
As an FCA-authorised expert broker that has helped arrange over 900,000 policies, WeCovr understands the UK private medical insurance (PMI) market inside and out. This guide explains how to switch your health insurance provider, helping you find better value without sacrificing the cover you’ve carefully built up over the years.
Feeling stuck with your current health insurance provider? Perhaps your renewal premium has shot up unexpectedly, or you’ve found the customer service lacking when you needed it most. You’re not alone. Many people in the UK believe that switching private medical insurance is a complex process fraught with risk, especially if they’ve developed health conditions since taking out their policy.
The good news is that it’s not only possible to switch but, when done correctly, it can be a straightforward way to get a better deal, enhanced benefits, and superior service. The secret lies in understanding a specific type of underwriting designed for switchers.
This comprehensive 2026 guide will walk you through everything you need to know. We’ll demystify the jargon, explain the critical rules of cover, and provide a step-by-step process for changing your private health cover seamlessly.
Your relationship with your insurer isn't a life sentence. Your circumstances change, the market evolves, and what was a perfect fit five years ago might not be the best private medical insurance UK policy for you today.
Here are the most common reasons people look for a new provider:
Before we dive into the 'how' of switching, it's crucial to understand the fundamental principle of all standard UK PMI policies. Getting this wrong is the biggest mistake people make.
Private Medical Insurance is designed to cover acute conditions that arise after you take out your policy.
It is not designed to cover:
Let's break that down.
| Condition Type | Definition | PMI Coverage | Examples |
|---|---|---|---|
| Acute | A condition that starts unexpectedly, responds quickly to treatment, and is expected to lead to a full recovery. | This is what PMI is for. | Appendicitis, broken bones, cataracts, joint replacements, hernias. |
| Chronic | A long-term condition that needs ongoing management and cannot be conventionally 'cured'. | Not covered by standard PMI. | Diabetes, asthma, high blood pressure, arthritis, Crohn's disease. |
Understanding this distinction is vital. If you develop diabetes, your PMI won't cover your routine GP check-ups, insulin, or regular monitoring. However, if you have a policy in place and later develop an unrelated acute condition, like a gallbladder that needs removing, your PMI would cover the surgery.
This rule is precisely why people worry about switching. They fear that a new insurer will treat all their past medical issues as pre-existing conditions and refuse to cover them. But there is a way to prevent this, and it’s called CPME underwriting.
"Underwriting" is simply the process an insurer uses to assess your health and medical history to determine the terms of your policy—what they will and will not cover. When you first buy a policy, you typically choose between two main types. When you switch, a third, crucial option becomes available.
With FMU, you complete a detailed health questionnaire, declaring your entire medical history. The insurer's underwriting team reviews this information and may place specific exclusions on your policy for any pre-existing conditions.
This is the most common type for new policies because it's quick and simple. You don't answer any medical questions. Instead, the policy automatically excludes treatment for any medical condition you've had symptoms, medication, or advice for in the five years before the policy began.
However, if you then go for a continuous two-year period after your policy starts without needing any treatment, advice, or medication for that condition, the exclusion may be lifted, and it could become eligible for cover.
This is the switcher's best friend.
CPME is a special type of underwriting available only to those moving from one PMI provider to another. Instead of starting from scratch with a new moratorium period or a full medical declaration, you essentially "port" your existing underwriting terms over to the new insurer.
How does it work? Your new insurer agrees to take you on with the same medical exclusions you had on your old policy.
The massive advantage is that you don't lose cover for conditions that have developed while you've been insured. You don't have to serve a new two-year moratorium period.
| Underwriting Type | How it Works | Best For | Key Advantage for a Switcher |
|---|---|---|---|
| Full Medical Underwriting (FMU) | You declare your full medical history on a new questionnaire. | Very rarely suitable for switching as it resets your cover. | None. You would likely gain new exclusions for any conditions that arose under your old policy. |
| Moratorium (Mori) | You start a new 5-year lookback / 2-year waiting period. | Also rarely suitable for switching. | None. Any condition you received treatment for in the last 5 years would now be excluded for at least 2 years. |
| Continued Personal Medical Exclusions (CPME) | Transfers your existing underwriting terms from your old insurer to the new one. | Almost everyone switching providers. | Preserves your existing cover. No new moratoriums to serve for conditions already covered. |
Working with an expert PMI broker like WeCovr is essential here. We specialise in arranging switches on a CPME basis, ensuring our clients get the best of both worlds: a better price or better benefits, with no loss of valuable cover.
Ready to make a move? Follow this process to ensure a smooth and safe transition.
Before your renewal date, dig out your latest policy documents. Pay close attention to:
This is the most important step. To be eligible for CPME underwriting, you must have continuous cover. If you cancel your old policy before the new one is active, you create a "gap in cover," which will force you to start again on new underwriting terms, likely losing cover for any conditions that have arisen.
This is where we come in. Instead of spending hours calling individual insurers yourself, a broker does the hard work for you. An independent broker like WeCovr:
Your broker will take your current policy details and gather quotes from other leading providers on a CPME basis. They will present you with a clear comparison, showing you where you could save money or gain better benefits, such as a higher out-patient limit, enhanced mental health support, or a broader hospital network.
To apply on a CPME basis, you will need to provide your broker with a copy of your current policy certificate and schedule. This proves to the new insurer that you have existing cover and outlines your current terms.
Your broker will help you complete the new application form, ensuring the "continued personal medical exclusions" option is correctly selected. They will handle the submission and liaise with the new insurer on your behalf.
The new insurer will issue formal offer documents confirming they will accept you on a CPME basis. These documents will state that the same exclusions as your previous policy will apply. Review these carefully with your broker to ensure everything is as expected.
Once you have accepted the new policy, set its start date to be the same day your old policy expires. Once the new policy is confirmed as active, you can then contact your old provider to cancel the renewal. This ensures a seamless transition with zero gap in cover.
Switching is safe when done correctly, but here are some common traps to be aware of.
A good broker will highlight these differences, allowing you to make an informed choice about value, not just price.
Modern private health cover is evolving. The best PMI providers are no longer just passive payers of claims; they are active partners in your health and wellbeing. When comparing policies, look beyond the core hospital cover and see what preventative and wellness benefits are on offer.
These often include:
At WeCovr, we go a step further. All our health and life insurance clients receive complimentary premium access to CalorieHero, our AI-powered calorie and nutrition tracking app. Good nutrition is a cornerstone of good health, helping to manage weight, reduce the risk of chronic illness, and improve energy levels.
Furthermore, clients who take out a PMI policy with us are often eligible for discounts on other types of cover they may need, such as life insurance or travel insurance.
Taking proactive steps to manage your health is the best way to reduce your long-term reliance on any insurance:
While the NHS remains a world-class service, free at the point of use, it is facing unprecedented pressure. This has made private medical insurance an increasingly important consideration for individuals, families, and businesses.
According to the latest NHS England data from late 2025, the number of treatment pathways on the elective care waiting list remains stubbornly high, at over 7.4 million. For patients facing long waits for procedures like hip replacements, cataract surgery, or hernia repairs, the ability to bypass the queue via PMI offers invaluable peace of mind and a quicker return to normal life.
This pressure has also led to a significant rise in 'self-funding', where individuals pay for one-off private operations out of their own savings. While this is an option for some, a single surgical procedure can easily cost £5,000 to £15,000 or more. Private medical insurance is a way to budget for these potential costs, protecting your savings from unexpected medical bills for a manageable monthly premium.
In this complex and evolving market, the role of an expert PMI broker is more critical than ever. We help you navigate the choices, understand the implications of switching, and secure a policy that provides real security and value.
Switching your health insurance doesn't have to be a gamble. With the right advice and the right process, you can move to a new provider with confidence, securing better value and benefits while keeping your hard-won cover intact.
Let WeCovr's team of independent experts do the heavy lifting for you. We will compare the market, handle the CPME application, and provide clear, impartial advice to help you make the best choice.
Get your free, no-obligation quote today and discover how much you could save.






