we dive into the "how," let's look at the "why." Your health and financial circumstances change over time, and your insurance should adapt too. Sticking with the same insurer year after year without reviewing the market is rarely the most cost-effective strategy.
Here are the most common reasons people look to switch:
- Soaring Renewal Premiums: This is the number one reason. Insurers often increase premiums each year due to your age and medical inflation (the rising cost of private treatment). Sometimes, these increases can feel disproportionate, and a competitor may offer the same cover for less.
- Finding a Better Price: The UK private medical insurance market is competitive. Other insurers may be keen to win your business and offer a more attractive price for a comparable level of cover.
- Changes in Your Circumstances: Life events can change your insurance needs. You might be starting a family, your children might have left home, or you may wish to add your partner to the policy.
- Needing Different Benefits: Your priorities might shift. You may now want a policy with comprehensive mental health support, better cancer care, or access to a wider range of hospitals.
- Poor Customer Service: A slow claims process or unhelpful customer service can be incredibly frustrating, especially when you need support the most.
- Enhanced Wellness Programmes: Many modern PMI policies come with added perks like gym discounts, free digital GP appointments, and mental wellness apps. If your current policy is lacking, you could be missing out.
The Core Challenge: Understanding Pre-existing and Chronic Conditions
This is the most critical part of switching private health insurance in the UK. To switch safely, you must understand what PMI does and doesn't cover.
Private Medical Insurance is designed to cover 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. Think of things like joint replacements, cataract surgery, or hernia repairs.
- A chronic condition is a long-term illness that cannot be cured but can be managed with treatment and support. Examples include diabetes, asthma, arthritis, and high blood pressure.
Standard UK private medical insurance does not cover chronic conditions. It also excludes pre-existing conditions – any illness or injury you had before the policy began. This is the fundamental reason people worry about switching. If you switch improperly, you risk creating a situation where a condition that was previously covered under your old policy becomes an excluded pre-existing condition on your new one.
Let's clarify with a table:
| Condition Type | Description | Is it Covered by PMI? | Examples |
|---|---|---|---|
| Acute | Short-term, curable, and starts after your policy begins. | Yes | Broken bones, appendicitis, gallstones, most cancers. |
| Pre-existing | An ailment you had symptoms, diagnosis, or treatment for before your policy started. | No (on a new policy) | Back pain you saw a GP for last year, a knee injury from three years ago. |
| Chronic | Long-term, manageable, but not curable. | No | Diabetes, asthma, high blood pressure, Crohn's disease. |
The fear is valid: if you simply cancel one policy and take out another, any health issues you've claimed for or developed in recent years will be excluded by the new insurer. But there is a solution.
The Solution: How to Switch Safely with a "Protected" Transfer
To move from one insurer to another without losing cover for conditions you've already developed, you need to switch on special terms. An expert PMI broker can manage this for you. The key is choosing the right type of underwriting.
Underwriting Explained: The Insurer's Assessment
Underwriting is the process an insurer uses to assess your health and medical history to decide what they will and won't cover. For switchers, there are three main types.
1. Continued Personal Medical Exclusions (CPME) Underwriting
This is the gold standard for anyone looking to switch their private health cover. It’s specifically designed to provide continuous cover.
- How it works: With CPME, you don't fill out a new medical questionnaire. Instead, your new insurer agrees to take you on with the exact same medical exclusions you had on your old policy. They effectively copy and paste your underwriting terms.
- The major benefit: Any condition that was covered by your old insurer will be covered by your new one. You don't lose any protection. The only new exclusions would be for conditions not covered by the new policy's general terms and conditions (e.g., if the new policy doesn't offer a specific benefit).
- Who it's for: Anyone who has had a PMI policy for a while, especially if they have developed medical conditions during that time.
Example: Sarah has been with Insurer A for five years. Three years ago, she had private treatment for a torn ligament. With Insurer A, her knee is now fully covered for any new, unrelated issues. If she switches to Insurer B on a CPME basis, Insurer B will also cover her knee, just as Insurer A did.
2. Full Medical Underwriting (FMU)
This is like starting from scratch.
- How it works: You complete a detailed health questionnaire, disclosing your entire medical history. The insurer's underwriters review it and may apply specific exclusions to your policy for any conditions you've had in the past (usually the last 5 years).
- When it might be useful: If you are in perfect health and have never claimed, or if your previous policy had an exclusion for a minor issue that has since fully resolved, FMU could potentially give you a "cleaner" policy. However, it's a riskier option for most.
- The risk: You will lose cover for any condition you declare.
Example (continued): If Sarah switched to Insurer B using Full Medical Underwriting, she would have to declare the torn ligament treatment. Insurer B would almost certainly place an exclusion on her knee, meaning she would have no private cover for it in the future.
3. Moratorium (Mori) Underwriting
This is the "wait and see" approach, common for people buying PMI for the first time, but often unsuitable for switchers.
- How it works: No health questions are asked upfront. Instead, the policy automatically excludes any condition for which you have sought advice, had symptoms, or received treatment in the 5 years before the policy started. An exclusion can be lifted if you then go for 2 continuous years on the policy without any issues relating to that condition.
- The risk for switchers: This method will re-set your medical history. The knee problem Sarah had three years ago would become a pre-existing condition again and be excluded for at least the first two years of the new policy.
Comparison of Underwriting for Switchers
| Underwriting Type | How it Works | Best For... | Key Advantage | Major Risk |
|---|---|---|---|---|
| CPME | New insurer accepts the same exclusions as your old policy. | Almost all switchers. | Seamless transfer of cover. No loss of protection for existing conditions. | Very few, unless the new policy's base terms are less generous. |
| Full Medical (FMU) | You declare your full medical history on a questionnaire. | People in perfect health with no claims history. | Potentially a "clean" policy with no inherited baggage. | You will lose cover for any declared pre-existing conditions. |
| Moratorium (Mori) | No initial questions, but a rolling 5-year exclusion applies. | Rarely recommended for switchers. Best for first-time buyers. | Quick to set up. | Resets the clock on all your medical history, re-introducing exclusions. |
The clear winner for most people is CPME underwriting. This is a specialist process that a good broker, like WeCovr, can manage on your behalf, ensuring your valuable cover is protected.
A Step-by-Step Guide to Switching Your PMI Policy
Ready to explore your options? Follow this simple, safe process.
Step 1: Review Your Current Policy & Renewal Offer Around 4-6 weeks before your renewal date, your insurer will send you a renewal pack. Don't just look at the price. Scrutinise the documents:
- What is the new premium? How much has it increased?
- What is your level of cover (e.g., comprehensive, intermediate)?
- What is your excess level?
- What are your current medical exclusions?
- Which hospital list are you on?
Step 2: Define Your Ideal Policy Think about what you need now. Has anything changed?
- Do you need to add or remove a family member?
- Do you want better mental health cover or outpatient benefits?
- Are you happy with your current hospital list? Could you save money by choosing a more local network?
Step 3: Do NOT Cancel Your Existing Policy! This is a golden rule. Never cancel your current health insurance until your new policy is fully active and you have the documents in your hand. This prevents any accidental gaps in cover where you would be uninsured.
Step 4: Contact an Independent PMI Broker This is the most crucial step for a successful switch. An expert broker will:
- Understand your needs: They’ll discuss your requirements and budget.
- Access the whole market: They can get quotes from all the leading UK providers like Bupa, AXA Health, Aviva, Vitality, and The Exeter.
- Request CPME terms: They will specifically ask insurers to quote on a "Continued Personal Medical Exclusions" basis to protect your cover.
- Do the legwork: They handle all the applications and administration for you.
- Provide free advice: A broker's service is free to you; they are paid a commission by the insurer you choose.
At WeCovr, our team are experts in managing CPME switches and can guide you through the entire process at no cost.
Step 5: Compare Your Options Like-for-Like Your broker will present you with a comparison of quotes. Look beyond the headline price:
- Price: Is it a significant saving?
- Cover: Is the level of cover identical, better, or worse? Check things like outpatient limits, cancer care, and therapies.
- Excess: Is the excess the same? A higher excess will lower the premium but means you pay more towards a claim.
- Hospital List: Does the new policy include the hospitals you would want to use?
Step 6: Apply and Go Through Underwriting Once you've chosen a new provider, your broker will manage the application. For a CPME switch, you'll need to provide a copy of your current policy certificate. The new insurer will then confirm they are happy to take you on with the same terms.
Step 7: Confirmation and Cancellation Once your new policy is live and you've received the policy documents confirming the CPME transfer, you can safely contact your old insurer to cancel your policy and the direct debit.
Key Factors That Influence Your New Premium
Understanding what affects the cost of private medical insurance can help you tailor a policy to your budget.
| Factor | How it Affects Your Premium | How to Manage It |
|---|---|---|
| Age | The single biggest factor. Premiums increase as you get older. | This is unavoidable, but switching ensures your age-related increase is based on a competitive market rate. |
| Location | Private treatment costs more in major cities, especially London. | If you don't need access to central London hospitals, choosing a regional or local hospital list can save you money. |
| Level of Cover | Comprehensive plans covering all diagnostics and therapies cost more than basic plans for inpatient treatment only. | Review your outpatient needs. Do you need unlimited cover, or would a limit of £1,000 per year suffice? |
| Excess | The amount you agree to pay towards the first claim each year. A higher excess lowers the premium. | Choosing an excess of £250 or £500 instead of £0 can lead to significant savings. |
| No Claims Discount (NCD) | Many insurers offer a discount for not claiming, which can be up to 70-80%. | A good broker can often negotiate a transfer or match of your NCD level with the new insurer. |
| Hospital List | A comprehensive list including premium London hospitals is the most expensive. | Opting for a list that excludes the most expensive private hospitals is a simple way to reduce your premium. |
Example UK Private Health Insurance Costs (2025 Estimates)
These are illustrative monthly premiums for a mid-tier comprehensive policy with a £250 excess.
| Profile | Location | Estimated Monthly Premium |
|---|---|---|
| 35-year-old individual | Manchester | £55 - £75 |
| 45-year-old couple | Bristol | £140 - £180 |
| Family of 4 (Parents 40, kids 8 & 10) | Edinburgh | £190 - £250 |
| 60-year-old individual | Central London | £160 - £220 |
Disclaimer: These are estimates only. Your actual quote will depend on your specific circumstances and chosen level of cover.
The WeCovr Advantage: More Than Just a Price Comparison
Choosing the right partner to help you switch is vital. WeCovr is an FCA-authorised broker with a strong track record of high customer satisfaction. We don't just find you a cheaper price; we provide a complete service.
- Expert Guidance: Our advisors are specialists in the nuances of the UK PMI market, particularly CPME switching.
- Hassle-Free Process: We handle the paperwork and liaise with insurers so you don't have to.
- Added Value: When you arrange your health insurance through WeCovr, you get more. You'll receive complimentary access to CalorieHero, our exclusive AI-powered calorie and nutrition tracking app to support your health goals.
- Multi-Policy Discounts: Our clients also benefit from discounts on other types of cover, such as life insurance or income protection, when they take out a PMI policy with us.
Common Pitfalls to Avoid When Switching Health Insurance
- Don't focus only on price. The cheapest policy might have significant gaps in cover, a restrictive hospital list, or a high excess.
- Don't leave a gap between policies. Always wait for confirmation of your new cover before cancelling the old one.
- Don't forget to check the details. Compare the outpatient limits, cancer cover, and mental health support between the old and new policies.
- Don't assume "comprehensive" means the same thing everywhere. Each insurer has a different definition. An expert can help you compare them accurately.
- Don't try to switch on your own if you have a complex medical history. This is where a broker is essential to ensure your cover is protected via a CPME transfer.
A Note on Wellness, Prevention, and Healthy Living
The best way to manage your health and long-term insurance costs is to stay healthy. Modern insurers recognise this and increasingly build wellness benefits into their policies to reward healthy behaviour. This can include:
- Discounted gym memberships and fitness trackers.
- Access to digital GP services 24/7.
- Mental health support through apps like Headspace or SilverCloud.
- Points-based rewards for hitting activity targets.
Taking proactive steps to manage your health is always a wise investment. The NHS recommends adults aim for at least 150 minutes of moderate-intensity activity a week, such as brisk walking or cycling, or 75 minutes of vigorous-intensity activity, like running or swimming.
Coupling this with a balanced diet, sufficient sleep (7-9 hours for most adults), and stress management techniques can have a powerful impact on your overall wellbeing. Tools like WeCovr's complimentary CalorieHero app can make tracking your nutrition simple and effective, helping you stay on course.
Can I switch health insurance if I'm currently having treatment?
Will my premiums always go up every year?
What happens to my No Claims Discount (NCD) when I switch?
Do I have to declare every minor illness I've ever had when switching?
Ready to Find a Better Deal on Your Health Insurance?
Switching your private medical insurance doesn't have to be complicated or risky. With the right advice and the correct process, you can secure better value and more suitable cover without losing protection.
Contact WeCovr today for a free, no-obligation comparison quote. Our expert advisors will help you navigate the market and manage a seamless switch, completely free of charge.












