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Is Private Medical Insurance Worth the Cost in 2025

Is Private Medical Insurance Worth the Cost in 2025 2025

As an FCA-authorised expert with over 800,000 policies of various types issued, WeCovr understands the UK private medical insurance market inside out. This guide explores whether private health cover is a worthwhile investment for you in 2025, breaking down the costs and benefits for different stages of life.

Evaluating benefits versus expenses for families, professionals, and retirees

The decision to invest in Private Medical Insurance (PMI) is a significant one, balancing peace of mind against a monthly budget. With the NHS facing unprecedented challenges, more people than ever are weighing up their options. But is it the right choice for you? The answer depends entirely on your personal circumstances, priorities, and life stage.

For a young professional, it might be about minimising time off work. For a family, it could be about swift care for a child. For a retiree, it's often about preserving quality of life. This article will help you navigate this complex decision by examining the real-world value of PMI in 2025.

What is Private Medical Insurance (PMI) and What Does It Actually Cover?

First, let's be crystal clear about what PMI is. It's an insurance policy you pay for that covers the cost of private medical treatment for acute conditions that arise after you take out the policy.

An acute condition is a disease, illness, or injury that is likely to respond quickly to treatment and lead to a full recovery. Think of things like a hernia repair, cataract surgery, or a joint replacement.

The Crucial Distinction: Acute vs. Chronic Conditions

This is the single most important concept to understand. Standard UK private medical insurance does not cover chronic conditions. A chronic condition is one that is long-lasting and requires ongoing management, such as diabetes, asthma, arthritis, or high blood pressure.

Similarly, PMI does not cover pre-existing conditions — any illness or injury you had before your policy began.

Here’s a simple table to illustrate the difference:

Condition TypeDescriptionExamplesCovered by PMI?
AcuteA condition that comes on suddenly and has a limited duration. Treatment aims to cure it.Cataracts, appendicitis, hip/knee replacement, most cancers, hernia.Yes
ChronicA long-term condition that requires ongoing management rather than a cure.Diabetes, asthma, high blood pressure, arthritis, Crohn's disease.No

What PMI Typically Covers:

  • Inpatient and day-patient treatment: Costs for surgery and care when you're admitted to a hospital bed.
  • Outpatient consultations and diagnostics: Seeing a specialist and having tests like MRI or CT scans to find out what's wrong.
  • Cancer care: Comprehensive cover for diagnosis, chemotherapy, radiotherapy, and surgery is a cornerstone of most policies.
  • Mental health support: Access to therapy and psychiatric care, often with more sessions than available on the NHS.
  • Digital GP services: 24/7 access to a GP via phone or video call.

What PMI Typically Excludes:

  • Pre-existing conditions
  • Chronic conditions
  • Accident & Emergency (A&E) visits
  • Routine pregnancy and childbirth
  • Cosmetic surgery (unless reconstructive)
  • Drug and alcohol rehabilitation

The State of the NHS in 2025: Why People Are Considering PMI

The National Health Service is a national treasure, providing free healthcare at the point of use. However, it is under immense strain. Understanding the current reality is key to evaluating the need for private cover.

According to the latest NHS England data from mid-2024, the referral to treatment (RTT) waiting list remains historically high, with several million individual cases.

  • Total Waiting List: The overall waiting list for elective care in England has been fluctuating around the 7.5 million mark.
  • Long Waits: Hundreds of thousands of patients are waiting over 52 weeks for treatment, with some waiting much longer for specialities like orthopaedics (for joint replacements) and ophthalmology (for eye surgery).
  • Cancer Targets: While urgent cancer referrals are prioritised, targets for starting treatment within 62 days are frequently being missed across the country.
  • Mental Health: Waiting times for Child and Adolescent Mental Health Services (CAMHS) and adult talking therapies can stretch for many months, leaving vulnerable people without timely support.

These aren't just numbers on a spreadsheet. They represent people living in pain, unable to work, and suffering from anxiety about their health. This challenging landscape is the primary driver for the growing interest in private medical insurance in the UK.

The Core Benefits of Private Medical Insurance

If the main driver for PMI is the state of NHS waiting lists, the benefits directly address these concerns, offering a parallel path to treatment.

H3: Speed of Access

This is the number one benefit. With PMI, you can bypass long NHS queues. Once you have a GP referral, you can typically see a specialist within days or weeks, not months or years. Diagnostic tests and subsequent treatment follow just as quickly.

  • Real-Life Example: An active 55-year-old needs a hip replacement. The NHS wait in their area is 18 months. With PMI, they could be referred, diagnosed, and have the operation within 8-12 weeks, dramatically reducing their time in pain and preserving their mobility.

H3: Choice and Control

PMI puts you in the driver's seat.

  • Choice of Specialist: You can research and choose the consultant you want to see, based on their reputation and specialism.
  • Choice of Hospital: Your policy will include a list of approved private hospitals. You can choose one that is convenient for you or known for its expertise in a particular area.
  • Choice of Timing: You can schedule appointments and surgery at a time that suits you, minimising disruption to your work and family life.

H3: Enhanced Comfort and Privacy

Private hospitals generally offer a higher level of comfort. This often includes:

  • A private en-suite room
  • Better food menus
  • More flexible visiting hours for family
  • A quieter, more restful environment for recovery

H3: Access to Specialist Drugs and Treatments

Sometimes, a new drug or treatment may be proven effective but not yet approved for widespread use on the NHS by the National Institute for Health and Care Excellence (NICE), often due to cost-effectiveness assessments. Many comprehensive PMI policies will cover these treatments, giving you access to the very latest medical innovations.

H3: Comprehensive Mental Health Support

Modern PMI policies have significantly expanded their mental health cover. This is a huge advantage over lengthy NHS waits for therapy. Cover often includes:

  • Access to telephone counselling lines.
  • Referrals for a set number of face-to-face or virtual therapy sessions (e.g., CBT).
  • In some cases, cover for inpatient psychiatric care.

H3: Digital GP and Wellness Perks

Insurers are no longer just about illness; they're about promoting wellness. Most policies now come with valuable extras:

  • 24/7 Digital GP: Speak to a GP anytime, anywhere, and get prescriptions or referrals without waiting for a local surgery appointment.
  • Wellness Programmes: Many providers offer rewards for healthy living, such as discounted gym memberships, free cinema tickets, or coffee for tracking your activity.
  • Health and Wellness Apps: As a WeCovr customer, for example, you get complimentary access to CalorieHero, our AI-powered calorie and nutrition tracking app, to help you stay on top of your health goals.

How Much Does Private Health Cover Cost in 2025?

This is the million-dollar question (or rather, the £50-a-month question). The cost of a PMI policy is highly personalised and depends on several key factors:

  1. Age: Premiums increase as you get older because the statistical risk of needing treatment rises.
  2. Location: Living in London and the South East is generally more expensive due to higher hospital costs.
  3. Lifestyle: Smokers will pay significantly more than non-smokers.
  4. Level of Cover: A basic policy covering only inpatient care will be much cheaper than a comprehensive one with full outpatient, dental, and optical cover.
  5. Excess: This is the amount you agree to pay towards the cost of a claim. A higher excess (e.g., £500) will lower your monthly premium.
  6. Hospital List: Choosing a policy with a more restricted list of local hospitals is cheaper than one that gives you access to every private hospital in the UK, including premium central London ones.

To give you a rough idea, here is an illustrative table of estimated monthly costs. Please remember these are just examples; your actual quote will depend on your specific circumstances.

Demographic ProfileBasic Cover (Inpatient only, £500 excess)Mid-Range Cover (In/Outpatient, £250 excess)Comprehensive Cover (£0 excess, full options)
Single Professional, 30s£35 – £50£60 – £90£100 – £150
Young Family (2 adults, 2 kids)£90 – £130£150 – £220£250 – £350+
Retiree, 65s£90 – £140£160 – £250£280 – £400+

An expert broker like WeCovr can help you navigate these options to find the perfect balance between cost and cover.

Is PMI Worth It for... Families?

For families, the value of PMI is often measured in parental peace of mind.

  • Speed for Kids: Children's health issues can be incredibly stressful. Whether it's a referral to an ENT specialist for recurring tonsillitis or a consultation with a dermatologist, PMI can mean seeing an expert in days.
  • Mental Health Support: With long waits for CAMHS, having a policy that provides quick access to therapy for a teenager struggling with anxiety can be invaluable.
  • Less Disruption: Quick treatment means less time off school for children and less time off work for parents, reducing the overall impact on family life.
  • Parental Care: It also ensures that if a parent falls ill, they can get treated quickly and return to their family responsibilities with minimum disruption.

Is PMI Worth It for... Working Professionals?

For professionals, especially those who are self-employed or run a small business, time is money.

  • Minimising Downtime: Being on a long NHS waiting list for a procedure like a hernia repair or carpal tunnel surgery can mean months of reduced productivity or being unable to work at all. The economic cost of lost earnings can easily outweigh the annual cost of a PMI policy.
  • Flexibility: The ability to schedule appointments and treatment around work commitments is a major benefit. 24/7 digital GPs mean you don't have to take a morning off work just to speak to a doctor.
  • Mental Resilience: High-pressure jobs can take their toll. Fast access to mental health support can help you manage stress and prevent burnout, making it a crucial tool for career longevity.

Is PMI Worth It for... Retirees?

This is often the demographic that needs medical care the most, but also faces the highest premiums.

  • Quality of Life: The key benefit for retirees is preserving an active and independent lifestyle. Quick access to joint replacements, cataract surgery, and other procedures common in later life can be the difference between staying mobile and social versus being housebound.
  • Peace of Mind: Knowing you have a plan in place for a health scare reduces anxiety. It also offers reassurance to adult children, who may worry about their parents' health.
  • The Big Caveat: It is absolutely vital for retirees to understand that PMI will not cover pre-existing conditions. If you already have arthritis or heart disease when you take out the policy, treatment for those specific conditions will be excluded. PMI is for new, acute conditions that arise after your cover starts. For this reason, it is often wisest to take out a policy when you are younger and healthier and maintain it into retirement.

How to Choose the Right Private Medical Insurance UK Policy

Navigating the market can be confusing. Here are the key choices you'll need to make.

Underwriting Options

  1. Moratorium Underwriting: This is the most common type. You don't have to declare your full medical history upfront. Instead, the insurer automatically excludes treatment for any condition you've had symptoms, treatment, or advice for in the 5 years before your policy started. However, if you then go 2 continuous years on the policy without any issues relating to that condition, it may become eligible for cover.
  2. Full Medical Underwriting (FMU): This involves completing a detailed health questionnaire. The insurer assesses your medical history and states clearly from the outset what is and isn't covered. It takes longer to set up but provides complete clarity from day one.

Customising Your Policy to Manage Costs

  • Excess: Choosing a higher excess is one of the easiest ways to reduce your premium. If you have some savings, an excess of £250, £500, or even £1,000 can make your policy much more affordable.
  • 6-Week Option: This is a popular cost-saving feature. With this option, your PMI will only kick in for inpatient treatment if the NHS waiting list for that procedure is longer than 6 weeks. If the NHS can treat you within 6 weeks, you use the NHS. This significantly lowers your premium but still protects you from long waits.
  • Guided Consultants/Hospital Lists: Some policies offer a reduced premium if you agree to use a consultant or hospital from a curated list provided by the insurer, rather than having a completely free choice.

The Role of an Expert PMI Broker like WeCovr

Trying to compare every policy from every provider is overwhelming. This is where an independent broker is essential.

An expert broker like WeCovr acts as your advocate. Our service is provided at no extra cost to you.

  • Whole-of-Market Comparison: We compare policies from the UK's leading insurers to find the one that best suits your needs and budget.
  • Impartial, Expert Advice: As an FCA-authorised firm, our advice is regulated, professional, and always in your best interest. We'll explain the jargon and help you understand the pros and cons of each option.
  • Tailored Solutions: We take the time to understand your unique situation—whether you're a family, professional, or retiree—to recommend a policy that truly fits.
  • Added Value: We go beyond just the policy. We offer our clients perks like complimentary access to the CalorieHero AI nutrition app and discounts on other insurance policies, such as life or home insurance, when they purchase a plan through us. Our consistently high customer satisfaction ratings reflect our commitment to service.

The Verdict: So, Is PMI Worth It in 2025?

Private medical insurance is not a replacement for the NHS; it's a complement to it. It provides a safety net, offering you speed, choice, and comfort when you need it most.

PMI is likely worth the cost if you:

  • Value quick access to medical care and want to avoid long waiting lists.
  • Want control over where, when, and by whom you are treated.
  • Are self-employed or would lose income from being unable to work.
  • Are a parent who wants fast-track care for your children.
  • Want access to comprehensive mental health support without a long wait.

PMI may not be the right choice if you:

  • Have a tight budget and cannot afford the monthly premiums.
  • Are primarily seeking cover for a pre-existing or chronic condition.
  • Are comfortable with potentially waiting for NHS treatment.

Ultimately, the decision is personal. The key is to be fully informed.


Does private medical insurance cover pre-existing conditions?

No, standard UK private medical insurance policies are designed to cover new, acute conditions that arise after your policy starts. They explicitly exclude pre-existing conditions (illnesses you already have) and long-term chronic conditions like diabetes or asthma.

What is the '6-week option' and how does it save money?

The 6-week option is a popular cost-saving feature on many PMI policies. It means that if the NHS can provide the inpatient treatment you need within six weeks of it being recommended, you will use the NHS. If the NHS waiting list is longer than six weeks, your private medical insurance will cover the treatment. This significantly reduces your premium because it shares the risk with the NHS, while still protecting you from long delays.

Do I still need to pay National Insurance if I have private health cover?

Yes, absolutely. Private medical insurance is a top-up to the NHS, not a replacement for it. You will still need the NHS for emergencies (A&E), managing chronic conditions, and GP services if not included in your plan. Paying National Insurance contributions remains a legal requirement for all eligible UK residents.

How does an 'excess' work on a PMI policy?

An excess is a fixed amount you agree to pay towards a claim before the insurer pays the rest. For example, if you have a £250 excess and your treatment costs £3,000, you would pay the first £250 and your insurer would cover the remaining £2,750. Choosing a higher excess is a common way to lower your monthly premium. The excess is usually payable once per policy year, regardless of how many claims you make.

Ready to find out what private medical insurance would cost for you? The best way to get a clear picture is to compare personalised quotes.

Get your free, no-obligation quote from WeCovr today and let our experts help you find the right cover at the right price.


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Why private medical insurance and how does it work?

What is Private Medical Insurance?

Private medical insurance (PMI) is a type of health insurance that provides access to private healthcare services in the UK. It covers the cost of private medical treatment, allowing you to bypass NHS waiting lists and receive faster, more convenient care.

How does it work?

Private medical insurance works by paying for your private healthcare costs. When you need treatment, you can choose to go private and your insurance will cover the costs, subject to your policy terms and conditions. This can include:

• Private consultations with specialists
• Private hospital treatment and surgery
• Diagnostic tests and scans
• Physiotherapy and rehabilitation
• Mental health treatment

Your premium depends on factors like your age, health, occupation, and the level of cover you choose. Most policies offer different levels of cover, from basic to comprehensive, allowing you to tailor the policy to your needs and budget.

Questions to ask yourself regarding private medical insurance

Just ask yourself:
👉 Are you concerned about NHS waiting times for treatment?
👉 Would you prefer to choose your own consultant and hospital?
👉 Do you want faster access to diagnostic tests and scans?
👉 Would you like private hospital accommodation and better food?
👉 Do you want to avoid the stress of NHS waiting lists?

Many people don't realise that private medical insurance is more affordable than they think, especially when you consider the value of faster treatment and better facilities. A great insurance policy can provide peace of mind and ensure you receive the care you need when you need it.

Benefits offered by private medical insurance

Private medical insurance provides numerous benefits that can significantly improve your healthcare experience and outcomes:

Faster Access to Treatment
One of the biggest advantages is avoiding NHS waiting lists. While the NHS provides excellent care, waiting times can be lengthy. With private medical insurance, you can often receive treatment within days or weeks rather than months.

Choice of Consultant and Hospital
You can choose your preferred consultant and hospital, giving you more control over your healthcare journey. This is particularly important for complex treatments where you want a specific specialist.

Better Facilities and Accommodation
Private hospitals typically offer superior facilities, including private rooms, better food, and more comfortable surroundings. This can make your recovery more pleasant and potentially faster.

Advanced Treatments
Private medical insurance often covers treatments and medications not available on the NHS, giving you access to the latest medical advances and technologies.

Mental Health Support
Many policies include comprehensive mental health coverage, providing faster access to therapy and psychiatric care when needed.

Tax Benefits for Business Owners
If you're self-employed or a business owner, private medical insurance premiums can be tax-deductible, making it a cost-effective way to protect your health and your business.

Peace of Mind
Knowing you have access to private healthcare when you need it provides invaluable peace of mind, especially for those with ongoing health conditions or concerns about NHS capacity.

Private medical insurance is particularly valuable for those who want to take control of their healthcare journey and ensure they receive the best possible treatment when they need it most.

Important Fact!

There is no need to wait until the renewal of your current policy.
We can look at a more suitable option mid-term!

Why is it important to get private medical insurance early?

👉 Many people are very thankful that they had their private medical insurance cover in place before running into some serious health issues. Private medical insurance is as important as life insurance for protecting your family's finances.

👉 We insure our cars, houses, and even our phones! Yet our health is the most precious thing we have.

Easily one of the most important insurance purchases an individual or family can make in their lifetime, the decision to buy private medical insurance can be made much simpler with the help of FCA-authorised advisers. They are the specialists who do the searching and analysis helping people choose between various types of private medical insurance policies available in the market, including different levels of cover and policy types most suitable to the client's individual circumstances.

It certainly won't do any harm if you speak with one of our experienced insurance experts who are passionate about advising people on financial matters related to private medical insurance and are keen to provide you with a free consultation.

You can discuss with them in detail what affordable private medical insurance plan for the necessary peace of mind they would recommend! WeCovr works with some of the best advisers in the market.

By tapping the button below, you can book a free call with them in less than 30 seconds right now:

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Life Insurance and Private Medical Insurance cover you for two different purposes, so you will need to assess your needs but may wish to consider holding the two policies. Private Medical Insurance covers you if you get sick or need treatment and want or need to go privately. Life Insurance covers you in the case of death, giving a payout to family/those left behind.

Health insurance covers conditions that develop after your policy starts. Pre-existing conditions are typically not covered, and insurers may exclude related issues. Some policies may cover symptoms of pre-existing conditions under specific circumstances. Always review your policy's exclusions. Coverage for pre-existing medical conditions may be available if you currently hold a medical insurance policy or are transitioning from a company scheme. However, if you have never had medical insurance before or if your policy is not active at the moment, pre-existing conditions will not be covered. This limitation exists because health insurance is primarily intended to protect against unexpected health issues. To simplify, it's akin to getting into a car accident and then trying to obtain insurance coverage afterward to repair the vehicle — insurance companies typically do not cover such claims. Nevertheless, there is an option to gain coverage for pre-existing conditions after a two-year waiting period, subject to specific rules and conditions.

If you prefer to get straight into treatment in the private sector without the long waiting times with the NHS, or you just prefer the private sector anyway, without having to pay it all yourself, then you would need to have Private Medical Insurance to cover it. Sometimes treatments and drugs that are not covered by the NHS can be covered by Private Medical Insurance.

It's free to use WeCovr to find health insurance - we never charge you for quotes. Health or private medical insurance is an investment that can pay for itself the first time you might need medical treatment.

It depends on your personal choice and preferences. If you are prepared to limit yourself to NHS-covered treatments only and can or want to endure long waiting times to get into treatment, then yes, NHS might work for you. Your cover there is free. If you don't want to be exposed to long waiting times or if your treatment is not covered by the NHS, then you would benefit from Private Medical Insurance.

Private Medical Insurance is an important financial product that insurance companies take a lot of care and diligence so speaking to real human beings ensures that they understand your requirements fully so that you can get the right cover.

All of our partners are carefully vetted and authorised by the FCA, which means they are held to the highest standards that the FCA expects from them and treat all customers fairly!

Our revenue comes from commissions paid by the insurance providers when a policy is taken out through us. Essentially, when you choose to secure a policy from one of the providers we work with, they compensate us for facilitating the transaction. It's important to note that this commission does not impact the premium you pay. We remain committed to providing transparent and unbiased quotes to help you find the best insurance options tailored to your needs.

The cost of private health insurance depends on several factors, including your age, location, smoking status, and the type of policy you choose. Your health insurance policy is tailored to your needs, and the cost can vary based on the level of cover you require, such as the amount of excess and specific treatment allowances.

Private health insurance covers you for conditions that arise after your policy begins. You pay a monthly fee and can make claims for private healthcare covered by your policy. One of the main benefits of private healthcare is quicker access to treatment compared to the NHS, along with access to new drugs or specialist treatments.

Most health insurance covers private hospital stays and may include outpatient treatments like scans, tests, or appointments. Policies vary in coverage, and exclusions often include emergency treatment, maternity care, cosmetic surgery, and ongoing conditions present before the policy started.

Unfortunately, you cannot pay extra to have a pre-existing condition covered as part of your health insurance policy. However, you have access to support from a nurse or digital GP. If you have questions about what is covered under your policy, please contact us for clarification.

Your health insurance policy begins once you've selected your policy and set up your payment. After setup, you'll receive your cover documents detailing what is and isn't covered. It's important to review these details carefully as policies differ.

An excess is the amount you contribute towards treatment when you make a claim. Choosing a higher excess can reduce your policy's monthly cost but requires a larger contribution when claiming. WeCovr's experts will offer you flexible excess options depending on your preferences.

To reduce health insurance costs, consider choosing a higher excess, which lowers the monthly premium. However, ensure the plan still meets your needs. Other factors affecting cost include lifestyle choices like smoking and potential savings for couples or family plans.

There is no age limit for taking out health insurance, but age influences the policy's cost. The benefits of health insurance are consistent regardless of age. If you're considering health insurance, you can get a quote from WeCovr's experts regardless of your age.

Let WeCovr's experts do the legwork for you and compare health insurance plans at no cost to you to find the best fit for your needs. Consider individual, couple, or family plans and review coverage details thoroughly before choosing. WeCovr provides transparent information on coverage options for easy comparison.

Yes, you can add your partner (if you live at the same address) or dependents to your policy at any time. The cost of couple's or family health insurance depends on factors like location, age, health, and chosen excess. Contact WeCovr or your insurer for assistance in adding someone to your policy.

While WeCovr's private health insurance plans are tailored for the UK, we offer global health insurance options for those living or working abroad. For holiday coverage, travel insurance is recommended.

Comprehensive cover provides extensive benefits, including full outpatient services such as consultations, diagnostic tests, physiotherapy, and mental health therapies. Our team at WeCovr can assist in understanding the various coverage levels available.

Private health insurance typically does not cover dental treatment. However, WeCovr's experts can guide you to dental insurance policies offered by our partner insurers. Reach out to us to explore these options.

Yes, private health insurance covers cancer treatment from diagnosis through treatment. At WeCovr, we can help you navigate the cancer cover options that suit your needs.

At WeCovr, you have flexibility in adjusting your cover. Speak to our experts within 21 days of receiving your paperwork or at policy renewal to make changes.

Accessing a private GP appointment is fast and convenient with WeCovr's services, available through your digital platform provided under your chosen insurance plan.

Yes, family members on the same policy can potentially have different levels of cover tailored to their individual needs.

WeCovr works with insurers offering a range of cover levels to accommodate different budgets and needs. Our experts can discuss these options with you.

Discovering healthcare facilities and specialists is easy with WeCovr's resources. Contact us for personalised assistance by tapping one of the buttons above or below and filling in a few details for personalised assistance.

Fee-assured consultants provides transparency and no hidden costs for clients.

WeCovr prioritises mental health support with comprehensive coverage and access to specialist advice and services.

Children up to a certain age can be included in your policy, and we offer discounts for family coverage.

Like most health insurance plans, premiums may increase annually due to factors such as age and medical cost inflation.

The cost of health insurance varies based on several factors. Connect with our experts by tapping a button below and get your own personalised quote.

Private health insurance offers quicker access to consultations, treatments, and personalised care compared to the NHS.

Yes, WeCovr's experts can guide you which health insurance plans include coverage for physiotherapy treatments.

Immediate access to certain services like our digital GP app is available upon enrolment.

You can obtain a range of suitable quotes easily by tapping one of the buttons above or below and filling in a few details for personalised assistance.

Health insurance covers new conditions that arise after the policy starts. Pre-existing conditions and certain exclusions may apply.

WeCovr's experts help you arrange health insurance that simplifies access to private healthcare services, including consultations and treatments.

Outpatient cover includes consultations, physiotherapy, and mental health therapies outside hospital admissions.

Yes, you can use your health insurance cover immediately. You have access to a nurse through your helpline and can consult with a GP using the digital GP app. If you need to make a claim right away, we may require a medical report from your GP. Health insurance is designed to cover new conditions that arise after the policy has started.

No, health insurance does not cover A&E (Accident and Emergency) visits. Private hospitals do not typically have the facilities for handling A&E cases. In case of an emergency, please dial 999 or use the NHS emergency services. However, if you require follow-up treatment after an emergency situation, your private medical insurance may be able to assist.

Yes, many insurers offer rewards in leisure, wellbeing, and health. Speak to WeCovr's experts or visit your insurer's website for more details on member rewards.

You may continue your cover or get another own personal policy. If you continue your cover, existing or ongoing medical conditions might be covered depending on the level of cover you choose. Contact our friendly experts to discuss your options and find the right option for you.

You can tap one of the buttons above or below and fill in a quick form to arrange a call with us to discuss your options.

Your cover may be similar but not identical. We will help you find the right level of cover that suits your needs, and ongoing medical conditions may be covered. Contact our friendly advisers to explore all available options.

No, the price won't be the same as before since employers often contribute to the cost of employee cover. Additionally, different cover levels and medical histories may affect the price. Contact WeCovr's experts for detailed information.

You have a few weeks or months from leaving your job to decide to continue with your insurer or change to another one. Your policy may start the day after you left your work policy, and our experts can guide you through other available options.

After leaving your job, contact WeCovr's experts with your leave date to discuss available options.

Yes, ongoing treatment may be covered on your new personal policy, although it could affect the price. Contact our experts for personalised advice on your options.

Details on paying excess fees will be provided when you contact your insurer for treatment authorisation.

No, there is no excess fee for utilising these services.

Excess adjustments can be made at specific intervals during your policy term.

No claims discounts can impact renewal costs based on claims history.

Pre-existing conditions typically aren't covered but can be discussed with our healthcare specialists.

This involves health-related questions before policy enrolment to determine coverage.

Moratorium underwriting simplifies enrolment but may require health disclosures during claims.

Claims may require additional information if under moratorium underwriting.

Pre-existing conditions refer to medical issues existing before policy inception. A pre-existing condition is anything you've previously had medical treatment for, such as diabetes, heart disease, or asthma. Most insurance providers consider any condition you've had symptoms or treatment for in the past five years as pre-existing. Our experts at WeCovr can help you understand how pre-existing conditions affect your policy options.

While some insurance providers automatically renew your private healthcare cover, it's beneficial to compare policies when yours is about to end. This ensures you're still getting the best deal for the coverage you need. Our experts at WeCovr can assist you in finding the right policy for you.

Typically, you must be over 18 to take out your own policy, but minors can usually be included in a family policy. There may also be an upper age limit for private health insurance, and premiums typically increase with age. Our experts at WeCovr can provide guidance on age-related policy aspects.

Paying for health insurance annually often results in savings compared to monthly payments. However, this depends on your insurance provider. For help determining the most cost-effective option, consider consulting our experts at WeCovr.

If your employer offers private health insurance as part of your benefits package, you likely don't need additional cover. However, there may be limits on the cover you receive, and it may not extend to your entire family. Remember, any insurance you get through work only covers you while you're employed there.

If you don't have pre-existing conditions, a medical exam is usually not required. You'll just need to complete a medical history form and select your level of cover. However, if you're older, have a pre-existing condition, or lead an unhealthy lifestyle, a medical exam may be necessary. Our experts at WeCovr can clarify the requirements of different policies.

Many private health insurance providers now offer GP services, either digitally or face-to-face. This means you can often get a private GP appointment quickly, sometimes even on the same day. Our experts at WeCovr can help you find policies that offer GP services.

With private health insurance, you can often secure a GP appointment much quicker than with traditional methods, sometimes even on the same day. Our experts at WeCovr can help you find policies that offer quick GP appointment services.

Inpatient care refers to any treatment requiring a stay in a hospital or clinic for at least one night. Outpatient care refers to treatments or tests that don't require hospital admission, such as minor diagnostic tests or physiotherapy sessions. Our experts at WeCovr can help you understand the different types of care and find a policy that suits your needs.

Private health insurance covers your medical treatment if you fall ill, while critical illness cover provides additional financial help if you develop one of the critical illnesses listed in the policy, such as covering loss of income if you're unable to work. For assistance in understanding the differences and finding the right coverage, consult our experts at WeCovr.

Health insurance policies are designed for cover in the UK. For cover abroad, consider travel insurance for short trips or international health insurance for longer stays or if you have a holiday home overseas. Our experts at WeCovr can guide you in finding the appropriate coverage for your travel needs.

If your employer provides health insurance, it's considered a 'benefit in kind' and is not tax deductible. Your employer should calculate the tax you owe for your health insurance premiums and deduct it from your pay. There are some exceptions for small companies. For more information on tax implications, consider reaching out to our experts at WeCovr.

When you purchase a policy, you choose how much excess you pay, which is your contribution to the cost of treatment if you make a claim. The higher your excess, the lower your premium is likely to be. Our experts at WeCovr can help you understand how excess works and choose the right level for you.

These are two methods of underwriting a health insurance policy, relating to how insurance providers consider your pre-existing medical conditions when you take out cover. For help understanding the differences and choosing the right option for you, consult our experts at WeCovr.

Some private health insurance providers offer a no-claims discount, similar to car insurance. Every year you don't make a claim gives you an extra year of no-claims discount, potentially reducing your premium when you renew. Our experts at WeCovr can help you find policies that offer no-claims discounts.

To find the best health insurance for you, compare various policies to find one that offers the features you need at a price you can afford. Consider your personal circumstances and what you want from your policy. Our experts at WeCovr can assist you in evaluating your options and selecting the right coverage for you.

If you need treatment, a GP referral is not always necessary. However, this depends on how you plan to pay for your treatment. Most hospitals will allow you to book appointments with a consultant without a GP referral if you are paying out-of-pocket. If you have private medical insurance, you'll need to check the terms of your policy to see whether your insurer requires you to consult with a GP first (most insurers do). Some policies offer a direct booking system without a referral for certain conditions, such as counseling for mental health issues.

Yes, you can obtain financing for a loan to cover the cost of surgery. Many private healthcare companies have partnerships with finance companies to allow you to spread the cost of private treatment over time. You could also explore getting an ordinary loan from your bank if this option proves to be more cost-effective for you.

WeCovr has conducted extensive research into the cost of private health insurance in the UK. Click the link to find out more detailed information.

Yes, you can continue to receive treatment through the NHS even if you have private health insurance and have received private treatment in the past. This could be for rehabilitation after private surgery or for treatment that is not covered by your health insurance policy. For example, some cosmetic surgeries may be available through the NHS but are generally not covered by private medical insurance.

This is a difficult question to answer definitively. There are certain services that cannot be obtained privately, such as emergency treatment at an Accident and Emergency (A&E) department. Many NHS consultants also practice privately, so you could potentially see the same consultant regardless of whether you choose private or public healthcare. However, private healthcare typically offers shorter waiting times, guaranteed private rooms, and more relaxed visiting hours. Additionally, you may have access to treatments and drugs that are not routinely available through the NHS.

Yes, you can self-refer to a private specialist without the need for a GP referral. However, the British Medical Association believes that in most cases, it is best practice to start with your GP, as they are familiar with your medical history.

Yes, if you have a health concern and pay for private tests and scans but cannot afford to have private surgery, you should be able to have your test results transferred to an NHS provider for treatment.


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