TL;DR
Considering a change? You're not alone. At WeCovr, an FCA-authorised broker that has helped arrange over 900,000 policies, we know that switching private medical insurance in the UK can feel daunting.
Key takeaways
- Rising Premiums: This is the number one reason. Insurers often increase premiums at renewal due to your age, medical inflation, and claims made. It's not uncommon to see a 10-20% increase year on year.
- Better Cover or Benefits: Your needs change. You might want a policy that includes better mental health support, enhanced cancer care, or access to a wider network of hospitals.
- Poor Customer Service: A difficult claims process or unhelpful customer support can sour your relationship with an insurer, prompting a move.
- New 'Value-Added' Benefits: The PMI market is competitive. Insurers are constantly adding perks like gym discounts, wellness apps, and virtual GP services. Another provider might offer benefits that better suit your lifestyle.
- Changes in Circumstances: You may have started a family and need to add your children, or perhaps your employer's scheme has changed, and you need personal cover for the first time.
Considering a change? You're not alone. At WeCovr, an FCA-authorised broker that has helped arrange over 900,000 policies, we know that switching private medical insurance in the UK can feel daunting. This expert guide will show you how to find a better deal without creating dangerous gaps in your health cover.
Avoid losing cover while moving to a new provider
Switching your Private Medical Insurance (PMI) provider can be a smart move, potentially saving you money and giving you access to better benefits. However, the biggest fear for most people is losing cover for conditions they've already had.
The good news is that it's entirely possible to switch providers and maintain your existing level of cover. The secret lies in a special type of underwriting designed specifically for switchers. By using Continued Personal Medical Exclusions (CPME) or Continued Moratorium underwriting, you can carry your medical history over to a new insurer.
This means the new provider agrees to cover you for the same conditions as your old policy, without adding new exclusions for health issues that arose while you were insured. It’s like moving house but taking your favourite, most comfortable armchair with you – you don't have to start from scratch.
The Golden Rule of Switching
Never cancel your existing policy until your new one is fully active and you have your policy documents in hand. A gap of even one day between policies could result in any health issue that arises during that time being classed as a pre-existing condition by your new insurer, meaning it wouldn't be covered.
Why Switch Your Private Health Insurance?
People's reasons for wanting to change their private health cover are as varied as the policies themselves. Understanding your motivation is the first step to finding a better fit.
Common reasons include:
- Rising Premiums: This is the number one reason. Insurers often increase premiums at renewal due to your age, medical inflation, and claims made. It's not uncommon to see a 10-20% increase year on year.
- Better Cover or Benefits: Your needs change. You might want a policy that includes better mental health support, enhanced cancer care, or access to a wider network of hospitals.
- Poor Customer Service: A difficult claims process or unhelpful customer support can sour your relationship with an insurer, prompting a move.
- New 'Value-Added' Benefits: The PMI market is competitive. Insurers are constantly adding perks like gym discounts, wellness apps, and virtual GP services. Another provider might offer benefits that better suit your lifestyle.
- Changes in Circumstances: You may have started a family and need to add your children, or perhaps your employer's scheme has changed, and you need personal cover for the first time.
According to recent analysis of the UK health market, a significant driver for seeking private care is the strain on public services. With NHS waiting lists for routine treatments remaining a concern for millions (based on NHS England data), having a reliable PMI policy offers valuable peace of mind. Switching ensures your policy remains fit for that purpose.
Understanding Underwriting: The Key to a Smooth Switch
'Underwriting' is the process an insurer uses to assess risk and decide what they will and won't cover. When you switch, the type of underwriting you choose is the single most important decision you'll make.
Let's break down the options.
Standard Underwriting Types (for New Policies)
- Full Medical Underwriting (FMU): You provide a detailed medical history questionnaire. The insurer analyses it and lists specific conditions that will be excluded from your cover from day one. It's transparent but can be time-consuming.
- Moratorium Underwriting: This is the most common type. The insurer doesn't ask for your full medical history upfront. Instead, they generally won't cover any condition you've had symptoms of, or sought treatment for, in the 5 years before your policy started. However, if you go a continuous 2-year period after your policy begins without any issues related to that condition, it may become eligible for cover.
Special Underwriting Types (for Switching)
This is where the magic happens for switchers.
- Continued Personal Medical Exclusions (CPME): This is often the best option. Your new insurer essentially agrees to take on the same underwriting terms as your old policy. Any exclusions on your original policy are carried over, but crucially, no new exclusions are added for conditions that developed while you were with your previous insurer.
- Continued Moratorium: If your original policy was on a moratorium basis, you can continue this with a new provider. The 'clock' on your two-year waiting period for pre-existing conditions doesn't reset. For example, if you were 18 months into a 2-year period for an old knee injury, you'd only have 6 months left with the new insurer before it could be covered.
Here’s a table to make it clearer:
| Underwriting Type | How it Works | Best For... |
|---|---|---|
| Full Medical (FMU) | You declare your full medical history. The insurer lists specific, permanent exclusions. | People with no recent medical history who want absolute clarity on what's covered from the start. |
| Moratorium | No medical questionnaire. Excludes conditions from the last 5 years until you go 2 years treatment-free on the new policy. | People who are generally healthy and prefer a quicker application process. Not ideal for switching. |
| Continued Personal (CPME) | Your new insurer inherits the exclusions from your old policy. No new exclusions are added for conditions you developed while covered previously. | The Gold Standard for Switching. Perfect for those who have developed conditions with their current insurer. |
| Continued Moratorium | Your moratorium 'clock' continues from your old policy. The 2-year waiting period for conditions doesn't restart. | People switching from an existing moratorium policy. |
Example in Action:
Sarah has been with Insurer A for three years. In her second year, she developed sciatica and received private physiotherapy through her insurance.
- If she switches to Insurer B on a new Moratorium policy, her sciatica will be considered a pre-existing condition and won't be covered for at least two years.
- If she switches to Insurer B on a CPME basis, the new insurer will continue to cover her for sciatica, just as Insurer A did.
This is why working with a specialist PMI broker is so valuable. WeCovr can navigate these options and ensure you apply with the correct underwriting to protect your continuity of cover.
The Step-by-Step Guide to Switching Your PMI Provider
Follow this structured process to ensure a seamless and safe transition to your new health insurance policy.
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Review Your Current Policy: Before you start shopping around, understand what you currently have. Look at your policy documents and identify:
- Your level of cover (e.g., comprehensive, intermediate).
- Your excess (the amount you pay towards a claim).
- Any specific exclusions.
- Your current premium.
- Your renewal date. The best time to start looking is 4-6 weeks before this date.
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Define Your Needs and Budget: What are you looking for in a new policy?
- Must-haves: e.g., Full cancer cover, specific hospital network.
- Nice-to-haves: e.g., Dental cover, worldwide travel option.
- Budget: What is the maximum you are prepared to pay per month?
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Compare the Market (The Smart Way): You could go directly to each insurer, but this is time-consuming and you won't get an impartial view. Using an independent PMI broker like WeCovr gives you access to a wide range of policies from different insurers in one place. We do the legwork for you, comparing policies on a like-for-like basis.
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Get Quotes on a CPME Basis: This is vital. When you request quotes, specify that you want to switch on a "Continued Personal Medical Exclusions" basis. This signals to the insurer that you are an existing PMI customer and want to maintain your cover.
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Analyse the Quotes: Don't just look at the price. A cheaper policy might have a higher excess, exclude certain hospitals, or offer less comprehensive cover for conditions like cancer. A good broker will present you with a clear comparison table showing the key differences.
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Apply for the New Policy: Once you've chosen your preferred policy, you'll need to complete an application. The insurer will require your current policy details to arrange the CPME switch. They will contact your old insurer to confirm your claims history and underwriting terms.
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Receive Your Offer and Documents: The new insurer will provide you with their formal offer and policy documents. Read these carefully. Check that the underwriting is on a CPME basis and that there are no unexpected new exclusions.
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Confirm Your New Policy and Cancel the Old One: Only when you are 100% happy with your new policy and it is officially active should you contact your old provider to cancel. Most insurers require you to cancel in writing or over the phone. Do not simply cancel your direct debit, as this can lead to issues.
Common Pitfalls to Avoid When Switching Health Insurance
A smooth switch requires careful attention to detail. Here are some common mistakes to sidestep:
- Cancelling Too Early: As mentioned, never cancel your old policy before the new one is live.
- Non-Disclosure: Be completely honest about your medical history and claims. Failing to disclose information can lead to a claim being rejected or your policy being voided.
- Misunderstanding a "New" Condition: A condition you developed under your old policy is not "new" to your medical history, but it can be covered on a CPME switch. Confusing this can lead you to choose the wrong underwriting.
- Ignoring the Excess (illustrative): A low premium might be due to a high excess. Make sure you can comfortably afford the excess if you need to make a claim. An excess of £500 means you pay the first £500 of any claim (or per year, depending on the policy).
- Forgetting about Your No-Claims Discount (NCD): Most insurers offer an NCD, which can significantly reduce your premium. Check if your NCD can be transferred to the new provider. Many insurers will honour or match your existing NCD level.
Will Switching Save Me Money?
Often, yes. New customers frequently get better introductory rates than loyal ones. However, the goal shouldn't just be to find the cheapest policy, but the best value policy that meets your needs.
Here’s a look at what influences the cost of private medical insurance in the UK:
| Factor | Impact on Premium | How to Manage It |
|---|---|---|
| Age | Premiums increase as you get older, as the risk of needing treatment rises. | This is unavoidable, but switching can offset age-related increases. |
| Location | Living in areas with higher private treatment costs (e.g., Central London) leads to higher premiums. | Some insurers offer hospital lists that exclude pricey city-centre hospitals to reduce costs. |
| Cover Level | More comprehensive cover (e.g., including out-patient diagnostics, therapies) costs more. | Tailor your cover. If you're happy to use the NHS for diagnostics, you can opt for a more basic in-patient-only policy. |
| Excess | A higher excess will lower your monthly premium. | Choose an excess you can comfortably afford. Increasing from £100 to £500 can lead to significant savings. |
| Claims | Making a claim will likely mean you lose some or all of your No Claims Discount, increasing your renewal premium. | This is what insurance is for. Don't avoid necessary treatment to protect your NCD. A broker can help you switch even after a claim. |
A specialist broker can model these options for you, showing you exactly how changing your excess or hospital list will affect your premium.
How Pre-existing and Chronic Conditions Affect Your Switch
This is the most misunderstood area of private medical insurance. Let's be crystal clear.
Private medical insurance in the UK 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 (e.g., a cataract, a hernia, a broken bone).
- A chronic condition is a disease, illness, or injury that has one or more of the following characteristics: it needs ongoing or long-term monitoring, it has no known cure, or it is likely to recur (e.g., diabetes, asthma, arthritis, high blood pressure).
Standard PMI policies do not cover the ongoing management of chronic conditions. They may cover an acute flare-up of a chronic condition, but not the day-to-day monitoring and medication.
How does this affect switching?
- If you have a chronic condition like diabetes, neither your old nor your new insurer will cover your regular check-ups or insulin. This is a standard market exclusion.
- If you developed an acute condition (like a knee injury) while with your old insurer, a CPME switch is essential. It ensures the new insurer will continue to cover that knee, just as the old one would have. Without CPME, that knee injury becomes a pre-existing condition and would be excluded.
This principle is why getting expert advice is not just helpful, it's critical to protecting your health.
The Role of a Specialist PMI Broker
Navigating the complexities of CPME underwriting, policy benefits, and insurer jargon can be overwhelming. This is where an independent broker adds immense value.
Here's what an expert broker like WeCovr does for you:
- Saves You Time and Hassle: We do the research and paperwork. Instead of you spending hours on the phone and filling out multiple forms, we handle it all.
- Provides Impartial, Expert Advice: We are not tied to any single insurer. Our loyalty is to you, our client. We are authorised and regulated by the Financial Conduct Authority (FCA), so you can be sure our advice is professional and in your best interests.
- Access to the Whole Market: We have relationships with a wide panel of leading UK insurers, including some who may not deal directly with the public. This gives you the best possible choice.
- Ensures Continuity of Cover: Our primary goal during a switch is to ensure you move to a new policy on a CPME basis, protecting cover for conditions you've developed.
- No Cost to You: Brokers are paid a commission by the insurer you choose. This means our expert service doesn't cost you a penny extra. In fact, we can often find deals that are cheaper than going direct.
- Ongoing Support: Our service doesn't stop once you've bought the policy. We are here to help you at renewal or if you have any issues with a claim.
Based on public customer review platforms, WeCovr consistently receives high satisfaction ratings for our clear communication and dedicated client support.
Beyond Insurance: Enhancing Your Wellbeing
Modern health insurance is about more than just paying for treatment when you're ill. The best providers actively help you stay healthy.
When comparing policies, look for these valuable wellness benefits:
- Virtual GP Services: 24/7 access to a GP via phone or video call, often with the ability to get private prescriptions. This can save you a long wait for an NHS appointment.
- Mental Health Support: Access to counselling services, therapy apps, and stress-prevention resources.
- Gym and Fitness Discounts: Many insurers, like Vitality, reward you for staying active with discounted gym memberships, fitness trackers, and even healthy food.
- Health and Wellness Apps: Tools to track your activity, nutrition, and sleep, providing personalised insights.
At WeCovr, we believe in this proactive approach to health. That's why clients who purchase PMI or life insurance through us receive complimentary access to CalorieHero, our AI-powered calorie and nutrition tracking app. It's a simple way to build healthier eating habits, supporting your long-term wellbeing.
Furthermore, clients who take out a policy with us can often benefit from discounts on other types of insurance, such as life or income protection cover, helping you protect your family's financial future more affordably.
Comparing Top UK Private Health Insurance Providers
The UK market is home to several excellent insurers, each with its own strengths. Here is a brief overview of the main players:
| Provider | Key Strengths & Focus | Known For |
|---|---|---|
| AXA | A global giant with a strong UK presence. Offers a wide range of customisable policies and an extensive hospital network. | Comprehensive cancer care and excellent mental health pathways through their 'Stronger Minds' service. |
| Bupa | One of the UK's most recognised health insurance brands. A not-for-profit organisation that reinvests in healthcare services. | Direct access to treatment for some conditions without needing a GP referral. Strong focus on cancer support. |
| Aviva | The UK's largest general insurer. Offers a solid, well-regarded PMI product with clear policy wording. | The 'Aviva Digital GP' app is highly rated. Their 'Expert Select' hospital option can reduce premiums. |
| Vitality | Unique in its focus on rewarding healthy behaviour. The more you do to stay healthy, the more points and rewards you earn. | Shared responsibility model. Can be very cost-effective for active individuals and families. |
This is just a snapshot. Other excellent providers like The Exeter and WPA offer compelling alternatives, particularly for specific needs like self-employment or family cover. A broker can help you compare them all to find your perfect match.
Can I switch private health insurance if I have an ongoing claim?
Do I have to do a medical exam to switch health insurance?
What happens to my No-Claims Discount (NCD) when I switch?
Is it better to stay with the same insurer for loyalty?
Ready to see if you can get better health cover for a lower price?
Switching your private medical insurance doesn't have to be complicated or risky. With the right advice and a structured approach, you can move to a new provider, save money, and most importantly, keep your valuable continuity of cover.
Let WeCovr's team of independent experts do the hard work for you. We'll compare the top UK insurers on a CPME basis to find your ideal policy at no extra cost. Get your free, no-obligation quote today.
Sources
- Office for National Statistics (ONS): Mortality, earnings, and household statistics.
- Financial Conduct Authority (FCA): Insurance and consumer protection guidance.
- Association of British Insurers (ABI): Life insurance and protection market publications.
- HMRC: Tax treatment guidance for relevant protection and benefits products.











