TL;DR
Moving to a new country is an exciting adventure, but navigating a different healthcare system can be daunting. As an FCA-authorised expert broker that has helped arrange over 900,000 policies, WeCovr understands the unique questions new arrivals have about securing private medical insurance (PMI) in the UK. This guide is here to help.
Key takeaways
- What it is: A world-renowned system providing comprehensive healthcare, free at the point of use.
- Who it's for: All legal UK residents.
- What it covers: Everything from GP appointments and emergency care (A&E) to complex surgery and long-term condition management.
- The Challenge: The primary drawback of the NHS is waiting times. Due to high demand, waits for specialist consultations and non-urgent procedures can be long. According to the latest NHS England data, the waiting list for elective treatment stands at over 7.5 million cases. This can mean waiting many months, or even over a year, for procedures like hip replacements or cataract surgery.
- What it is: A way to bypass NHS waiting lists and access private treatment quickly.
Moving to a new country is an exciting adventure, but navigating a different healthcare system can be daunting. As an FCA-authorised expert broker that has helped arrange over 900,000 policies, WeCovr understands the unique questions new arrivals have about securing private medical insurance (PMI) in the UK. This guide is here to help.
Guide for new arrivals and the best way to secure PMI starting from scratch
Welcome to the United Kingdom! As you settle into your new life, one of the most important things to arrange is your healthcare. The UK is rightly proud of its National Health Service (NHS), but many residents, including new arrivals, also choose to take out private medical insurance for added peace of mind, speed of access, and greater choice.
This comprehensive guide will walk you through everything you need to know about PMI as an immigrant. We'll explain how the UK system works, what your options are, how to get covered, and how to avoid common pitfalls. Our goal is to give you the confidence to make the best decision for you and your family's health and wellbeing.
Understanding the UK Healthcare System: NHS vs. Private
Before diving into private cover, it's essential to understand the dual-track healthcare system in the UK. Most residents use a combination of both the NHS and the private sector.
The National Health Service (NHS)
The NHS is the UK's state-funded healthcare system. If you are a legal resident in the UK, you are generally entitled to use it. Many immigrants pay an "Immigration Health Surcharge" (IHS) as part of their visa application, which grants them access to the NHS on the same basis as a permanent resident.
- What it is: A world-renowned system providing comprehensive healthcare, free at the point of use.
- Who it's for: All legal UK residents.
- What it covers: Everything from GP appointments and emergency care (A&E) to complex surgery and long-term condition management.
- The Challenge: The primary drawback of the NHS is waiting times. Due to high demand, waits for specialist consultations and non-urgent procedures can be long. According to the latest NHS England data, the waiting list for elective treatment stands at over 7.5 million cases. This can mean waiting many months, or even over a year, for procedures like hip replacements or cataract surgery.
Private Medical Insurance (PMI)
PMI is an insurance policy that pays for the costs of private healthcare for acute conditions that arise after you take out the policy. It's not a replacement for the NHS – you will still use the NHS for emergencies and for conditions your policy doesn't cover.
- What it is: A way to bypass NHS waiting lists and access private treatment quickly.
- Who it's for: Anyone who wants faster access to specialists, a choice of hospitals and surgeons, and the comfort of a private room.
- Key Benefit: Speed. The main reason people buy PMI is to be diagnosed and treated faster, getting them back to work and life sooner.
Here’s a simple comparison to help you see the difference:
| Feature | National Health Service (NHS) | Private Medical Insurance (PMI) |
|---|---|---|
| Cost | Free at the point of use (funded by taxes & IHS) | Monthly or annual premium |
| Waiting Times | Can be very long for non-urgent care | Minimal; treatment is usually available in weeks |
| Choice | Limited choice of hospital or specialist | High degree of choice over where and by whom you are treated |
| Accommodation | Usually a shared ward | Private en-suite room |
| Coverage | Comprehensive, including chronic and pre-existing conditions | For new, acute conditions only. Excludes chronic/pre-existing issues. |
| Emergencies | The only option for A&E and emergency response | Not used for emergencies; complements the NHS |
Am I Eligible for Private Medical Insurance as a New Immigrant?
This is a common and important question. The straightforward answer is yes, in almost all cases. If you are legally residing in the UK, you are generally eligible to apply for private health cover.
Insurers' main requirements are typically:
- A UK Residential Address: You must be living in the UK to buy a UK policy.
- A UK Bank Account: Your premiums will be paid from a UK bank account, usually via Direct Debit.
- Legal Residency: You must have the legal right to live in the UK (e.g., on a work visa, family visa, or other long-stay permit).
Unlike some other countries, you do not need to be a permanent resident or a British citizen to get PMI. Some insurers may have a minimum residency period (e.g., 6 months), but many have no such rule and will cover you from the moment you have a UK address and bank account.
Navigating these small differences between providers is where an expert broker can be invaluable. A specialist like WeCovr can quickly identify which insurers are best suited for new arrivals, ensuring a smooth and successful application.
The Critical Rule of UK PMI: Pre-existing and Chronic Conditions Explained
This is the single most important concept to understand about private medical insurance in the UK. Misunderstanding this point can lead to disappointment and frustration.
Standard UK PMI is designed to cover new medical problems that start after your policy begins. It is not designed to cover conditions you already have.
Let's break down the key terms:
- Pre-existing Condition: This is any disease, illness, or injury for which you have experienced symptoms, received medication, sought advice, or had treatment before the start date of your policy. This includes things you haven't been formally diagnosed with but have seen a doctor about.
- Chronic Condition: This is a condition that is long-term and cannot be fully cured with treatment. It can be managed but not resolved. Examples include diabetes, asthma, high blood pressure, arthritis, and Crohn's disease.
The Golden Rule: UK PMI policies do not cover the treatment of pre-existing or chronic conditions. For these, you will continue to rely on the excellent care provided by the NHS.
Real-Life Examples
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Covered Scenario: You move to the UK from Australia and buy a PMI policy. A year later, you start experiencing severe knee pain while running. A scan reveals a torn meniscus requiring surgery. As this is a new, acute condition that started after your policy began, your PMI will cover the consultation, scan, and surgery in a private hospital.
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Not Covered Scenario: You move to the UK with a history of managing eczema with prescription creams. If you have a flare-up and want to see a private dermatologist, your PMI will not cover this because it's a pre-existing and chronic condition. You would see your NHS GP for ongoing management.
How Underwriting Affects Your Cover as a New Arrival
"Underwriting" is the process an insurer uses to assess your risk and decide what they will and won't cover. For new immigrants, choosing the right underwriting method is key. There are two main types.
1. Moratorium (Mori) Underwriting
This is the most common and often the simplest option for those new to the UK.
- How it works: You don't have to fill out a detailed medical questionnaire. Instead, the policy automatically excludes any condition for which you've had symptoms, treatment, or advice in the 5 years before the policy started.
- The "Rolling" Element: The great thing about a moratorium is that these exclusions can be removed. If you go for a continuous 2-year period after your policy starts without needing any treatment, advice, or having symptoms of that pre-existing condition, the insurer will then consider covering it if it recurs.
- Why it's good for new arrivals: It's fast and easy. You don't need access to old medical records from your home country, which can be difficult to obtain.
2. Full Medical Underwriting (FMU)
This method is more detailed upfront.
- How it works: You complete a full health questionnaire, declaring your entire medical history. The insurer's underwriting team reviews your application and then offers you a policy with specific, named exclusions written into your policy documents.
- Clarity from Day One: The main advantage is certainty. You know from the start exactly what is and isn't covered. Unlike a moratorium, these exclusions are typically permanent and will not be removed after a 2-year period.
- When it might be better: If you have had very minor health issues in the past (e.g., a single instance of joint pain 4 years ago that never returned), FMU might be better. An underwriter may agree to cover that body part, whereas a moratorium policy would automatically exclude it for the first 2 years.
An expert PMI broker can discuss your personal situation and advise which underwriting method makes the most sense for you.
| Feature | Moratorium (Mori) Underwriting | Full Medical Underwriting (FMU) |
|---|---|---|
| Application Process | Quick and simple, no health forms | Detailed medical questionnaire required |
| Initial Exclusions | Blanket exclusion for any condition from the last 5 years | Specific exclusions are named in your policy documents |
| Clarity | You find out if a condition is covered when you claim | You know exactly what's excluded from day one |
| Removing Exclusions | Possible after a 2-year clear period | Exclusions are usually permanent |
| Best For... | New arrivals, those without easy access to medical records | Those with past minor issues who want absolute clarity |
What Does a Typical PMI Policy Cover (and Not Cover)?
PMI policies are modular. You start with a core foundation and can add extra benefits to tailor the plan to your needs and budget.
Typically Included in Core Cover:
- In-patient and Day-patient Treatment: This covers costs when you are admitted to a hospital bed for treatment or surgery, even if just for the day. This includes surgeons' fees, anaesthetists' fees, and hospital costs.
- Comprehensive Cancer Cover: This is a cornerstone of most PMI policies. It often provides access to specialist drugs, treatments, and centres that may not be available on the NHS.
- Specialist Consultations: Covers the cost of seeing a consultant privately after a GP referral.
- Diagnostic Tests: Includes things like MRI scans, CT scans, and PET scans, allowing for rapid diagnosis.
Common Optional Add-ons:
- Out-patient Cover: This is one of the most popular additions. It covers diagnostic tests and specialist consultations that do not require a hospital bed. Without this, you would rely on the NHS for the initial diagnostic phase.
- Therapies Cover: Pays for a set number of sessions with specialists like physiotherapists, osteopaths, and chiropractors.
- Mental Health Cover: Provides cover for consultations with psychiatrists and psychologists, and for in-patient psychiatric care.
- Dental and Optical Cover: Helps with the costs of routine check-ups, dental treatments, and new glasses or contact lenses.
What is Almost Always Excluded?
- Pre-existing conditions
- Chronic conditions
- Emergency treatment (A&E)
- Uncomplicated pregnancy and childbirth
- Cosmetic surgery (unless for reconstructive purposes after an accident or covered surgery)
- Self-inflicted injuries
- Fertility treatments
How to Get the Best PMI Policy: A Step-by-Step Guide for New Immigrants
Securing the right private medical insurance UK policy is straightforward when you follow a clear process.
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Assess Your Needs and Budget: Think about what's important to you. Is comprehensive cancer cover a priority? Do you want mental health support? Are you looking for a basic plan just to cover major surgeries, or a comprehensive plan for everything? Decide on a monthly budget you are comfortable with.
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Don't Go Directly to an Insurer: While you can get a quote from an insurer's website, you will only see their products and their prices. You won't know if a competitor offers better cover for the same price, or the same cover for less.
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Use an Independent PMI Broker: This is the smartest move for anyone, especially a new arrival. An independent broker, like WeCovr, works for you, not for the insurance companies.
- Expert Advice: We understand the market and the specific needs of immigrants.
- Market Comparison: We compare policies and prices from all the leading UK insurers (like Bupa, AXA Health, Aviva, and Vitality) to find the perfect fit for you.
- Free Service: Our advice and support are completely free for you. We are paid a commission by the insurer you choose, and this does not affect the price you pay.
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Compare the Details: Your broker will present you with a few tailored options. Look beyond the headline price. Compare the hospital list (which hospitals you can use), the out-patient limits, and the excess (the amount you agree to pay towards any claim).
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Choose Your Underwriting: Your broker will help you decide between Moratorium and Full Medical Underwriting based on your health history.
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Apply and Get Covered: Once you've chosen your policy, your broker will help you complete the application, set up your payment, and get your policy documents. You can then have the peace of mind that you are covered.
Factors That Influence the Cost of Your PMI Policy
The price of your premium is determined by several factors. Understanding them helps you see how you can adjust your policy to meet your budget.
- Age: This is the most significant factor. Premiums increase as you get older.
- Location: Living in areas with expensive private hospitals, like Central London or major cities, will result in higher premiums than living in a more rural area.
- Level of Cover: A basic, core-only policy is the cheapest. Adding out-patient cover, therapies, and mental health options will increase the cost.
- Excess (illustrative): This is the amount you agree to pay towards the cost of a claim. Choosing a higher excess (e.g., £250 or £500) will lower your monthly premium.
- Hospital List: Most insurers offer different tiers of hospital lists. A list that excludes expensive Central London hospitals will be cheaper than a comprehensive national list.
- No Claims Discount: Similar to car insurance, many PMI policies include a no-claims discount. Your premium may be lower if you don't claim, and it may increase following a claim.
Example Monthly PMI Premiums
To give you a rough idea, here are some illustrative examples for a mid-range policy with a £250 excess. Please note these are for guidance only and are not a formal quote.
| Age Group | Location | Estimated Monthly Premium |
|---|---|---|
| 30-year-old | Manchester | £45 – £60 |
| 30-year-old | Central London | £65 – £85 |
| 50-year-old | Manchester | £80 – £110 |
| 50-year-old | Central London | £115 – £150 |
The best way to get an accurate price is to get a personalised quote based on your specific circumstances.
Extra Benefits and Wellness Programmes
Modern private health cover is about more than just paying for treatment. Insurers are increasingly focused on helping you stay healthy in the first place. Most top-tier policies now include a wealth of added-value benefits, such as:
- 24/7 Remote GP: Access to a GP via phone or video call at any time, often with same-day appointments.
- Mental Health Support: Digital CBT courses, mindfulness apps, and telephone counselling services.
- Wellness Discounts: Reduced prices on gym memberships, fitness trackers, and healthy food.
- Health and Wellbeing Advice: Access to experts on nutrition, sleep, and fitness.
When you arrange your policy through WeCovr, you also get exclusive benefits. We provide our PMI and Life Insurance clients with complimentary access to our AI calorie and nutrition tracking app, CalorieHero, to support your health goals. Furthermore, our clients often enjoy discounts on other types of insurance they may need, such as life or income protection cover.
Why Use a Specialist Broker Like WeCovr?
For a new arrival, navigating the UK private medical insurance market alone can be overwhelming. Using an FCA-authorised broker like WeCovr simplifies the entire process and provides significant advantages.
- Expertise for Your Situation: We have extensive experience helping immigrants find the right cover. We know which insurers offer the most flexible terms for new residents and can guide you through any specific requirements.
- Whole-of-Market Access: We are not tied to any single insurer. We compare the entire market to find the policy that offers the best value and the right level of protection for your needs.
- Save Time and Money: Instead of you spending hours researching and getting multiple quotes, we do all the legwork for you. Our expertise ensures you don't overpay or buy a policy with unsuitable terms.
- A Free, High-Quality Service: Our service is completely free for you to use. We pride ourselves on clear, impartial advice and have earned high satisfaction ratings from our clients for our dedication and support.
- Ongoing Support: Our relationship doesn't end once you buy the policy. We are here to help you at renewal to ensure you're still on the best deal, and can even offer guidance if you need to make a claim.
Do I still need to pay the Immigration Health Surcharge (IHS) if I have PMI?
Can I add my family to my PMI policy?
What happens if I have a medical emergency in the UK?
Does UK private medical insurance cover pre-existing conditions?
Ready to take the next step and secure your health and peace of mind in the UK?
The WeCovr team is here to help. Our friendly, expert advisors can provide a free, no-obligation comparison of the best PMI providers to find the perfect cover for you.
[Get Your Free PMI Quote Today]
Sources
- Department for Transport (DfT): Road safety and transport statistics.
- DVLA / DVSA: UK vehicle and driving regulatory guidance.
- Association of British Insurers (ABI): Motor insurance market and claims publications.
- Financial Conduct Authority (FCA): Insurance conduct and consumer information guidance.







