
As an FCA-authorised broker that has helped arrange over 800,000 policies, WeCovr understands the UK private medical insurance market inside and out. Navigating policy features can be daunting, but one of the most significant choices you'll make is whether to opt for a policy with or without an excess.
Choosing a private medical insurance (PMI) policy is a major decision in safeguarding your health. Among the many options to consider, the concept of an 'excess' plays a pivotal role in shaping both your monthly premium and your potential out-of-pocket costs when you need to make a claim.
A policy with a zero excess, or 'no-excess', is an attractive option for many. It promises the ultimate peace of mind: when you need eligible private treatment, your insurer covers the cost from the very first pound, leaving you with no bill to settle yourself. However, this convenience comes at a price, typically in the form of higher monthly premiums.
This comprehensive guide will unpack everything you need to know about PMI with no excess. We will explore:
Understanding this balance between upfront cost and cost-at-claim is essential to finding the perfect private health cover for your circumstances and budget.
Before we can appreciate the benefits of a no-excess policy, it’s vital to understand what an excess is.
Think of it like the excess on your car or home insurance. An excess (sometimes called a deductible) is a pre-agreed amount of money that you, the policyholder, must pay towards the cost of your treatment when you make a claim. The insurance provider then pays the remaining balance, up to the limits of your policy.
For example, if you have a policy with a £250 excess and you need a private consultation and MRI scan costing £1,200, you would pay the first £250. Your insurer would then cover the remaining £950.
Excesses are typically applied in one of two ways:
A zero-excess or no-excess policy simply means this amount is set to £0. You pay nothing towards the cost of your eligible treatment.
Opting for a private medical insurance policy with no excess offers several compelling advantages, centred around financial certainty and simplicity.
With a zero-excess policy, there are no surprise bills when you need treatment. Your only financial commitment is your fixed monthly or annual premium. This makes budgeting for your healthcare incredibly straightforward. You know exactly what you're paying, and you won't face a sudden, unexpected demand for hundreds of pounds just when you're feeling unwell and vulnerable.
Real-Life Example: Imagine Sarah, a freelance graphic designer, needs knee surgery for a torn meniscus that developed after she started her policy. The total cost of the consultation, scans, surgery, and physiotherapy comes to £6,500.
Sometimes, the thought of having to pay an excess can deter people from seeking medical advice early on. With a zero-excess policy, this financial barrier is removed. You are more likely to use your policy for smaller eligible issues, such as a consultation with a specialist, knowing there will be no out-of-pocket cost. This can lead to earlier diagnosis and treatment, potentially preventing a condition from becoming more serious.
Health worries are stressful enough. A no-excess policy provides the ultimate peace of mind that if you or a family member falls ill with an eligible acute condition, the financial side is completely taken care of. This emotional and psychological benefit is often the primary reason people choose this option.
While the claims process is generally smooth with most major insurers, a zero-excess policy makes it even simpler. There's no need to coordinate payment of your portion with the hospital or clinic. The insurer settles the entire eligible bill directly, creating a seamless experience for you.
There's no such thing as a free lunch, and the primary trade-off for the benefits of a zero-excess policy is a higher premium. By taking on all the financial risk from the first pound of a claim, the insurer charges more for the policy.
The excess acts as a form of risk-sharing. When you agree to a higher excess, you are telling the insurer that you are willing to cover the initial costs of treatment yourself. In return for you taking on this portion of the risk, the insurer rewards you with a lower monthly premium.
Let's look at how the premium might change based on the excess level for a hypothetical 45-year-old individual in the UK.
| Excess Level | Estimated Monthly Premium | Annual Premium | Your Contribution Per Claim/Year |
|---|---|---|---|
| £0 | £95 | £1,140 | £0 |
| £250 | £78 | £936 | £250 |
| £500 | £65 | £780 | £500 |
| £1,000 | £52 | £624 | £1,000 |
Note: These are illustrative figures. Actual premiums depend on age, location, health, and chosen cover level.
As the table clearly shows, choosing a £0 excess results in the highest premium. Conversely, accepting a £1,000 excess could nearly halve your monthly payments. The decision, therefore, becomes a calculation: are you willing to pay more each month for the certainty of not having to pay anything when you claim?
A no-excess policy isn't the right choice for everyone, but for certain individuals and families, it's an ideal fit.
On the other hand, deliberately choosing a policy with an excess can be a financially savvy move for others.
The choice of excess is one of the most powerful tools for tailoring a policy to your exact needs and budget. However, with so many options, it can be overwhelming. This is where an independent, expert PMI broker like WeCovr provides immense value.
As an FCA-authorised broker, our primary duty is to you, the client. We are not tied to any single insurer. Our experienced advisors can:
This expert advice comes at no cost to you. We are paid by the insurer you choose, so you get impartial guidance without any extra fees.
Whether you choose a zero-excess policy or not, it is absolutely vital to understand what private medical insurance in the UK does not cover. This prevents disappointment at the point of claim.
Standard UK PMI is designed for acute conditions that arise after you take out your policy.
PMI will not cover the routine management of chronic conditions or any pre-existing conditions. This is the fundamental principle of private health cover in the UK. A zero-excess policy does not change this; it only removes your contribution for eligible claims.
The excess is a major lever for adjusting your premium, but it's not the only one. When crafting your policy, you'll make several other choices that impact the final cost.
| Factor | Impact on Premium | Explanation |
|---|---|---|
| Age | High | The older you are, the higher the statistical likelihood of claiming, so premiums increase with age. |
| Location | Medium | Treatment costs, particularly in Central London, are higher. Living in an expensive area for private healthcare increases your premium. |
| Hospital List | Medium-High | Choosing a limited list of local hospitals is cheaper than a nationwide list that includes premium London facilities. |
| Outpatient Cover | Medium-High | A policy with full outpatient cover (for consultations and diagnostics) is more expensive than one with a limit (e.g., £1,000 per year) or no cover. |
| Underwriting Type | Variable | 'Moratorium' underwriting is simpler upfront but may involve more checks at claim time. 'Full Medical Underwriting' involves a health questionnaire. |
| Additional Therapies | Low-Medium | Adding cover for therapies like physiotherapy, osteopathy, or chiropractic treatment will add to the cost. |
An expert advisor can help you adjust these different levers to design a policy that fits your budget perfectly.
We believe in proactive health management, not just reactive treatment. That's why when you arrange your PMI policy through WeCovr, we provide complimentary access to CalorieHero, our exclusive AI-powered calorie and nutrition tracking app. Staying on top of your diet is a cornerstone of good health, and this tool helps you do just that.
Furthermore, our clients often benefit from discounts on other types of insurance when they purchase PMI or life insurance through us. We aim to be your long-term partner in protection, providing holistic value that goes beyond a single policy. Our commitment to service is reflected in our high customer satisfaction ratings on major review platforms.
Your PMI policy is a powerful tool for when things go wrong, but the best strategy is always to stay as healthy as possible. Here are some simple, effective tips to support your wellbeing.
By combining a healthy lifestyle with the security of a well-chosen PMI policy, you create a robust strategy for your long-term health and wellbeing.
The choice between a zero-excess policy and one with an excess is a personal one, balancing your desire for financial certainty against your monthly budget. By understanding the benefits and trade-offs, you can make an informed decision that's right for you.
Ready to find out how a no-excess policy would fit your budget? Contact WeCovr today for a free, no-obligation quote. Our friendly, expert advisors will compare the top UK providers to find your perfect private health cover.






