Considering adding your partner or children to your private medical insurance in the UK? As an FCA-authorised broker that has helped arrange over 900,000 policies, WeCovr understands that estimating the cost is your first step. This guide provides the clarity you need to make an informed decision for your family's health.
Adding a dependant to your private health insurance policy is a significant decision. The extra monthly cost isn't a fixed number; it's a personalised calculation based on several key factors. While a precise figure requires a formal quote, we can provide reliable estimates to help you budget.
For a rough guide, adding a healthy, non-smoking partner in their 30s could increase your premium by £40 to £70 per month. Adding a child is often more affordable, potentially ranging from £20 to £50 per month, with some insurers offering discounts or even free cover for subsequent children.
These figures are illustrative. The final price depends on your chosen level of cover, your location, the dependant's age, and the policy's excess.
Why Add a Partner or Child to Your PMI?
While you can buy separate policies for each family member, combining them onto a single plan often makes more sense.
Benefits of a Family Policy:
- Simplicity and Convenience: Manage one policy, one renewal date, and one monthly payment. It significantly reduces administrative hassle.
- Potential Cost Savings: Insurers often provide discounts for family or couple policies compared to the total cost of multiple individual plans. Some providers have special offers, such as covering the first or second child for free.
- Comprehensive Peace of Mind: Knowing your entire family has prompt access to private medical care provides invaluable reassurance. It means avoiding long NHS waiting lists for eligible acute conditions.
- Consistent Cover: Everyone on the policy typically shares the same level of benefits, ensuring no one is left with a lower standard of care.
According to the latest NHS England data, the waiting list for routine consultant-led hospital treatment remains a significant concern, with millions of people waiting. Private medical insurance offers a direct route to bypass these queues for eligible treatments, a benefit that becomes even more powerful when extended to your loved ones.
Factors That Determine the Cost of Adding a Dependant
To understand your potential new premium, it's essential to know what insurers look at. Think of it like a recipe where each ingredient affects the final taste—or in this case, the price.
- Age of the Dependant: This is the most significant factor. The risk of needing medical treatment generally increases with age, so insuring an older partner will cost more than insuring a young child.
- Location (Postcode): Where you live matters. The cost of private medical treatment varies across the UK. Hospitals in Central London, for example, are considerably more expensive than those in other parts of the country. Your premium will reflect the cost of the hospitals in your chosen network.
- Level of Cover: A basic policy covering only inpatient treatment (care that requires a hospital bed overnight) will be cheaper than a comprehensive plan. Adding extra benefits will increase the cost:
- Outpatient Cover: Consultations, diagnostic tests, and scans that don't require a hospital stay. This is one of the most valuable—and costly—add-ons.
- Mental Health Cover: Support for therapy, psychiatric care, and counselling.
- Therapies: Physiotherapy, osteopathy, and chiropractic treatment.
- Dental and Optical Cover: Less common but available as an add-on with some insurers.
- Policy Excess: This is the amount you agree to pay towards a claim. For example, if you have a £250 excess and your treatment costs £2,000, you pay the first £250 and the insurer pays the remaining £1,750. A higher excess leads to a lower monthly premium.
- Hospital List: Insurers offer different tiers of hospital lists. A list that includes only local private hospitals will be cheaper than a nationwide list that includes premium London facilities.
- Underwriting Type: The way an insurer assesses your dependant's medical history affects the policy. This will typically be the same as your existing policy's underwriting.
A Critical Note: Pre-existing and Chronic Conditions
It is vital to understand that standard private medical insurance in the UK is designed to cover acute conditions that arise after you join. It does not cover pre-existing conditions (illnesses you already have or have had symptoms of) or chronic conditions (long-term illnesses like diabetes, asthma, or high blood pressure that require ongoing management rather than a cure).
How Much Does it Cost to Add a Partner? (Estimated Costs)
Adding a partner is essentially adding another adult to the policy. The cost will be based primarily on their age and your existing policy's structure. The table below gives an indication of the potential additional monthly cost for adding a non-smoking partner to a mid-range policy.
| Age of Partner | Estimated Additional Monthly Premium (Standard Cover) | Estimated Additional Monthly Premium (Comprehensive Cover) |
|---|
| 30s | £40 - £65 | £60 - £90 |
| 40s | £55 - £80 | £80 - £120 |
| 50s | £75 - £110 | £110 - £180 |
Note: These are 2025 estimates for illustrative purposes. Costs vary significantly by insurer, location, and specific health declarations. Comprehensive cover typically includes full outpatient diagnostics and therapies.
How Much Does it Cost to Add a Child? (Estimated Costs)
Children are generally cheaper to insure than adults. Their risk profile is lower, and insurers are competitive in the family market. Many providers offer attractive pricing structures for children.
Key Considerations for Child Cover:
- Age-Banded Pricing: A baby's premium might be different from a teenager's.
- "Free" Child Cover: Some insurers, like Aviva and Bupa, have historically offered promotions where the first, second, or even third child is covered at no extra cost when added to a parent's policy. These offers can provide substantial savings.
- Child-Specific Benefits: Many policies include excellent benefits for children, such as access to specialist paediatric consultants and facilities.
Here is a table illustrating the potential extra monthly cost of adding children to a typical policy.
| Number of Children | Estimated Additional Monthly Premium (Mid-Range Cover) |
|---|
| 1 Child | £20 - £50 |
| 2 Children | £35 - £80 (often with a discount for the second child) |
| 3+ Children | £50 - £110 (some insurers cap the cost after 2-3 children) |
Real-Life Example:
The Smith family lives in Manchester. Mark, 42, has a PMI policy. He wants to add his wife, Sarah, 40, and their son, Leo, 8.
- Adding Sarah: Based on her age and their mid-range policy, the quote to add her is an extra £65 per month.
- Adding Leo: The insurer has an offer where the first child is half-price. Adding Leo costs an extra £15 per month.
- Total Increase: The family's premium increases by £80 per month to cover everyone.
An expert PMI broker like WeCovr can quickly find which insurers have the best family deals currently available, ensuring you don't miss out on valuable savings.
Comparing Family Policies vs. Separate Individual Policies
Is one big policy always better than several small ones? Not necessarily. The best approach depends on your family's unique needs.
| Feature | Combined Family Policy | Separate Individual Policies |
|---|
| Administration | Simple: One payment, one renewal date, one point of contact. | Complex: Multiple payments, different renewal dates, more admin. |
| Cost | Often cheaper due to multi-person discounts and child offers. | Can be more expensive in total, but not always. |
| Customisation | Less flexible. Everyone usually has the same level of cover. | Highly flexible. Each person can have a policy tailored to them. |
| No-Claims Discount | A claim by one person can affect the NCD for the whole policy. | Independent. One person's claim does not affect anyone else's NCD. |
| Best For | Families with similar health needs seeking convenience. | Individuals with very different needs (e.g., one wants basic, one wants comprehensive). |
The Process of Adding a Dependant to Your Policy
Adding a family member is usually a straightforward process, especially if you use a broker.
- Contact Your Provider (or Broker): The first step is to inform your insurer or, even better, your broker. A broker can manage the process for you. It's often best to do this ahead of your annual renewal.
- Provide Dependant's Details: You will need to supply the full name, date of birth, and address of the dependant you wish to add.
- Complete a Health Declaration: The new dependant will need to be underwritten. You'll answer questions about their medical history. It is crucial to be completely honest here.
- Choose Underwriting (if applicable): In most cases, the dependant will be added on the same underwriting terms as your existing policy (e.g., Moratorium or Full Medical Underwriting).
- Review the New Quote: The insurer will provide a new premium for the adjusted policy. Review the documents carefully to ensure the cover meets your expectations.
- Confirm and Activate: Once you're happy, you confirm the change, and your dependant will be covered from an agreed-upon start date.
Mid-Term vs. Renewal: You can usually add a dependant mid-way through your policy term (a 'mid-term adjustment'), but the simplest and most common time to do it is at your annual renewal. This is also the best time to review the market with a broker to ensure your current insurer is still the best option.
Understanding Underwriting for New Dependants
When you add a dependant, the insurer needs to assess their health risk. This is known as underwriting.
- Moratorium Underwriting: This is the most common method in the UK. The insurer doesn't ask for a full medical history upfront. Instead, any medical condition a dependant has had symptoms of, or received treatment for, in the 5 years before joining is automatically excluded for the first 2 years of the policy. If, after 2 years, they remain completely free of symptoms, advice, or treatment for that condition, it may become eligible for cover.
- Full Medical Underwriting (FMU): With FMU, you provide a full medical history for the dependant on an application form. The insurer's underwriting team reviews it and then tells you from the start if any specific conditions will be excluded from cover permanently. This provides certainty but can be more complex.
Remember, regardless of the underwriting type, chronic and pre-existing conditions are generally not covered by private medical insurance. The cover is for new, unforeseen, acute conditions.
Wellness Benefits and Added Value for Families
Modern private health cover is about more than just hospital treatment. The best PMI providers include a suite of wellness benefits that your whole family can use, often from day one.
- Digital GP: 24/7 access to a GP via phone or video call. This is incredibly useful for parents with a sick child in the middle of the night.
- Mental Health Support: Many policies now offer access to counselling hotlines, mental health apps like Headspace, or a set number of therapy sessions without needing a GP referral.
- Wellness Programmes: Insurers like Vitality are famous for their reward programmes, encouraging healthy living with discounts on gym memberships, fitness trackers, and healthy food in exchange for staying active.
- Health and Diet Support: As a WeCovr client, you and your family get complimentary access to our AI-powered calorie and nutrition tracking app, CalorieHero, to support your health goals.
- Extra Discounts: When you arrange your health insurance through us, we can also offer you preferential rates on other policies, such as life insurance or income protection, providing holistic financial security for your family.
Choosing a policy with strong wellness benefits can provide genuine day-to-day value, helping your family stay healthy and happy.
Using a PMI Broker Like WeCovr to Find the Best Deal
Navigating the private medical insurance UK market alone can be confusing. A specialist broker works for you, not the insurers, to find the right cover at the best price.
Why use an expert broker?
- Market-Wide Comparison: We compare policies from all the leading UK insurers to find the perfect fit for your family's needs and budget.
- Expert, Impartial Advice: We explain the jargon, clarify the small print, and help you understand the differences between policies. Our advice is free and without obligation.
- No Extra Cost: Our service is paid for by the insurer upon the sale of a policy, so you get our expertise at no cost to you.
- High Customer Satisfaction: We pride ourselves on our service, helping thousands of UK families secure the right protection and peace of mind.
- Hassle-Free Process: We handle the paperwork and liaise with the insurer on your behalf, from the initial quote to any future claims.
What happens if my partner or child has a pre-existing medical condition?
Generally, standard UK private medical insurance does not cover pre-existing conditions. When you add a dependant, their previous medical history will be assessed. Under 'moratorium' underwriting, any condition they've had in the last 5 years will be excluded for 2 years. Under 'full medical underwriting', the insurer will likely place a permanent exclusion on that condition. PMI is for new, acute conditions that occur after the policy begins.
Can I add my adult child to my health insurance policy?
Yes, most insurers allow you to keep children on your policy up to a certain age, typically 21 or even 25 if they are in full-time education. Once they are financially independent or pass the age limit, they will need to take out their own separate policy. The cost to insure an adult child will be higher than for a young child.
Is it cheaper to add a baby or a teenager to my policy?
It varies by insurer. Some insurers have a flat rate for all children under a certain age (e.g., 20), so the cost would be the same. Others have age-banded pricing, where the premium might be slightly different for a baby versus a teenager. However, the cost difference is usually minimal, and children are consistently cheaper to insure than adults. Some insurers even offer free cover for the first or second child, making it very cost-effective.
Ready to protect your family's health and get a clear, personalised cost?
Contact WeCovr today for a free, no-obligation quote. Our expert advisors will compare the UK's leading insurers to find the perfect health cover for you and your dependants.