Login

PMI Providers See Rising Claims—and Premiums—Due to Delayed NHS Care

PMI Providers See Rising Claims—and Premiums—Due to Delayed...

As an FCA-authorised expert broker that has helped arrange over 900,000 policies, WeCovr offers clear guidance on the UK private medical insurance market. This article explores how record NHS delays are directly fuelling a rise in private healthcare claims and premiums, impacting both individuals and businesses nationwide.

Insurers report higher claim volumes and complexity in response to delayed NHS treatment, impacting product pricing and affordability for consumers and businesses

The UK's healthcare landscape is undergoing a seismic shift. The immense pressure on the National Health Service (NHS), characterised by unprecedented waiting lists, is having a significant knock-on effect on the private medical insurance (PMI) sector.

Insurers are now navigating a new reality: more people are claiming on their policies, and the conditions they present with are often more advanced and complex. This trend is a direct consequence of delays in diagnosis and treatment within the NHS. For consumers and businesses, this translates into rising premiums, making it more crucial than ever to understand the market and secure the right cover at the best price.

The State of the NHS: A Look at the Numbers in 2025

To understand the changes in the private health insurance market, we must first look at the challenges facing the NHS. For years, the health service has been the bedrock of UK healthcare, but it is currently facing one of the most challenging periods in its history.

According to the latest data from NHS England, the referral to treatment (RTT) waiting list remains a major concern.

  • Total Waiting List: The overall number of treatment pathways on the waiting list stood at approximately 7.54 million in mid-2024, a figure that has remained stubbornly high.
  • Long Waits: Within this figure, hundreds of thousands of patients are experiencing extremely long waits. Projections for 2025 suggest that while progress is being made on the longest waits (those over 65 weeks), a significant backlog for routine operations will persist.
  • Diagnostic Delays: Crucially, there are also long waits for key diagnostic tests. The target of 95% of patients receiving a test within six weeks is consistently being missed, meaning conditions can worsen before a diagnosis is even made.

These delays are not just numbers on a spreadsheet; they represent millions of people living with pain, anxiety, and uncertainty, unable to work or live their lives to the fullest while they wait for care. This situation has become the primary driver for the recent surge in demand for private medical insurance UK.

NHS Waiting List Snapshot (Mid-2024 Data, Trend into 2025)
MetricApproximate Figure
Total Treatment Pathways7.54 million
Patients Waiting Over 52 Weeks300,000+
Patients Waiting Over 65 Weeks50,000+
Diagnostic Test Wait Target (6 weeks)Consistently Missed

Source: NHS England RTT Data.

How NHS Delays Are Reshaping Private Health Insurance

The direct correlation between NHS waiting times and activity in the PMI market is undeniable. As people seek faster access to care, they are turning to private options in record numbers. This has three main consequences for insurers and policyholders.

1. A Surge in Claim Volumes

With the NHS unable to provide timely access for many elective procedures, individuals and employees with PMI are using their policies more than ever before.

  • Faster Treatment: The primary motivation is speed. A patient needing a hip replacement might face a wait of over a year on the NHS, whereas with PMI, they could be seen by a consultant within days and have the operation in a matter of weeks.
  • Growth in Policies: The number of people covered by private medical insurance has been steadily increasing. Industry data shows a notable uptick in both individual policies and company-sponsored schemes as people seek a reliable alternative.
  • Broader Use: People are claiming for a wider range of conditions, from musculoskeletal issues (like back pain and joint problems) to cataracts and hernia repairs—all areas where NHS waits can be substantial.

2. The Hidden Cost: Increased Claim Complexity

A more worrying trend for insurers is the rise in claim complexity. When diagnosis and treatment are delayed, a patient's condition can deteriorate.

Real-Life Example: Consider Sarah, a 45-year-old marketing manager with knee pain.

  • Without PMI: She sees her GP, who refers her for an NHS physiotherapy assessment, which has a 12-week waiting list. Her pain worsens. After the assessment, she's referred for an MRI scan (another 8-week wait). By the time she sees an orthopaedic surgeon, her minor cartilage tear has worsened, and she now requires more invasive surgery and a longer recovery period.
  • With PMI: She uses her policy's digital GP service, gets an immediate referral to a specialist, has an MRI within a week, and undergoes keyhole surgery a fortnight later. The condition is treated before it escalates, resulting in a simpler procedure, faster recovery, and a lower overall cost.

Insurers report that they are seeing more cases like the first scenario. Delayed cancer diagnoses can lead to the need for more extensive and expensive treatments. A delayed joint replacement can lead to reduced mobility and muscle wastage, complicating the surgery and rehabilitation. This increased complexity drives up the average cost per claim significantly.

3. The Inevitable Consequence: Rising PMI Premiums

Insurance operates on a simple principle: the money paid out in claims, plus administrative costs, must be covered by the premiums collected. When claim volumes and costs go up, premiums must follow.

Insurers are now repricing their products to reflect this new, higher-cost environment. Both individuals renewing their policies and businesses providing cover for their staff are seeing noticeable increases in their annual premiums, often above the general rate of inflation. This can make private health cover feel less affordable, creating a difficult choice for many.

A Critical Reminder: What UK Private Health Insurance Does Not Cover

Amidst the growing demand, it's absolutely vital to understand the fundamental purpose of private medical insurance in the UK. It is not a replacement for the NHS but a complementary service designed for specific circumstances.

PMI is designed to cover acute conditions that arise after you take out your policy.

  • Acute Condition: A disease, illness, or injury that is likely to respond quickly to treatment and lead to a full recovery. Examples include joint replacements, cataract surgery, hernia repair, and treatment for many types of cancer.
  • Chronic Condition: A disease, illness, or injury that has one or more of the following characteristics: it needs ongoing or long-term monitoring, requires palliative care, has no known 'cure', or is likely to recur. Examples include diabetes, asthma, high blood pressure, and arthritis. Standard PMI does not cover the routine management of chronic conditions.
  • Pre-existing Conditions: Any medical condition you had symptoms of, or received advice or treatment for, in the years before your policy began is also excluded. The standard exclusion period is five years.

Understanding Underwriting

How an insurer treats pre-existing conditions depends on the type of underwriting you choose:

  1. Moratorium Underwriting (Most Common): You don't declare your full medical history upfront. Instead, the insurer automatically excludes any condition you've had in the last five years. However, if you remain symptom-free and need no treatment or advice for that condition for two continuous years after your policy starts, it may become eligible for cover.
  2. Full Medical Underwriting: You provide a detailed medical history questionnaire. The insurer reviews it and states explicitly what is and is not covered from the outset. This provides more certainty but can be more time-consuming.

Understanding these exclusions is crucial to avoid disappointment when you need to make a claim.

How Are UK Insurers Adapting to the New Reality?

The best PMI providers aren't just raising prices; they are innovating to manage costs, improve patient outcomes, and provide better value.

Product Innovation and "Guided Care" Pathways

Many insurers now offer "guided" or "expert-selected" options. With these policies, the insurer provides a curated list of high-quality specialists and hospitals rather than giving the member complete freedom of choice. This allows the insurer to negotiate preferential rates and ensure a clinically effective care pathway, which helps control costs. In return, the policyholder often receives a lower premium.

A Stronger Focus on Prevention and Wellness

Insurers have a vested interest in keeping their members healthy. The healthier you are, the less likely you are to claim. This has led to a huge expansion of wellness benefits included in PMI policies.

As an expert broker, WeCovr has seen how valuable these additions can be for clients. For example, anyone purchasing a private medical or life insurance policy through WeCovr receives complimentary access to our partner AI calorie and nutrition tracking app, CalorieHero. This tool empowers you to take control of your diet and make healthier choices every day.

Common wellness benefits offered by insurers include:

BenefitDescription
Digital GP Services24/7 access to a GP via phone or video call, often with prescription delivery.
Mental Health SupportAccess to counselling sessions, CBT, and mental wellbeing apps.
Gym DiscountsReduced membership fees for popular UK gym chains.
Health ScreeningsSubsidised or free preventative health checks.
Nutrition & Diet AdviceAccess to registered dietitians or nutritionists.
Wearable Tech DealsDiscounts on fitness trackers from brands like Apple, Fitbit, and Garmin.

With premiums on the rise, getting the right advice is more important than ever.

Is Private Health Cover Still Worth the Investment?

For many, the answer is a resounding yes. The value of PMI in 2025 is not just about comfort and convenience; it's about:

  • Speed of Access: Bypassing long NHS waits for diagnosis and treatment.
  • Peace of Mind: Knowing you and your family can get help quickly when you need it.
  • Choice and Control: Having a say in who treats you and where.
  • Reduced Anxiety: Minimising the mental toll of waiting for care.
  • Faster Return to Work: Getting back on your feet and earning again sooner.

Key Strategies to Manage Your Premium Costs

If you're facing a renewal increase or looking for your first policy, there are several ways to make cover more affordable:

  1. Increase Your Excess: The excess is the amount you agree to pay towards your first claim each year. Increasing it from £100 to £500, for example, can significantly reduce your premium.
  2. Choose a "6-Week Option": This popular option means you use the NHS if the waiting list for your procedure is less than six weeks. If it's longer, your private cover kicks in. This can lower premiums by 20-30%.
  3. Review Your Hospital List: Most insurers offer tiered hospital lists. Choosing a list that excludes the most expensive central London hospitals can provide substantial savings.
  4. Compare the Market: Never simply accept your renewal quote. The market is competitive, and another insurer may offer a better price or more suitable benefits.

Why an Expert PMI Broker is Your Greatest Asset

Trying to compare complex policies from multiple providers is daunting. This is where an independent PMI broker like WeCovr provides immense value.

  • Expert Knowledge: We understand the nuances of every policy from every major UK insurer.
  • Whole-of-Market Comparison: We compare all the leading options to find the best fit for your specific needs and budget.
  • No Cost to You: Our service is free for you to use. We are paid a commission by the insurer you choose, which is already built into the premium, so you don't pay a penny extra.
  • Ongoing Support: We are here to help you at renewal and if you have any questions about your policy.

Proactive Health: Tips to Keep You Well

While insurance is there for when things go wrong, the best strategy is to stay healthy in the first place. Insurers actively encourage this, and adopting a healthier lifestyle can reduce your long-term risk of needing medical care.

The Foundations of Good Health: Diet and Nutrition

A balanced diet rich in fruits, vegetables, lean proteins, and whole grains is fundamental. Try to limit processed foods, sugary drinks, and excessive saturated fats. Small changes, like swapping to wholemeal bread or adding an extra portion of vegetables to your dinner, can make a big difference.

The Power of Movement: Staying Active

The NHS recommends at least 150 minutes of moderate-intensity activity a week. This could be a brisk walk, a bike ride, swimming, or a dance class. Find something you enjoy, as you're more likely to stick with it. Regular exercise boosts your immune system, strengthens your heart, and is a powerful tool for managing stress.

The Unsung Hero: Prioritising Sleep

Quality sleep is essential for physical and mental recovery. Most adults need 7-9 hours per night. Create a relaxing bedtime routine, avoid screens an hour before bed, and ensure your bedroom is dark, quiet, and cool.


Does private medical insurance cover any pre-existing conditions at all?

Generally, no. Standard UK PMI excludes conditions you have sought advice or treatment for in the five years before your policy starts. However, under 'moratorium' underwriting, if you go for a continuous two-year period after your policy begins without any symptoms, treatment, or advice for that condition, it may become eligible for cover. It is crucial to check the specific terms of your policy.

Why are my PMI premiums going up even if I haven't claimed?

Your premium is influenced by several factors. Firstly, your age is a key driver, as the risk of needing medical care increases as you get older. Secondly, your premium is affected by overall trends in healthcare, known as medical inflation. This includes the rising cost of new drugs and technologies, and as this article explains, the increased volume and complexity of claims across the insurer's entire customer base due to NHS pressures.

How can I find the best and most affordable private health cover?

The single most effective way is to use an independent PMI broker. A specialist broker can compare policies from all the leading UK insurers to find the cover that best matches your needs and budget. They can explain the differences between policies, advise on cost-saving options like increasing your excess or choosing a 6-week option, and help you switch providers at no cost to you.

The current healthcare climate in the UK makes navigating the private medical insurance market more complex than ever. With rising claims and premiums, expert, impartial advice is essential.

Take control of your health and finances. Contact WeCovr today for a free, no-obligation quote and let our experts compare the UK's leading insurers to find the perfect policy for you.


Related guides


Get A Free Quote

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:

Our Group Is Proud To Have Issued 800,000+ Policies!

We've established collaboration agreements with leading insurance groups to create tailored coverage
Working with leading UK insurers
Allianz Logo
Ageas Logo
Covea Logo
AIG Logo
Zurich Logo
BUPA Logo
Aviva Logo
Axa Logo
Vitality Logo
Exeter Logo
WPA Logo
National Friendly Logo
General & Medical Logo
Legal & General Logo
ARAG Logo
Scottish Widows Logo
Metlife Logo
HSBC Logo
Guardian Logo
Royal London Logo
Cigna Logo
NIG Logo
CanadaLife Logo
TMHCC Logo

How It Works

1. Complete a brief form
Complete a brief form
2. Our experts analyse your information and find you best quotes
Experts discuss your quotes
3. Enjoy your protection!
Enjoy your protection

Any questions?

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.


Learn more


...

Who Are WeCovr?

WeCovr is an insurance specialist for people valuing their peace of mind and a great service.

👍 WeCovr will help you get your private medical insurance, life insurance, critical illness insurance and others in no time thanks to our wonderful super-friendly experts ready to assist you every step of the way.

Just a quick and simple form and an easy conversation with one of our experts and your valuable insurance policy is in place for that needed peace of mind!

Important Information

Since 2011, WeCovr has helped thousands of individuals, families, and businesses protect what matters most. We make it easy to get quotes for life insurance, critical illness cover, private medical insurance, and a wide range of other insurance types. We also provide embedded insurance solutions tailored for business partners and platforms.

Political And Credit Risks Ltd is a registered company in England and Wales. Company Number: 07691072. Data Protection Register Number: ZA207579. Registered Office: 22-45 Old Castle Street, London, E1 7NY. WeCovr is a trading style of Political And Credit Risks Ltd. Political And Credit Risks Ltd is Authorised and Regulated by the Financial Conduct Authority and is on the Financial Services Register under number 735613.

About WeCovr

WeCovr is your trusted partner for comprehensive insurance solutions. We help families and individuals find the right protection for their needs.