Considering private medical insurance in the UK? As an FCA-authorised broker that has helped arrange over 900,000 policies, WeCovr often encounters a key question: can you hold more than one policy? This guide demystifies the rules, revealing how multiple policies work and whether it’s the right choice for you.
Rules around double insurance, claim overlaps and pros and cons of multiple policies
In the world of UK private medical insurance (PMI), the idea of holding policies with multiple providers might seem like a way to guarantee the best possible care. You might have a basic policy through your employer but are considering a more comprehensive personal plan to fill in the gaps.
But is it allowed? And more importantly, is it a good idea?
The short answer is yes, it is possible and perfectly legal to have more than one private health cover policy at the same time. However, the way claims are handled is not as simple as getting a double payout. The UK insurance market is built on a core principle that prevents you from profiting from a claim.
Let's dive into the specifics.
The Principle of Indemnity: The Cornerstone of UK Insurance
Before we explore the pros and cons, it's vital to understand the "Principle of Indemnity." This is a fundamental concept in all UK insurance, including PMI.
- What it means: Insurance is designed to put you back in the same financial position you were in before an insured event (like an illness or injury) occurred. It is not designed for you to make a profit.
- How it works with PMI: If you need a private medical procedure that costs £5,000, your insurance should cover up to £5,000 of that cost. You cannot claim £5,000 from Provider A and another £5,000 from Provider B for the same £5,000 bill. That would be profiting from the claim, which is not permitted.
This principle is enforced through "contribution clauses" found in most policy documents. These clauses state that if you have another policy covering the same risk, the insurers will coordinate to share the cost of the claim. You won't have to manage this yourself; the insurance companies will sort it out between them.
Crucial Reminder: Standard UK private medical insurance is designed for acute conditions – illnesses or injuries that are new, short-term, and likely to respond to treatment. It does not cover pre-existing conditions (ailments you had before taking out the policy) or chronic conditions (long-term illnesses like diabetes or asthma that require ongoing management).
Common Scenarios for Having Multiple PMI Policies
Why would someone in the UK end up with two health insurance policies? It usually happens in one of a few common situations.
1. Workplace Policy + Personal Top-Up Policy
This is by far the most frequent scenario. An employer provides a group PMI scheme as a staff benefit, but the cover might be basic.
- The Workplace Policy: Often has limits on outpatient consultations, may exclude certain therapies, or have a high excess.
- The Personal Policy: An individual then takes out their own policy to enhance their cover. They might want more extensive cancer care, full outpatient cover, mental health support, or dental and optical benefits that the work scheme lacks.
Example:
Sarah has a PMI policy with her law firm. It covers in-patient treatment fully but limits outpatient consultations to just £500 per year. Worried about diagnostic costs, she takes out a personal policy with a different provider that offers unlimited outpatient cover. When she needs a series of diagnostic scans costing £1,500, she can claim through her personal policy.
2. Both Partners Have Workplace Policies
It's common for couples or families where both adults are in professional roles to each have their own workplace PMI.
- The Challenge: The policies might have different benefits, hospital lists, and excesses. If a child needs treatment, the parents must decide which policy to claim under.
- The Opportunity: Having two policies gives the family flexibility. They can choose the policy that offers the best cover for a specific condition or provides access to their preferred hospital.
3. Overlapping Policies When Switching Providers
Sometimes, you might have a brief period of double insurance when you switch from one provider to another. This is usually accidental, for instance, if your new policy starts a week before your old one ends. This is generally not a problem, but it's important to be aware of.
4. General PMI + Specialised Cash Plan or Dental Plan
This is a very practical and popular combination.
- Private Medical Insurance: Covers the major costs of private diagnosis and treatment for acute conditions.
- Health Cash Plan: This is a different type of insurance. It doesn't cover private surgery but provides a cash payout for routine healthcare expenses, such as dental check-ups, eye tests, prescriptions, and physiotherapy, up to an annual limit.
These two types of policies don't overlap in the same way two PMI policies would. They complement each other perfectly.
How Do Claims Work with Two PMI Policies?
This is where the theory meets reality. If you hold two PMI policies and need to make a claim, what happens?
You will not be paid twice. Instead, the insurers will apply the principle of contribution.
Here's the typical process:
- You Notify Your Chosen Insurer: You decide which policy you want to use for the claim. This might be the one with the lower excess, the better hospital list, or the more comprehensive benefits for your specific condition.
- Declare Your Other Policy: When you make a claim, the claim form will almost certainly ask if you have any other insurance that covers the same treatment. You must answer this honestly. Failing to do so is considered non-disclosure and could invalidate your claim or even your policy.
- Insurers Coordinate: Once notified, your chosen insurer (the "lead insurer") will handle your claim as usual. Internally, they will contact the other insurer. Based on the contribution clauses in both policies, they will agree on how to split the cost.
- If both policies offer identical cover, they might split the cost 50/50.
- If one policy has a higher limit, that insurer might pay a larger proportion.
- Your Bill is Paid: As the policyholder, you shouldn't notice this behind-the-scenes process. Your hospital and specialist bills will be paid directly by the insurers, up to the limits of your policies. You are only responsible for paying any excess on the policy you claimed through.
A Table Illustrating the Claim Process
| Step | Your Action | Insurers' Action |
|---|
| 1. Treatment Needed | You receive a GP referral for private specialist treatment. | - |
| 2. Choose a Policy | You review your two policies and decide to claim on Policy A. | - |
| 3. Make the Claim | You contact Insurer A, complete a claim form, and declare you hold Policy B. | Insurer A pre-authorises the treatment. |
| 4. Insurer Coordination | - | Insurer A contacts Insurer B. They agree to share the cost of the £4,000 procedure, perhaps 50/50. |
| 5. Treatment & Payment | You have your treatment. You pay the £250 excess on Policy A. | Insurer A pays the hospital £3,750. Insurer A then reclaims £2,000 from Insurer B. The total cost is covered. |
The Pros and Cons of Holding Multiple PMI Policies
Deciding whether to pay for two sets of premiums requires careful thought. An expert broker like WeCovr can provide personalised advice, but here is a general breakdown of the advantages and disadvantages.
Advantages of Multiple Health Insurance Policies
- Filling Gaps in Cover: The main benefit is plugging holes in a primary policy. A basic work scheme might not cover mental health, but a personal plan can add this crucial benefit.
- Higher Overall Limits: If you have two policies, you can potentially combine their limits for certain benefits. For example, if Policy A has a £1,000 outpatient limit and Policy B has a £1,500 limit, you might be able to claim up to £2,500 in total, provided the insurers agree to contribute.
- Wider Choice of Hospitals: Each insurer has its own list of approved hospitals. Having two policies from different providers could grant you access to a much broader network of facilities across the UK.
- Flexibility in Claiming: You can choose the policy that is most advantageous for a particular claim – for instance, the one with a zero excess or the one that has a specific cancer care pathway you prefer.
- Access to More Wellness Benefits: Insurers are increasingly competing on added perks. One policy might offer discounted gym memberships, while another provides a digital GP service and a wellness app. With two policies, you could access both. When you arrange cover with WeCovr, you also get complimentary access to our AI-powered nutrition app, CalorieHero, to help you stay on top of your health goals.
Disadvantages of Multiple Health Insurance Policies
- The Cost: This is the most significant drawback. You are paying two premiums every month, and a portion of that money will likely be for overlapping cover you can only claim on once.
- Administrative Hassle: Juggling two policies, two sets of documents, two renewal dates, and two sets of rules can be confusing and time-consuming.
- Complexity in Claims: While insurers handle the contribution process, it can sometimes lead to slight delays compared to a straightforward claim on a single policy.
- False Sense of Security: You might think you are "doubly covered," but the principle of indemnity means you'll never get a double payout. It's often more cost-effective to upgrade a single policy than to buy a second one.
- Potential for Underwriting Complications: Each policy will have its own underwriting terms (e.g., moratorium or full medical underwriting). This can create confusion about what pre-existing conditions are excluded on which policy.
Summary Table: Pros vs. Cons
| Pros (Advantages) | Cons (Disadvantages) |
|---|
| ✅ Fills gaps in a primary (e.g., work) policy | ❌ Paying two premiums for overlapping benefits |
| ✅ Can lead to higher overall benefit limits | ❌ Increased administrative complexity and paperwork |
| ✅ Provides access to a wider hospital network | ❌ Claims process can be slightly slower or more complicated |
| ✅ Flexibility to choose which policy to claim from | ❌ No "double payout" – you cannot profit from a claim |
| ✅ Access to a broader range of wellness & value-adds | ❌ May be more cost-effective to have one comprehensive plan |
Is a Second Policy the Right Choice for You? Analysing Your Needs
Instead of immediately buying a second policy, it's wise to first assess whether it's truly necessary. A specialist PMI broker can be invaluable here.
Ask yourself these questions:
- What are the specific gaps in my current policy? Write them down. Is it mental health cover, outpatient limits, dental, or the choice of hospitals?
- Can I upgrade my existing policy to fill these gaps? Often, you can add modules or upgrade your level of cover with your current provider for less than the cost of a whole new policy.
- Could a single, different policy provide all the cover I need? It might be more economical to switch from your current personal plan to a new, more comprehensive one that includes everything you want.
- Have I considered a Health Cash Plan instead? If your main concern is routine expenses like dental, optical, or therapies, a cash plan is a much cheaper and more suitable solution than a second full PMI policy.
The team at WeCovr specialises in comparing the UK's leading private medical insurance providers. We can analyse your existing cover and help you find the most efficient way to get the protection you need, whether that's through an upgrade, a switch, or a carefully selected complementary policy. Plus, clients who purchase PMI or life insurance through us often receive discounts on other types of cover, such as home or travel insurance.
UK Health and Wellness: A Proactive Approach
Having robust health insurance is about more than just treatment; it's about staying well. The UK has seen a significant shift towards preventative healthcare. According to the Office for National Statistics (ONS), people are increasingly aware of the links between lifestyle and long-term health.
Taking a proactive approach can reduce your reliance on medical treatment in the first place.
- Balanced Diet: Aim for a diet rich in fruits, vegetables, lean proteins, and whole grains. Monitoring your intake with an app can be a great motivator.
- Regular Exercise: The NHS recommends at least 150 minutes of moderate-intensity activity a week. This could be brisk walking, cycling, or swimming.
- Quality Sleep: Most adults need 7-9 hours of sleep per night for optimal physical and mental health. Poor sleep is linked to a range of health issues.
- Health Screenings: Use the wellness benefits in your PMI policy for regular health checks. Catching potential issues early is one of the most effective ways to ensure good long-term outcomes.
Using the value-added benefits from one or even two PMI policies can be a fantastic way to support a healthier lifestyle.
Frequently Asked Questions (FAQ)
Do I have to declare my other health insurance policy when I make a claim?
Yes, absolutely. You must be honest and transparent with your insurer. Claim forms will specifically ask if you have other insurance that could cover the same event. Failing to disclose this is a form of insurance fraud and could lead to your claim being rejected and your policy being cancelled. It's always best to be upfront.
Can I choose which of my two PMI policies to claim on?
Yes, you can. You should review the benefits and terms of each policy to decide which is better suited for your specific claim. For example, you might choose the policy with a £0 excess to avoid any out-of-pocket costs, or the one that gives you access to a hospital renowned for the treatment you need. Once you choose, that insurer will lead the claim.
Is it better to have two policies or one single comprehensive policy?
For most people, having one comprehensive policy is more straightforward and cost-effective. Paying for two policies often means paying twice for the same core benefits. The main exception is when you have a basic workplace policy and want to add specific benefits (like full outpatient or mental health cover) via a separate personal plan. An independent broker can help you compare the cost of a second policy versus upgrading or switching to a single, all-encompassing plan.
Does having two policies cover my pre-existing or chronic conditions?
No. This is a critical point. Standard UK private medical insurance, whether you have one policy or two, is designed to cover new, acute conditions that arise *after* your policy begins. It does not cover the treatment of pre-existing conditions or the routine management of long-term, chronic illnesses like diabetes, Crohn's disease, or high blood pressure.
The Final Verdict: Is Double Insurance Worth It?
While it's possible to have PMI with multiple providers, it's a strategy that only makes sense in specific circumstances, most commonly to supplement a basic employer-provided scheme.
For the majority of UK consumers, the goal should be to secure a single, robust policy that meets all their needs in a cost-effective way. Paying two premiums often leads to redundant cover and unnecessary expense due to the fundamental insurance principle of indemnity.
Before you commit to a second policy, take the time to explore all your options. A thorough market review can reveal whether upgrading your current plan or switching to a better provider would be a more prudent financial decision.
Navigating the complexities of the private medical insurance UK market can be challenging. High customer satisfaction ratings show that our clients value our clear, impartial advice. Let us help you find the perfect cover for your peace of mind.
Ready to find the right private health cover? Get a free, no-obligation quote from WeCovr today and let our experts build a plan that's right for you.