TL;DR
As an FCA-authorised expert with over 900,000 policies issued, WeCovr understands that life changes. This guide explores how your UK private medical insurance can move with you, ensuring continuous protection. We'll demystify PMI portability, helping you navigate job moves and insurer switches with confidence.
Key takeaways
- Leaving a Company Group Scheme: You're leaving a job where your employer provided PMI as a benefit.
- Switching Your Personal PMI Provider: You have a personal policy and want to move to a different insurer for better value or service.
- Without portability: You would have to apply for a new personal policy. Your joint problem would now be a "pre-existing condition," and the new insurer would almost certainly exclude it from cover.
- With portability: You can take out a "Group Leaver" policy, carrying over your cover history. Because the joint problem was covered on the group scheme, it will continue to be covered on your new personal policy.
- Rising Premiums: Your renewal price may have increased significantly.
As an FCA-authorised expert with over 900,000 policies issued, WeCovr understands that life changes. This guide explores how your UK private medical insurance can move with you, ensuring continuous protection. We'll demystify PMI portability, helping you navigate job moves and insurer switches with confidence.
What happens to your cover if you move jobs or insurers
Changing jobs or simply seeking a better deal on your private health cover are common life events. But what happens to the valuable protection you rely on? This is where "portability" comes in.
In the UK private medical insurance (PMI) market, portability is the ability to take your health insurance policy with you when your circumstances change. It’s designed to prevent a situation where you lose cover for medical conditions that have developed while you were insured.
There are two main scenarios where portability is crucial:
- Leaving a Company Group Scheme: You're leaving a job where your employer provided PMI as a benefit.
- Switching Your Personal PMI Provider: You have a personal policy and want to move to a different insurer for better value or service.
Understanding how to manage this transition is vital. A misstep could mean losing cover for important health issues or having to start a new policy with fresh exclusions. Fortunately, the process is well-established, and with the right guidance, it can be seamless.
Understanding PMI Portability: Your Right to Continue Cover
Think of PMI portability as a "protected move" for your health insurance. Instead of starting from scratch with a new insurer and potentially facing new exclusions for conditions you've recently developed, portability allows you to carry over your existing level of cover and underwriting terms.
This is arguably one of the most important features of modern private medical insurance in the UK. Without it, individuals could feel "trapped" in a job or with an insurer for fear of losing cover for a health condition that has arisen since they first took out the policy.
Why is Portability So Important?
The fundamental purpose of private medical insurance is to cover acute conditions that arise after your policy begins. It's crucial to remember that standard UK PMI does not cover pre-existing or chronic conditions.
Let's imagine you join a company scheme, and a year later, you develop a treatable joint problem that requires ongoing specialist consultations. Your group PMI covers it. Two years later, you decide to leave for a new job.
- Without portability: You would have to apply for a new personal policy. Your joint problem would now be a "pre-existing condition," and the new insurer would almost certainly exclude it from cover.
- With portability: You can take out a "Group Leaver" policy, carrying over your cover history. Because the joint problem was covered on the group scheme, it will continue to be covered on your new personal policy.
This principle protects you from being medically or financially disadvantaged simply for changing your employment.
Leaving a Company Group Scheme: Your Options Explained
Losing your company health benefits is a common reason people explore personal PMI. The good news is that most group schemes have a "group leaver" option. This allows you to seamlessly transfer your cover from the company plan to an individual policy with the same insurer.
When you notify your employer that you're leaving, their HR department or benefits administrator should provide you with information on how to continue your cover. You typically have a limited window, often 30-60 days, to take up this option.
Your Underwriting Choices as a Group Leaver
When you move to a personal policy, the insurer will offer you different ways to underwrite it. This is the most critical decision you'll make.
| Underwriting Type | How It Works | Best For... | Key Consideration |
|---|---|---|---|
| Continued Personal Medical Exclusions (CPME) | You keep the same underwriting terms you had on the group scheme. No new medical declaration is needed. Your medical history is "ported" over. | Someone who has developed conditions or claimed on the group policy and wants to ensure continued cover. | You will also carry over any special exclusions that were on the group policy. It’s a direct continuation. |
| Moratorium Underwriting | No initial medical questionnaire. The policy automatically excludes treatment for any condition you've had symptoms of, or received advice/treatment for, in the 5 years before starting. | Younger, healthier individuals with no recent medical history who want a quick and simple application. | There's a 2-year waiting period. If you remain symptom-free from a pre-existing condition for 2 continuous years after your policy starts, it may become eligible for cover. |
| Full Medical Underwriting (FMU) | You complete a detailed health questionnaire, declaring your full medical history. The insurer then custom-builds your policy, stating upfront what is and isn't covered. | People who want absolute clarity on their cover from day one and have a clean or straightforward medical history. | Any conditions you declare will likely be permanently excluded. However, it can sometimes be cheaper than a moratorium policy if you are in good health. |
For most people leaving a group scheme, CPME is the safest and most popular option. It guarantees continuity of cover, which is the primary benefit of portability.
Switching Your Personal PMI Provider: The 'Switch' Process
Just as you might switch your car or home insurance provider to get a better deal, you can do the same with your private health cover. Insurers know that customers value continuity, so most leading providers offer a "switch" facility.
This works on the same principle as the group leaver option, using Continued Personal Medical Exclusions (CPME) underwriting.
Why Switch Your PMI Provider?
- Rising Premiums: Your renewal price may have increased significantly.
- Better Benefits: A different insurer might offer superior cancer cover, better mental health support, or a wider choice of hospitals.
- Improved Service: You may be unhappy with your current provider's customer service or claims process.
- New Wellness Programmes: Another provider may have a more engaging wellness programme with better rewards.
An expert PMI broker like WeCovr can be invaluable here. We can compare the entire market to see if you can get equivalent (or better) cover for a lower price, all while ensuring your underwriting is seamlessly switched to protect your claims history.
The Golden Rule of Switching
When switching, the aim is to move to a new policy on a CPME basis. This means:
- Your new insurer agrees to take you on without applying new medical exclusions.
- They will cover the same conditions that your previous insurer would have covered.
- They will also apply any exclusions that were on your old policy.
This ensures you don't lose cover. For example, if you had a policy with Bupa and claimed for physiotherapy for a shoulder injury, then switched to a new policy with Aviva on a CPME basis, Aviva would continue to cover future eligible treatment for that shoulder. If you started afresh on a moratorium basis, that shoulder injury would be excluded for at least two years.
Key Terminology Explained: CPME, Moratorium, and FMU in Plain English
Understanding these terms is the key to making a smart decision. Let's break them down with simple analogies.
1. Continued Personal Medical Exclusions (CPME)
- What it is: A direct transfer of your medical underwriting from your old policy (or group scheme) to your new one.
- Simple Analogy: It's like changing mobile phone networks but keeping your phone number. Everything associated with that number—your contacts, your history—moves with you. You don't have to start from scratch.
- The Critical Point: You keep cover for conditions that have arisen and were covered under your old policy. This is the essence of portability.
2. Moratorium Underwriting (Mori)
- What it is: The insurer doesn't ask about your health history upfront. Instead, they apply a blanket clause: for the first two years of the policy, you cannot claim for any condition for which you have experienced symptoms, or sought advice or treatment, in the five years before your policy started.
- Simple Analogy: It’s like a probationary period at a new job. You prove yourself over time. If you go two full years on the policy without any trouble from an old medical issue, the "probation" ends, and that condition may become eligible for cover.
- The Risk: If you need treatment for a pre-existing condition during the two-year moratorium period, not only will the claim be rejected, but the clock on that two-year period will restart.
3. Full Medical Underwriting (FMU)
- What it is: You provide your complete medical history on an application form. The insurer's medical team reviews it and offers a policy with specific, named exclusions based on your past health.
- Simple Analogy: It’s like having a detailed survey done before buying a house. You know every single crack and issue upfront, and the price and terms are set accordingly. There are no surprises later.
- The Benefit: Total clarity. You know from day one exactly what is and isn't covered. For healthy applicants, it can sometimes result in a lower premium.
Remember: Regardless of the underwriting type, standard PMI is designed for new, acute conditions. It does not cover long-term, chronic conditions like diabetes or high blood pressure that require ongoing management rather than a cure.
How a PMI Broker Like WeCovr Makes Portability Seamless
Navigating the nuances of CPME, group leaver schemes, and insurer-specific switch rules can be complex and time-consuming. This is where an independent, FCA-authorised broker provides immense value.
Working with WeCovr means you have an expert on your side, at no extra cost to you. Our role is to:
- Understand Your Needs: We listen to your situation—are you leaving a job, or are you unhappy with your current provider? What are your health needs and budget?
- Analyse Your Current Cover: We review your existing policy to understand your current benefits, limits, and, most importantly, your underwriting.
- Survey the Market: We use our expertise and access to the UK's leading insurers to find the best alternatives. We compare policies not just on price, but on the quality of cover, hospital lists, and service ratings.
- Manage the Switch: We handle the paperwork for a CPME transfer, ensuring there are no gaps in your cover and that your medical history is ported correctly. We liaise with both your old and new provider to ensure a smooth transition.
- Provide Ongoing Support: Our service doesn't stop once the policy is in place. We are here to help with renewals and any future queries you might have.
Using a broker removes the guesswork and the risk of making a costly mistake. Our high customer satisfaction ratings are a testament to the peace of mind we provide.
Real-Life Scenarios: When Portability Matters Most
Let's look at two common examples to see how this works in practice.
Scenario 1: The Marketing Director Leaving a Corporate Scheme
- Person: Aisha, 45, is a Marketing Director leaving a large corporation in London to start her own consultancy.
- Situation: She has been on her company's comprehensive group PMI scheme with AXA for six years. Three years ago, she was diagnosed with endometriosis and had a successful private laparoscopic surgery covered by the policy. Her symptoms are now managed, but she may need future consultations.
- The Challenge: If Aisha applies for a new policy on the open market, endometriosis will be a pre-existing condition and will be excluded.
- The Portability Solution:
- Aisha's HR department gives her a "Group Leaver Pack" from AXA.
- She contacts WeCovr for advice. We explain that her best option is to take up the group leaver policy on a CPME basis.
- WeCovr helps her complete the application to continue her cover with AXA on a personal basis.
- Result: Her new personal policy continues to provide cover for any future eligible, acute flare-ups of her endometriosis, just as her group scheme did. She has successfully "ported" her cover.
Scenario 2: The Retiree Seeking Better Value
- Person: David, 68, is a retired teacher from Manchester.
- Situation: He has had a personal PMI policy with Vitality for over a decade. He's in good health but had a knee replacement covered by the policy five years ago. His renewal premium has increased by 18%, and he wants to see if he can find a more affordable option.
- The Challenge: He's worried that a new insurer won't cover his other knee if it develops problems, given his history.
- The Portability Solution:
- David calls WeCovr and explains his situation and budget.
- WeCovr confirms that several other top-tier insurers, including Bupa and Aviva, offer a "switch" facility with CPME underwriting.
- We gather quotes for like-for-like cover and find a Bupa policy that is 12% cheaper and offers a similar hospital network.
- We manage the switch application, ensuring Bupa agrees to continue his cover on the same terms as his Vitality policy.
- Result: David moves to Bupa, saves money on his premium, and retains his continuous cover history. His new policy will not exclude his knees, as he has been continuously covered for them.
Beyond the Policy: Added Value and Wellness Benefits
When considering a switch, it's not just about the core medical cover. Insurers are increasingly competing on the value-added benefits they provide. A new policy could give you access to:
- Digital GP Services: 24/7 access to a GP via phone or video call.
- Mental Health Support: Access to counselling or therapy sessions without needing a GP referral.
- Wellness Programmes: Rewards and discounts for healthy living, such as gym memberships or smartwatches.
- Exclusive Member Offers: Discounts on travel, cinema tickets, and other lifestyle products.
At WeCovr, we believe in proactive health. That's why when you arrange your PMI or Life Insurance with us, we also provide:
- Complimentary access to CalorieHero: Our exclusive AI-powered calorie and nutrition tracking app to help you stay on top of your health goals.
- Multi-policy discounts: Significant savings on other insurance products like life, critical illness, or income protection cover.
These extra perks can significantly enhance the overall value of your private health cover package.
Step-by-Step Guide to Porting Your PMI Policy
Feeling ready to explore your options? Follow these simple steps for a smooth transition.
- Find Your Documents: Locate your current policy schedule or your company's benefits handbook. Note down your insurer, policy number, and level of cover.
- Initiate the Process:
- If leaving a job: Inform your HR department as soon as possible that you wish to explore the "group leaver" option. They will provide the necessary forms and deadlines.
- If switching a personal policy: Don't cancel your current policy yet! The new policy must be in place first to ensure continuous cover.
- Speak to an Expert Broker: This is the most important step. Contact an independent broker like WeCovr. A short phone call can save you hours of research and prevent costly errors.
- Compare Your Options: Your broker will present you with tailored quotes. Review the benefits, hospital lists, and underwriting terms (ensuring it's CPME/switch) side-by-side.
- Apply for the New Policy: Once you've chosen, your broker will help you complete the application form for the new insurer. This will include authorising them to get your certificate of insurance from your previous provider to confirm your cover history.
- Confirm and Cancel: Only once you have written confirmation that your new policy is active on a CPME basis should you cancel your old policy or let your company scheme lapse. This guarantees you are never without cover.
With NHS waiting lists in England remaining stubbornly high, with around 7.5 million treatment pathways on the waiting list in mid-2024, ensuring your private medical cover is continuous has never been more important. Portability is the key to unlocking long-term value and security from your PMI policy.
Do I need to declare new medical conditions when switching my PMI policy on a CPME basis?
Can an insurer refuse to let me switch or port my policy?
What is the difference between a pre-existing condition and a chronic condition in PMI?
What happens if there's a gap between my old and new health insurance policies?
Take control of your health cover today. Speak to a WeCovr expert for a free, no-obligation review of your PMI policy. We'll compare the market's leading insurers to ensure you have the best protection at the right price, with a seamless transition guaranteed.
Sources
- Office for National Statistics (ONS): Mortality, earnings, and household statistics.
- Financial Conduct Authority (FCA): Insurance and consumer protection guidance.
- Association of British Insurers (ABI): Life insurance and protection market publications.
- HMRC: Tax treatment guidance for relevant protection and benefits products.









