As an FCA-authorised expert with over 800,000 policies arranged, WeCovr specialises in helping you navigate the private medical insurance market in the UK. This guide provides authoritative, clear advice on finding the right health insurance policy as you move into your 60s, a time when looking after your health is more important than ever.
Health insurance options designed for people over 60
Entering your 60s is a milestone. It’s often a time of transition—perhaps retirement is on the horizon, the grandchildren are growing, and you have more freedom to travel and pursue hobbies. To enjoy this chapter to the fullest, having peace of mind about your health is paramount.
While the NHS provides an essential service to the nation, growing waiting lists and pressures on the system mean that many people are considering private medical insurance (PMI) for the first time. For those over 60, policies are specifically designed to cater to the health needs that can become more common with age, focusing on providing swift access to diagnosis and treatment for new, acute conditions.
This article will walk you through everything you need to know, from the benefits and costs to how to choose the right policy for your unique circumstances.
Why Consider Private Health Insurance in Your 60s and Beyond?
The primary reason many people over 60 opt for private health cover is to bypass long waiting times for the NHS. It's about taking control of your health and ensuring you get seen quickly when a new medical issue arises.
According to the latest NHS England data (as of mid-2024), the referral to treatment (RTT) waiting list remains extensive, with millions of treatments outstanding. The British Medical Association highlights that a significant number of patients wait more than 18 weeks, and many thousands wait over a year for planned hospital treatment.
Key benefits of private health insurance for over 60s include:
- Prompt Access to Specialists: See a consultant quickly for diagnosis, often within days or weeks, rather than months.
- Faster Treatment: Once diagnosed, receive eligible treatment without the lengthy NHS wait. This is crucial for conditions where early intervention improves outcomes, such as for joint replacements or cataract surgery.
- Choice and Comfort: You can often choose your specialist and the hospital where you're treated. A private room with an en-suite bathroom, more flexible visiting hours, and better food can make a hospital stay much more comfortable.
- Access to Advanced Treatments: Some policies provide access to drugs, treatments, or procedures that may not yet be available on the NHS due to funding decisions.
- Peace of Mind: Knowing you have a plan in place to deal with unexpected health issues can significantly reduce anxiety for you and your family.
Real-Life Example:
Margaret, a 67-year-old retired teacher, started experiencing severe hip pain. Her GP referred her to an NHS specialist, but she was told the wait for an initial consultation would be nine months, with a further 12-18 month wait for a hip replacement. Using her private medical insurance, she saw a specialist within two weeks and had her surgery a month later at a private hospital near her home. She was back to her passion, gardening, within a few months.
How Does Private Medical Insurance Work for Over 60s?
Private medical insurance is designed to cover the costs of diagnosis and treatment for acute conditions that arise after you take out your policy.
It’s crucial to understand two key definitions:
- Acute Condition: A disease, illness, or injury that is likely to respond quickly to treatment and lead to a full recovery. Examples include joint pain requiring a replacement, cataracts, hernias, or diagnosable symptoms like a persistent cough.
- Chronic Condition: An illness that cannot be cured and needs long-term management. Examples include diabetes, arthritis, high blood pressure, and asthma.
UK private medical insurance does not cover chronic conditions. It is designed to get you diagnosed and treated for new, curable issues, returning you to the care of your NHS GP for any ongoing management.
The Critical Point: Pre-Existing Conditions
Insurers will also not cover medical conditions you had before you took out the policy. This is a fundamental principle of private health cover in the UK. How they handle this is determined by the type of underwriting you choose. We'll explore this in more detail later, but it means if you have a history of heart trouble, for example, your policy won't cover future treatment for that specific heart condition.
Key Features of Health Insurance Policies for Seniors
PMI policies are built from a core foundation with optional extras, allowing you to tailor the cover to your needs and budget.
| Feature | Description | Typically Included? |
|---|
| In-Patient & Day-Patient Cover | Covers costs when you are admitted to a hospital bed, including surgery, accommodation, and nursing care. | Core (Standard) |
| Out-Patient Cover | Covers diagnostic tests and consultations that don't require a hospital bed. This is often limited or an optional extra. | Optional Add-On |
| Cancer Cover | Usually comprehensive, covering diagnosis, surgery, chemotherapy, and radiotherapy. Some policies include access to new drugs. | Core (Usually Comprehensive) |
| Therapies | Covers treatments like physiotherapy, osteopathy, and chiropractic care, often up to a set number of sessions. | Optional Add-On |
| Mental Health Cover | Provides access to psychiatric treatment and therapy. Cover levels can vary significantly between insurers. | Often an Add-On |
| Dental & Optical Cover | Covers routine check-ups, dental treatment, and the cost of glasses or contact lenses. | Optional Add-On |
Understanding Your Cover Levels
- In-Patient Cover: This is the bedrock of any policy. It covers you if you need to be admitted to hospital for a procedure, from cataract surgery to a heart bypass or joint replacement.
- Out-Patient Cover: This is one of the biggest variables affecting your premium. A basic policy might have no out-patient cover, meaning you'd rely on the NHS for diagnostics. A comprehensive policy might offer unlimited out-patient cover. A popular mid-range option is to have a financial limit, for example, £1,000 per year for consultations and tests.
- Cancer Cover: This is a major reason people buy PMI. Most policies offer extensive cancer cover, but it's vital to check the details. Will it cover advanced therapies and new, experimental drugs? An expert broker like WeCovr can help you compare these crucial differences.
How Much Does Private Health Insurance Cost for Over 60s?
Age is the most significant factor in determining the cost of private health insurance. Premiums naturally increase as we get older because the statistical likelihood of needing to make a claim rises. However, the price is also influenced by several other factors.
Factors Influencing Your Premium:
- Age: The older you are, the higher the premium.
- Location: Treatment costs vary across the UK. Central London is the most expensive, so premiums are higher for residents there compared to someone in Scotland or the North of England.
- Level of Cover: A comprehensive plan with full out-patient and therapy cover will cost more than a basic in-patient-only plan.
- Excess: This is the amount you agree to pay towards the cost of a claim. A higher excess (£500 or £1,000) will significantly lower your monthly premium.
- Hospital List: Insurers have different tiers of hospital lists. A plan that includes premium London hospitals will be more expensive than one with a national network of quality private hospitals.
- No-Claims Discount: Similar to car insurance, you can build up a no-claims discount over time, which reduces your renewal premium.
Example Monthly Premiums for Over 60s
These are illustrative examples to give you a general idea. Costs will vary based on your individual circumstances. An independent broker can provide you with precise quotes.
| Age | Location | Level of Cover | Excess | Estimated Monthly Premium |
|---|
| 65 | Manchester | Basic (In-patient only) | £500 | £90 - £130 |
| 65 | Manchester | Comprehensive (Full Out-patient) | £250 | £180 - £250 |
| 70 | Surrey | Basic (In-patient only) | £500 | £140 - £190 |
| 70 | Surrey | Comprehensive (Full Out-patient) | £250 | £270 - £380 |
*These figures are for illustrative purposes only (checked mid-2024).
How to Reduce the Cost of Your PMI Policy
While premiums for over 60s are higher than for younger individuals, there are several effective ways to make your private medical insurance UK policy more affordable without sacrificing essential cover.
- Increase Your Excess: Choosing a higher excess is the quickest way to lower your premium. If you have savings, you might be comfortable with a £500 or £1,000 excess, knowing you'd only pay it if you make a claim.
- Opt for a 6-Week Wait Option: This is a clever compromise. Your policy will only pay for in-patient treatment if the waiting time for that treatment on the NHS 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%.
- Choose a Guided Consultant List: Some insurers offer a "guided" or "expert select" option. Instead of having a free choice of any consultant, the insurer provides you with a shortlist of 3-5 specialists they have vetted for quality and value. This gives you less choice but comes with a lower premium.
- Tailor Your Out-Patient Cover: Do you need unlimited out-patient cover? Perhaps a limit of £1,000 per year is sufficient for initial diagnostics, which provides a good balance between cost and cover.
- Pay Annually: Most insurers offer a small discount (around 5%) if you pay for your policy annually instead of monthly.
- Use an Independent PMI Broker: A specialist broker like WeCovr does the shopping for you. We have access to the whole market and can find policies that aren't available on comparison websites. Our service is free to you, as we are paid by the insurer you choose. We can pinpoint the best value policy for your specific age and health needs.
Comparing the Best UK Private Health Insurance Providers for Over 60s
The UK has several excellent insurers, each with slightly different strengths. There is no single "best" provider; the right one depends entirely on your priorities.
| Provider | Key Strengths for Over 60s | Wellness & Lifestyle Benefits |
|---|
| Bupa | Strong brand reputation, extensive hospital network, and direct access to some services without a GP referral. | Offers a range of health information and support lines. |
| AXA Health | Excellent customer service, comprehensive cancer cover, and flexible policy options. | Focuses on proactive health support, including a 24/7 health support line. |
| Aviva | Known for its "Expert Select" guided option and strong digital tools. Often very competitive on price. | Good digital GP service and well-being support. |
| Vitality | Unique approach that rewards healthy living with discounts and perks. Can be great value if you are active. | The active rewards programme can reduce future premiums and offer perks like cinema tickets and coffee. |
| The Exeter | A friendly society known for its focus on individuals and excellent claims service. No upper age limit for joining. | Strong customer-first ethos, which many older clients appreciate. |
The Vital Role of a Health Insurance Broker
Choosing a PMI policy, especially later in life, can feel complex. The terminology is confusing, and the implications of your choices are significant. This is where an independent broker adds immense value.
Why use WeCovr?
- Expert, Unbiased Advice: We are experts in the private medical insurance UK market. We work for you, not the insurers. Our job is to understand your needs and find the policy that offers the best cover at the most competitive price.
- Market Comparison: We compare plans from all the leading UK insurers, including specialist providers you might not find online.
- No Cost to You: Our advice and support are completely free. You pay the same premium as you would going direct to the insurer, but with the benefit of our expert guidance.
- Help with the Details: We'll explain the jargon, compare the small print on things like cancer cover, and guide you through the application process.
- Added Value: As a WeCovr client, you'll receive complimentary access to our AI-powered calorie and nutrition tracking app, CalorieHero, to help you stay on top of your health goals. You may also be eligible for discounts on other insurance products, like travel or life insurance.
Beyond Insurance: Embracing a Healthy Lifestyle in Your 60s
Private health insurance is a safety net for when things go wrong, but the best strategy is to invest in your health every day. A healthy lifestyle not only improves your quality of life but can also help manage the risk of developing conditions that require treatment.
- Stay Active: The NHS recommends adults aged 65 and over aim for at least 150 minutes of moderate-intensity activity a week. This could be brisk walking, cycling, dancing, or water aerobics. Activities that improve strength, balance, and flexibility, like yoga or tai chi, are also highly beneficial.
- Eat a Balanced Diet: Focus on a diet rich in fruits, vegetables, whole grains, and lean protein. Staying hydrated is also key. A healthy diet helps manage weight, blood pressure, and cholesterol.
- Prioritise Sleep: Good sleep is vital for mental and physical repair. Aim for 7-8 hours per night. If you struggle with sleep, speak to your GP, as it can be a symptom of other issues.
- Stay Socially Connected: Loneliness and social isolation can have a significant negative impact on health. Make time for friends, family, and community groups. Joining clubs or volunteering are great ways to stay engaged.
- Regular Health Checks: Don't skip your NHS health checks, eye tests, and dental appointments. Early detection is key to managing many health conditions effectively.
Understanding Underwriting: Moratorium vs. Full Medical Underwriting
This is perhaps the most technical but most important decision you'll make when buying a policy. Underwriting is how an insurer assesses your medical history to decide what they will and won't cover.
| Underwriting Type | How It Works | Pros | Cons |
|---|
| Moratorium (Mori) | You don't declare your medical history upfront. The insurer automatically excludes any condition you've had symptoms of, or treatment for, in the 5 years before your policy started. This exclusion lasts for the first 2 years of your policy. If you remain symptom-free and treatment-free for that condition for a continuous 2-year period after your policy starts, it may become eligible for cover. | Quicker and simpler application process. | Lack of clarity from day one. You may not know if a condition is covered until you claim. |
| Full Medical Underwriting (FMU) | You complete a detailed health questionnaire, declaring all previous medical conditions. The insurer then assesses your history and tells you exactly what is excluded from cover from the very beginning. | Complete clarity. You know precisely what is and isn't covered from day one. | The application process is longer and more intrusive. The exclusions are permanent. |
Which is right for you?
- If you have a clean bill of health or haven't seen a doctor for minor issues in the last 5 years, Moratorium can be a simple and fast option.
- If you have a more complex medical history and want absolute certainty about what's covered, Full Medical Underwriting is the better choice.
An expert at WeCovr can talk you through your personal situation and help you decide which path is most suitable.
Do I need to have a medical examination to get health insurance over 60?
No, it is very rare for UK insurers to require a medical exam to take out a private health insurance policy. Instead, they will assess your health through the underwriting process, which involves either a detailed health questionnaire (Full Medical Underwriting) or a blanket exclusion of recent pre-existing conditions (Moratorium underwriting).
What happens if I develop a chronic condition after I've taken out the policy?
Private medical insurance will typically cover the initial diagnosis of the condition. For example, if you develop symptoms that lead to a diagnosis of arthritis, your PMI policy would cover the consultant fees and diagnostic tests (like X-rays or MRI scans) to confirm it. However, once it is diagnosed as a chronic condition, the long-term management, including routine check-ups and medication, would be passed back to your NHS GP. The policy has fulfilled its role of providing a prompt diagnosis.
Is there an age limit for taking out private medical insurance?
This varies by insurer. Many mainstream providers have an upper age limit for new customers, which can be anywhere from 65 to 79. However, some specialist insurers and friendly societies, like The Exeter, have no upper age limit for joining. This is why using a broker is so important, as they can quickly identify the insurers who will offer cover to someone in your specific age bracket. Once you have a policy, it is nearly always renewable for life, provided you keep paying the premiums.
Can I add my partner to my health insurance policy?
Yes, absolutely. Most insurers offer joint policies for couples and families. It is often simpler and can sometimes be slightly cheaper to have one policy rather than two separate ones. The premium will be calculated based on the age and health circumstances of both individuals.
Take the Next Step Towards Peace of Mind
Navigating the world of private medical insurance can be daunting, but you don't have to do it alone. Protecting your health is one of the most important investments you can make for your future.
The expert team at WeCovr is here to provide free, no-obligation advice tailored to your needs. We'll help you compare the market, understand your options, and find a policy that gives you the right cover at the right price.
Contact WeCovr today to get your free, personalised health insurance quote and take control of your health journey.