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Private Health Insurance for Over 65s and Pensioners Options Compared

As an experienced UK private medical insurance broker that has arranged cover for over 900,000 people, WeCovr understands that navigating your healthcare options in retirement can feel daunting. This guide provides clear, regulated guidance on private health insurance for over 65s and pensioners, helping you make an informed decision for your future.

Last updated Oct 29, 2026

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Private Health Insurance for Over 65s and Pensioners...

TL;DR

As an experienced UK private medical insurance broker that has arranged cover for over 900,000 people, WeCovr understands that navigating your healthcare options in retirement can feel daunting. This guide provides clear, regulated guidance on private health insurance for over 65s and pensioners, helping you make an informed decision for your future.

Key takeaways

  • Pre-existing conditions are any health issues you had before you took out the policy.
  • Chronic conditions are long-term illnesses that cannot be cured, only managed, such as diabetes, arthritis, or high blood pressure. These will always be managed by your NHS GP.
  • Accident & Emergency (A&E) services
  • GP appointments
  • Management of chronic conditions

As an experienced UK private medical insurance broker that has arranged cover for over 900,000 people, WeCovr understands that navigating your healthcare options in retirement can feel daunting. This guide provides clear, regulated guidance on private health insurance for over 65s and pensioners, helping you make an informed decision for your future.

Private Health Insurance for Over 65s and Pensioners Options Compared

Entering your retirement years often brings a renewed focus on health and wellbeing. With NHS waiting lists remaining a significant concern, many pensioners and those over 65 are exploring private medical insurance (PMI) for the first time.

PMI is designed to work alongside the excellent emergency and chronic care services provided by the NHS. It offers a way to bypass queues for eligible, non-urgent treatments, giving you faster access to specialists, diagnostic tests, and surgery.

This comprehensive guide will walk you through everything you need to know, from how policies work and what they cost, to the crucial details about what is—and what is not—covered.

What is Private Health Insurance and How Does it Work?

Private Medical Insurance, often called PMI or private health cover, is an insurance policy that pays for the costs of private medical treatment for acute conditions.

An acute condition is a disease, illness, or injury that is likely to respond quickly to treatment and lead to a full recovery. Think of things like joint replacements, cataract surgery, or hernia repairs.

Crucially, standard UK PMI does not cover chronic or pre-existing conditions.

  • Pre-existing conditions are any health issues you had before you took out the policy.
  • Chronic conditions are long-term illnesses that cannot be cured, only managed, such as diabetes, arthritis, or high blood pressure. These will always be managed by your NHS GP.

PMI complements the NHS; it does not replace it. You will still rely on the NHS for:

  • Accident & Emergency (A&E) services
  • GP appointments
  • Management of chronic conditions
  • Drug prescriptions (though some PMI policies cover expensive drugs not available on the NHS)

The Private Treatment Journey: A Real-Life Example

  1. Symptom: Mrs. Davies, 72, develops persistent knee pain that affects her daily walks.
  2. GP Visit (NHS): She visits her NHS GP, who suspects a torn meniscus and refers her to an NHS orthopaedic specialist. The estimated waiting time for the consultation is 28 weeks.
  3. PMI Activation: Mrs. Davies calls her PMI provider. They approve a private consultation.
  4. Private Consultation: Within a week, she sees a consultant of her choice at a local private hospital. An MRI scan is arranged for the following day.
  5. Diagnosis & Treatment: The scan confirms the diagnosis. The consultant recommends keyhole surgery. Her PMI provider pre-authorises the procedure.
  6. Surgery & Recovery: Two weeks later, Mrs. Davies has the surgery in a private en-suite room and begins her recovery, with post-operative physiotherapy sessions also covered by her policy.

Without PMI, she might have waited many months, in discomfort, just for the initial specialist appointment.

The Pros and Cons of PMI for Over 65s

Deciding on private health cover in retirement involves weighing the benefits against the costs and limitations.

Pros of PMI for PensionersCons of PMI for Pensioners
Faster Treatment: Significantly reduce waiting times for consultations, scans, and surgery.High Cost: Premiums increase substantially with age, which can be a strain on a fixed retirement income.
Choice and Control: Choose your specialist, hospital, and appointment times.Exclusions are Key: Does not cover pre-existing or chronic conditions. This is the biggest limitation.
Comfort and Privacy: Access to private hospitals with en-suite rooms.Policy Complexity: Cover levels, excesses, and hospital lists can be confusing without regulated guidance.
Access to Specialist Care: Potential access to drugs or treatments not yet available on the NHS.No Emergency Cover: You will still need the NHS for A&E and urgent situations.
Peace of Mind: Knowing you have a plan to get treated quickly if a new condition arises.Annual Premium Rises: Costs rise each year due to your age and medical inflation (typically 8-12%).

For many, the primary benefit is mitigating the risk of a long, painful wait for treatment that could severely impact their quality of life in their golden years.

Understanding the Costs: How Much is Private Health Insurance for Pensioners?

Cost is the single biggest factor for most people considering PMI in retirement. Premiums are based on several key factors:

  • Age: This is the most significant driver. The older you are, the higher the statistical risk of claiming, so the premium is higher.
  • Location: Treatment costs vary across the UK. Living in Central London, for example, is more expensive than living in rural Scotland.
  • Level of Cover: A comprehensive policy with full outpatient cover will cost more than a basic one covering only inpatient treatment.
  • Excess: This is the amount you agree to pay towards any claim. A higher excess (£500 or £1,000) will significantly lower your monthly premium.
  • Hospital List: Policies with access to all UK hospitals (including prime London ones) are more expensive than those with a more restricted regional list.

Illustrative Monthly Premiums for Over 65s (2026 Estimates)

The table below provides an estimated monthly cost for a non-smoker with a £250 excess. These are for illustrative purposes only; your actual quote will depend on your specific circumstances.

Age BracketBasic Cover (Inpatient Only)Mid-Range Cover (Some Outpatient)Comprehensive Cover (Full Outpatient)
65-69£110 - £160£150 - £220£200 - £300
70-74£140 - £200£190 - £280£270 - £400
75-79£180 - £260£250 - £370£350 - £550
80+£220 - £350+£300 - £480+£450 - £700+

Expert Tip: One of the most effective ways to manage costs is the 6-Week Wait Option. With this, if the NHS can treat you within six weeks for an eligible condition, you use the NHS. If the wait is longer, your private cover kicks in. This can reduce premiums by up to 30%.

Get a quote through WeCovr, and a specialist from WeCovr or one of its broker partners will help you compare policies from a range of UK insurers.

The Crucial Role of Underwriting: Your Medical History Matters

When you apply for PMI, the insurer needs to know about your medical history to determine what they will and will not cover. This process is called underwriting. There are two main types for new policies.

1. Moratorium Underwriting (The "Wait and See" Approach)

This is the most common type. You don't have to complete a detailed medical questionnaire. Instead, the policy automatically excludes any condition you've had symptoms, treatment, or advice for in the five years before your policy starts.

However, if you then go two continuous years on the policy without any symptoms, treatment, or advice for that condition, the exclusion may be lifted, and it could become eligible for cover.

  • Best for: People who are generally healthy or have had minor issues more than five years ago.
  • Downside: There can be uncertainty. A claim might be delayed while the insurer investigates if the condition is pre-existing.

2. Full Medical Underwriting (FMU) (The "Declare Everything" Approach)

With FMU, you complete a detailed health questionnaire, listing your full medical history. The insurer's underwriting team assesses your application and provides a clear statement of what is and isn't covered from day one. Any exclusions applied are usually permanent.

  • Best for: People who want absolute clarity on their cover from the start, or those who have recently switched from a company policy.
  • Downside: The application process is longer, and past conditions will be formally and permanently excluded.
FeatureMoratorium UnderwritingFull Medical Underwriting (FMU)
Application ProcessQuick, no medical formsDetailed health questionnaire
Pre-existing ConditionsAutomatically excluded for a set periodDeclared upfront and listed as specific exclusions
Clarity of CoverLess certainty at the point of claimFull certainty from day one
Can Exclusions be Lifted?Yes, after a 2-year trouble-free periodNo, exclusions are typically permanent
Best Suited ForSimplicity and speed; those with a clean recent medical history.Certainty; those with a complex medical history they want defined.

Broker Insight: Choosing the right underwriting is critical. A specialist at WeCovr or one of our broker partners can analyse your health history and advise which method is most likely to give you the best outcome, potentially securing cover where you might not expect it.

Comparing Top UK Private Health Insurance Providers for Over 65s

The UK PMI market is dominated by a few key players, each with different strengths. While some have historically had upper age limits for new applicants, most now offer policies to older individuals, recognising the growing demand.

Here’s a brief overview of the main providers:

ProviderKey Feature for Over 65s & PensionersNotes
BupaStrong brand recognition and a large network of hospitals and clinics.Often seen as a premium choice, known for comprehensive cancer cover.
AXA HealthExcellent mental health support and a guided pathway ('Guided Option') to help reduce costs.No upper age limit for joining. Flexible policies.
Aviva"Expert Select" hospital option can reduce premiums. Strong digital GP service.Good all-round provider with a history of competitive pricing.
VitalityFocuses on rewarding healthy living with discounts and benefits.Can be great value if you are active, but the rewards programme can be complex.
The ExeterA specialist friendly society known for considering pre-existing conditions and flexible underwriting.Often a popular insurer for those with some health history. No upper age limit.

Important: The "best" provider is entirely subjective. The right choice for your neighbour may be the wrong one for you. It depends on your budget, location, and health. This is why using a regulated broker is so valuable. A WeCovr specialist or trusted broker partner compares the whole market to find the policy that fits your personal needs and budget, with no separate broker fee.

Switching Your Health Insurance in Retirement

Many people first encounter PMI through a workplace scheme. When you retire, that cover ceases. This is a critical transition point.

Do not simply let your company cover lapse!

If you are leaving a group scheme, you have a one-time opportunity to switch to a personal policy on "Continued Personal Medical Exclusions" (CPME) terms.

  • What is CPME? This special type of underwriting allows you to carry over your existing cover without any new medical checks. Crucially, it means any conditions that developed while you were on the company scheme will remain covered by your new personal policy.
  • Why is it important? If you let the policy lapse and apply for a new one later, any conditions you developed (e.g., a heart condition, joint problems) will be classed as pre-existing and excluded forever.

Expert Adviser Tip: Contact a broker 1-2 months before you retire. We can manage the switch seamlessly, ensuring there are no gaps in your cover and that you don't lose protection for conditions you've already been treated for.

Getting the Most Value from Your Policy

Once you have your cover, make sure you use its features:

  1. Use the Digital GP: Most providers offer a 24/7 remote GP service. It's perfect for getting quick advice and prescriptions without leaving home.
  2. Understand Your Hospital List: Familiarise yourself with which local private hospitals are on your list to avoid any surprises.
  3. Review Annually: Don't just let your policy auto-renew. Premiums will rise each year. A quick annual review with a broker can often find better value by adjusting your cover or switching providers (if appropriate).
  4. Embrace the Extras: Many policies come with added benefits like mental health support lines, physiotherapy access, and wellness apps. WeCovr clients also receive complimentary access to our AI-powered nutrition tracker, CalorieHero, and discounts on other insurance like life or home cover.

Take Control of Your Healthcare Future

Deciding on private health insurance in retirement is a significant financial and personal choice. It offers the powerful benefits of speed, choice, and peace of mind, but it comes at a cost and with important limitations, especially regarding pre-existing and chronic conditions.

The key is to find a policy that balances comprehensive protection with a premium that fits your retirement budget. Navigating the complexities of underwriting, hospital lists, and benefit limits alone can be overwhelming.

Working with an experienced, WeCovr specialist or one of our broker partners removes the guesswork. We do the hard work of comparing the market for you, explaining your options in plain English, and ensuring you get the right cover at a competitive price.

Ready to explore your options? Get a free, no-obligation quote today and see how affordable peace of mind can be.

Get a quote through WeCovr, and a specialist from WeCovr or one of its broker partners will help you compare policies from a range of UK insurers.


Is there an age limit for private health insurance in the UK?

Most UK health insurance providers no longer have an upper age limit for new applicants. While it was common in the past, insurers like Aviva, AXA Health, and The Exeter now offer policies to individuals aged 65, 70, 80, and beyond. However, premiums increase significantly with age, so the cost will be higher for older applicants.

Can I get private health insurance if I have pre-existing conditions?

Yes, you can get a policy, but it will not cover your pre-existing conditions. Standard UK private medical insurance is designed to cover new, acute conditions that arise after your policy begins. Any condition for which you have had symptoms, medication, or advice in the 5 years prior to joining will be excluded, either temporarily under moratorium underwriting or permanently under full medical underwriting.

Is private health insurance tax deductible for pensioners?

No, for individuals and pensioners paying for their own private health insurance, the premiums are not tax deductible. You pay for the policy out of your post-tax income. The rules are different for businesses paying for employee health insurance, where it is often treated as a tax-deductible business expense.

What is cheaper: Moratorium or Full Medical Underwriting?

Initially, there is often little to no price difference between the two underwriting methods from the same insurer. The choice impacts what is covered, not necessarily the starting price. However, Full Medical Underwriting (FMU) can sometimes be cheaper if you have a very clean bill of health, as the insurer has a lower perceived risk. Conversely, if you have several minor past conditions, an insurer might 'load' the premium (increase the price) on an FMU basis, making a Moratorium policy a better-value option. An expert broker can advise on the best financial choice for your specific health history.

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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