As an FCA-authorised expert broker that has helped arrange over 800,000 policies, WeCovr understands that navigating the world of private medical insurance in the UK can be complex, especially when your family’s health is the top priority. This guide provides the clarity you need to make the best decision for your loved ones.
How family PMI works, cost-saving strategies for covering multiple dependents, child-only options, and which insurers offer the best family discounts
Protecting your family’s health is paramount. While the NHS provides incredible care, long waiting lists for diagnostics and non-urgent treatments can cause significant anxiety and disruption. Family private medical insurance (PMI) offers a valuable solution, providing peace of mind and faster access to high-quality private healthcare when you need it most.
This comprehensive 2025 guide will walk you through everything you need to know, from how family policies are structured to insider tips on securing the best possible price.
What is Family Private Medical Insurance?
Family private medical insurance is a single policy designed to provide health cover for multiple members of the same family. Instead of taking out separate individual policies for yourself, your partner, and your children, you can bundle them together under one plan.
This typically includes:
- The main policyholder (e.g., a parent).
- Their partner or spouse.
- Their dependent children (usually up to age 21, or 25 if in full-time education).
The primary purpose of family PMI is to cover the costs of diagnosis and treatment for acute conditions — illnesses or injuries that are short-term and likely to respond quickly to treatment. It gives you more control over your family's healthcare, allowing you to choose your specialist and hospital, and schedule appointments at times that suit you.
A Critical Point: What Family PMI Does NOT Cover
It is essential to understand the limitations of private medical insurance in the UK. Standard policies are designed for new, unexpected health issues.
PMI does NOT cover:
- Pre-existing conditions: Any illness, injury, or symptom you or your family members had before the policy start date.
- Chronic conditions: Long-term illnesses that require ongoing management rather than a cure, such as diabetes, asthma, or high blood pressure.
- Emergency services: In a life-threatening emergency, you should always call 999 and use the NHS A&E.
- Routine maternity and childbirth: While complications may be covered, standard antenatal care and delivery are not.
- Cosmetic surgery, unless medically necessary.
Understanding this distinction between acute (covered) and chronic/pre-existing (not covered) is the single most important factor when considering PMI.
How Family Health Insurance Works in Practice: A Step-by-Step Guide
Imagine your teenage son injures his knee playing football on a Sunday. The NHS waiting list for an MRI scan could be several weeks or even months. Here’s how a typical family PMI policy would work:
- Visit Your GP: Your first port of call is usually your NHS GP. They will assess the injury and, if they feel further investigation is needed, they will provide an 'open referral' to a specialist, such as an orthopaedic consultant.
- Contact Your Insurer: You call your PMI provider's claims line with your policy number and referral details.
- Get Authorisation: The insurer checks that your policy covers the required diagnostic test (MRI scan) and consultation. They will provide you with an authorisation number and a list of approved specialists and hospitals in your chosen network.
- Book Your Appointment: You book the scan and consultation at a private hospital, often within a few days.
- Diagnosis and Treatment: The consultant diagnoses a torn ligament requiring keyhole surgery. You get a new authorisation from your insurer for the procedure.
- Receive Treatment: The surgery is performed within a week or two, and your insurer settles the bills directly with the hospital and specialist (minus any excess you've chosen).
- Aftercare: Your policy may also cover post-operative physiotherapy to help your son get back on the pitch quickly.
This process bypasses lengthy NHS queues, reducing worry and getting your child the treatment they need without delay.
Cost of Family Private Health Insurance in the UK: 2025 Estimates
The cost of a family health insurance policy varies widely based on several key factors:
- Age: Premiums increase with the age of the adults on the policy.
- Location: Costs are higher in central London and the South East due to more expensive private hospitals.
- Level of Cover: A comprehensive plan with full outpatient cover and extra benefits will cost more than a basic plan covering only inpatient treatment.
- Excess: The amount you agree to pay towards a claim. A higher excess lowers your premium.
- Hospital List: Choosing a limited list of local hospitals is cheaper than having nationwide access.
To give you a clear idea, here are some estimated monthly premiums for 2025. These are illustrative figures for non-smokers on a mid-range policy with a £250 excess, living outside of London.
| Family Composition | Basic Cover (Inpatient only) | Mid-Range Cover (+ Outpatient limits) | Comprehensive Cover (+ Therapies, Mental Health) |
|---|
| Couple (both 35) | £70 - £110 | £110 - £160 | £160 - £230 |
| Couple (35) + 1 Child | £85 - £130 | £130 - £190 | £190 - £270 |
| Couple (35) + 2 Children | £95 - £150 | £150 - £220 | £220 - £310 |
| Single Parent (35) + 1 Child | £60 - £95 | £95 - £140 | £140 - £200 |
Disclaimer: These are estimates. The only way to get an accurate price is to get a tailored quote based on your family's specific circumstances.
Top Strategies for Reducing Your Family Health Insurance Premiums
Covering a whole family can seem expensive, but there are many effective ways to manage the cost without sacrificing essential protection.
- Increase Your Excess: This is one of the simplest ways to lower your premium. An excess is the amount you pay towards the cost of your first claim each year. For example, opting for a £500 excess instead of a £100 excess can reduce your monthly payments significantly.
- Choose the '6-Week Wait' Option: This popular feature means your PMI will only kick in if the NHS waiting list for the inpatient treatment you need is longer than six weeks. As many non-urgent NHS waits exceed this, it provides a great safety net while cutting premiums by up to 25-30%.
- Select a Guided Hospital List: Most insurers offer tiered hospital networks. A 'National' list including expensive central London hospitals is the priciest. By choosing a more limited list of approved hospitals near your home, you can achieve substantial savings.
- Pay Annually: If you can afford to, paying your premium in one annual lump sum often works out cheaper than paying monthly, as many insurers add a charge for credit.
- Review Outpatient Cover: Full outpatient cover (for tests and consultations before hospital admission) can add a lot to the cost. Consider a policy with a limit on outpatient cover (e.g., £1,000 per year) or a more basic diagnostics-only plan.
- Take Advantage of Family Discounts: This is a key benefit of a family policy. Insurers are keen to attract families and offer specific pricing structures to make it more affordable.
- Work with an Expert Broker: A specialist broker like WeCovr can be invaluable. We have access to the whole market and understand the nuances of each insurer's pricing and family discount structure. We can tailor a policy to your exact needs and budget at no extra cost to you.
Which UK Insurers Offer the Best Family Discounts?
Insurers know that family budgets are tight. Many have structured their pricing to be particularly attractive for those covering children. While "discounts" aren't always explicit percentages, the pricing models often result in children being added for a fraction of the cost of an adult.
Here’s a comparison of how major UK providers approach family pricing:
| Insurer | Typical Family Pricing Structure & Benefits | Best For |
|---|
| Bupa | Often has a pricing structure where you pay for the first child, and subsequent children may be added at no extra cost. Strong brand recognition and extensive hospital network. | Families looking for a trusted, comprehensive brand with good value for 2+ children. |
| AXA Health | Known for flexible and modular policies. Their pricing is competitive for families, allowing you to build a plan that fits your budget. Often includes generous parent accommodation benefits. | Families who want to customise their cover level precisely to manage costs. |
| Aviva | Frequently offers competitive premiums for families. Their "Expert Select" hospital option can be very cost-effective. Their 'BacktoBetter' programme for musculoskeletal issues is excellent for active families. | Cost-conscious families who value strong musculoskeletal and physiotherapy support. |
| Vitality | Unique approach rewarding healthy living. Families can earn significant discounts on their renewal premium by staying active. Children can be added at a competitive rate and contribute to the family's 'Vitality Status'. | Active families who are motivated to engage with a wellness programme to lower their long-term costs. |
| WPA | A not-for-profit organisation known for excellent customer service. Offers flexible "Shared Responsibility" co-payment options and is one of the few insurers that actively markets child-only policies. | Families wanting flexible co-payment options or those considering a child-only policy. |
The key takeaway: Some insurers effectively offer "free cover for the second and third child" through their tiered pricing. A broker can instantly compare these complex pricing models to find the absolute best deal for your family's size.
Exploring Child-Only Health Insurance Policies
In some situations, a full family policy might not be the right fit. A 'child-only' policy is a standalone private medical insurance plan just for a child or children.
When might a child-only policy be a good idea?
- Divorced or separated parents who want to ensure their child has cover, with one parent managing the policy.
- Grandparents wishing to buy a health insurance policy for their grandchildren as a gift.
- If the parents already have health insurance through their workplace, but it doesn't extend to dependents or the cost to add them is prohibitive.
- If the parents are happy with NHS services for themselves but are more concerned about waiting times for their children.
Not all insurers offer child-only policies, but providers like Bupa and WPA are well-known for providing this option. While it can be a great solution, it's often more cost-effective to add a child to a parent's policy if possible, due to the family discounts available.
Comparing Underwriting Options for Your Family
When you set up a policy, the insurer needs to know about your medical history. This is called 'underwriting', and there are two main choices for families.
| Underwriting Type | How It Works | Pros | Cons |
|---|
| Moratorium (Mori) | You don't declare your full medical history upfront. Instead, the insurer automatically excludes any condition you've had symptoms, treatment, or advice for in the last 5 years. This exclusion can be lifted if you go 2 full years on the policy without any issues relating to that condition. | Quick and easy to set up. No medical forms to fill in. | Less certainty upfront about what is covered. A condition you thought was minor could be excluded. |
| Full Medical Underwriting (FMU) | You complete a detailed health questionnaire for every family member. The insurer assesses this and tells you exactly what will be excluded from the start. | Provides complete clarity. You know precisely what is and isn't covered from day one. | The application process is longer. Exclusions are often permanent and cannot be reviewed. |
Which is right for your family?
If your family is generally healthy with no significant medical history, Moratorium underwriting is often the simplest and fastest choice. If any family members have a more complex medical history, Full Medical Underwriting can provide valuable certainty, even if it means specific exclusions are applied.
WeCovr: Your Partner in Family Health
Choosing the right policy can feel overwhelming. As specialist PMI brokers, WeCovr simplifies the entire process. We use our expertise and market knowledge to:
- Compare dozens of policies from all the leading UK insurers.
- Identify the best family discounts and pricing structures for you.
- Explain the jargon in simple, plain English.
- Help you tailor a policy that fits your family's needs and budget perfectly.
Our advice is completely independent and comes at no cost to you. Better yet, all our health and life insurance clients receive complimentary access to our AI-powered nutrition app, CalorieHero, and exclusive discounts on other insurance products, helping your family stay healthy and protected.
Beyond the Core Cover: Valuable Add-Ons for Families
While core cover for hospital stays and surgery is the priority, several optional extras can be particularly valuable for families:
- Mental Health Cover: With growing awareness of mental health challenges in children and adults, this add-on provides access to psychiatrists and therapists without a long wait.
- Dental and Optical Cover: This can help with the costs of routine check-ups, glasses, and dental treatments that aren't purely cosmetic.
- Therapies Cover: This is a popular one for active families, covering services like physiotherapy, osteopathy, and chiropractic treatment for sports injuries or other musculoskeletal problems.
Wellness and Healthy Living Tips for UK Families
A healthy lifestyle is the best insurance of all. Some insurers, like Vitality, actively reward you for it. Here are a few tips to keep your family fit and well:
- Get Active Together: Find an activity you all enjoy, whether it's cycling in a local park, weekend hikes, or just a family walk after dinner. The NHS recommends children aged 5 to 18 do at least 60 minutes of moderate to vigorous physical activity each day.
- Prioritise Sleep: Lack of sleep affects everything from mood to immunity. Establish consistent bedtime routines for children and ensure teenagers aren't on screens late at night. Adults need 7-9 hours per night for optimal health.
- Eat the Rainbow: Encourage a varied diet rich in fruits, vegetables, lean proteins, and whole grains. Involving children in cooking can make them more interested in trying new, healthy foods.
- Digital Detox: Schedule regular screen-free time to connect as a family, play board games, or just talk. This is crucial for mental wellbeing.
Can I add a newborn baby to my family health insurance policy?
Yes, most UK insurers allow you to add a newborn to your policy, often without any medical underwriting, provided you do so within a set timeframe (usually 3 months from birth). Some insurers even offer a period of free cover for newborns. It's always best to contact your provider as soon as possible after the birth to get your baby added to the plan.
What happens when my child turns 21 or finishes education?
Most family policies cover dependent children up to age 21, or sometimes up to 25 if they remain in full-time education. Once they are no longer eligible to be on your family policy, they will need their own individual plan. The good news is that most insurers will allow them to switch to an individual policy without any new medical underwriting, meaning the cover they had on the family plan continues seamlessly. This is a significant benefit of having them on a family policy initially.
Are pre-existing conditions ever covered by family PMI?
Generally, no. Standard private medical insurance is designed to cover new, acute conditions that arise after you take out the policy. However, if you choose 'Moratorium' underwriting, a pre-existing condition from more than five years ago might be covered if you remain symptom-free for the first two years of your policy. For any recent or ongoing conditions, they will almost certainly be excluded from cover.
Ready to find the best health protection for your family at the most competitive price?
Get a free, no-obligation quote from WeCovr today. Our expert advisors will compare the entire market to find a policy that gives your family the protection and peace of mind they deserve.