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Maternity & Womens Health Coverage on UK PMI

Maternity & Womens Health Coverage on UK PMI 2026

Navigating the world of private medical insurance in the UK can feel complex, especially when it comes to women's health. At WeCovr, an FCA-authorised broker that has helped arrange over 900,000 policies, we believe in providing clear, expert guidance to help you make informed decisions about your health cover.

2025 update on inclusions and exclusions for fertility, pregnancy, post-natal complications, and leading insurer practices

Private Medical Insurance (PMI) is designed to complement the excellent services provided by our NHS. Its primary role is to offer prompt diagnosis and treatment for acute medical conditions. However, when it comes to planned life events like pregnancy or long-term conditions, the lines can seem blurry.

This comprehensive guide breaks down exactly what you can expect from UK PMI in 2025 regarding:

  • Fertility investigations and treatment
  • Pregnancy and childbirth complications
  • Post-natal support, including mental health
  • Broader women's health issues like menopause and gynaecology
  • How leading insurers like Bupa, AXA, and Vitality compare

Let's demystify the cover and empower you to choose the right policy for your needs.

The Golden Rule of UK Private Medical Insurance

Before we dive into specifics, it's vital to understand the fundamental principle of any standard private health cover policy in the UK.

PMI is for acute conditions that arise after your policy begins.

  • Acute Condition: A disease, illness, or injury that is likely to respond quickly to treatment and lead to a full recovery. Think of a joint replacement, cataract surgery, or treatment for an infection.
  • Chronic Condition: A condition that continues long-term and has no known cure. It can be managed but not resolved. Examples include diabetes, asthma, and high blood pressure. Standard PMI does not cover the ongoing management of chronic conditions.
  • Pre-existing Condition: Any illness or injury you had symptoms of, received advice for, or were treated for before your policy start date. These are typically excluded from cover, at least for an initial period.

This distinction is the key to understanding why certain aspects of maternity and women's health are covered while others are not.

Maternity Cover on PMI: The General Rule and Its Important Exceptions

The most common question we receive is: "Does private medical insurance cover pregnancy?"

The straightforward answer is that standard UK PMI policies do not cover routine pregnancy and childbirth.

Why is this the case? Pregnancy is considered a natural life event rather than an unforeseen illness (an acute condition). The UK is fortunate to have a comprehensive, free-at-the-point-of-use maternity service provided by the NHS, which handles the vast majority of pregnancies and births superbly. Private insurers, therefore, focus on providing cover for unexpected complications.

The Exceptions: Where PMI Can Help

While routine care is excluded, most high-quality PMI policies provide valuable support when things don't go as planned.

  1. Complications of Pregnancy and Childbirth This is the most significant area of cover. If a serious, unexpected medical issue arises as a direct result of pregnancy or childbirth, your PMI policy may step in to cover the costs of private treatment. These conditions are considered acute.

    Commonly covered complications include:

    • Ectopic pregnancy: A serious condition where the embryo implants outside the womb.
    • Miscarriage: Medical management or surgical procedures following a pregnancy loss.
    • Molar pregnancy: Treatment for the growth of abnormal cells in the womb.
    • Post-partum haemorrhage: Excessive bleeding after childbirth requiring medical intervention.
    • Retained placenta: When the placenta is not delivered after birth and requires surgical removal.
    • Eclampsia: A severe complication of pre-eclampsia involving seizures.
  2. NHS Cash Benefit Many insurers offer a fixed cash payment as a benefit if you give birth in an NHS hospital. This is not medical cover but a welcome bonus. You might receive between £100 and £250 for each night you stay in an NHS hospital for childbirth, which you can use for anything you like – from a celebratory meal to a more comfortable pillow.

  3. Specialist Maternity Policies (International/Corporate) A very small number of high-end, premium policies (often found in corporate schemes or international plans) may offer comprehensive maternity cover for routine scans, consultations, and even private delivery. However, these are rare in the standard UK individual market, come with a significant premium, and usually have a waiting period of 12-24 months before you can claim.

For most people in the UK, relying on the NHS for routine maternity care and using PMI as a safety net for complications is the most practical and cost-effective approach.

A Deep Dive into Fertility, IVF, and PMI

The journey to parenthood can be challenging for some. According to the NHS, around 1 in 7 couples may have difficulty conceiving. This has made fertility support a key consideration for many seeking private health cover.

Here’s the reality of PMI and fertility treatment:

  • Investigations are sometimes covered: Many policies will cover the initial diagnostic tests to find out why you are struggling to conceive. This is because identifying the cause (e.g., blocked fallopian tubes, hormonal imbalance) is an acute diagnostic process. This cover is usually subject to a financial limit, for example, up to £1,000.
  • Treatment is almost always excluded: The treatments themselves, such as In Vitro Fertilisation (IVF), Intrauterine Insemination (IUI), or hormone therapies, are excluded from standard UK PMI policies.

Why the distinction? Assisted conception is a planned medical intervention, not a treatment for an acute illness. Given the high cost of private IVF (often £5,000 or more per cycle), including it would drastically increase premiums for all policyholders.

An expert PMI broker like WeCovr can help you find policies that offer the most generous limits for fertility investigations, ensuring you can at least get a swift diagnosis privately while you explore NHS or self-funded treatment options.

Post-Natal Care and Crucial Mental Health Support

The "fourth trimester" – the 12 weeks following birth – is a period of significant physical and emotional adjustment. PMI can offer crucial support during this time.

Physical Post-Natal Complications

Just as with complications during pregnancy, issues that arise after birth are often covered as they are acute medical conditions needing treatment. This could include:

  • Surgical repair for severe perineal tears.
  • Treatment for post-natal infections.
  • Medical management of conditions that developed during pregnancy.

Mental Health Support: A Growing Priority

Awareness of perinatal mental health has grown, and insurers have responded. Post-natal depression and anxiety are serious conditions that affect many new parents.

Most comprehensive private medical insurance policies in the UK now offer some level of mental health support, which can be a lifeline for new mothers. This might include:

  • Access to counselling or therapy sessions: Bypassing waiting lists to speak with a professional quickly.
  • Consultations with a private psychiatrist: For diagnosis and treatment plans.
  • Digital mental health platforms: Apps and online resources for self-help, cognitive behavioural therapy (CBT), and mindfulness.

When comparing policies, it's essential to check the level of mental health cover. Some policies offer it as a standard benefit, while for others, it's an optional add-on.

Beyond Maternity: How PMI Supports Women's Health at Every Stage

A good private health cover plan is a lifelong partner. Beyond the childbearing years, PMI provides fast access to diagnosis and treatment for a wide range of women's health concerns.

Gynaecological Conditions

NHS waiting lists for gynaecology services can be lengthy. In mid-2025, patients can wait many months for an initial consultation and even longer for treatment. PMI shines in this area, offering rapid access for acute conditions like:

  • Endometriosis: Getting a swift diagnosis and access to laparoscopic (keyhole) surgery to manage the condition.
  • Fibroids: Consultations, scans, and treatments like myomectomy or uterine artery embolisation.
  • Ovarian Cysts: Quick investigation to rule out serious issues and surgical removal if necessary.
  • Pelvic Inflammatory Disease (PID): Prompt treatment to prevent long-term complications.
  • Menstrual Disorders: Seeing a specialist quickly to diagnose the cause of heavy or painful periods.

Menopause Support

Menopause is another area where insurers are stepping up. Once a taboo subject, support for this life transition is now a key feature of many policies. Benefits may include:

  • Specialist Consultations: Access to a gynaecologist or endocrinologist specialising in menopause.
  • HRT Advice: Guidance on the right type and dosage of Hormone Replacement Therapy.
  • Symptom Management: Support for associated issues like osteoporosis risk or mental health changes.
  • Digital Support Programmes: Apps and resources with tailored advice on nutrition, exercise, and wellbeing during menopause.

Cancer Cover: The Core of PMI

Cancer cover is a cornerstone of virtually all private medical insurance UK policies. This includes comprehensive diagnosis and treatment for all major women's cancers, including breast, cervical, ovarian, and uterine cancer.

The benefits are significant:

  • Choice of Specialist: You can choose your oncologist and hospital.
  • Advanced Treatments: Access to cutting-edge drugs, therapies, and surgical techniques that may not yet be available on the NHS.
  • Comfortable Environment: Treatment in a private hospital with your own room.
  • Holistic Support: Cover often includes services like chemotherapy at home, wigs, and prosthesis.

Comparing Leading UK Insurers on Women's Health (2025)

Policy details vary, but here is a general overview of how the top UK providers approach women's health.

FeatureBupaAXA HealthVitalityAviva
Maternity ComplicationsCovers a specific list of serious complications of pregnancy/childbirth.Covers a defined list of complications.Covers specified, serious complications.Covers a list of eligible complications arising during pregnancy/birth.
NHS Cash Benefit (Birth)Often included (£100-£200 per night).Typically available as a standard or optional benefit.Often available, amount can vary by plan level.Usually included as a standard benefit.
Fertility InvestigationsGenerally excluded, but some high-end corporate plans may offer cover.May cover diagnostics up to a financial limit on certain policies.Limited cover for diagnostics may be available on some plans.Investigations are typically excluded on standard plans.
Fertility Treatment (IVF)Excluded.Excluded.Excluded.Excluded.
Menopause SupportStrong support through their Menopause Plan and specialist access.'Mind, Body, and Health' support includes menopause guidance.Menopause support integrated into their wellness pathways.Specialist consultations and support available on comprehensive plans.
Mental Health CoverComprehensive options, including digital and face-to-face support.Strong focus with their 'Mind Health' service and clinical support.Integrated into their overall health approach; good digital options.Extensive mental health pathways as standard on many policies.

This table is for illustrative purposes. Cover always depends on the specific policy chosen.

Navigating these differences is where an independent broker adds immense value. At WeCovr, we provide a whole-of-market comparison, explaining the nuances of each policy to ensure you don't overpay for benefits you don't need or miss out on cover that's important to you.

Wellness Programmes and Added Value

The best PMI providers today do more than just pay for treatment; they actively help you stay healthy.

  • Vitality is famous for its "Active Rewards" programme, which incentivises healthy habits. You earn points for exercise, health checks, and good nutrition, which can be exchanged for cinema tickets, coffee, and discounts on gym memberships and Apple Watches.
  • Bupa and AXA offer extensive digital GP services, allowing you to have a video consultation with a doctor 24/7, often within hours. This is incredibly convenient for busy women and mothers.
  • Aviva provides access to a "Stress Counselling Helpline" and other wellbeing services as part of their standard packages.

At WeCovr, we enhance this further. When you arrange your private medical insurance with us, you receive complimentary access to our AI-powered nutrition app, CalorieHero, to help you manage your diet and wellness goals. Furthermore, customers who purchase PMI or Life Insurance through us are eligible for discounts on other insurance products, adding even more value.

How to Choose the Right PMI Policy for You

  1. Assess Your Life Stage and Priorities: Are you planning a family soon? If so, look for policies with a good NHS cash benefit and strong cover for complications. Are you concerned about a hereditary condition? Ensure the cancer cover is extensive. Is mental health your priority? Compare the therapy and counselling options.
  2. Understand the Key Terms:
    • Excess: The amount you agree to pay towards any claim. A higher excess lowers your premium.
    • Outpatient Limit: The maximum amount your policy will pay for consultations, tests, and scans that don't require a hospital bed.
    • Hospital List: The network of private hospitals you are covered to use. A more limited list can reduce the cost.
  3. Use an Expert Broker: This is the most crucial step. A specialist broker doesn't cost you anything – we are paid by the insurer. Our role is to work for you. We use our expertise and market knowledge to find the best PMI provider for your unique circumstances and budget, saving you time and money. With high customer satisfaction ratings, WeCovr is dedicated to providing transparent and helpful advice.

Can I add my newborn baby to my private medical insurance policy?

Yes, most UK insurers allow you to add your newborn baby to your policy, often without any medical underwriting, as long as you do so within a set timeframe (usually 30-90 days after birth). This is a great way to ensure they have immediate access to private healthcare if needed.

Are conditions like endometriosis or PCOS covered by PMI?

Generally, yes. If you develop symptoms and are diagnosed with conditions like endometriosis, Polycystic Ovary Syndrome (PCOS), or fibroids *after* your policy has started, they are considered acute conditions eligible for cover. However, if you had symptoms or a diagnosis before taking out the policy, they would be classed as pre-existing conditions and would be excluded.

Does UK private health insurance cover routine pregnancy appointments or scans?

No, standard UK private medical insurance does not cover routine antenatal care, scans, or a planned private delivery. These services are comprehensively provided by the NHS. PMI is designed to cover unexpected medical complications that can arise during pregnancy and childbirth, not the planned, routine journey.

Take the Next Step Towards Peace of Mind

Understanding women's health cover on private medical insurance empowers you to protect your health and wellbeing at every stage of life. While the system is designed to complement the NHS, a well-chosen policy provides invaluable speed, choice, and comfort when you need it most.

Ready to explore your options? Contact the friendly experts at WeCovr today for a free, no-obligation quote. We'll compare the UK's leading insurers to find a policy that fits your life and your budget.


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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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Any questions?

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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