
As an FCA-authorised broker that has helped arrange over 800,000 policies, WeCovr understands the nuances of private medical insurance in the UK. A common question we hear is about its tax implications. This definitive guide breaks down whether your private health cover is tax deductible for you or your business.
The rules around tax and Private Medical Insurance (PMI) in the UK can feel like a maze. The answer to "Is it tax deductible?" isn't a simple yes or no. It depends entirely on who is paying for the policy and their employment status.
Here’s the simple overview:
Let's dive into the details for each scenario, so you can understand exactly where you stand.
Before we tackle the tax, let's quickly recap what Private Medical Insurance (PMI) is. Think of it as a health plan that runs alongside the NHS. Its primary purpose is to cover the costs of diagnosis and treatment for acute conditions that arise after you take out your policy.
Crucial Point: Standard UK private medical insurance does not cover chronic conditions (like diabetes or asthma) or pre-existing conditions you had before your policy began. It's designed for new, curable health issues.
The main benefits of having PMI include:
Now, let's connect this back to tax.
This is the most straightforward scenario. If you are an individual (not a business owner) and you decide to buy a private health cover policy for yourself or your family, the situation is simple:
Private medical insurance is NOT tax deductible for individuals.
HMRC (His Majesty's Revenue and Customs) views this as a personal choice and a personal expense, much like paying for a gym membership or a holiday. You pay for the policy out of your net income—the money you have left after income tax and National Insurance have been deducted.
Example:
| Payer Status | Policy Cost | Tax Deductible? | HMRC's View |
|---|---|---|---|
| Individual | Paid from post-tax income | No | A personal living expense |
This is where things get more complicated and, frankly, where most of the confusion arises. For the vast majority of self-employed people (sole traders and partners in a partnership), the answer is the same as for individuals:
PMI is generally NOT a tax-deductible expense.
The reason lies in HMRC's strict "wholly and exclusively" rule. To be an allowable business expense, a cost must be incurred "wholly and exclusively" for the purposes of the trade or profession.
HMRC argues that a person's health is a private matter. Even if being ill stops you from working, the benefit of having health insurance is to your personal well-being, not just to your business. Since the benefit is dual-purpose (personal and business), it fails the "wholly and exclusively" test.
There is a very narrow, theoretical exception. If you could prove that the sole reason for the PMI policy was to cover conditions that would only affect your ability to do your specific job, you might be able to claim it.
Imagine a professional concert pianist who takes out a policy that exclusively covers injuries to their hands and arms. They might argue this is "wholly and exclusively" for their business. However, this is an incredibly high bar to clear. Most PMI policies are comprehensive and cover all aspects of your health, instantly disqualifying them.
Our Advice: If you are a sole trader, it is safest to assume your PMI is not tax-deductible. Always consult a qualified accountant before attempting to claim it as a business expense. Mis-claiming can lead to HMRC investigations and penalties.
This is where private medical insurance becomes a genuinely tax-efficient benefit. If you run a limited company, even as a sole director, the rules are completely different and much more favourable.
Here’s how it works in two parts: the benefit for the company, and the consequence for the employee or director.
When a limited company pays for private health insurance for its staff (including directors), the cost of the premiums is considered an allowable business expense.
This means the company can deduct the full cost of the policy from its revenue before calculating its profit. This, in turn, reduces the company's Corporation Tax bill.
Example:
Nothing from HMRC is ever completely free! While the company gets a tax break, the employee or director who receives the health cover has to pay for it in a different way.
Because the company is paying for a personal benefit, HMRC classes it as a Benefit in Kind (BIK). This is a non-cash benefit that still has a taxable value. The value of the benefit is simply the cost of the premium the company paid for that specific employee.
This has two tax consequences:
Your employer reports this to HMRC using a P11D form at the end of the tax year. HMRC then adjusts your tax code to collect the extra income tax owed, usually by reducing your personal allowance for the following year.
Let's put all this together in a clear, step-by-step example.
Imagine a director, David, is the sole employee of his limited company, David Designs Ltd. The company pays for his PMI policy, which costs £1,200 for the year. David is a higher-rate taxpayer (40%).
| Action | For the Company (David Designs Ltd) | For the Employee (David) |
|---|---|---|
| PMI Premium Paid | -£1,200 | Health cover received |
| Corporation Tax Saving | +£300 (25% of £1,200) | N/A |
| Class 1A NICs Payable | -£165.60 (13.8% of £1,200) | N/A |
| Total Cost to Company | £1,065.60 | N/A |
| P11D Benefit Declared | Declares £1,200 benefit | Taxable benefit of £1,200 |
| Income Tax Payable | N/A | -£480 (40% of £1,200) |
| Total Cost to Employee | N/A | £480 |
Total Cost of the Arrangement: £1,065.60 (company) + £480 (employee) = £1,545.60
Looking at the numbers, you might wonder if it's worth the hassle. Let's compare it to David paying for the same £1,200 policy personally from his post-tax salary.
Comparison:
As you can see, even with the BIK tax, arranging PMI through a limited company is significantly more tax-efficient than paying for it personally. This is a key reason why it's one of the most popular benefits offered by small businesses in the UK.
As an expert PMI broker, WeCovr can help you and your business navigate these options and find a policy that delivers maximum value for both the company and its team.
Setting up a private medical insurance scheme for your company is a powerful way to invest in your team's health and well-being. It sends a clear message that you value your employees, which is a major factor in attracting and retaining top talent.
Here is a simple, five-step process:
While the tax benefits are compelling, the real value of private medical insurance lies in health and wellness. Modern PMI policies are about much more than just hospital stays. They are evolving into holistic health and well-being packages.
Many of the best PMI providers now include a suite of valuable perks as standard, such as:
At WeCovr, we enhance this further. All our PMI and Life Insurance customers receive complimentary access to our AI-powered calorie and nutrition tracking app, CalorieHero, to help you stay on top of your health goals. We also offer discounts on other types of insurance when you take out a health policy with us, helping you protect your family, home, and business all in one place.
Understanding the tax implications of private medical insurance is the first step. The next is finding a policy that protects your health, supports your business, and fits your budget.
Navigating the UK private health insurance market alone can be overwhelming. As experienced, FCA-authorised brokers, we do the hard work for you. We'll listen to your needs, compare leading providers, and present you with clear, jargon-free options.
Get a free, no-obligation quote from WeCovr today and discover how affordable peace of mind can be.






