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Medical Inflation Explained Why Does PMI Get Pricier Each Year

As a broking firm that has helped arrange over 1,000,000 policies of various kinds, WeCovr knows that understanding your private medical insurance is key. This guide explains why premiums in the UK rise, helping you make informed decisions about your health cover and budget.

Last updated Oct 7, 2026

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TL;DR

As a broking firm that has helped arrange over 1,000,000 policies of various kinds, WeCovr knows that understanding your private medical insurance is key. This guide explains why premiums in the UK rise, helping you make informed decisions about your health cover and budget.

Key takeaways

  • Your Age: This is the single most significant factor. As we get older, the statistical likelihood of needing medical treatment increases. Premiums therefore rise automatically with age, often with noticeable jumps as you move into a new decade (e.g., turning 40, 50, or 60). This "ageing risk" is separate from medical inflation.
  • Your Location: Where you live matters. The cost of private treatment is significantly higher in some areas, particularly Central London, due to higher property costs and consultant fees. Insurers have "postcode ratings" that adjust your premium accordingly.
  • Your Claims History: If you've made claims on your policy, your renewal premium may see a larger increase. This is because your insurer may adjust your perceived risk, and you may lose any no-claims discount you had.
  • Your Chosen Level of Cover: A comprehensive policy with high outpatient limits, full cancer cover, and access to a nationwide list of hospitals will naturally cost more than a more basic policy with limits and a restricted hospital network.
  • It's a familiar story for many with private medical insurance (PMI): the renewal notice arrives, and the premium has increased again, even if you haven't made a claim.

As a broking firm that has helped arrange over 1,000,000 policies of various kinds, WeCovr knows that understanding your private medical insurance is key. This guide explains why premiums in the UK rise, helping you make informed decisions about your health cover and budget.

Factors driving health care cost growth and how it impacts premiums

It's a familiar story for many with private medical insurance (PMI): the renewal notice arrives, and the premium has increased again, even if you haven't made a claim. This can be frustrating and confusing. The primary reason behind these annual price hikes is a powerful force known as medical inflation.

This isn't the same as the general inflation you hear about on the news (the Consumer Price Index, or CPI), which tracks the cost of a basket of everyday goods and services. Medical inflation is a separate, more potent beast, reflecting the unique and rapidly rising costs within the healthcare sector. In this guide, we'll demystify medical inflation, explore the specific factors driving it in the UK, and provide practical strategies to help you manage your PMI costs effectively.

What is Medical Inflation? A Simple Explanation

In the simplest terms, medical inflation is the rate at which the cost of medical treatments, technologies, and services increases over time. While general inflation might mean your weekly shop costs 3% more this year, medical inflation often runs significantly higher, frequently ranging from 7% to 10% annually in the UK private sector.

Think of it like this:

  • General Inflation (CPI) (illustrative): The cost of a loaf of bread goes from £1.20 to £1.24. This is a noticeable but relatively small increase.
  • Medical Inflation (illustrative): The cost of a routine knee replacement surgery, including the consultant's time, hospital stay, and the implant itself, might go from £13,000 to £14,000 in a single year. This is a much larger jump, driven by more complex factors than the price of flour.

This gap exists because healthcare costs are pushed up by a unique set of pressures that don't affect most other industries in the same way. Insurers must price their premiums to cover these anticipated future costs, which is why your premium tends to rise each year, just to keep pace.

Inflation TypeWhat it MeasuresTypical UK Annual Rate (Illustrative)
General Inflation (CPI)Cost of a basket of consumer goods (food, fuel, clothing)2% - 4%
Medical InflationCost of medical procedures, drugs, and technology7% - 10%

The Core Drivers of Medical Inflation in the UK

Medical inflation isn't a single issue but a combination of several powerful trends converging on the healthcare market. Let's break down the main drivers in the UK.

1. Advances in Medical Technology and Treatments

Innovation is a double-edged sword. While it leads to incredible life-saving and life-improving treatments, it comes at a very high price.

  • New Drugs: Pharmaceutical research is constantly producing more effective drugs, particularly in oncology (cancer treatment). These new biologic drugs and immunotherapies can be vastly more effective than older treatments but can cost tens of thousands of pounds per patient, per year.
  • Advanced Diagnostics: Modern diagnostic tools like 3T MRI scanners, PET-CT scans, and genetic sequencing provide unprecedented insight into diseases. However, the cost of purchasing, maintaining, and staffing these machines is enormous, and these costs are passed on through treatment charges.
  • Robotic Surgery: Procedures like a prostatectomy performed with a Da Vinci surgical robot can offer greater precision and faster recovery times. This cutting-edge technology is expensive to acquire and operate, adding to the overall cost of surgery.

Essentially, the "best" available treatment is constantly becoming more complex and more expensive. PMI is designed to give you access to this best-in-class care, and so premiums must reflect the rising cost of providing it.

2. An Ageing Population and Changing Lifestyles

The demographic landscape of the UK is a major factor in rising healthcare demand.

  • We're Living Longer: Thanks to better public health and medical care, people are living longer. According to the Office for National Statistics (ONS), the proportion of the population aged 65 and over is projected to continue growing. Older individuals naturally require more healthcare and are more likely to develop conditions that need medical intervention, leading to a higher frequency of insurance claims.
  • Increase in Lifestyle-Related Conditions: The prevalence of chronic conditions linked to lifestyle, such as type 2 diabetes, obesity, and certain cardiovascular diseases, is on the rise. While PMI doesn't cover the day-to-day management of chronic conditions, it does cover the acute complications that can arise from them, such as the need for heart surgery or joint replacements.

This combination of an older population and a higher incidence of certain health issues means that insurers are seeing a greater volume of claims each year, which exerts upward pressure on premiums for everyone.

3. The Growing Pressure on the NHS

The relationship between the National Health Service and the private sector is a key driver of PMI costs. When the NHS is under strain, the private sector feels the ripple effect.

Recent NHS England statistics show that the number of people on waiting lists for consultant-led elective care remains at historically high levels.

NHS England Referral to Treatment (RTT) Waiting List Trend

PeriodTotal Waiting List (in millions)
Mid-2021~5.6 million
Mid-2022~6.8 million
Mid-2023~7.6 million
Mid-2024~7.5 million (slight plateau but still high)

Source: NHS England, Referral to Treatment (RTT) waiting times data (illustrative trend based on published statistics).

When patients face waits of many months or even years for procedures like hip replacements or cataract surgery on the NHS, those with PMI are more likely to use their policy to get treated sooner. This surge in demand for private services allows private hospitals and consultants to increase their fees, knowing that demand is high. Insurers have to pay these higher charges, and this cost is inevitably reflected in renewal premiums.

4. General Economic Factors

Finally, the private healthcare sector is not immune to general economic pressures.

  • Staff Costs: There is high demand for skilled clinicians, nurses, and technicians. Wage inflation in the medical profession means hospital staff costs rise each year.
  • Utility Bills: Hospitals are large, energy-intensive buildings. Soaring energy costs directly impact a hospital's operating budget.
  • Supply Chain Costs: The cost of everything from sterile gloves and gowns to complex surgical components has increased due to global supply chain disruptions and inflation.

All these operational cost increases are bundled into the prices that hospitals charge insurers for treatments.

How Your Personal PMI Premium is Calculated

While medical inflation sets the background rate of increase, your individual premium is determined by a more personal set of risk factors. Insurers use these to calculate the likelihood of you making a claim.

  • Your Age: This is the single most significant factor. As we get older, the statistical likelihood of needing medical treatment increases. Premiums therefore rise automatically with age, often with noticeable jumps as you move into a new decade (e.g., turning 40, 50, or 60). This "ageing risk" is separate from medical inflation.
  • Your Location: Where you live matters. The cost of private treatment is significantly higher in some areas, particularly Central London, due to higher property costs and consultant fees. Insurers have "postcode ratings" that adjust your premium accordingly.
  • Your Claims History: If you've made claims on your policy, your renewal premium may see a larger increase. This is because your insurer may adjust your perceived risk, and you may lose any no-claims discount you had.
  • Your Chosen Level of Cover: A comprehensive policy with high outpatient limits, full cancer cover, and access to a nationwide list of hospitals will naturally cost more than a more basic policy with limits and a restricted hospital network.

This is why your renewal increase is often a combination of three things: Medical Inflation + Your Ageing Risk + Any Claims Impact. An expert PMI broker like WeCovr can help you navigate these factors and find the right balance between cost and cover.

The Critical Distinction: Acute vs. Chronic Conditions

It is vital to understand what private medical insurance is for. Standard UK PMI policies are designed to cover acute conditions.

  • An acute condition is a disease, illness, or injury that is likely to respond quickly to treatment and lead to a full recovery. Examples include a hernia, appendicitis, cataracts, or a broken bone.
  • A chronic condition is an illness that cannot be cured but can be managed through medication and monitoring. Examples include diabetes, asthma, high blood pressure, and Crohn's disease.

Crucially, standard UK private health cover does not cover pre-existing conditions or the routine management of chronic conditions. It is designed for new, eligible medical problems that arise after you have taken out the policy.

Practical Strategies to Manage Your Rising PMI Costs

While rising premiums can feel inevitable, you are not powerless. There are several effective strategies you can use to ensure your cover remains affordable and appropriate for your needs.

1. Review Your Policy Annually

Don't just accept your insurer's auto-renewal quote. Your circumstances may have changed, and the market is competitive. An annual review is one effective way to ensure you're not overpaying.

2. Adjust Your Excess

The excess is the amount you agree to pay towards the cost of a claim. By increasing your excess (e.g., from £100 to £500), you can significantly reduce your monthly or annual premium. (illustrative estimate)

Illustrative Impact of Excess on Premium

Excess LevelExample Monthly PremiumPotential Annual Saving
£0£95-
£250£80£180
£500£70£300

3. Re-evaluate Your Hospital List

Insurers offer different tiers of hospital access. If you have a "nationwide" list that includes expensive Central London hospitals but you live in Manchester, you could switch to a more local list and see a substantial saving.

4. Consider a "6-Week Wait" Option

This is a clever compromise. With this option, if the NHS can provide the necessary treatment within six weeks of you being referred, you use the NHS. If the wait is longer, your private policy kicks in. This could reduce your premium by 20-30% as it lowers the risk for the insurer.

5. Re-broking Your Policy with an Expert

Loyalty to one insurer rarely pays in the long run. Other insurers may have more competitive pricing for your specific age and risk profile. Using a specialist at WeCovr or one of our broker partners is the most effective way to manage your costs. A WeCovr specialist or trusted broker partner can compare policies from a wide range of the PMI options providers and handle the switching process for you, ensuring you maintain continuous cover. This service comes with no separate broker fee.

The Added Value of Modern PMI Policies

Today's private medical insurance UK policies offer far more than just paying for hospital stays. They have evolved into holistic health and wellness packages.

  • Digital GP Services: Most policies now include 24/7 access to a virtual GP via phone or video call. This is incredibly convenient for getting quick advice, prescriptions, or referrals with potentially shorter waits for an NHS appointment.
  • Mental Health Support: Recognising the growing need, most insurers now offer enhanced mental health cover, providing access to therapists, counsellors, and psychiatrists, often without needing a GP referral first.
  • Wellness Programmes: Many policies actively encourage you to stay healthy. They may offer discounted gym memberships, rewards for hitting activity goals, and access to health and wellbeing apps.
  • Exclusive Member Benefits: WeCovr enhances your cover further. Our PMI and Life Insurance clients receive complimentary access to CalorieHero, our AI-powered calorie and nutrition tracking app, to support their health goals. We also offer discounts on other insurance products when you take out a policy with us.

These added-value benefits can make a policy feel much more worthwhile, providing day-to-day support for your wellbeing, not just a safety net for when things go wrong.

FAQs: Your Questions on PMI Premiums Answered

Why did my PMI premium go up even though I didn't make a claim?

Your premium can increase for two main reasons, even without a claim. Firstly, due to medical inflation, which is the rising cost of treatments, drugs, and technology across the entire healthcare sector. Secondly, your premium is adjusted for your age each year, as the statistical risk of needing healthcare increases as you get older. These two factors combined typically lead to an annual increase at renewal.

Can I switch my private health insurance provider if my premium is too high?

Yes, you absolutely can. It's one of the most effective ways to manage your costs. A regulated broker can help you compare the market and find a new provider who may offer a more competitive price for your circumstances. They can also advise on one effective way to switch (e.g., with 'continued personal medical exclusions' underwriting) to ensure you don't lose cover for conditions that were previously covered.

Does private medical insurance cover pre-existing or chronic conditions?

No, standard UK private medical insurance is designed to cover new, acute conditions that arise after your policy begins. It does not cover pre-existing conditions (illnesses you already had or had symptoms of before taking out the policy) or the routine, long-term management of chronic conditions like diabetes or asthma.

Navigating the world of private medical insurance can be complex, especially with the pressure of rising costs. But understanding the 'why' behind the price increases empowers you to take control. By regularly reviewing your cover, being smart about your policy options, and partnering with an expert advisor, you can ensure you have the right protection at a competitive price.

Ready to see if you could get better value from your health cover? A friendly WeCovr specialist or trusted broker partner can help. We'll compare the market for you, provide regulated advice, and find a policy that truly fits your needs and budget.

Get your free, no-obligation PMI quote from WeCovr today and make a smarter choice for your health.

Sources

  • NHS England: Waiting times and referral-to-treatment statistics.
  • Office for National Statistics (ONS): Health, mortality, and workforce data.
  • NICE: Clinical guidance and technology appraisals.
  • Care Quality Commission (CQC): Provider quality and inspection reports.
  • UK Health Security Agency (UKHSA): Public health surveillance reports.
  • Association of British Insurers (ABI): Health and protection market publications.

Important Information and Risks

No advice: This article is for general information only. It is not financial, legal, insurance, or tax advice, and it is not a personal recommendation. WeCovr does not assess your individual circumstances or recommend a specific product through this article.

Policy exclusions and underwriting: Insurance policies, including life insurance, private medical insurance, critical illness cover, and income protection, are subject to insurer underwriting, eligibility, acceptance criteria, terms, conditions, limits, and exclusions. Pre-existing medical conditions may be excluded, restricted, or accepted on special terms unless an insurer confirms otherwise in writing.

Tax treatment: References to tax treatment, HMRC rules, or business reliefs are based on current UK legislation and guidance, which can change. Tax treatment depends on your personal or business circumstances and may differ from examples in this article.

Before you buy: Always read the Insurance Product Information Document (IPID), policy summary, and full policy terms before buying, renewing, changing, or keeping cover. If you are unsure whether a policy is suitable for you, speak to an insurance adviser.

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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 experienced 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.

Private medical insurance is designed for conditions that start after your policy begins, so pre-existing conditions are usually excluded, at least at first. With moratorium underwriting, a pre-existing condition may become eligible for cover once you have gone two continuous years on the policy without symptoms, treatment or advice for it. With full medical underwriting, the insurer tells you upfront which conditions are excluded. If you are switching from another policy or leaving a company scheme, you may be able to keep your existing underwriting terms, and some larger company schemes use Medical History Disregarded underwriting, where pre-existing conditions aren't excluded. Chronic conditions that need long-term management aren't covered by standard policies.

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. Some policies can also cover treatments and drugs that aren't routinely available on the NHS.

There's no fee to get quotes through WeCovr. WeCovr and its broker partners are typically paid a commission by the insurer when you take out a policy. The cost of the policy itself depends on your age, where you live, the cover you choose and your excess.

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 may benefit from Private Medical Insurance.

Private Medical Insurance is an important financial product, and policies differ in ways that matter. Speaking to a specialist at WeCovr or one of its broker partners helps make sure your requirements are understood so you can choose the right cover.

WeCovr's broker partners are firms authorised and regulated by the Financial Conduct Authority (FCA), which requires them to treat customers fairly. You can check any firm on the FCA Register.

WeCovr and its broker partners are typically paid a commission by the insurer when a policy is taken out. The premium is set by the insurer, and you don't pay a separate fee for using the service. You can ask about the commission at any time.

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 eligible conditions that arise after your policy begins. You pay a monthly or annual premium and can claim for private healthcare covered by your policy. Benefits can include quicker access to treatment than on the NHS and, on some policies, access to drugs or treatments that aren't routinely available on the NHS.

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, chronic conditions and conditions present before the policy started.

Usually not on a new personal policy: pre-existing conditions are generally excluded, whatever the premium. Depending on your underwriting, a condition may become eligible later, and if you are switching policies or leaving a company scheme you may be able to keep existing terms. If you have questions about what is covered, contact WeCovr and a specialist at WeCovr or one of its broker partners can explain the options.

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. Depending on the insurer, it applies once per policy year or once per claim. A specialist at WeCovr or one of its broker partners can explain the excess options available.

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.

Some insurers have an upper age limit for new customers, while others don't, and age affects the price. Many insurers will renew an existing policy regardless of age. A specialist at WeCovr or one of its broker partners can help you find insurers that accept your age.

A specialist at WeCovr or one of its broker partners can compare health insurance plans from a range of insurers for you, with no fee to you. Consider individual, couple, or family plans and review coverage details thoroughly before choosing.

Usually, yes. Many insurers let you add a partner or dependent children, either at any time or at renewal, depending on the insurer. The cost depends on factors like their age, where you live and the cover you choose. Contact WeCovr or your insurer for help adding someone to your policy.

UK private medical insurance is designed for treatment in the UK, although some policies include limited cover abroad. If you live or work abroad, international health insurance may be more suitable, and WeCovr or one of its broker partners can help you compare options. For holidays, travel insurance is recommended.

Comprehensive cover usually includes more extensive benefits, such as fuller outpatient cover for consultations, diagnostic tests, physiotherapy and mental health therapies, within the policy limits. A specialist at WeCovr or one of its broker partners can explain the different levels of cover.

Private health insurance typically does not cover routine dental treatment, although some insurers offer a dental option and there are standalone dental policies. A specialist at WeCovr or one of its broker partners can help you compare policies with dental options.

Most private medical insurance policies include cover for cancer diagnosed after the policy starts, but the level of cover varies: some policies limit drugs, treatment time or cost. A specialist at WeCovr or one of its broker partners can help you compare cancer cover between policies.

You can usually change your cover at renewal, and some insurers allow changes during the year. You also have a 14-day cooling-off period after receiving your policy documents, during which you can cancel. A specialist at WeCovr or one of its broker partners can help with changes.

Many policies include a digital GP service provided by the insurer, often with same-day or next-day appointments. Check what your policy includes.

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

Yes. Insurers offer a range of cover levels to suit different budgets and needs, and a specialist at WeCovr or one of its broker partners can talk you through the options.

Your insurer can tell you which hospitals and specialists are included in your policy. For help comparing policies' hospital lists, tap one of the buttons above or below and fill in a few details, and a specialist at WeCovr or one of its broker partners will be in touch.

A fee-assured (or fee-approved) consultant has agreed to charge within your insurer's fee limits, so for eligible, authorised treatment you shouldn't have to pay a shortfall for their fees.

Many policies include some mental health cover, either as standard or as an option, usually with limits on therapy sessions or costs. Cover varies between insurers, so check the details.

Yes, children up to a certain age can usually be included on your policy, and some insurers offer discounts for children.

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. Tap a button below to get your own personalised quote through WeCovr.

Private health insurance can offer quicker access to consultations and treatment for eligible conditions, and more choice over when and where you are treated.

Many policies include physiotherapy, sometimes with limits on sessions or cost. A specialist at WeCovr or one of its broker partners can help you find plans that include it.

Services such as the insurer's digital GP app are usually available as soon as your policy starts.

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 eligible new conditions that arise after the policy starts. Pre-existing conditions are usually excluded, chronic conditions aren't covered, and other exclusions apply.

Health insurance pays for eligible private healthcare, such as consultations and treatment, up to your policy limits. A specialist at WeCovr or one of its broker partners can help you arrange cover.

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

Usually, yes: cover for eligible new conditions starts when your policy starts, and services like a nurse helpline or digital GP app are usually available straight away. If you make a claim soon after starting, the insurer may ask for a 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. Visit your insurer's website, or ask a specialist at WeCovr or one of its broker partners, for details of member rewards.

You may be able to continue your cover with the same insurer on a personal policy, or take out a new policy. Continuing with the same insurer can mean keeping your existing underwriting, so conditions covered under the company scheme may stay covered. A specialist at WeCovr or one of its broker partners can talk you through your options.

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

Your cover may be similar but not identical, and ongoing medical conditions may be covered, depending on the terms. A specialist at WeCovr or one of its broker partners can help you find the right level of cover.

Usually not, because employers often pay for or contribute to staff cover and group schemes are priced differently. Your cover level and age also affect the price. A specialist at WeCovr or one of its broker partners can give you more detail.

There is usually a limited window after leaving, set by the insurer, so check as early as possible. Your personal policy can often start the day after your work cover ends, and a specialist at WeCovr or one of its broker partners can explain other options.

Have your leaving date and your current policy details ready, then contact WeCovr to discuss your options with a specialist at WeCovr or one of its broker partners.

Ongoing treatment may be covered if you continue with the same insurer on a personal policy, although it could affect the price. A specialist at WeCovr or one of its broker partners can explain your options.

Your insurer will explain how to pay your excess when you contact them for treatment authorisation. Usually you pay it to the hospital or consultant.

Usually not: with most insurers, there's no excess for services such as a digital GP. Check your policy.

Excess changes are usually made at renewal, although some insurers allow changes at other times.

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

Pre-existing conditions usually aren't covered on a new personal policy. A specialist at WeCovr or one of its broker partners can explain the underwriting options.

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 are medical issues that existed before your policy started. Many insurers treat any condition you've had symptoms of, treatment for or advice about in the five years before the policy started as pre-existing. A specialist at WeCovr or one of its broker partners can help you understand how pre-existing conditions affect your options.

While some insurance providers automatically renew your private healthcare cover, it's worth comparing policies when yours is due for renewal to check it still offers good value for the cover you need. A specialist at WeCovr or one of its broker partners can help you compare.

Typically, you must be over 18 to take out your own policy, but children can usually be included on a family policy. Some insurers have an upper age limit for new customers, and premiums typically increase with age. A specialist at WeCovr or one of its broker partners can explain the age rules of different insurers.

Some insurers charge less if you pay annually, but this depends on the insurer. A specialist at WeCovr or one of its broker partners can tell you whether paying annually would save you money.

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.

Usually not. With full medical underwriting you complete a medical questionnaire, and the insurer may occasionally ask your GP for a report. With moratorium underwriting there's no medical questionnaire upfront. A specialist at WeCovr or one of its broker partners can explain 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. A specialist at WeCovr or one of its broker partners can help you find policies that offer GP services.

With private health insurance, you can often get a GP appointment much more quickly, sometimes even on the same day, through the insurer's GP service. A specialist at WeCovr or one of its broker partners can help you find policies that include it.

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. A specialist at WeCovr or one of its broker partners can help you understand the different types of care and find a policy that suits your needs.

Private health insurance pays for eligible medical treatment if you fall ill, while critical illness cover pays a lump sum if you are diagnosed with one of the illnesses listed in the policy, which you can use however you choose, for example to replace lost income. A specialist at WeCovr or one of its broker partners can help you understand the differences.

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. A specialist at WeCovr or one of its broker partners can help you find appropriate cover.

If your employer pays for your health insurance, it's usually a taxable 'benefit in kind': you pay income tax on its value, normally through your tax code or payroll, and your employer pays Class 1A National Insurance. For the employer, the premiums are usually an allowable business expense. If you buy a personal policy, you pay for it from taxed income. For advice on your situation, speak to an accountant.

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. A specialist at WeCovr or one of its broker partners 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. A specialist at WeCovr or one of its broker partners can help you understand the differences and choose the right option for you.

Some private health insurance providers offer a no-claims discount, similar to car insurance. Each year you don't claim typically adds to your no-claims discount, which can reduce your premium at renewal. A specialist at WeCovr or one of its broker partners can help you find policies that offer no-claims discounts.

To find the right health insurance for you, compare 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. A specialist at WeCovr or one of its broker partners can help you evaluate your options.

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, check your policy terms to see whether your insurer requires a GP referral first (many do). Some policies offer direct access without a referral for certain conditions, such as muscle and joint problems or counselling 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 published 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 practise privately, so you could potentially see the same consultant either way. However, private healthcare typically offers shorter waiting times, usually a private room, and more flexible visiting. Some policies also give 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.

Usually, yes. If you have private tests or scans but then want NHS treatment, your GP or private consultant can refer you to the NHS and share your results, although the NHS team may want to repeat some tests.



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