WeCovr explains cosmetic laser treatments and how theyre covered privately
As an FCA-authorised private medical insurance broker that has helped arrange over 900,000 policies, WeCovr understands the nuances of health cover in the UK. Laser facial resurfacing is a popular, advanced treatment for improving skin, but figuring out if it’s covered by your insurance can be confusing. We’re here to clear it up.
This guide breaks down what laser resurfacing is, when it might be covered by private medical insurance, and what you need to know about the process.
Understanding Laser Facial Resurfacing
Laser facial resurfacing is a cosmetic procedure that uses concentrated beams of light to treat a wide range of skin imperfections. Think of it as a highly controlled way to "sand" away damaged outer layers of skin, encouraging new, healthier skin to grow in its place.
The laser energy targets water in the skin cells, vaporising them layer by layer. This process not only removes surface-level issues but also stimulates the production of collagen—a key protein that keeps skin firm and youthful. The result is smoother, tighter, and more even-toned skin.
Types of Laser Resurfacing: A Quick Comparison
Not all lasers are the same. They are generally categorised into two main types: ablative and non-ablative. Within these categories, you also find "fractional" lasers, which is a method of delivery.
| Laser Type | How It Works | Best For | Downtime |
|---|
| Ablative Lasers | Removes the thin outer layer of skin (epidermis) and heats the underlying skin (dermis) to stimulate collagen growth. Examples: CO2, Erbium. | Significant wrinkles, severe sun damage, scars. | Extensive (1-3 weeks). Can involve redness, swelling, and peeling. |
| Non-Ablative Lasers | Heats the underlying skin tissue to stimulate collagen production without harming the surface. Examples: Pulsed-Dye, Nd:YAG. | Fine lines, mild sun damage, pigmentation issues, redness. | Minimal (a few hours to a few days of mild redness). |
| Fractional Lasers | Delivers the laser beam in thousands of tiny, deep columns, leaving surrounding skin untouched. This can be either ablative or non-ablative. | A good middle-ground for moderate signs of ageing, acne scars, and improving texture with less downtime than fully ablative lasers. | Moderate (3-7 days). |
Choosing the right type of laser depends on your skin goals, your skin type, and how much recovery time you can afford. A qualified dermatologist or practitioner will guide you through this choice during a consultation.
Why Do People Get Laser Resurfacing? Cosmetic vs. Medical Reasons
People seek out laser treatments for a host of reasons, which fall into two distinct camps: cosmetic enhancement and medical necessity. This distinction is absolutely critical when it comes to private medical insurance.
Common Cosmetic Reasons (Generally NOT covered by PMI):
- Fine lines and wrinkles: Especially around the eyes ("crow's feet"), mouth, and forehead.
- Sun damage: Including age spots, sun spots, and a generally weathered appearance.
- Uneven skin tone or texture: Improving the overall smoothness and glow of the skin.
- Enlarged pores: Making them appear smaller for a more refined look.
- Minor scarring: Such as light acne scars from teenage years.
Potential Medical Reasons (MIGHT be covered by PMI):
- Significant scarring: From an accident, injury, or surgery that occurred after your insurance policy began. For example, a scar that causes tightness, discomfort, or significant cosmetic disfigurement.
- Pre-cancerous growths: Such as Actinic Keratosis, which are rough, scaly patches caused by years of sun exposure. A dermatologist may recommend laser removal to prevent them from developing into skin cancer.
- Certain active skin conditions: In some cases of severe rosacea or rhinophyma (a condition causing a red, bumpy nose), laser treatment may be deemed the most effective medical intervention by a specialist.
- Birthmarks: Some vascular birthmarks (like port-wine stains) may be covered if they are causing medical issues or significant psychological distress, supported by a specialist's report.
The Big Question: Does Private Medical Insurance UK Cover Laser Resurfacing?
Here's the straightforward answer: For purely cosmetic reasons, standard UK private medical insurance (PMI) does not cover laser facial resurfacing.
Private health cover is designed to pay for the diagnosis and treatment of acute medical conditions. An acute condition is a disease, illness, or injury that is likely to respond quickly to treatment and lead to a full recovery.
The Golden Rule of UK PMI
Your policy is there for unexpected health problems that arise after you take out your cover. It is not designed for:
- Cosmetic procedures: Treatments chosen purely to improve appearance.
- Pre-existing conditions: Any illness or injury you had symptoms of, or received treatment for, before your policy started.
- Chronic conditions: Long-term conditions that require ongoing management rather than a cure, such as eczema or psoriasis.
Laser resurfacing for wrinkles or sun spots falls squarely into the "cosmetic" category. Insurers view it as an elective procedure, not a medical necessity.
When Might Laser Treatment Be Covered? The 'Medically Necessary' Exception
While cosmetic treatment is excluded, there are specific scenarios where a laser procedure could be funded by your insurer. The key phrase is "medically necessary."
For a claim to even be considered, you must demonstrate that the laser treatment is the most appropriate clinical response to an eligible acute medical condition.
Here’s how it typically works:
- The Condition is Acute and Eligible: The medical issue (e.g., a scar from a recent accident, a suspicious skin lesion) must have arisen after your policy start date.
- You See a Specialist: You will need a referral from your GP to a consultant dermatologist or plastic surgeon on your insurer's approved list.
- The Specialist Recommends Laser: The consultant must diagnose your condition and state in their report that laser resurfacing is the most suitable and effective treatment. They must justify this from a medical—not cosmetic—standpoint.
- You Get Pre-Authorisation: This is the most important step. You or your specialist must submit the treatment plan and report to your insurer before any procedure takes place. The insurer's clinical team will review the case against your policy's terms and conditions.
Only if they agree that the treatment is medically necessary and covered by your policy terms will they issue an authorisation number. Never proceed with treatment assuming it will be covered without this formal pre-authorisation.
Scenario Comparison: Covered vs. Not Covered
To make this clearer, let's look at some real-life examples.
| Scenario | The Situation | Is it Likely to be Covered by PMI? | Why? |
|---|
| Sun Damage | Sarah, 55, wants to reduce the fine lines and age spots on her face from years of sunbathing. | No | This is a purely cosmetic goal. The underlying cause (sun damage) is also a long-term process, not a new, acute condition. |
| Accident Scar | David, 35, was in a car accident 6 months after starting his PMI policy. He has a prominent scar on his cheek that is tight and sometimes painful. | Potentially Yes | The scar is the result of an acute event that occurred post-policy. If a specialist confirms laser treatment is the best way to improve the scar's function (reduce tightness) and appearance, the insurer may approve it. |
| Pre-cancerous Lesions | Mary, 62, has several patches of Actinic Keratosis on her forehead. Her GP refers her to a dermatologist. | Very Likely Yes | The dermatologist recommends laser ablation to remove the pre-cancerous cells. This is preventative medicine to treat an active, diagnosed medical condition. It is not cosmetic. |
| Old Acne Scars | Tom, 28, wants to treat the acne scars he's had since he was a teenager. He took out his policy last year. | No | The acne scarring is a pre-existing condition. It existed long before his policy began, so it would be excluded from cover. |
As an expert PMI broker, WeCovr can help you understand the specific exclusions on your policy, ensuring you know exactly where you stand before you even see a specialist.
Navigating the Claims Process for a Medically Necessary Procedure
If you and your specialist believe your laser treatment is medically necessary, here’s a step-by-step guide to the claims process:
- Check Your Policy: Review your policy documents or call your insurer to confirm your level of cover. Pay close attention to your outpatient limits. Consultations and the laser procedure itself are usually done on an outpatient basis, so your cover must be sufficient.
- Get a GP Referral: Visit your GP to discuss the issue. If they agree it needs further investigation, they will provide a referral to a specialist. Many modern PMI policies include a digital GP service, which can speed this up.
- Book a Specialist Consultation: Use your insurer's approved list to find a dermatologist or plastic surgeon. Inform them you are using private medical insurance.
- Specialist Assessment: The consultant will assess you and provide a diagnosis and recommended treatment plan. Ensure they write a detailed report justifying the medical need for laser therapy.
- Request Pre-authorisation: Contact your insurer’s claims department with your membership number, the specialist's details, the proposed treatment (including a procedure code), and the estimated cost. You will need to submit the specialist's report.
- Await the Decision: The insurer will review the information. They may ask for more details. If approved, they will provide you with an authorisation number, confirming what they have agreed to cover.
- Proceed with Treatment: Once you have the green light, you can book your laser treatment with the specialist.
- Settling the Bill: The hospital or clinic will usually send the invoice directly to your insurer. You will only be responsible for paying any excess on your policy.
What Are the Costs of Laser Resurfacing if You Pay Yourself?
If your treatment is cosmetic or you decide to pay for it yourself, it's good to have an idea of the costs. Prices in the UK vary significantly based on the type of laser, the size of the area being treated, the clinic's location (London is often more expensive), and the practitioner's experience.
Here are some estimated costs for a full-face treatment in 2025:
| Treatment Type | Average Cost Per Session (UK) | Notes |
|---|
| Non-Ablative Fractional Laser | £400 - £800 | Often requires a course of 3-5 sessions for best results. |
| Ablative Fractional Laser (e.g., Fraxel) | £700 - £1,500 | Fewer sessions may be needed, but downtime is longer. |
| Fully Ablative Laser (e.g., CO2) | £2,000 - £4,500 | Typically a one-off treatment providing dramatic results. |
Important: These are estimates. Always get a precise quote during your consultation, which should include the cost of the procedure, any anaesthesia, and follow-up appointments.
Beyond Lasers: A Holistic Approach to Skin Health
While laser treatments can be incredibly effective, they work best when combined with a healthy lifestyle. Great skin is built from the inside out.
- Sun Protection is Non-Negotiable: The single best thing you can do for your skin is to protect it from the sun. Use a broad-spectrum SPF 30 (or higher) every single day, even when it's cloudy. This protects your investment in any laser treatment and prevents future damage.
- Nourish Your Skin: A diet rich in antioxidants (found in colourful fruits and vegetables), healthy fats (like those in avocados and nuts), and lean protein supports skin repair and collagen production. Staying hydrated by drinking plenty of water is also crucial.
- Prioritise Sleep: During sleep, your body goes into repair mode. Aim for 7-9 hours of quality sleep per night to allow your skin to regenerate.
- Manage Stress: Chronic stress can wreak havoc on your skin, triggering issues like acne and inflammation. Incorporate stress-management techniques like mindfulness, exercise, or yoga into your routine.
As a WeCovr customer, you get complimentary access to our CalorieHero AI app, which can help you track your nutrition and build healthy eating habits that support your skin from within.
How WeCovr Can Help You Find the Right Private Health Cover
Navigating the world of private medical insurance UK can feel overwhelming. Every provider has different rules, benefits, and exclusions. This is where an independent broker like WeCovr becomes your most valuable asset.
- We're Experts: We live and breathe private health cover. We know the policies from providers like Bupa, AXA Health, Aviva, and Vitality inside and out.
- We're Independent: We work for you, not the insurers. Our goal is to find the best PMI provider and policy that fits your specific needs and budget.
- Our Service is Free: You don't pay a penny for our expert advice and comparison service. We receive a commission from the insurer if you decide to buy a policy.
- We Value Our Customers: Our high customer satisfaction ratings are a testament to our commitment to providing clear, honest, and helpful guidance.
- Added Benefits: When you purchase PMI or Life Insurance through us, we can often provide discounts on other types of cover, giving you more value.
We can help you understand the key differences in policies—like outpatient limits, cancer cover, and hospital lists—so you can make an informed choice. We'll ensure you know exactly what is and isn't covered, including the specifics around treatments like laser resurfacing.
Is acne treatment covered by private medical insurance?
Generally, the treatment of active, severe acne that requires specialist intervention (like potent prescription drugs or certain therapies) can be covered by a comprehensive private medical insurance policy, provided it is not a pre-existing condition. However, treatment for acne scarring is almost always considered cosmetic and is therefore excluded. You would need a GP referral to a dermatologist, and any claim would be subject to your policy's outpatient limits and pre-authorisation.
Do I need to declare minor skin blemishes when applying for PMI?
It depends on the type of underwriting you choose. With 'Full Medical Underwriting', you must declare your full medical history, including any consultations or treatments for skin conditions. With 'Moratorium Underwriting', you don't declare your history upfront, but any condition you've had symptoms of or treatment for in the last 5 years is automatically excluded for an initial period (usually 2 years). It is always best to be honest and thorough to ensure your policy is valid when you need to make a claim.
Can I get private health cover if I already have a chronic skin condition like eczema?
Yes, you can absolutely get private health cover. However, the chronic condition itself (eczema) and any related treatments will be excluded from your policy as it is a pre-existing and chronic condition. UK private medical insurance is designed to cover new, acute conditions that arise after your policy begins, not for managing long-term illnesses. Your policy would still cover you for other eligible medical conditions unrelated to your eczema.
Ready to explore your options for private health cover? Let our friendly experts do the hard work for you.
Get your free, no-obligation PMI quote from WeCovr today.