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NHS Waiting Lists vs. Private Speed The 2026 Orthopaedic Report

NHS Waiting Lists vs. Private Speed The 2026 Orthopaedic...

Struggling with joint pain and facing a daunting wait for NHS surgery is a reality for millions in the UK. At WeCovr, an FCA-authorised broker that has helped arrange over 900,000 policies, we provide clear, data-driven insights into how private medical insurance can offer a faster path to treatment.

Data-driven comparison of waiting times for joint replacements in your region vs. the average speed of access via private medical insurance

If you're one of the thousands of people in the UK needing a hip, knee, or other joint replacement, the phrase "waiting list" has likely become a source of significant anxiety. The difference between waiting for treatment on the NHS and accessing it privately is not a matter of weeks, but often months, and in many cases, years.

This 2026 report provides a stark, data-led comparison of the two routes. We'll analyse the current state of NHS orthopaedic waiting lists across the UK and contrast it with the typical speed of access you can expect with a private medical insurance (PMI) policy. Our goal is to empower you with the information you need to make the best decision for your health and wellbeing.


The Stark Reality: NHS Orthopaedic Waiting Times in 2026

The NHS is a national treasure, but it is under unprecedented strain. The elective surgery backlog, particularly in trauma and orthopaedics (the specialism for joint replacements), remains one of the most significant challenges.

The official NHS target is for 92% of patients to begin treatment within 18 weeks of their GP referral (the Referral to Treatment or RTT pathway). As of early 2026, this target is being missed substantially across the country.

Key UK-wide NHS Statistics (Projected for Q1 2026):

  • Total Waiting List: The overall NHS waiting list in England is projected to remain above 7.5 million.
  • Orthopaedic Waits: Trauma & Orthopaedics consistently has one of the largest waiting lists of any specialty, with over 800,000 people waiting for treatment.
  • Median Wait Time: The median waiting time for an orthopaedic procedure in the UK is now 49 weeks. This means half of all patients wait longer than this.
  • Long Waits: Over 300,000 people have been waiting more than 52 weeks for their NHS treatment. A significant portion of these are for joint replacements.

Regional Waiting List Disparities

Your wait time is heavily influenced by where you live. This "postcode lottery" creates vast differences in access to care.

Region/NationAverage Orthopaedic Wait (RTT in weeks)Patients Waiting > 52 Weeks (Est.)
England (Average)491 in 20
London451 in 25
South West England581 in 15
North East & Yorkshire521 in 18
Midlands551 in 16
Scotland541 in 17
Wales651 in 12
Northern Ireland70+1 in 10

Source: Projections based on NHS England, NHS Scotland, StatsWales, and NI Department of Health data trends from 2023-2025.

These figures represent the time from your initial GP referral to the day of your surgery. For many, this long wait involves debilitating pain, loss of mobility, mental health struggles, and the inability to work or enjoy daily life.


How Private Medical Insurance (PMI) Changes the Game

Private medical insurance is designed for one primary purpose: to provide prompt access to diagnosis and treatment for acute conditions that arise after you take out your policy.

An acute condition is a disease, illness, or injury that is likely to respond quickly to treatment and lead to a full recovery. A painful, arthritic joint requiring a replacement is a perfect example. This is fundamentally different from a chronic condition, like diabetes or asthma, which requires long-term management and is not covered by standard UK PMI.

The Private Patient Journey: Speed and Choice

Instead of joining the back of a year-long queue, a PMI policyholder follows a much faster track.

Typical Timeline for a Hip Replacement: NHS vs. Private

StageNHS PathwayPrivate Medical Insurance Pathway
GP VisitReferral made to local NHS Trust.GP referral letter obtained. Some policies offer a 'digital GP' service for a faster referral.
Consultant AppointmentWait of 12-20 weeks for an initial appointment with an NHS orthopaedic surgeon.Appointment with a consultant of your choice within 1-2 weeks.
Diagnostics (MRI/CT)Wait of 6-12 weeks after consultant appointment.Scans and tests completed within 1 week of the consultation.
Surgery DateScheduled 20-40 weeks after the decision to operate.Surgery scheduled at a private hospital of your choice within 2-6 weeks.
Total Wait Time40 - 70+ weeks (10 months to 1.5 years)4 - 9 weeks (1 to 2 months)

With private health cover, you not only get treated faster, but you also gain:

  • Choice of Consultant: You can research and select a leading surgeon for your procedure.
  • Choice of Hospital: You can choose a clean, modern private hospital from your insurer's approved list.
  • Private Room: Your recovery will be in a private en-suite room, offering comfort and privacy.
  • Flexible Scheduling: Surgery dates are booked at a time that is convenient for you.

The Regional Waiting List Lottery: A Deeper Dive

Let's look closer at the regional data. The national average masks the extreme waits experienced in certain areas. Living in one NHS Trust area versus another can mean the difference of a full year in waiting for the same operation.

Real-Life Scenario: Sarah in Cornwall vs. David in London

  • Sarah (64, Cornwall): Sarah needs a knee replacement. Her local NHS Trust in the South West has one of the longest waiting lists in the country. After her GP referral, she is told the current average wait for surgery is 60 weeks. She faces over a year of pain, relying on strong painkillers and unable to walk her dog or play with her grandchildren.

  • David (66, London): David, in a similar situation, has a private medical insurance policy. His GP refers him to a private consultant. He is seen in 10 days, has an MRI scan the following week, and his knee replacement surgery is scheduled for 4 weeks later at a top London private hospital. His total journey from GP to surgery is under 2 months.

This is the power of PMI. It removes the postcode lottery and provides a predictable, efficient path back to health, regardless of where you live.

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Understanding the Costs: NHS vs. Private Treatment

While NHS treatment is free at the point of use, it comes with the "cost" of time and pain. Going private means paying for treatment, either directly from your savings ("self-funding") or via an insurance policy.

The Cost of Self-Funding Orthopaedic Surgery

Paying for a joint replacement yourself is a major expense. These are the typical costs in the UK:

  • Private Hip Replacement: £12,000 - £16,000
  • Private Knee Replacement: £13,000 - £17,000
  • Initial Consultation: £200 - £300
  • MRI Scan: £400 - £800

These "package prices" usually cover the surgeon's fees, anaesthetist, hospital stay, and the implant itself. However, initial consultations and diagnostics are often extra.

The Cost of Private Medical Insurance

PMI replaces this huge one-off cost with a manageable monthly premium. The premium gives you peace of mind that should you need eligible treatment, the costs will be covered.

Illustrative Monthly PMI Premiums (2026)

AgeLocationCover LevelEstimated Monthly Premium
45ManchesterMid-Range£65 - £90
55BristolComprehensive£95 - £140
65LondonComprehensive£150 - £250

Disclaimer: These are illustrative estimates only. Your actual premium will depend on your specific circumstances, chosen insurer, underwriting, and level of cover. An expert broker like WeCovr can provide precise, personalised quotes.

Premiums are influenced by:

  • Age: Premiums increase as you get older.
  • Location: Treatment costs are higher in areas like Central London, so premiums are too.
  • Cover Level: More comprehensive plans with high out-patient limits cost more.
  • Excess: Choosing a higher excess (the amount you pay per claim) will lower your premium.
  • Hospital List: A plan covering only local hospitals is cheaper than one with nationwide access.

What Does a Typical UK Private Medical Insurance Policy Cover?

Understanding what you're buying is crucial. A good policy is more than just a queue-jumping ticket; it's a comprehensive health plan.

Core Benefits:

  • In-patient & Day-patient Treatment: Covers all costs when you are admitted to hospital for surgery, including fees, accommodation, and nursing care.
  • Out-patient Cover: This is for diagnosis. It covers specialist consultations and diagnostic tests (like MRI, CT, and PET scans) up to a set annual limit (e.g., £1,000, £1,500, or unlimited). For orthopaedics, good out-patient cover is essential.
  • Cancer Cover: A core feature of all PMI policies, providing access to the latest drugs and treatments, some of which may not be available on the NHS.
  • Mental Health Support: Most policies now include cover for mental health treatment, from counselling to in-patient psychiatric care.
  • Therapies: Covers post-operative physiotherapy, which is vital for a successful recovery from joint replacement surgery.

Key Terms You MUST Understand

  • Underwriting: This is how an insurer assesses your medical history.
    • Moratorium (Most Common): A simple option where the insurer automatically excludes any condition you've had symptoms, advice, or treatment for in the last 5 years. This exclusion can be lifted if you go 2 full years on the policy without any issues relating to that condition.
    • Full Medical Underwriting (FMU): You declare your full medical history upfront. The insurer then states exactly what is and isn't covered from day one. It provides certainty but can be more complex.
  • Excess: The fixed amount you agree to pay towards any claim. For example, with a £250 excess on a £14,000 knee replacement claim, you pay the first £250 and the insurer pays the rest.
  • Exclusions: All PMI policies have exclusions. It is vital you understand them.
    • Pre-existing Conditions: Conditions you had before your policy started are not covered.
    • Chronic Conditions: Long-term conditions like arthritis, diabetes, and high blood pressure are not covered for ongoing management. PMI covers the acute flare-up (e.g., the joint replacement for arthritis), not the day-to-day management.
    • Emergency Services: A&E is an NHS service. PMI is for planned, elective treatment.
    • Normal Pregnancy, Cosmetic Surgery, Self-inflicted injuries.

Navigating these options can be complex. The team at WeCovr specialises in simplifying this process, comparing policies from across the market to find the one that perfectly matches your needs and budget.


Choosing the Best PMI Provider for Orthopaedic Cover

The UK has a mature private health insurance market with several excellent providers. The "best" provider for you depends entirely on your priorities.

ProviderKey Strengths for Orthopaedic Cover
AXA HealthExcellent comprehensive cover, strong hospital network, great 'Doctor at Hand' digital GP service.
BupaThe UK's best-known provider, extensive network, direct access to therapies without a GP referral on some plans.
AvivaStrong value proposition, good digital tools, and the 'Expert Select' option to guide you to top consultants.
VitalityUnique model that rewards healthy living with premium discounts and other perks. Good therapy and mental health cover.
The ExeterA friendly society known for excellent customer service and flexible underwriting, particularly for older applicants.

An independent PMI broker's job is to be an expert on all these providers. Instead of you spending hours trying to compare them, we do the work for you. We understand the nuances of each policy and can quickly identify the most suitable and cost-effective option for your orthopaedic needs.

Plus, when you arrange a policy with WeCovr, you get complimentary access to our AI-powered nutrition app, CalorieHero, and can benefit from discounts on other insurance products like life or income protection cover.


Common Pitfalls to Avoid When Buying Health Insurance

As expert advisers, we see clients make the same mistakes time and again. Here's how to avoid them:

  1. Ignoring the Underwriting: Choosing a moratorium policy without realising a recent bout of knee pain now means your knee is excluded for at least two years. Insider Tip: Always be honest and clear about your medical history. A good adviser can help you navigate this.
  2. Buying on Price Alone: Opting for the cheapest plan only to find it has a very limited hospital list or a low £500 out-patient limit, which won't even cover an MRI scan.
  3. Forgetting the Excess: Setting a £1,000 excess to get a low premium, then being unable to afford it when you need to make a claim.
  4. Going Direct to an Insurer: When you go direct, you only get one price and one point of view. A broker provides an impartial, market-wide comparison at no cost to you, ensuring you get the best value.

Your Questions Answered: Orthopaedics & PMI FAQs

Can I get private medical insurance if I'm already on an NHS waiting list?

You can certainly take out a policy, but it will not cover the condition for which you are already on the waiting list. This is because it is now a "pre-existing condition". PMI is designed to cover new, acute conditions that arise after your policy begins. However, it would cover you for any future eligible health issues.

Does PMI cover the physiotherapy I'll need after my joint replacement?

Yes, virtually all mid-range and comprehensive PMI policies include cover for post-operative therapies like physiotherapy. This is considered an essential part of your recovery, and quick access to a physio can significantly improve your surgical outcome.

What is the difference between an acute and a chronic condition?

This is the most important concept in UK PMI. An acute condition is a disease or injury that is short-term and is expected to be cured with treatment (e.g., a cataract, a hernia, a joint needing replacement). A chronic condition is one that is long-term and requires ongoing management rather than a cure (e.g., diabetes, asthma, most forms of arthritis). PMI covers acute conditions but excludes the routine management of chronic ones.

Is private health insurance worth it just for joint pain?

Considering an NHS wait for a joint replacement can be over a year and the self-pay cost is over £13,000, many people find it extremely worthwhile. For a manageable monthly premium, you gain peace of mind knowing that if your joint pain requires surgery, you can have it done in weeks, not years, dramatically improving your quality of life.

Take Control of Your Health Today

The data is clear. While the NHS provides excellent care, its capacity for elective orthopaedic surgery is severely limited, leading to life-altering waits. Private medical insurance offers a clear, fast, and effective alternative.

Don't let a waiting list dictate your life. With the right policy, you can bypass the queues, choose your surgeon, and get back to living pain-free in a matter of weeks.

The market is complex, but the decision doesn't have to be. Let our expert, friendly advisers at WeCovr do the hard work for you. We'll compare the UK's leading insurers to find you the perfect cover for your needs and budget, all at no cost to you.

[Click here to get your free, no-obligation PMI quote and compare the market in minutes.]


Related guides

Why private medical insurance and how does it work?

What is Private Medical Insurance?

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

How does it work?

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

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

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

Questions to ask yourself regarding private medical insurance

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

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

Benefits offered by private medical insurance

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

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

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

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

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

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

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

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

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

Important Fact!

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

Why is it important to get private medical insurance early?

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Claims may require additional information if under moratorium underwriting.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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


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