As an FCA-authorised expert broker that has helped arrange over 800,000 policies, WeCovr understands the unique challenges faced by professionals in high-demand fields. This guide explores private medical insurance in the UK, specifically tailored for the incredible individuals who make up the circus and performing arts community.
Specialist PMI for acrobats, jugglers, and entertainers
The life of a circus performer is one of immense skill, dedication, and physical demand. Whether you're a trapeze artist soaring through the air, a juggler with lightning-fast reflexes, or an acrobat defying gravity, your body is your most valuable asset. An injury doesn't just mean a trip to the doctor; it can mean lost income and a pause in your career.
This is where specialist private medical insurance (PMI) becomes not a luxury, but a vital tool for career longevity. Standard insurance policies often don't account for the unique risks associated with your profession. You need cover that understands the urgency of a rapid diagnosis, the importance of specialist physiotherapy, and the need to get you back to peak performance, safely and quickly.
Your profession is unlike any other, and the health risks you face are equally unique. While the NHS provides excellent emergency care, the waiting lists for diagnostics and non-urgent treatment can be a significant hurdle for a performing artist.
The Physical Demands and Risks:
- Musculoskeletal Injuries: Sprains, strains, and tears are common due to the intense physical exertion.
- Repetitive Strain Injury (RSI): Jugglers, aerialists, and contortionists are particularly susceptible to RSI in their wrists, shoulders, and backs.
- Acute Injuries: Fractures or dislocations from falls or mishaps can require immediate and specialised attention.
- Wear and Tear: The long-term impact of a physically demanding career can lead to conditions like osteoarthritis later in life.
The NHS Waiting List Challenge:
Your career depends on your physical fitness. Waiting weeks or months for an MRI scan or a consultation with a specialist is often not a viable option.
According to the latest NHS England statistics from early 2025, the median waiting time for consultant-led elective treatment can be several months. Critically, a significant number of patients wait much longer for procedures like joint replacements or hernia repairs. For a performer, this delay can be the difference between a swift return to the ring and a career-threatening period of inactivity.
Private medical insurance is designed to bypass these queues, giving you fast-track access to:
- Leading specialists and consultants
- Advanced diagnostic scans (MRI, CT, PET)
- Private hospitals with comfortable, individual rooms
- Prompt surgical procedures
Understanding Private Medical insurance (PMI) in the UK
Before diving into the specifics, it's essential to understand what private medical insurance is and, just as importantly, what it isn't.
PMI is an insurance policy designed to cover the costs of private medical treatment for 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. Examples include a broken bone, a treatable infection, or a joint that needs replacing.
The Critical Exclusion: Chronic and Pre-existing Conditions
This is the most important concept to grasp about private medical insurance in the UK.
- PMI does not cover chronic conditions. A chronic condition is an illness that cannot be cured but can be managed, such as diabetes, asthma, or high blood pressure. These will continue to be managed by your NHS GP.
- PMI does not cover pre-existing conditions. This is any medical condition you had signs or symptoms of, or received advice or treatment for, in the years before your policy began (typically the last 5 years).
How Insurers Assess Pre-Existing Conditions: Underwriting
When you apply for a policy, the insurer will assess your medical history using one of two main methods.
| Underwriting Type | How It Works | Pros | Cons |
|---|
| Moratorium (Mori) | You don't declare your full medical history upfront. The insurer applies a blanket exclusion for any condition you've had in the 5 years before the policy start date. | Quicker and simpler application process. | Can create uncertainty at the point of claim, as the insurer will investigate your history then. |
| Full Medical Underwriting (FMU) | You complete a detailed health questionnaire, declaring your full medical history. The insurer then tells you exactly what is and isn't covered from day one. | Provides complete clarity on what is covered from the outset. No surprises when you claim. | The application process is longer and more involved. Permanent exclusions may be applied. |
For a performer with a history of minor injuries, discussing which underwriting option is best with an expert broker like WeCovr is highly recommended. We can help navigate the complexities and find an insurer who views your history fairly.
PMI policies are built in layers. You start with a core level of cover and then add optional extras to tailor the plan to your specific needs.
Core Cover (Usually Included as Standard)
This forms the foundation of your policy and primarily covers high-cost treatments when you are admitted to a hospital.
- In-patient treatment: Covers costs if you are admitted to a hospital bed overnight (e.g., for surgery).
- Day-patient treatment: Covers treatment where you are admitted to a hospital bed but do not stay overnight (e.g., an arthroscopy).
- Comprehensive Cancer Cover: This is a cornerstone of modern PMI. It typically includes access to specialist cancer drugs and treatments not always available on the NHS.
- Private Ambulance: Covers the cost of a private ambulance if medically necessary.
- NHS Cash Benefit: If you choose to have your in-patient treatment on the NHS, the policy pays you a small cash amount per night to compensate.
This is where you can truly customise your policy to protect your career. For a circus artist, some "optional" extras are arguably essential.
| Optional Add-On | What It Covers | Why It's Vital for a Performer |
|---|
| Out-patient Cover | Consultations with specialists and diagnostic tests that don't require a hospital bed. | This is your fast track to a diagnosis. It allows you to see a specialist quickly and get that crucial MRI or X-ray without waiting. |
| Therapies Cover | A set number of sessions for physiotherapy, osteopathy, chiropractic, and sometimes podiatry. | This is non-negotiable for a performer. Quick access to expert physiotherapy can dramatically shorten recovery time from injury. |
| Mental Health Cover | Access to psychiatrists, psychologists, and therapists for conditions like anxiety, stress, and depression. | The pressure to perform, the instability of freelance work, and the mental toll of injury can be immense. This cover is vital for mental resilience. |
| Dental & Optical | Contributions towards routine dental check-ups, treatment, and eye tests/glasses. | Less critical than the others, but can be a useful benefit for overall wellbeing. |
A broker can help you balance the cost of these add-ons with the level of protection you need, ensuring you're not paying for cover you don't require.
Key Considerations When Choosing a Policy
As a performer in a specialist field, there are several policy details you must pay close attention to.
1. Occupation Classification
Insurers categorise jobs by risk. It is vital that you are 100% honest about your profession. Declaring yourself as an "entertainer" might not be specific enough. You must state that you are an acrobat, aerialist, or fire-eater. Some standard insurers may decline to offer cover or apply a significant premium loading (increase the price) due to the perceived risk.
This is where a specialist broker shines. At WeCovr, we have experience working with clients in non-standard occupations. We know which insurers are more understanding of the risks involved and are more likely to offer fair terms.
2. Policy Excess
An excess is the amount you agree to pay towards a claim. For example, if you have a £250 excess and your physiotherapy treatment costs £1,000, you pay the first £250, and the insurer pays the remaining £750.
- Higher Excess = Lower Premium: Choosing a higher excess is a great way to make your policy more affordable.
- Per Year vs. Per Claim: Check if the excess is payable once per policy year or for each separate claim. An excess "per year" is usually better value.
3. Hospital List
Insurers use tiered hospital lists to control costs.
- Tier 1 (Local): A limited list of hospitals, often excluding central London. This is the cheapest option.
- Tier 2 (National): A comprehensive list of several hundred private hospitals across the UK. The most popular choice.
- Tier 3 (Premium): Includes all national hospitals plus the most exclusive private hospitals in central London (e.g., The London Clinic, The Lister). This is the most expensive option.
Consider where you live, work, and tour. If you're often in London, you may need a list that includes city hospitals.
4. The 6-Week Option
This is a popular cost-saving feature. If you add the 6-week option to your policy, your private cover for in-patient treatment will only kick in if the NHS waiting list for that procedure is longer than six weeks. If the NHS can treat you within six weeks, you use the NHS. This can reduce your premium by 20-30% and is an excellent compromise for balancing cost and security.
The cost of PMI is highly individual and depends on several factors. The fact you are in a high-risk occupation will be a key factor, but it is not the only one.
Main Factors Influencing Your Premium:
- Age: Premiums increase as you get older.
- Location: Premiums are higher in London and the South East due to higher private treatment costs.
- Level of Cover: The more optional extras you add (like out-patient and therapies), the higher the cost.
- Excess: A higher excess lowers your premium.
- Hospital List: A more comprehensive list costs more.
- Occupation: Your job as a performer will likely add a "loading" to your premium with most insurers.
The table below gives an estimated range of monthly costs. These are for illustration only and are not a quote. They assume the person is a non-smoker living outside London, with a £250 excess.
| Age | Core Cover + Mid-Range Out-patient & Therapies | Comprehensive Cover + Full Out-patient & Therapies |
|---|
| 25 | £55 - £80 | £85 - £110 |
| 35 | £70 - £100 | £110 - £140 |
| 45 | £95 - £130 | £150 - £190 |
Disclaimer: These prices are illustrative estimates as of mid-2025 and will vary significantly between providers and based on individual circumstances and occupation specifics.
The best way to get an accurate price is to speak to a broker who can run a personalised market comparison for you.
Your health is your livelihood. While insurance is your safety net, proactive wellness is your first line of defence. A good PMI policy often includes wellness benefits, but your daily habits are what truly count.
Nutrition for Resilience:
- Fuel for Energy: Your diet should be rich in complex carbohydrates, lean proteins, and healthy fats to fuel gruelling training sessions and performances.
- Anti-inflammatory Foods: Incorporate foods like oily fish (salmon, mackerel), berries, turmeric, and leafy greens to help manage inflammation and aid recovery.
- Hydration is Key: Dehydration can severely impact performance, concentration, and muscle function. Aim for 2-3 litres of water a day, more on performance days.
- As a WeCovr client, you'll receive complimentary access to our AI-powered nutrition app, CalorieHero, to help you track your intake and optimise your diet for peak performance.
Smart Training and Recovery:
- Warm-ups & Cool-downs: Never skip them. A proper warm-up prepares your muscles for exertion, while a cool-down helps reduce soreness and improve flexibility.
- Cross-Training: Avoid overuse injuries by incorporating different types of exercise like swimming, yoga, or Pilates to build balanced strength.
- The Power of Sleep: Sleep is when your body repairs itself. Aim for 7-9 hours of quality sleep per night. This can be challenging when touring, so prioritise a consistent sleep schedule where possible.
Mental Fortitude:
- Manage Performance Anxiety: Develop pre-show rituals and breathing techniques to stay calm and focused.
- Build a Support Network: Connect with fellow performers who understand the unique pressures of your industry.
- Don't Ignore Burnout: Recognise the signs of physical and mental exhaustion and build rest days into your schedule. Many PMI policies now offer excellent mental health support services.
The Claims Process: A Simple Step-by-Step Guide
Making a claim on your private health insurance is more straightforward than you might think.
- Visit Your GP: This is always the first step. You feel a twinge in your shoulder, or a knee problem flares up. You see your NHS GP to discuss the symptoms.
- Get an Open Referral: If your GP agrees you need to see a specialist, they will write you a referral letter. Ask for an "open referral," which doesn't name a specific consultant. This gives you and your insurer more choice.
- Contact Your Insurer: Call your insurer's claims line. You'll need your policy number and the details from your GP referral. They will check your cover and pre-authorise the next step (e.g., a consultation with an orthopaedic specialist).
- Book Your Appointment: The insurer will provide you with a list of approved specialists. You book the appointment at a time and place that suits you.
- Treatment and Billing: Attend your consultation, scans, or treatment. In almost all cases, the hospital and consultant will bill your insurer directly. You only have to pay your excess if it applies.
Using a broker like WeCovr can also be beneficial at the claims stage. If any issues or questions arise, we are there to advocate on your behalf.
Getting the Right Cover with WeCovr
Navigating the world of private medical insurance UK can be daunting, especially with the added complexity of a high-risk profession. This is why working with an independent, FCA-authorised broker is so valuable.
WeCovr offers:
- Expert, Unbiased Advice: We work for you, not the insurance companies. We'll help you understand the fine print.
- Market-Wide Comparison: We compare policies from all the leading UK providers, including those more favourable to performers.
- No Fees for Our Service: Our advice and support are completely free to you. We are paid a commission by the insurer you choose.
- High Customer Satisfaction: Our clients consistently rate our service highly for its clarity and helpfulness.
- Extra Benefits: When you arrange PMI or Life Insurance with us, we also offer discounts on other policies you might need, like travel insurance or income protection – crucial cover for any freelance performer.
Your talent is extraordinary. Your health cover should be too. Let us handle the complexities of insurance so you can focus on what you do best: dazzling audiences.
Frequently Asked Questions (FAQs)
Do I have to declare my exact job as a trapeze artist or can I just say "entertainer"?
You must be completely honest and specific about your occupation. You should declare that you are a trapeze artist, acrobat, or whatever your specific discipline is. Failing to provide accurate information about your profession could invalidate your policy, meaning the insurer could refuse to pay a claim. It's better to be upfront and find an insurer who will cover you, even if it costs slightly more.
Generally, no. Physiotherapy is usually included under an optional 'Therapies' add-on. For a circus performer, this is considered an essential extra. When comparing policies, pay close attention to the number of sessions covered, as some basic plans may only offer a handful, while more comprehensive options can provide more extensive cover.
Standard UK private medical insurance only covers treatment within the United Kingdom. If you are injured while on tour abroad, you will not be covered by your PMI policy. For international work, you must have specialist travel insurance that covers you for medical emergencies and specifies that you are covered for your work as a circus performer.
Can I get a policy that covers an old shoulder injury from a few years ago?
No, this would be considered a pre-existing condition and will be excluded from cover. UK private medical insurance is designed for new, acute conditions that arise after your policy has started. Any injury or condition for which you have had symptoms, advice, or treatment in the 5 years prior to taking out the policy will not be covered.
Ready to find the right protection for your performing career?
Get Your Free, No-Obligation Quote from WeCovr Today and let our experts help you compare the best private health insurance options for your unique needs.