
Navigating the world of private medical insurance (PMI) in the UK can feel complex. At WeCovr, an FCA-authorised broker that has helped arrange over 800,000 policies, we believe in making things simple. This guide answers your most pressing questions about private health cover for 2025, giving you the clarity to make confident decisions about your health.
Think of Private Medical Insurance (PMI) as a health plan that runs alongside the NHS. You pay a monthly or annual premium to an insurance company. In return, if you develop a new, treatable medical condition, the policy covers the costs of diagnosis and treatment in a private hospital or facility.
The primary purpose of PMI in the UK is to help you bypass potential NHS waiting lists and gain faster access to specialist care for acute conditions.
Crucially, it's vital to understand what PMI is not for:
The goal of PMI is to get you diagnosed, treated, and back to your normal life as quickly as possible for new, eligible health concerns.
If you've never used private health cover before, the journey can seem unfamiliar. In reality, it's a straightforward process that works in partnership with your GP.
Here is a typical step-by-step example:
This seamless process means you can focus on your recovery without the stress of long waits or unexpected medical bills.
Understanding the scope of your cover is essential. While policies vary, most UK PMI plans are built around a core level of cover, with the option to add extra benefits.
Here’s a breakdown of what you can typically expect:
| Usually Covered (Core) | Optional Add-Ons | Almost Always Excluded |
|---|---|---|
| In-patient & Day-patient Treatment: Costs for surgery, hospital accommodation (often a private room), nursing care, and specialist fees when you're admitted to a hospital bed. | Out-patient Cover: Consultations and diagnostic tests that don't require a hospital bed. This is a very popular add-on. | Pre-existing Conditions: Any medical condition you had before taking out the policy. |
| Cancer Care: Comprehensive cover for chemotherapy, radiotherapy, and surgery is often a core feature, sometimes with access to experimental drugs not yet available on the NHS. | Mental Health Support: Cover for psychiatric treatment, therapy, or counselling sessions. | Chronic Conditions: Long-term illnesses like diabetes, arthritis, and high blood pressure that require ongoing management rather than a cure. |
| Diagnostic Scans: MRI, CT, and PET scans as part of in-patient or day-patient care. | Therapies: Physiotherapy, osteopathy, and chiropractic treatment. | A&E / Emergency Services: These are handled by the NHS. |
| Post-treatment Care: A set number of follow-up consultations or physiotherapy sessions after surgery. | Dental & Optical: Cover for routine check-ups, dental treatment, and the cost of glasses or contact lenses. | Uncomplicated Pregnancy & Childbirth: Routine maternity care is not covered. |
| Virtual GP Services: 24/7 access to a GP by phone or video call is now a common feature. | Travel Cover: Some policies allow you to add an international health insurance element. | Elective Cosmetic Surgery: Procedures chosen for aesthetic reasons. |
At WeCovr, our expert advisors can help you tailor a policy, ensuring you only pay for the benefits that matter to you.
This is the most common point of confusion, and it’s the bedrock of how PMI works in the UK. Insurers make a clear distinction between acute and chronic conditions.
Private medical insurance is designed to cover the diagnosis and treatment of new acute conditions that arise after you join. It is not designed for the ongoing management of chronic conditions, which remains the responsibility of the NHS.
When you apply for PMI, the insurer needs to know how to handle any medical conditions you've had in the past. This is done through a process called underwriting. There are two main types:
This is the most popular and straightforward option. You don't have to complete a detailed medical questionnaire when you apply. Instead, the policy automatically excludes treatment for any medical condition for which you have had symptoms, medication, or advice in the 5 years before your policy started.
However, if you then go for a continuous 2-year period after your policy starts without needing any treatment, tests, or advice for that condition, it may become eligible for cover in the future.
With FMU, you provide your complete medical history by filling out a detailed questionnaire. The insurer's underwriting team reviews this information and may place specific, named exclusions on your policy for any pre-existing conditions.
The right choice depends on your personal circumstances. A specialist PMI broker can advise you on which underwriting method is most suitable for you.
| Feature | Moratorium Underwriting (Mori) | Full Medical Underwriting (FMU) |
|---|---|---|
| Application Process | Quick and simple, no medical forms. | Slower, requires a detailed medical questionnaire. |
| Clarity on Cover | Determined at the point of claim. | Clear from the start with named exclusions. |
| Pre-existing Conditions | Automatically excluded for a set period. May become eligible for cover after 2 years on the policy without symptoms or treatment. | Assessed individually and often permanently excluded. |
| Best For... | Those with no recent medical issues who want a fast start. | Those who want absolute certainty about their cover, even with a past medical history. |
The cost of private medical insurance UK varies widely based on several key factors. There's no one-size-fits-all price, but understanding these drivers will help you see how your premium is calculated.
The table below provides an estimated monthly cost for a mid-range policy with £250 excess. These are for illustrative purposes only.
| Age | Non-Smoker, UK-wide (excl. Central London) |
|---|---|
| 30 | £45 – £65 |
| 40 | £60 – £85 |
| 50 | £80 – £120 |
| 60 | £120 – £180 |
The best way to get an accurate figure is to get a personalised quote. As an independent broker, WeCovr compares the market for you, finding the best PMI provider to match your budget and health needs at no extra cost.
Deciding whether to invest in PMI is a personal choice that depends on your priorities, budget, and attitude to risk.
The NHS provides excellent care, particularly for emergencies and complex conditions. However, it is currently facing significant pressure. According to NHS England data, the waiting list for routine consultant-led treatment stood at over 7.5 million treatment pathways in mid-2024. For many, this is the driving force behind considering private options.
Arguments for PMI:
Arguments Against PMI:
For many, the value lies in having a choice. It's a safety net that provides a fast-track option for treatable conditions, allowing you to get back to work, family, and life sooner.
We believe that supporting your health goes beyond just insurance policies. That's why we offer our PMI and Life Insurance clients exclusive benefits designed to promote a healthy lifestyle.
We also believe in the power of prevention. Maintaining a healthy lifestyle through a balanced diet, regular physical activity, and adequate sleep can have a profound impact on your wellbeing and reduce your future need for medical treatment.
Choosing the right private medical insurance can feel like a big decision, but you don't have to do it alone. The friendly, expert team at WeCovr is here to cut through the jargon, compare leading UK providers, and build a quote that's perfectly tailored to your needs and budget.






