
Navigating the world of private medical insurance in the UK can feel complex, especially when it comes to your medical history. As an FCA-authorised broker that has helped arrange over 800,000 policies of various kinds, WeCovr understands that the application process is often the biggest hurdle for our clients.
This comprehensive guide demystifies the medical history check. We'll break down exactly what insurers ask, why they ask it, and how you can complete your application with confidence. We’ll look at real-life form questions, provide expert tips, and highlight common mistakes to ensure you secure the right cover without any nasty surprises down the line.
Insurers ask about your health to understand the level of risk they are taking on. This process is called "underwriting." It helps them determine what they can and cannot cover, ensuring the price you pay is fair for the cover you receive.
The most crucial thing to understand about standard private medical insurance UK policies is that they are designed to cover acute conditions that arise after you take out the policy.
Critical Point: Private medical insurance does not cover pre-existing or chronic conditions.
Let's define these key terms in plain English:
By assessing your medical history, the insurer can apply the correct exclusions, so both you and they are clear on what your policy will pay for.
When you apply for private health cover, the insurer will use one of two main methods to assess your medical history. The one you choose has a significant impact on your application process and future claims.
This is the most common and straightforward method offered by UK insurers.
This method is more detailed but offers complete clarity from the outset.
| Feature | Moratorium Underwriting | Full Medical Underwriting (FMU) |
|---|---|---|
| Upfront Process | No medical questionnaire | Detailed health questionnaire |
| Application Speed | Very fast (often instant) | Slower (days or weeks) |
| Clarity on Exclusions | Determined when you make a claim | Clear from the policy start date |
| Cover for Pre-existing Conditions | Potentially, after a 2-year symptom-free period | Usually excluded permanently |
| Best For... | Individuals with a clean bill of health or those who prefer a quick start. | Individuals with a past medical history who want absolute clarity on their cover. |
An expert PMI broker, like the team at WeCovr, can discuss your personal circumstances and advise on which underwriting method is the most suitable for you.
The thought of a medical questionnaire can be daunting, but the questions are usually quite structured and logical. They are designed to build a clear picture of your health over the past several years. While forms vary between the best PMI providers, they typically cover the following areas.
This is the standard administrative part of the form:
These questions give a broad overview of your current health status:
This is the core of the questionnaire. Insurers are primarily interested in conditions for which you have sought advice or treatment in the last 5 years. You will typically be asked "Yes" or "No" questions, with space to provide details if you answer "Yes".
Expect questions covering:
Cardiovascular (Heart & Blood Vessels)
Musculoskeletal (Bones, Joints & Muscles)
Respiratory (Lungs & Breathing)
Gastrointestinal (Digestive System)
Neurological (Brain & Nerves)
Mental Health
Cancer & Growths
ENT (Ears, Nose & Throat)
If you answer "Yes" to any of these, you will be asked to provide more information, such as:
Completing the form accurately is vital. Follow these tips to ensure a smooth process.
Be Honest and Thorough The legal principle of uberrima fides, or 'utmost good faith', applies to insurance contracts. This means you have a duty to disclose all relevant information. Hiding a condition is considered non-disclosure and can lead to your policy being cancelled or a claim being rejected just when you need it most. It is never worth the risk.
Don't Guess, Check! If you're unsure about the date of a diagnosis or the name of a medication, don't guess. Take a moment to check. Most GP surgeries can provide you with a summary of your medical record upon request, which can be invaluable for completing an FMU form.
Understand the Wording Pay close attention to the specific phrases used. "Sought advice for" is broader than "been diagnosed with". A one-off visit to a physiotherapist for back pain three years ago counts as seeking advice and should be declared. Similarly, "had symptoms of" means you should declare persistent headaches, even if you never went to the GP about them.
Distinguish Minor Ailments from Conditions You don't need to declare every cough, cold, or minor ailment. Insurers are interested in conditions that required medical intervention, were persistent, or could indicate an underlying problem. As a rule of thumb: if it was serious enough for you to see a doctor, pharmacist, or therapist about, it should probably be declared.
Use an Expert Broker This is where a specialist PMI broker becomes your greatest asset. An experienced adviser from WeCovr can walk you through the application form question by question. They can help you understand what information is relevant, ensure your answers are accurate and complete, and liaise with the insurer on your behalf. This service comes at no extra cost to you and provides immense peace of mind.
A simple mistake or omission on your application can have serious consequences. Here are the most common pitfalls and how to avoid them.
| Mistake | Example | Potential Consequence |
|---|---|---|
| Forgetting a Condition (Innocent Non-Disclosure) | You had physio for knee pain 4 years ago but forgot to mention it. You later need knee surgery. | The insurer investigates and finds the previous treatment. They reject the surgery claim, classing it as a pre-existing condition. |
| Downplaying a Condition (Misrepresentation) | You describe your recurring anxiety as "a bit of work stress" on the form. | A future claim for therapy or psychiatric support could be denied as the insurer argues the severity of the pre-existing condition was misrepresented. |
| Assuming It Isn't Relevant | You take a daily pill for high blood pressure, which is perfectly controlled, so you don't declare it. | This is a chronic condition that must be declared. The policy will exclude it, but failing to mention it is non-disclosure. The insurer could void the policy. |
| Choosing the Wrong Underwriting | Someone with several past health issues opts for a "quick and easy" moratorium policy to avoid paperwork. | They make a claim and face a lengthy investigation, only to find their condition is excluded. An FMU policy would have provided this clarity from the start. |
An insurer's checks don't always end with the application form.
While private medical insurance UK focuses on treating new conditions, many of the best PMI providers are increasingly focused on helping you stay healthy in the first place. A healthier client is less likely to claim, which is a win-win.
Many insurers now offer fantastic wellness benefits, including:
Taking proactive steps to manage your health is always a good idea. UK public health guidance provides a great framework:
To support our clients' health goals, WeCovr provides complimentary access to our proprietary AI-powered calorie and nutrition tracking app, CalorieHero. Furthermore, clients who purchase PMI or life insurance through us can enjoy valuable discounts on other policies, such as travel or home insurance.
Feeling clearer about medical history checks but still want an expert in your corner? The friendly, FCA-authorised team at WeCovr is here to help. We compare policies from across the market to find the perfect fit for your needs and budget.






