
As an FCA-authorised expert broker that has helped arrange over 800,000 policies, WeCovr understands the nuances of the UK private medical insurance market. A common question we encounter is whether securing cover is possible later in life. This guide explains the reality of getting PMI for those aged 80 and over.
The short answer is yes, it is often possible to get private health insurance (PMI) if you are over 80 in the UK. However, the reality is more complex than a simple yes or no. While the door isn't closed, the path to securing a policy is narrower, the options are fewer, and the cost is significantly higher.
Many people assume that once you reach a certain age, private health cover becomes unavailable. This is a myth. Several specialist UK insurers have designed policies specifically for the older market, recognising that many people wish to bypass NHS waiting lists for eligible treatments well into their retirement.
The key challenges you will face are:
In this comprehensive guide, we'll break down these challenges, explore the costs, and explain how you can navigate the market to find the right cover for your needs.
To understand why getting PMI over 80 is challenging, it helps to see things from the insurer's point of view. Insurance is fundamentally about balancing risk. Insurers calculate premiums based on the statistical likelihood of a person making a claim.
As we age, the probability of needing medical treatment naturally increases. According to the Office for National Statistics (ONS), the UK has an ageing population. Projections suggest that the number of people aged 85 and over is set to rise substantially in the coming decades. This demographic trend means insurers anticipate a higher volume of claims from older policyholders.
For an insurer, an older applicant represents a higher risk of:
This increased statistical risk is directly reflected in the premiums charged. It's not a personal judgement; it's a commercial reality based on vast amounts of population health data.
This is the most important concept to grasp when considering private medical insurance at any age, but especially over 80.
Furthermore, any condition you have received medical advice or treatment for before taking out a policy is considered a pre-existing condition. These will also be excluded from your cover. For an applicant in their 80s, it's highly likely they will have one or more pre-existing or chronic conditions, which will be excluded from any new policy.
Key Takeaway: You are buying insurance for new, unforeseen acute health problems, not for the management of existing or long-term illnesses. The NHS remains your port of call for chronic condition management and emergencies.
While policies vary, the core structure of what is covered remains consistent. The main benefit is gaining faster access to diagnosis and treatment for eligible conditions, allowing you to bypass potentially long NHS waiting lists. As of early 2025, NHS England data shows millions of people on the waiting list for consultant-led elective care, with a median waiting time of several months. PMI offers a way to circumvent this for specific treatments.
Here’s a typical breakdown of what you can expect to be included and excluded.
| Feature | Typically Included | Typically Excluded |
|---|---|---|
| Hospital Treatment | In-patient and day-patient treatment in a private hospital. | Treatment in a hospital not on the insurer's approved list. |
| Consultations | Consultations with specialists and consultants. | Consultations for conditions not covered by the policy. |
| Diagnostic Tests | Scans like MRI, CT, and PET scans, and other diagnostic tests. | Routine health screenings not related to specific symptoms. |
| Cancer Care | Comprehensive cover for cancer diagnosis and treatment is a core feature of most policies. | Experimental treatments; monitoring of pre-existing cancers. |
| Mental Health | Some cover for acute mental health conditions (often with limits). | Chronic mental health conditions. |
| Therapies | Physiotherapy, osteopathy, etc., often following a hospital procedure. | Therapies for chronic conditions like arthritis. |
| Pre-existing Conditions | N/A | Any condition you had before the policy started. |
| Chronic Conditions | N/A | Diabetes, high blood pressure, asthma, arthritis, etc. |
| Emergencies | N/A | Accident & Emergency services are provided by the NHS. |
| Other Common Exclusions | N/A | Routine dental, optical care, cosmetic surgery, mobility aids. |
This is often the deciding factor. Premiums for this age group are the highest in the market. The cost is determined by a combination of factors:
To give you a realistic idea, here are some estimated monthly premiums for an 82-year-old.
Important: These are illustrative examples only. Your actual quote will depend on your specific circumstances and the insurer you choose.
| Location | Basic Cover (In-patient only, £500 excess) | Comprehensive Cover (In/Out-patient, full cancer care, £250 excess) |
|---|---|---|
| Outside London (e.g., Manchester) | £250 - £400 per month | £450 - £650 per month |
| Greater London | £300 - £480 per month | £550 - £800+ per month |
As you can see, the costs are substantial. It requires a careful budget assessment to determine if the benefits of faster treatment for new acute conditions justify the significant ongoing expense.
Given the limited options and high costs, a scattergun approach of applying to multiple insurers directly is rarely effective. A strategic approach is essential.
This is the most efficient way to navigate the market. An independent broker, like WeCovr, understands the landscape and knows which insurers are most receptive to older applicants.
Benefits of using a broker:
When you apply, the insurer needs to know about your medical history to decide what they will exclude. There are two main ways they do this:
For applicants over 80, Full Medical Underwriting is almost always the recommended path. It provides certainty and avoids potential disputes later on.
Don't pay for cover you don't need. Consider these ways to manage the cost:
Given the high cost, it's wise to consider the alternatives. PMI is not the right choice for everyone.
Self-Funding Treatment: You could choose to pay for private treatment on a case-by-case basis as and when you need it. This avoids monthly premiums, but you need significant savings to cover potential costs.
Health Cash Plans: These are not insurance policies but rather savings plans that help you budget for routine healthcare costs. You pay a small monthly fee and can then claim back cash for expenses like dental check-ups, eye tests, glasses, and physiotherapy, up to an annual limit. They are much cheaper than PMI but do not cover the cost of surgery or major treatments.
Relying on the NHS: The NHS provides excellent care, especially for emergencies and complex, chronic conditions. For many, continuing to rely solely on the NHS is the most sensible financial decision. The primary trade-off is the potential for long waits for elective procedures.
Insurance is a safety net, but the best strategy is to invest in your health. Staying active and engaged can have a profound impact on your quality of life.
As a WeCovr client, you also get complimentary access to our AI-powered calorie and nutrition tracking app, CalorieHero, to help you manage your diet and stay on track with your health goals.
Whether private medical insurance is a worthwhile investment in your 80s is a deeply personal decision. It hinges on your financial situation, your attitude towards risk, and your health priorities.
It might be a good idea if:
It might not be the right choice if:
The best first step is to get a clear picture of what's available to you. An expert broker can provide a no-obligation overview of the market, tailored to your age and health. At WeCovr, we help you compare quotes from the UK's leading specialist insurers, explain the policy details in plain English, and empower you to make an informed decision. We can also offer discounts on other types of insurance, such as travel or home cover, when you take out a health or life policy with us.
Ready to explore your options? Get a free, no-obligation quote from WeCovr today. Our expert advisors will help you understand the costs and benefits, allowing you to make the best choice for your health and your future.






