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Private Health Insurance Cost UK with Excess Options

Let's look at an illustrative example for a 40-year-old non-smoker in Manchester seeking mid-range cover. These figures are for demonstration purposes only, as your actual quote will depend on numerous personal factors.

Last updated Oct 7, 2026

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TL;DR

Let's look at an illustrative example for a 40-year-old non-smoker in Manchester seeking mid-range cover. These figures are for demonstration purposes only, as your actual quote will depend on numerous personal factors. As the table shows, increasing your excess from 100 to 1,000 could potentially save you 300 a year on premiums.

Key takeaways

  • Higher Excess = Lower Premium
  • Lower Excess = Higher Premium
  • Basic/Core Cover: Covers the big expenses. This includes in-patient and day-patient treatment (where you need a hospital bed). It's designed as a safety net for major procedures, helping you bypass long NHS waiting lists. According to NHS England data, the median waiting time for consultant-led elective care was 14.5 weeks in July 2024.
  • Mid-Range Cover: Includes everything in a basic plan plus a limited amount of out-patient cover. This might be a set financial limit (e.g., 1,000 for consultations and tests) or a specific number of sessions.
  • Comprehensive Cover: Offers extensive in-patient and out-patient cover. It often includes benefits like mental health support, therapies (physiotherapy, osteopathy), and options to add dental and optical cover.

As a broking firm that has helped arrange over 1,000,000 policies of various kinds, WeCovr understands that navigating the world of private medical insurance in the UK can feel complex. This expert guide demystifies one of the most critical factors in your policy's cost: the excess.

How excess choices from £100–£1,000 affect premiums

When you buy private health insurance, the 'excess' is one of the most powerful tools you have to control your monthly or annual premium. But what exactly is it, and how does your choice truly impact your wallet?

In simple terms, an excess (also known as a deductible) is the amount of money you agree to pay towards the cost of your treatment before your insurance provider pays the rest. It's a way of sharing the cost of a claim.

The relationship between your excess and your premium is an inverse one:

  • Higher Excess = Lower Premium
  • Lower Excess = Higher Premium

Think of it like car insurance. If you agree to pay the first £500 of any claim, your insurer sees you as a lower risk, and they reward you with a cheaper policy. The same principle applies to private medical insurance (PMI). By choosing a higher excess, you are telling the insurer you will handle the smaller claims yourself, reducing their potential claim payment and, in turn, your premium.

Most UK health insurance policies apply the excess on a per-policy-year basis. This is a crucial detail. It means you only pay the excess once per year, regardless of how many separate claims you make. Once you've paid your chosen excess amount, all subsequent eligible claims for the rest of that policy year are typically covered in full by your insurer (up to your policy limits).

The Financial Impact of Excess at a Glance

Let's look at an illustrative example for a 40-year-old non-smoker in Manchester seeking mid-range cover. These figures are for demonstration purposes only, as your actual quote will depend on numerous personal factors.

Excess ChosenIllustrative Monthly PremiumIllustrative Annual PremiumPotential Annual Saving (vs. £100 Excess)
£100£75£900£0
£250£68£816£84
£500£60£720£180
£1,000£50£600£300

As the table shows, increasing your excess from £100 to £1,000 could potentially save you £300 a year on premiums. This trade-off is central to tailoring a policy to your budget. (illustrative estimate)

Understanding the Key Factors That Determine Your PMI Cost

While the excess is a major lever, it's just one piece of the puzzle. The final cost of your private health cover is determined by a combination of personal and policy-related factors.

1. Your Age

Age is the single most significant factor. As we get older, the statistical likelihood of needing medical treatment increases. Insurers price their policies based on this risk, so premiums for a 55-year-old will be considerably higher than for a 25-year-old. Premiums often see noticeable increases at milestone birthdays (e.g., 30, 40, 50, 60).

2. Your Location

Where you live in the UK—your postcode—directly affects your premium. This is due to the varying costs of private medical care across the country.

  • Central London: Has the most expensive private hospitals, leading to the highest premiums.
  • Major Cities (e.g., Manchester, Birmingham): Costs are moderate.
  • Scotland, Northern Ireland & Rural Areas: Often have the lowest premiums due to lower private treatment costs.

Insurers use "hospital lists" to manage this. A policy with a nationwide list including top London hospitals will cost more than one with a more restricted, local list.

3. Your Medical History and Lifestyle

  • Smoking: Smokers and recent vapers will always pay more for health insurance, often 30-50% more than non-smokers. This reflects the well-documented health risks associated with smoking.
  • Underwriting: This is how insurers assess your medical history. The two main types are:
    • Moratorium Underwriting: This is the most common type. You don't declare your full medical history upfront. Instead, the policy automatically excludes treatment for any condition you've had symptoms, advice, or treatment for in the five years before joining. However, if you go two full years on the policy without any issues relating to that condition, it may become eligible for cover.
    • Full Medical Underwriting (FMU): You complete a detailed health questionnaire. The insurer then decides what they will and will not cover from the outset. This can sometimes be beneficial if you have a historic condition that is no longer an issue, as the insurer might agree to cover it.

4. The Level of Cover You Choose

This is about how comprehensive your policy is. Insurers typically offer tiered plans:

  • Basic/Core Cover: Covers the big expenses. This includes in-patient and day-patient treatment (where you need a hospital bed). It's designed as a safety net for major procedures, helping you bypass long NHS waiting lists. According to NHS England data, the median waiting time for consultant-led elective care was 14.5 weeks in July 2024.
  • Mid-Range Cover: Includes everything in a basic plan plus a limited amount of out-patient cover. This might be a set financial limit (e.g., £1,000 for consultations and tests) or a specific number of sessions.
  • Comprehensive Cover: Offers extensive in-patient and out-patient cover. It often includes benefits like mental health support, therapies (physiotherapy, osteopathy), and options to add dental and optical cover.

A specialist at WeCovr or one of our broker partners can help you compare these different levels across multiple providers to find the perfect balance between cover and cost.

A Deeper Dive into Excess Options: Which Level is Right for You?

Choosing an excess isn't just about finding the lowest premium; it's about finding the right balance for your financial situation. You need to be comfortable paying that amount if you need to make a claim.

Let's explore the common excess levels in more detail.

Excess Level Breakdown and Suitability

Excess LevelTypical CandidateProsCons
£0–£100Someone who wants maximum peace of mind and minimal out-of-pocket costs when claiming.Predictable costs; you pay very little or nothing when you need treatment.The highest monthly premiums.
£250The most popular choice. A good balance between manageable premiums and a reasonable excess.Offers a noticeable premium saving compared to a £0 or £100 excess.You still need to find £250 if you make a claim.
£500Someone who is generally healthy and wants to significantly reduce their monthly costs.Substantial premium savings, making comprehensive cover more affordable.£500 can be a significant upfront cost for many people.
£1,000+Someone with a healthy emergency fund who sees PMI as a safeguard against major costs.The lowest possible premiums, offering maximum long-term savings.You must have £1,000 readily available to pay towards your treatment.

Real-Life Scenarios: How Excess Works in Practice

Scenario 1: Amira, £250 Excess Amira, a 35-year-old graphic designer, has a policy with a £250 annual excess. In May, she develops severe shoulder pain and is referred by her GP to a specialist. (illustrative estimate)

  • Specialist Consultation (illustrative): £250
  • MRI Scan (illustrative): £750
  • Total Cost (illustrative): £1,000

Amira pays the first £250 of the consultation fee herself. Her insurer covers the remaining £750 for the MRI scan. Her annual excess is now met. In October of the same year, she needs an unrelated procedure costing £3,000. Because her annual excess has already been paid, her insurer covers the full £3,000. (illustrative estimate)

Scenario 2: Ben, £1,000 Excess Ben, a 50-year-old project manager, opted for a £1,000 excess to keep his premiums low. He requires a hernia repair operation. (illustrative estimate)

  • Total Cost of Treatment (consultation, surgery, hospital stay) (illustrative): £4,500

Ben pays the first £1,000 directly to the hospital or specialist. His insurer then pays the remaining £3,500. While his out-of-pocket cost is higher than Amira's, his monthly premium has been significantly lower throughout the year, which might have saved him hundreds of pounds already. (illustrative estimate)

What Does UK Private Medical Insurance Actually Cover?

It is absolutely vital to understand the fundamental purpose of private medical insurance in the UK.

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

  • An acute condition is a disease, illness, or injury that is likely to respond quickly to treatment and lead to a full recovery (e.g., cataracts, joint replacement, gallstones, hernias).
  • A chronic condition is a long-term illness that cannot be cured, only managed (e.g., diabetes, asthma, high blood pressure, arthritis). Standard private medical insurance does not cover the management of chronic conditions. You will continue to receive care for these through the NHS.

Furthermore, pre-existing conditions are excluded. A pre-existing condition is anything you have had symptoms, advice, or treatment for in the years leading up to your policy start date (typically 5 years). Under moratorium underwriting, if you remain symptom-free for two continuous years after your policy begins, that condition may become eligible for cover.

Typical Cover Inclusions and Exclusions

What's Typically Covered?What's Typically Excluded?
In-patient and Day-patient Treatment (hospital stays)Chronic Conditions (e.g., diabetes, asthma)
Surgery (as an in-patient or day-patient)Pre-existing Conditions (for at least the first 2 years)
Specialist Consultations (with out-patient cover)Accident & Emergency (A&E) Visits
Diagnostic Tests (e.g., MRI, CT, PET scans)Routine Pregnancy and Childbirth
Cancer Treatment (often extensive, including chemo/radiotherapy)Cosmetic Surgery (unless for reconstructive purposes)
Mental Health Support (with mid-range/comprehensive cover)Organ Transplants
Physiotherapy & Other Therapies (as an add-on or on comprehensive plans)Self-inflicted Injuries

How to Manage Costs on Your Private Health Insurance Premiums

Beyond choosing a higher excess, there are several other effective strategies to make your private health cover more affordable.

  1. Select a Guided Hospital List: Instead of a list that includes every private hospital in the UK, choose one that is limited to a network selected by your insurer. This can offer significant savings, especially if it excludes the most expensive Central London facilities.
  2. Consider a "6-Week Wait" Option: This is a fantastic cost-saving measure. With this option, if you need in-patient treatment, you will first check the relevant NHS waiting list. If the NHS can treat you within six weeks, you use the NHS. If the wait is longer than six weeks, your private policy kicks in immediately. This reduces the insurer's risk and can lower your premium by 20-30%.
  3. Pay Annually: Most insurers offer a discount (typically around 5%) if you pay your premium in one annual lump sum rather than in monthly instalments.
  4. Review Your Cover Level: Do you really need comprehensive cover right now? Starting with a basic in-patient-only policy provides a crucial safety net against major surgical waits at a much lower cost. You can always look to upgrade your cover in the future.
  5. Embrace a Healthy Lifestyle: Insurers reward healthy living. Non-smokers pay substantially less. Many providers also have wellness programmes that offer discounts and rewards for tracking your activity, getting health checks, and maintaining a healthy diet.
  6. Use an Expert PMI Broker: This is arguably the most effective step. A specialist at WeCovr or one of our broker partners has access to the available market and can compare policies from all the UK providers on our panel (like Bupa, AXA Health, Aviva, and Vitality) in minutes. A WeCovr specialist or trusted broker partner handles the hard work for you, explaining the differences in cover and finding a policy that fits your specific needs and budget—all with no separate broker fee.

The Added Value of Wellness Programmes and Modern Benefits

Modern private health insurance is evolving. It's no longer just about treatment when you're ill; it's about helping you stay healthy in the first place. Many well-known insurers now include valuable wellness benefits and rewards programmes designed to encourage a healthier lifestyle.

These can include:

  • Discounted gym memberships
  • Wearable tech deals (e.g., Apple Watch, Fitbit)
  • Free cinema tickets or coffees for hitting activity goals
  • Access to virtual GP services 24/7
  • Mental health support apps and phone lines

WeCovr enhances this value proposition even further. When you arrange your private medical insurance through us, you also get:

  • Complimentary access to CalorieHero: Our proprietary AI-powered calorie and nutrition tracking app to help you stay on top of your health goals.
  • Exclusive discounts: On other insurance products you might need, such as life insurance or income protection, helping you save more across the board.

Frequently Asked Questions (FAQs) About UK Private Health Insurance

Is it cheaper to choose a higher excess on my private health insurance?

Yes, absolutely. Choosing a higher excess is one of the most effective ways to lower your monthly or annual premiums. An excess is the amount you agree to pay towards a claim. By selecting a higher amount, for example £1,000 instead of £100, you reduce the financial risk for the insurer, and they pass those savings on to you in the form of a cheaper policy.

Does UK private health insurance cover pre-existing conditions?

No, as a rule, standard UK private medical insurance does not cover pre-existing or chronic conditions. A pre-existing condition is any medical issue for which you have sought advice, had symptoms, or received treatment in the five years before your policy starts. Most policies operate on a 'moratorium' basis, meaning if you remain free of any symptoms or treatment for that condition for two continuous years after your policy begins, it may then become eligible for cover.

What is the average cost of private medical insurance in the UK?

There is no single "average" cost, as premiums are highly personalised. They can range from as little as £30 per month for a young, healthy individual with basic cover and a high excess, to over £200 per month for an older individual in London with comprehensive cover. The main factors influencing cost are your age, location, the level of cover chosen, your smoking status, and the excess you select.

Can I add my family to my private health insurance policy?

Yes, you can almost always add your partner and dependent children to your private medical insurance policy. This creates a family plan. While adding family members will increase the overall premium, insurers often provide a small discount compared to buying four individual policies separately. It's a convenient way to ensure your whole family has access to private healthcare under one plan.

Take Control of Your Health and Your Premiums Today

Understanding how excess choices and other factors influence your premium empowers you to build a private health insurance policy that truly works for you. You don't have to navigate the market alone.

At WeCovr, our team of friendly, regulated experts is here to provide clear, jargon-free advice. We'll compare well-known insurers to find you the right cover at the right price, ensuring you have peace of mind without breaking the bank.

[Get Your Free, No-Obligation PMI Quote Today and Compare Your Options 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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