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Private Health Insurance Cost UK vs NHS Self Pay

As an broker that has helped arrange over 1,000,000 policies, WeCovr understands the nuances of private medical insurance in the UK. This guide compares the cost of a PMI policy against paying for private treatment directly, helping you make a truly informed decision for your health and finances.

Last updated Oct 25, 2026

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TL;DR

As an broker that has helped arrange over 1,000,000 policies, WeCovr understands the nuances of private medical insurance in the UK. This guide compares the cost of a PMI policy against paying for private treatment directly, helping you make a truly informed decision for your health and finances.

Key takeaways

  • Pre-existing Conditions: These are any illnesses, diseases, or injuries for which you have experienced symptoms, received medication, advice, or treatment before your policy's start date.
  • Chronic Conditions: These are long-term conditions that require ongoing management and are not expected to be cured, such as diabetes, asthma, or high blood pressure. PMI is designed for conditions that can be resolved with treatment (acute conditions), not for managing long-term health issues.
  • We do the research: We use our expertise and market knowledge to find the policies that right fit your needs.
  • We explain the jargon: We cut through the confusing terminology to explain exactly what you are and aren't covered for.
  • We compare the market: We get quotes from a wide range of top UK insurers like Aviva, Bupa, AXA Health, and Vitality, ensuring you see the most competitive prices.

As an broker that has helped arrange over 1,000,000 policies, WeCovr understands the nuances of private medical insurance in the UK. This guide compares the cost of a PMI policy against paying for private treatment directly, helping you make a truly informed decision for your health and finances.

Related guides: for the full picture, see how much private health insurance costs and how much Bupa health insurance costs.

Comparing PMI premiums with paying for private care directly

Deciding how to access private healthcare in the UK often comes down to a crucial financial question: should you invest in a private medical insurance (PMI) policy, or is it more cost-effective to pay for treatment as you go, a practice known as 'self-pay'?

Both paths offer a way to bypass long NHS waiting lists for non-urgent procedures, giving you more control over when and where you receive care. However, the financial implications are vastly different. PMI involves a regular monthly or annual premium for peace of mind, while self-pay means facing the full, often substantial, cost of treatment upfront.

This comprehensive guide will break down the costs, benefits, and potential pitfalls of each approach, empowering you to choose the right path for your circumstances.

First, What is Private Health Insurance (PMI)?

Private Medical Insurance, often called private health cover or PMI, is an insurance policy designed to cover the costs of private healthcare for acute conditions that arise after you take out the policy.

Think of it like a health safety net. You pay a regular premium to an insurer, and in return, if you develop a new, eligible medical condition, the policy may pay for your private diagnosis and treatment, up to the limits of your plan.

Key benefits of having PMI include:

  • Speed of Access: Significantly reduce the time you wait for specialist consultations, diagnostic scans (like MRI or CT), and elective surgery.
  • Choice and Control: You can often choose your specialist and the hospital where you receive treatment, including private facilities with comfortable amenities.
  • Access to Specialist Care: Gain faster access to leading consultants and the latest medical technologies and drug treatments, some of which may not be routinely available on the NHS.
  • Peace of Mind: Knowing that you have a plan in place to cover potentially huge medical bills provides invaluable emotional and financial security.

The Most Important Rule: What PMI Does Not Cover

It is absolutely crucial to understand a fundamental principle of the UK private medical insurance market:

Standard PMI policies do not cover chronic conditions, and pre-existing conditions are usually excluded.

  • Pre-existing Conditions: These are any illnesses, diseases, or injuries for which you have experienced symptoms, received medication, advice, or treatment before your policy's start date.
  • Chronic Conditions: These are long-term conditions that require ongoing management and are not expected to be cured, such as diabetes, asthma, or high blood pressure. PMI is designed for conditions that can be resolved with treatment (acute conditions), not for managing long-term health issues.

This distinction is the single most important factor to grasp when considering PMI. It is designed to handle new, unexpected health problems, not to manage your existing health needs.

And What is NHS Self-Pay?

NHS Self-Pay, more commonly known simply as 'self-pay' or 'paying for private treatment', is the process of funding private healthcare directly from your own pocket.

Instead of relying on the NHS or an insurance policy, you act as a private customer, paying the hospital or clinic directly for every aspect of your care. This includes:

  • The initial consultation with a specialist.
  • Any diagnostic tests required (blood tests, X-rays, MRI scans).
  • The surgical procedure itself, including the surgeon's and anaesthetist's fees.
  • The hospital stay, including your room, nursing care, and medication.
  • Any follow-up appointments or physiotherapy needed during your recovery.

The self-pay route has grown in popularity, particularly as NHS waiting lists have lengthened. For individuals with the necessary funds, it offers the same primary benefit as PMI: faster access to treatment. However, it comes with a significant degree of financial risk and uncertainty.

The Cost Breakdown: PMI vs. Self-Pay

This is where the comparison gets real. How do the predictable monthly costs of a PMI premium stack up against the one-off, but often eye-watering, costs of self-pay?

The Cost of Going it Alone: Self-Pay Prices

Private hospital costs can vary significantly based on the hospital's location (London is typically most expensive), the specific consultant you choose, and the complexity of your procedure. Below is a table of estimated costs for some common private treatments in the UK. These are 'package prices' that often include the surgery, a set number of nights in hospital, and one follow-up, but may not cover the initial consultation or further diagnostics.

Table 1: Estimated Self-Pay Costs for Common Private Treatments in the UK (2025)

Procedure / ServiceEstimated Cost RangeNotes
Initial Consultant Consultation£200 – £400This is just the first meeting, before any tests.
MRI Scan (one part)£400 – £900Cost can double or triple for multiple body parts.
Cataract Surgery (one eye)£2,500 – £4,500Price depends on the type of lens implant used.
Knee Arthroscopy (diagnostic)£3,500 – £6,000A keyhole surgery to investigate knee problems.
Hernia Repair (inguinal)£3,000 – £5,000A very common procedure.
Hip Replacement£12,000 – £18,000One of the most expensive common elective surgeries.
Knee Replacement£13,000 – £20,000Similar in cost to a hip replacement.
Gallbladder Removal£6,000 – £9,000Usually performed laparoscopically (keyhole).

Source: Analysis of published guide prices from major UK private hospital groups. These are estimates for 2025 and can vary.

As you can see, even a relatively minor diagnostic procedure can cost hundreds of pounds, while major surgery quickly runs into five figures. A single hip replacement could cost more than a decade's worth of mid-range PMI premiums.

The Cost of Being Covered: PMI Premiums

The cost of a private medical insurance policy is much more predictable. Your premium is influenced by several key factors. Below are some typical monthly premium examples.

Table 2: Average Monthly Private Health Insurance Premiums in the UK (2025)

Age GroupSmoker StatusLevel of CoverLocationEstimated Monthly Premium
25-year-oldNon-SmokerBasic (core cover)Outside London£35 – £55
40-year-oldNon-SmokerMid-Range (inc. out-patient)Outside London£60 – £90
55-year-oldNon-SmokerComprehensiveOutside London£110 – £180
40-year-oldNon-SmokerMid-Range (inc. out-patient)Central London£85 – £130

Source: Market analysis by WeCovr based on quotes from leading UK insurers. Premiums are illustrative and assume a £250 excess.

The monthly premium provides cover for a vast range of eligible conditions throughout the year. While a 40-year-old might pay around £840 a year for a good policy (£70/month), that single payment would not even cover the cost of one MRI scan if they were to self-pay.

Key Factors That Influence Your PMI Premium

It's helpful to understand what drives the cost of your premium. Insurers calculate risk based on these elements:

  1. Age: This is the most significant factor. As we get older, the statistical likelihood of needing medical treatment increases, so premiums rise accordingly.
  2. Location: Where you live matters. Treatment costs are higher in major cities, especially London, so premiums are higher for residents in those areas.
  3. Level of Cover:
    • Basic: Covers essential in-patient and day-patient treatment (when you need a hospital bed).
    • Mid-Range: Adds out-patient cover for specialist consultations and diagnostic scans up to a certain limit (e.g., £1,000).
    • Comprehensive: Offers full out-patient cover, plus options for therapies (physio, osteopathy), mental health, and dental/optical benefits.
  4. Excess (illustrative): This is the amount you agree to pay towards a claim. A higher excess (e.g., £500 or £1,000) will lower your monthly premium, as you are sharing more of the initial cost.
  5. Hospital List: Insurers offer different lists of eligible hospitals. A policy with a nationwide list including premium central London hospitals will cost more than one with a more restricted local network.
  6. Underwriting: The method used to assess your medical history. 'Moratorium' is the most common, automatically excluding conditions from the past five years. 'Full Medical Underwriting' requires you to disclose your full history upfront.
  7. No Claims Discount: Similar to car insurance, you can build up a discount for every year you don't make a claim, which can significantly reduce your premiums over time.
  8. Lifestyle: Being a smoker will always result in a higher premium due to the associated health risks.

Working with a specialist at WeCovr or one of its broker partners is the easiest way to navigate these options. A specialist at WeCovr or one of its broker partners can compare policies from our panel to find the precise level of cover that matches your needs and budget, ensuring you don't pay for benefits you don't need.

When Does Self-Pay Make More Sense?

While PMI offers a safety net, there are specific scenarios where self-pay can be a logical choice:

  • For a Single, Low-Cost Treatment: If you need a one-off procedure that is relatively inexpensive (e.g., a minor skin lesion removal) and you have the cash available, paying directly can be simpler than taking out a policy.
  • If You Have Significant Savings: For wealthy individuals who can comfortably absorb a £15,000 bill for a hip replacement without financial strain, self-funding may feel more straightforward.
  • For Conditions Not Covered by PMI: If you want private treatment for a pre-existing or chronic condition, or for cosmetic surgery, you will have to self-pay as insurance will not cover it.
  • If You Are Young and Healthy: A young person with no health concerns might feel the risk of needing major surgery is low and choose to "self-insure" by putting money aside instead. However, this is a gamble, as serious accidents or unexpected illnesses can happen at any age.

When Does Private Health Insurance Offer Better Value?

For the vast majority of people, private medical insurance offers superior long-term value and financial protection.

  • For Unpredictable and High Costs (illustrative): The main benefit of insurance is to protect against the unknown. A self-pay hernia repair might be manageable at £4,000, but what if a year later you need cancer treatment or complex spinal surgery costing £50,000 or more? PMI covers these catastrophic costs.
  • For Peace of Mind: Knowing you won't have to find thousands of pounds at a moment's notice during a stressful time is invaluable. The stress of a diagnosis is hard enough without the added worry of liquidating savings or going into debt.
  • For Multiple Issues: If you have a run of bad luck and need several different treatments in a year, PMI may cover them all (subject to policy limits). With self-pay, you'd have to pay for each one individually.
  • For Diagnostic Journeys (illustrative): Often, a diagnosis isn't straightforward. You might need an initial consultation (£300), followed by an MRI scan (£700), blood tests (£200), and then a follow-up consultation (£200). That's £1,400 before you've even started treatment. A good PMI policy covers this entire diagnostic pathway.

Real-Life Scenarios: PMI vs. Self-Pay in Action

Let's look at two examples.

Scenario 1: Sarah's Knee Injury

Sarah, a 45-year-old avid runner, tears her knee cartilage. The NHS waiting list for an MRI is 12 weeks, and for surgery, it's 9 months.

  • Self-Pay Route:

    • Illustrative estimate: Private Orthopaedic Consultation: £280
    • Illustrative estimate: Private MRI Scan: £650
    • Illustrative estimate: Private Knee Arthroscopy Surgery: £4,500
    • Illustrative estimate: Follow-up and Physio: £500
    • Illustrative estimate: Total Self-Pay Cost: £5,930
  • PMI Route:

    • Sarah has a mid-range PMI policy costing her £75 per month, with a £250 excess.
    • She gets a GP referral and sees a specialist within a week.
    • Her MRI happens three days later.
    • Surgery is scheduled for two weeks' time.
    • Her insurer pays for everything.
    • Illustrative estimate: Total Cost to Sarah: £250 (her excess)

For Sarah, her £900 annual premium and £250 excess saved her over £5,500 and got her back to running months earlier. (illustrative estimate)

Scenario 2: David's Cancer Diagnosis

David, 58, is diagnosed with bowel cancer.

  • Self-Pay Route (illustrative): The costs for private cancer care are astronomical and unpredictable. A course of chemotherapy can cost £20,000-£70,000, and advanced drugs or surgery can push the total well over £100,000. For most people, self-paying for comprehensive cancer treatment is simply not an option.

  • PMI Route:

    • David has a comprehensive PMI policy with full cancer cover.
    • His policy covers his surgery, his hospital stay, a full course of chemotherapy, and even some newer biological therapies not yet available on the NHS.
    • His total cost is his £500 policy excess. The insurer covers bills exceeding £80,000.

This scenario highlights the ultimate value of PMI: helping reduce exposure to life-changing financial burdens during the most challenging health crises.

Beyond Treatment: The Added Value of Modern PMI

Today's private health cover offers much more than just paying for hospital bills. Insurers compete by offering a suite of wellness benefits to help you stay healthy, which provide day-to-day value.

These often include:

  • 24/7 Virtual GP Service: Speak to a GP by phone or video call anytime, often with potentially same-day appointments. This alone can be worth the premium for busy people or families.
  • Mental Health Support: Most policies now include access to counselling or therapy sessions, tackling issues like stress, anxiety, and depression without a long wait.
  • Wellness Programmes and Discounts: Get reduced-price gym memberships, fitness trackers, and health screenings.
  • Expert Second Opinions: If you receive a serious diagnosis, you can have your case reviewed by a world-leading expert.

As a WeCovr client, you get even more. We provide our PMI and Life Insurance customers with complimentary access to CalorieHero, our AI-powered diet and calorie tracking app, to support your health goals. Furthermore, purchasing a policy through us can unlock discounts on other insurance products, such as life or income protection insurance, providing even greater value.

How a PMI Broker Helps You Choose

The UK private medical insurance market is complex, with dozens of providers and hundreds of policy combinations. Trying to compare them yourself can be overwhelming.

This is where a specialist at WeCovr or one of its broker partners comes in. Our service is provided at no cost to you.

  • We do the research: We use our expertise and market knowledge to find the policies that right fit your needs.
  • We explain the jargon: We cut through the confusing terminology to explain exactly what you are and aren't covered for.
  • We compare the market: We get quotes from a wide range of top UK insurers like Aviva, Bupa, AXA Health, and Vitality, ensuring you see the most competitive prices.
  • We provide advice: Our goal is to find a strong fit for your needs for you, not for the insurer.

Choosing between PMI and self-pay is a significant decision. While self-pay might seem appealing for a single, known cost, Private Medical Insurance provides a robust, predictable, and comprehensive solution to the financial shock of unexpected illness, all while offering valuable everyday health benefits.


Is private health insurance worth it if I have to pay an excess?

Yes, for most people, it is highly worthwhile. An excess is a fixed amount (e.g., £250) you contribute towards a claim, which helps keep your monthly premiums lower. Considering that a single private surgical procedure can cost over £10,000, paying a £250 excess in return for the insurer covering the remaining thousands offers excellent financial protection and value. It makes the cost of making a claim predictable and manageable.

Do I need to declare pre-existing conditions for UK PMI?

It depends on the type of underwriting you choose. With 'Moratorium' underwriting, you don't need to declare your medical history upfront; the insurer simply won't cover any condition you've had symptoms of or treatment for in the last five years. With 'Full Medical Underwriting' (FMU), you must declare your full medical history. FMU can sometimes lead to specific conditions being covered sooner, but standard UK private health insurance is fundamentally designed for new, acute conditions that arise after your policy begins, not pre-existing ones.

Can I pay for a private consultation myself and then use my insurance for the treatment?

Yes, this is often possible, but you must check with your insurer first. If your policy has limited out-patient cover or you want to see a specialist not recognised by your insurer, you could self-pay for the initial consultation. If that consultation leads to a diagnosis of an eligible condition that requires in-patient surgery, your insurance would then typically cover the treatment phase, subject to your policy's terms. Always get authorisation from your insurer before proceeding with any treatment to ensure it will be covered.

Ready to see how affordable peace of mind can be? Let specialists at WeCovr and its broker partners do the hard work for you.

Get your free, no-obligation private medical insurance quote from WeCovr today and compare the UK's well-known providers in minutes.

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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