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Private Gps vs NHS Costs Access and When Private Gp Services Make

As an broker that has arranged over 1,000,000 policies, WeCovr has a unique insight into the evolving UK healthcare landscape. This guide explores the growing role of private GPs within a robust private medical insurance strategy, offering a clear path to faster, more convenient healthcare access.

Last updated Oct 7, 2026

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TL;DR

As an broker that has arranged over 1,000,000 policies, WeCovr has a unique insight into the evolving UK healthcare landscape. This guide explores the growing role of private GPs within a robust private medical insurance strategy, offering a clear path to faster, more convenient healthcare access.

Key takeaways

  • Private Prescriptions: You pay the full price of the medication, not the subsidised NHS rate. This can range from a few pounds to hundreds, depending on the drug.
  • Diagnostic Tests: Blood tests, urine analysis, swabs, and especially imaging like MRI or CT scans, are all charged separately. An MRI scan, for example, can cost between 400 and 1,500.
  • Specialist Fees: The referral letter from the GP is included, but the subsequent consultation with a private specialist is a separate, significant cost.
  • You Feel Unwell: You develop a new symptom, like persistent back pain or a concerning skin lesion.
  • Book a Virtual GP: Instead of calling your NHS surgery, you open your insurer's app (e.g., from Vitality, Bupa, Aviva) and book a video consultation, often available 24/7.

As an broker that has arranged over 1,000,000 policies, WeCovr has a unique insight into the evolving UK healthcare landscape. This guide explores the growing role of private GPs within a robust private medical insurance strategy, offering a clear path to faster, more convenient healthcare access.

Private Gps vs NHS Costs Access and When Private Gp Services Make

The way we access primary healthcare in the UK is changing. While the NHS remains the bedrock of our nation's health, increasing numbers of people are exploring private General Practitioner (GP) services for speed, convenience, and control. This comprehensive guide breaks down everything you need to know about private GPs, from costs and appointment types to how they integrate with private medical insurance (PMI).

Understanding the UK Healthcare Landscape: NHS vs. Private GPs

For decades, the local NHS GP surgery has been the first port of call for any health concern. This system, free at the point of use, is a national treasure. However, it is facing unprecedented demand.

According to recent NHS England data, GP practices deliver over 30 million appointments every month. This incredible volume has inevitably led to challenges. Many patients report waiting two weeks or more for a routine appointment, making it difficult to get timely advice for non-urgent but worrying symptoms.

This is where the private sector comes in. It's not about replacing the NHS, but rather supplementing it. Think of it as a "hybrid" approach to your health. You remain registered with your NHS GP for ongoing care and emergencies, but you have the option to use a private GP when you need to be seen quickly.

The primary drivers for choosing a private GP are:

  • Speed of Access: The ability to get a potentially same-day or potentially next-day appointment.
  • Longer Consultations: More time to discuss your health concerns in detail.
  • Convenience: Appointments that fit around your work and life, including evenings and weekends.
  • Choice: The option to choose your doctor, perhaps based on gender or a particular interest area.

How Do Private GP Services Work in the UK?

The private GP market is flexible, offering several ways to access care. Understanding these models is the first step to deciding if it's right for you.

1. Pay-As-You-Go (PAYG) Appointments

This is the simplest model. You pay a one-off fee for each consultation, whether it's in-person or online. It's ideal for occasional use, such as getting a second opinion or for a specific concern you want addressed quickly. There are no ongoing commitments.

2. Subscription Models

A growing number of private providers offer monthly or annual subscriptions. These plans often include a set number of GP consultations per year, repeat prescription services, and sometimes even discounts on further tests or screenings. This can be cost-effective for families or individuals who anticipate needing to speak to a GP several times a year.

3. Video Consultations (Telemedicine)

Digital GP services have exploded in popularity. Using a smartphone app or website, you can have a video consultation with a qualified GP from anywhere – your home, the office, or even while travelling. They can provide diagnoses for many common conditions, issue private prescriptions, and write referral letters.

4. In-Person Consultations

For situations requiring a physical examination, in-person appointments remain essential. Private clinics are often modern, comfortable, and designed to provide a calm and unhurried experience. Appointment slots are typically longer than on the NHS, allowing for a more thorough discussion.

Cost Comparison: Private GP Fees vs. NHS (Free) Services

One of the biggest questions is, "How much does it actually cost?" While NHS GP services are funded through taxation and are free at the point of use, private services have clear, upfront costs. The only direct cost in the NHS system for many is the prescription charge in England, which stands at £9.90 per item (as of mid-2024).

Here is a breakdown of typical private GP costs you can expect in 2025. Please note that prices vary based on location (London is often more expensive) and the provider.

Typical Private GP Consultation Costs (2025 Estimates)

ServiceNHS CostTypical Private PAYG CostTypical Private Subscription Cost
Standard GP ConsultationFree at point of use£80 – £150 (15-20 mins)Included in monthly fee (e.g., £20-£50/month)
Video GP ConsultationIncreasingly free via NHS App£40 – £80 (10-15 mins)Often unlimited & included in subscription/PMI
Extended ConsultationRarely available£200 – £300 (30-45 mins)May require an extra fee or use multiple 'credits'
Home VisitAvailable for housebound£250 – £500+Not typically included in standard plans
Repeat Prescription Service£9.90 per item (England)Admin fee (£15-£30) + full cost of medicineOften included in subscription + full cost of medicine
Referral LetterFreeUsually included in consultation feeUsually included in consultation fee
Basic Blood TestFree (if deemed necessary)£50 – £250+ (cost of test + consultation)Often discounted or part of a health screen package

Important Note on "Hidden" Costs: The consultation fee is just the first step. If the private GP recommends further action, you will need to pay for it. This includes:

  • Private Prescriptions: You pay the full price of the medication, not the subsidised NHS rate. This can range from a few pounds to hundreds, depending on the drug.
  • Diagnostic Tests: Blood tests, urine analysis, swabs, and especially imaging like MRI or CT scans, are all charged separately. An MRI scan, for example, can cost between £400 and £1,500.
  • Specialist Fees: The referral letter from the GP is included, but the subsequent consultation with a private specialist is a separate, significant cost.

This is precisely where private medical insurance UK becomes invaluable, as it is designed to cover these expensive downstream costs.

Access and Appointments: The Convenience Factor

The single biggest advantage of private GP services is prompt access (where available). While the NHS aims to provide care based on clinical need, the private sector provides it based on demand.

  • NHS Waiting Times: Recent figures from NHS England show that while millions are seen on the same day where available, a significant portion of patients—often several million each month—wait more than two weeks for an appointment. For a health issue causing anxiety or discomfort, this wait can feel endless.
  • Private Potentially same-day Access: Most private GP providers, especially digital ones, offer appointments within hours, if not minutes. You can often book a slot for your lunch break or after work, minimising disruption to your day.
  • Appointment Length: The standard NHS GP appointment is around 10 minutes. This is often just enough time to discuss one issue. Private appointments typically start at 15-20 minutes and can be extended to 30 or even 60 minutes. This extra time allows for a holistic conversation about your health, lifestyle, and any underlying concerns, fostering a more collaborative relationship with your doctor.

Integrating Private GP Services with Your Private Medical Insurance (PMI)

This is a game-changer for many policyholders. Historically, PMI was designed to cover specialist treatment after you received a referral from your NHS GP. The process involved waiting for an NHS GP appointment simply to get the letter that would unlock your private benefits.

Today, the market has evolved. The PMI options providers have adapted by integrating virtual GP services directly into their policies as a core benefit.

How a PMI-Included Virtual GP Service Works

  1. You Feel Unwell: You develop a new symptom, like persistent back pain or a concerning skin lesion.
  2. Book a Virtual GP: Instead of calling your NHS surgery, you open your insurer's app (e.g., from Vitality, Bupa, Aviva) and book a video consultation, often available 24/7.
  3. Consultation & Referral: The virtual GP assesses you. If they believe you need to see a specialist (like a dermatologist or orthopaedic surgeon), they will issue an 'open referral'.
  4. Authorise and Book Treatment: You send this referral letter to your insurer. They authorise the claim, and you can then book an appointment with a specialist in their network, often within days.

This seamless process bypasses the NHS waiting list entirely, taking you from initial symptom to specialist consultation in a fraction of the time. It is one of the most valuable features of a modern private health cover policy. A WeCovr specialist or one of our broker partners can identify policies with the best-in-class virtual GP services, ensuring you get this powerful benefit.

The Critical Rule: Acute vs. Chronic Conditions

It is vital to understand what PMI is for. Private medical insurance does not cover pre-existing or chronic conditions.

  • A Pre-existing Condition is any disease, illness, or injury for which you have had symptoms, medication, or advice before your policy start date.
  • A Chronic Condition is one that is long-lasting and cannot be fully cured, such as diabetes, asthma, or high blood pressure. These are managed by the NHS.

PMI is designed to cover new, acute conditions that arise after your policy begins – for example, a hernia requiring surgery, joint pain needing investigation, or cancer requiring treatment.

When Does It Make Sense to Use a Private GP?

A private GP isn't necessary for every sniffle, but it can be incredibly valuable in certain situations.

  1. When You Need Speed and Reassurance: For a symptom that is causing you anxiety and you can't get an NHS appointment quickly enough. Peace of mind has real value.
  2. For Ultimate Convenience: If you have a demanding job or family commitments, booking an appointment at 8 PM on a Wednesday via video link is far more practical than taking a morning off work.
  3. To Get a Second Opinion: If you feel uncertain about an NHS diagnosis or treatment plan, a private GP can offer a fresh perspective without a long wait.
  4. When You Have Multiple or Complex Issues: A longer private consultation allows you to discuss several health concerns in one go, helping the doctor see the bigger picture.
  5. For Administrative Tasks: For things not always prioritised by the NHS, like signing private medical forms, fit-to-fly letters, or specific travel vaccinations.
  6. As a Faster route to Your PMI: As explained above, using your insurer's integrated GP service is the quickest way to get a specialist referral and start the private treatment process.

Beyond the Consultation: A Proactive Approach to Wellness

Private healthcare isn't just about reacting to illness; it's also about proactively managing your health. Many private providers and PMI policies actively encourage this.

  • Health Screenings: Comprehensive 'MOT' health checks can screen for early signs of common diseases like heart disease, diabetes, and certain cancers.
  • Wellness & Lifestyle Support: Well-known insurers now reward healthy living. They may offer discounts on gym memberships, fitness trackers, and healthy food. WeCovr supports our clients' wellness journey by providing complimentary access to our AI-powered calorie and nutrition tracking app, CalorieHero, helping you make informed decisions about your diet.
  • Holistic Health: Good health is built on pillars of good nutrition, regular activity, and sufficient sleep. A longer private GP consultation gives you the space to discuss these lifestyle factors, which are fundamental to preventing illness.

Choosing the Right Private GP or PMI Policy

With so many options, making a choice can feel daunting.

If choosing a standalone private GP service:

  • Check they are regulated by the Care Quality Commission (CQC) in England.
  • Read online reviews from other patients.
  • Ensure their pricing structure is transparent, with no hidden fees.

If choosing a Private Medical Insurance policy: The complexity is much greater. The level of cover, hospital lists, excess amounts, and underwriting type all have a major impact on the price and quality of your policy.

This is where seeking regulated advice is crucial. WeCovr is an insurance broker with extensive experience in the UK PMI market. Our service has no separate broker fee for you. We take the time to understand your needs and budget, then compare policies from the insurers on our UK panel to find the right fit.

Furthermore, clients who purchase PMI or Life Insurance through WeCovr often receive discounts on other types of insurance, providing even greater value. Our high customer satisfaction ratings reflect our commitment to clear, regulated, and supportive guidance.

Do I need to de-register from my NHS GP to use a private one?

Absolutely not. It is highly recommended that you remain registered with your NHS GP. Using a private GP does not affect your right to use the NHS. Most people use private services as a complement to the NHS, not a replacement. Your NHS GP remains crucial for ongoing care, managing chronic conditions, and emergency situations.

Can a private GP access my NHS medical records?

Generally, a private GP cannot automatically access your full NHS record due to data protection rules. However, with your explicit consent, you can request a copy of your records from your NHS surgery to share with your private doctor. This provides the private GP with a complete medical history, leading to safer and more effective care. Many private GPs will ask you to do this before your first consultation.

Does private medical insurance cover pre-existing conditions?

No, standard UK private medical insurance is specifically designed to cover new, acute conditions that occur after your policy begins. It does not cover pre-existing conditions (illnesses you had before taking out the policy) or chronic conditions (long-term illnesses like asthma or diabetes that require ongoing management). This is the single most important exclusion to understand when buying PMI.

What is an 'open referral' from a private GP?

An open referral is when a GP recommends that you see a type of specialist (e.g., a cardiologist or a gastroenterologist) but does not name a specific consultant. This is common when using a virtual GP included with a private medical insurance policy. It gives you and your insurer the flexibility to choose from any specialist within the insurer's approved hospital network, ensuring you can be seen quickly by a highly-rated expert.

Ready to take control of your healthcare and explore how private medical insurance can provide you with faster access to diagnosis and treatment?

Get your free, no-obligation PMI quote from WeCovr today and let our friendly experts find a strong fit for your needs.

Sources

  • NHS England: Waiting times and referral-to-treatment statistics.
  • Office for National Statistics (ONS): Health, mortality, and workforce data.
  • NICE: Clinical guidance and technology appraisals.
  • Care Quality Commission (CQC): Provider quality and inspection reports.
  • UK Health Security Agency (UKHSA): Public health surveillance reports.
  • Association of British Insurers (ABI): Health and protection market publications.

Important Information and Risks

No advice: This article is for general information only. It is not financial, legal, insurance, or tax advice, and it is not a personal recommendation. WeCovr does not assess your individual circumstances or recommend a specific product through this article.

Policy exclusions and underwriting: Insurance policies, including life insurance, private medical insurance, critical illness cover, and income protection, are subject to insurer underwriting, eligibility, acceptance criteria, terms, conditions, limits, and exclusions. Pre-existing medical conditions may be excluded, restricted, or accepted on special terms unless an insurer confirms otherwise in writing.

Tax treatment: References to tax treatment, HMRC rules, or business reliefs are based on current UK legislation and guidance, which can change. Tax treatment depends on your personal or business circumstances and may differ from examples in this article.

Before you buy: Always read the Insurance Product Information Document (IPID), policy summary, and full policy terms before buying, renewing, changing, or keeping cover. If you are unsure whether a policy is suitable for you, speak to an insurance adviser.

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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 experienced 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.

Private medical insurance is designed for conditions that start after your policy begins, so pre-existing conditions are usually excluded, at least at first. With moratorium underwriting, a pre-existing condition may become eligible for cover once you have gone two continuous years on the policy without symptoms, treatment or advice for it. With full medical underwriting, the insurer tells you upfront which conditions are excluded. If you are switching from another policy or leaving a company scheme, you may be able to keep your existing underwriting terms, and some larger company schemes use Medical History Disregarded underwriting, where pre-existing conditions aren't excluded. Chronic conditions that need long-term management aren't covered by standard policies.

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. Some policies can also cover treatments and drugs that aren't routinely available on the NHS.

There's no fee to get quotes through WeCovr. WeCovr and its broker partners are typically paid a commission by the insurer when you take out a policy. The cost of the policy itself depends on your age, where you live, the cover you choose and your excess.

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 may benefit from Private Medical Insurance.

Private Medical Insurance is an important financial product, and policies differ in ways that matter. Speaking to a specialist at WeCovr or one of its broker partners helps make sure your requirements are understood so you can choose the right cover.

WeCovr's broker partners are firms authorised and regulated by the Financial Conduct Authority (FCA), which requires them to treat customers fairly. You can check any firm on the FCA Register.

WeCovr and its broker partners are typically paid a commission by the insurer when a policy is taken out. The premium is set by the insurer, and you don't pay a separate fee for using the service. You can ask about the commission at any time.

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 eligible conditions that arise after your policy begins. You pay a monthly or annual premium and can claim for private healthcare covered by your policy. Benefits can include quicker access to treatment than on the NHS and, on some policies, access to drugs or treatments that aren't routinely available on the NHS.

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, chronic conditions and conditions present before the policy started.

Usually not on a new personal policy: pre-existing conditions are generally excluded, whatever the premium. Depending on your underwriting, a condition may become eligible later, and if you are switching policies or leaving a company scheme you may be able to keep existing terms. If you have questions about what is covered, contact WeCovr and a specialist at WeCovr or one of its broker partners can explain the options.

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. Depending on the insurer, it applies once per policy year or once per claim. A specialist at WeCovr or one of its broker partners can explain the excess options available.

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.

Some insurers have an upper age limit for new customers, while others don't, and age affects the price. Many insurers will renew an existing policy regardless of age. A specialist at WeCovr or one of its broker partners can help you find insurers that accept your age.

A specialist at WeCovr or one of its broker partners can compare health insurance plans from a range of insurers for you, with no fee to you. Consider individual, couple, or family plans and review coverage details thoroughly before choosing.

Usually, yes. Many insurers let you add a partner or dependent children, either at any time or at renewal, depending on the insurer. The cost depends on factors like their age, where you live and the cover you choose. Contact WeCovr or your insurer for help adding someone to your policy.

UK private medical insurance is designed for treatment in the UK, although some policies include limited cover abroad. If you live or work abroad, international health insurance may be more suitable, and WeCovr or one of its broker partners can help you compare options. For holidays, travel insurance is recommended.

Comprehensive cover usually includes more extensive benefits, such as fuller outpatient cover for consultations, diagnostic tests, physiotherapy and mental health therapies, within the policy limits. A specialist at WeCovr or one of its broker partners can explain the different levels of cover.

Private health insurance typically does not cover routine dental treatment, although some insurers offer a dental option and there are standalone dental policies. A specialist at WeCovr or one of its broker partners can help you compare policies with dental options.

Most private medical insurance policies include cover for cancer diagnosed after the policy starts, but the level of cover varies: some policies limit drugs, treatment time or cost. A specialist at WeCovr or one of its broker partners can help you compare cancer cover between policies.

You can usually change your cover at renewal, and some insurers allow changes during the year. You also have a 14-day cooling-off period after receiving your policy documents, during which you can cancel. A specialist at WeCovr or one of its broker partners can help with changes.

Many policies include a digital GP service provided by the insurer, often with same-day or next-day appointments. Check what your policy includes.

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

Yes. Insurers offer a range of cover levels to suit different budgets and needs, and a specialist at WeCovr or one of its broker partners can talk you through the options.

Your insurer can tell you which hospitals and specialists are included in your policy. For help comparing policies' hospital lists, tap one of the buttons above or below and fill in a few details, and a specialist at WeCovr or one of its broker partners will be in touch.

A fee-assured (or fee-approved) consultant has agreed to charge within your insurer's fee limits, so for eligible, authorised treatment you shouldn't have to pay a shortfall for their fees.

Many policies include some mental health cover, either as standard or as an option, usually with limits on therapy sessions or costs. Cover varies between insurers, so check the details.

Yes, children up to a certain age can usually be included on your policy, and some insurers offer discounts for children.

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. Tap a button below to get your own personalised quote through WeCovr.

Private health insurance can offer quicker access to consultations and treatment for eligible conditions, and more choice over when and where you are treated.

Many policies include physiotherapy, sometimes with limits on sessions or cost. A specialist at WeCovr or one of its broker partners can help you find plans that include it.

Services such as the insurer's digital GP app are usually available as soon as your policy starts.

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 eligible new conditions that arise after the policy starts. Pre-existing conditions are usually excluded, chronic conditions aren't covered, and other exclusions apply.

Health insurance pays for eligible private healthcare, such as consultations and treatment, up to your policy limits. A specialist at WeCovr or one of its broker partners can help you arrange cover.

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

Usually, yes: cover for eligible new conditions starts when your policy starts, and services like a nurse helpline or digital GP app are usually available straight away. If you make a claim soon after starting, the insurer may ask for a 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. Visit your insurer's website, or ask a specialist at WeCovr or one of its broker partners, for details of member rewards.

You may be able to continue your cover with the same insurer on a personal policy, or take out a new policy. Continuing with the same insurer can mean keeping your existing underwriting, so conditions covered under the company scheme may stay covered. A specialist at WeCovr or one of its broker partners can talk you through your options.

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

Your cover may be similar but not identical, and ongoing medical conditions may be covered, depending on the terms. A specialist at WeCovr or one of its broker partners can help you find the right level of cover.

Usually not, because employers often pay for or contribute to staff cover and group schemes are priced differently. Your cover level and age also affect the price. A specialist at WeCovr or one of its broker partners can give you more detail.

There is usually a limited window after leaving, set by the insurer, so check as early as possible. Your personal policy can often start the day after your work cover ends, and a specialist at WeCovr or one of its broker partners can explain other options.

Have your leaving date and your current policy details ready, then contact WeCovr to discuss your options with a specialist at WeCovr or one of its broker partners.

Ongoing treatment may be covered if you continue with the same insurer on a personal policy, although it could affect the price. A specialist at WeCovr or one of its broker partners can explain your options.

Your insurer will explain how to pay your excess when you contact them for treatment authorisation. Usually you pay it to the hospital or consultant.

Usually not: with most insurers, there's no excess for services such as a digital GP. Check your policy.

Excess changes are usually made at renewal, although some insurers allow changes at other times.

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

Pre-existing conditions usually aren't covered on a new personal policy. A specialist at WeCovr or one of its broker partners can explain the underwriting options.

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 are medical issues that existed before your policy started. Many insurers treat any condition you've had symptoms of, treatment for or advice about in the five years before the policy started as pre-existing. A specialist at WeCovr or one of its broker partners can help you understand how pre-existing conditions affect your options.

While some insurance providers automatically renew your private healthcare cover, it's worth comparing policies when yours is due for renewal to check it still offers good value for the cover you need. A specialist at WeCovr or one of its broker partners can help you compare.

Typically, you must be over 18 to take out your own policy, but children can usually be included on a family policy. Some insurers have an upper age limit for new customers, and premiums typically increase with age. A specialist at WeCovr or one of its broker partners can explain the age rules of different insurers.

Some insurers charge less if you pay annually, but this depends on the insurer. A specialist at WeCovr or one of its broker partners can tell you whether paying annually would save you money.

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.

Usually not. With full medical underwriting you complete a medical questionnaire, and the insurer may occasionally ask your GP for a report. With moratorium underwriting there's no medical questionnaire upfront. A specialist at WeCovr or one of its broker partners can explain 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. A specialist at WeCovr or one of its broker partners can help you find policies that offer GP services.

With private health insurance, you can often get a GP appointment much more quickly, sometimes even on the same day, through the insurer's GP service. A specialist at WeCovr or one of its broker partners can help you find policies that include it.

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. A specialist at WeCovr or one of its broker partners can help you understand the different types of care and find a policy that suits your needs.

Private health insurance pays for eligible medical treatment if you fall ill, while critical illness cover pays a lump sum if you are diagnosed with one of the illnesses listed in the policy, which you can use however you choose, for example to replace lost income. A specialist at WeCovr or one of its broker partners can help you understand the differences.

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. A specialist at WeCovr or one of its broker partners can help you find appropriate cover.

If your employer pays for your health insurance, it's usually a taxable 'benefit in kind': you pay income tax on its value, normally through your tax code or payroll, and your employer pays Class 1A National Insurance. For the employer, the premiums are usually an allowable business expense. If you buy a personal policy, you pay for it from taxed income. For advice on your situation, speak to an accountant.

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. A specialist at WeCovr or one of its broker partners 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. A specialist at WeCovr or one of its broker partners can help you understand the differences and choose the right option for you.

Some private health insurance providers offer a no-claims discount, similar to car insurance. Each year you don't claim typically adds to your no-claims discount, which can reduce your premium at renewal. A specialist at WeCovr or one of its broker partners can help you find policies that offer no-claims discounts.

To find the right health insurance for you, compare 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. A specialist at WeCovr or one of its broker partners can help you evaluate your options.

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, check your policy terms to see whether your insurer requires a GP referral first (many do). Some policies offer direct access without a referral for certain conditions, such as muscle and joint problems or counselling 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 published 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 practise privately, so you could potentially see the same consultant either way. However, private healthcare typically offers shorter waiting times, usually a private room, and more flexible visiting. Some policies also give 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.

Usually, yes. If you have private tests or scans but then want NHS treatment, your GP or private consultant can refer you to the NHS and share your results, although the NHS team may want to repeat some tests.



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