TL;DR
As an FCA-authorised expert with over 900,000 policies arranged, WeCovr helps you navigate the complexities of UK private medical insurance. This guide clarifies the 2026 requirements for Skilled Worker Visa applicants, explaining the mandatory Immigration Health Surcharge (IHS) and the valuable role of private health cover. A guide for immigrants to the UK preventing IHS double-taxation and finding compliant private medical insurance for visa applications Moving to the UK on a Skilled Worker Visa is an exciting prospect.
Key takeaways
- What it covers: GP appointments, hospital treatment, emergency care, maternity services, and more.
- Key challenge: While excellent for emergencies and critical care, the NHS faces significant pressure. As of late 2025, waiting lists for non-urgent procedures can stretch for many months, and sometimes over a year.
- What it offers: The primary benefits are speed and choice. PMI allows you to bypass NHS waiting lists for eligible conditions, choose your specialist, and often receive treatment in a private hospital with an en-suite room.
- What it doesn't cover: Private medical insurance UK is designed for acute conditions—illnesses or injuries that are likely to respond quickly to treatment. It does not cover chronic conditions (like diabetes or asthma) or pre-existing conditions that you had before taking out the policy. Emergency care is also handled by the NHS.
- To Bypass NHS Waiting Lists: This is the number one driver. If you develop a painful knee problem or need a hernia operation, the NHS waiting list could be over 12 months. With PMI, you could be seen by a specialist within days and have your surgery within weeks. For a skilled worker, being off work or in discomfort for a year is simply not an option.
As an FCA-authorised expert with over 900,000 policies arranged, WeCovr helps you navigate the complexities of UK private medical insurance. This guide clarifies the 2026 requirements for Skilled Worker Visa applicants, explaining the mandatory Immigration Health Surcharge (IHS) and the valuable role of private health cover.
A guide for immigrants to the UK preventing IHS double-taxation and finding compliant private medical insurance for visa applications
Moving to the UK on a Skilled Worker Visa is an exciting prospect. However, navigating the healthcare requirements can be confusing. You've likely heard about the mandatory Immigration Health Surcharge (IHS) giving you access to the NHS. You may also be wondering if you need private medical insurance (PMI) and if it can exempt you from the IHS fee.
This comprehensive guide clarifies the rules for 2026, debunks common myths, and explains why thousands of skilled workers choose to invest in private health insurance despite paying the IHS. We will explore how to find a compliant policy that offers peace of mind and swift access to medical care, ensuring your move to the UK is as smooth as possible.
Understanding the UK Healthcare System: The NHS and Private Care
The UK operates a dual healthcare system. Understanding the difference is crucial for any new resident.
1. The National Health Service (NHS): The NHS is the UK's state-funded healthcare system. It provides comprehensive medical care, free at the point of use for legal UK residents. Your mandatory Immigration Health Surcharge (IHS) payment grants you access to the NHS on broadly the same basis as a British citizen.
- What it covers: GP appointments, hospital treatment, emergency care, maternity services, and more.
- Key challenge: While excellent for emergencies and critical care, the NHS faces significant pressure. As of late 2025, waiting lists for non-urgent procedures can stretch for many months, and sometimes over a year.
2. The Private Healthcare Sector: This sector runs parallel to the NHS. It consists of private hospitals, clinics, and specialists. Care is funded by individuals directly or, more commonly, through private medical insurance (PMI).
- What it offers: The primary benefits are speed and choice. PMI allows you to bypass NHS waiting lists for eligible conditions, choose your specialist, and often receive treatment in a private hospital with an en-suite room.
- What it doesn't cover: Private medical insurance UK is designed for acute conditions—illnesses or injuries that are likely to respond quickly to treatment. It does not cover chronic conditions (like diabetes or asthma) or pre-existing conditions that you had before taking out the policy. Emergency care is also handled by the NHS.
The Immigration Health Surcharge (IHS): A Mandatory Requirement
Before we discuss private insurance, it is vital to understand the Immigration Health Surcharge (IHS).
The IHS is a compulsory fee for most individuals applying for a UK visa for more than six months, including the Skilled Worker Visa.
Paying the surcharge is a mandatory part of your visa application. It grants you access to the NHS. The fee must be paid in full, upfront, for the entire duration of your visa.
| Visa Applicant Type | Annual IHS Fee (2026 Estimate) | Total for 3-Year Visa | Total for 5-Year Visa |
|---|---|---|---|
| Standard Applicant | £1,035 | £3,105 | £5,175 |
| Student / Youth Mobility | £776 | £2,328 | N/A |
Note: These figures are based on the latest government rates and are subject to change. Always check the official gov.uk website for the most current fees before applying.
Can Private Health Insurance Replace the IHS for a Visa Application?
This is the most common question we receive, and the answer is simple and direct:
No. You cannot use private medical insurance to avoid paying the Immigration Health Surcharge for a Skilled Worker Visa. The IHS is a mandatory condition of your visa application. There are no exemptions for those who hold private health cover.
Attempting to apply for a visa without paying the IHS will result in an automatic refusal. Therefore, you should consider the IHS as a fixed, non-negotiable cost of your move to the UK.
The "Double Payment" Dilemma: Why Skilled Workers Still Buy PMI
If you're already paying thousands for NHS access via the IHS, why would you also pay for private medical insurance? This is not "double taxation" but a conscious choice to have a superior level of healthcare access.
Skilled professionals moving to the UK value their health and their time. They choose PMI for three main reasons:
-
To Bypass NHS Waiting Lists: This is the number one driver. If you develop a painful knee problem or need a hernia operation, the NHS waiting list could be over 12 months. With PMI, you could be seen by a specialist within days and have your surgery within weeks. For a skilled worker, being off work or in discomfort for a year is simply not an option.
-
Choice and Control: PMI gives you control over your healthcare. You can often choose the hospital and the specialist who treats you, ensuring you are seen by a leading expert in their field at a time that suits your schedule.
-
Enhanced Comfort and Privacy: Private treatment almost always includes a private en-suite room, more flexible visiting hours, and better food. This makes a stressful experience far more comfortable.
Real-Life Scenario: Ananya, a 35-year-old software architect, moves to London on a Skilled Worker Visa. She pays the IHS. Six months later, she develops severe shoulder pain. Her NHS GP refers her to a specialist, but the waiting list for a consultation is 9 months, with a further 6-month wait for potential surgery.
Because Ananya invested in a PMI policy, she calls her insurer. They approve a consultation with a top shoulder surgeon for the following week. An MRI is done two days later, and surgery is scheduled for ten days after that. She is back at work with her recovery well underway in under a month, instead of waiting over a year in pain.
What to Look for in a UK-Compliant PMI Policy
Not all health insurance policies are created equal. An international travel policy or a cheap plan from a non-UK provider will not offer the comprehensive cover you need. A compliant UK policy should have the following features:
- FCA Regulation: The provider and the policy must be regulated by the UK's Financial Conduct Authority (FCA). This ensures you are protected and the company meets strict standards.
- Comprehensive Hospital Lists: The policy should give you access to a wide range of private hospitals and clinics across the UK, including those near your new home and workplace.
- Full In-Patient and Day-Patient Cover: This covers the costs of surgery and treatment where a hospital bed is required.
- Out-Patient Cover: This is essential. It covers the costs of initial consultations and diagnostics (like MRI and CT scans) needed to figure out what is wrong. Cheaper plans often limit this, creating a barrier to quick diagnosis.
- Mental Health Support: Many skilled workers find moving to a new country stressful. Top-tier policies now include extensive support for mental health, from therapy sessions to psychiatric care.
- Virtual GP Services: Get a GP appointment via your phone within hours, 24/7. This is incredibly convenient and helps you get referrals and prescriptions quickly without waiting for an NHS GP slot.
An expert broker like WeCovr can ensure the policy you choose meets all these criteria, comparing the market to find cover that fits your specific needs and budget.
Comparing Top UK Private Health Insurance Providers
The UK PMI market is dominated by a few key players. Each has its strengths, especially for new UK residents.
| Provider | Key Strengths for Immigrants | Typical Starting Cost (35-yr-old) | WeCovr Insight |
|---|---|---|---|
| Bupa | Strong brand recognition, extensive hospital network, excellent mental health cover. A trusted and reliable choice. | £65 - £90 p/m | Bupa's 'Direct Access' for certain conditions can speed up treatment even faster, bypassing the need for a GP referral. |
| AXA Health | Flexible and modular policies. You can build a plan that suits your budget. Strong focus on digital health tools. | £60 - £85 p/m | Their 'Doctor@Hand' virtual GP service is highly rated and included in most plans, which is a huge benefit for new arrivals. |
| Aviva | Known for their 'Expert Select' hospital option which can reduce premiums. Often praised for straightforward claims. | £55 - £80 p/m | The 'Aviva Digital GP' app, powered by Square Health, offers great convenience with prescriptions and referrals. |
| Vitality | Unique model that rewards a healthy lifestyle with discounts on premiums, Apple Watches, and other perks. | £50 - £75 p/m (before rewards) | Perfect for active individuals. The rewards programme can be highly motivating and significantly lower your overall costs. |
Disclaimer: Costs are estimates for a healthy, non-smoking 35-year-old living outside London and are for illustrative purposes only. Your actual premium will depend on your age, location, cover level, and underwriting.
How Private Medical Insurance Works: The Treatment Pathway
Understanding the process is simple. Here is the typical journey for getting treatment with PMI:
- You feel unwell. You develop a new symptom (e.g., back pain, a skin lesion, digestive issues).
- See a GP. You can use your insurer's Virtual GP service for a quick video consultation or see your local NHS GP.
- Get a Referral. The GP recommends you see a specialist (e.g., an orthopaedic surgeon, a dermatologist). This is called an 'open referral'.
- Contact Your Insurer. You call your PMI provider with the referral details. They will check your cover and approve the treatment.
- Choose Your Specialist. The insurer will provide a list of approved specialists and hospitals from which you can choose.
- Receive Treatment. You attend your private consultation, diagnostics, and any required surgery. The bills are sent directly to the insurer.
- Illustrative estimate: Pay Your Excess. You only pay the 'excess' amount you agreed to when you took out the policy (e.g., £250). The insurer pays the rest, which can run into thousands of pounds.
Understanding Underwriting: How Insurers Assess Your Health
When you apply for PMI, the insurer needs to know about your medical history. This is done through a process called underwriting. For individuals, there are two main types:
1. Moratorium Underwriting (The "Wait and See" Option)
This is the most common and quickest way to get cover. You don't have to 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.
However, if you then go for a continuous 2-year period after your policy starts without any symptoms, treatment, or advice for that condition, the exclusion may be lifted.
| Moratorium Underwriting | |
|---|---|
| Pros | ✅ Fast application process - no medical forms. ✅ Less intrusive. ✅ Pre-existing conditions can become eligible for cover after a 2-year clear period. |
| Cons | ❌ Lack of certainty at the start. ❌ Claims can be slower as the insurer needs to check your medical history at that point. |
2. Full Medical Underwriting (The "Declare Everything" Option)
With this method, you complete a detailed health questionnaire, declaring all your past medical conditions. The insurer reviews it and tells you upfront exactly what is and isn't covered. Any conditions they choose to exclude are usually excluded permanently.
| Full Medical Underwriting (FMU) | |
|---|---|
| Pros | ✅ Complete certainty from day one about what is covered. ✅ Claims process is often faster as decisions have already been made. |
| Cons | ❌ Application process is much longer and more detailed. ❌ Exclusions are typically permanent. |
For most new arrivals to the UK, moratorium underwriting is the simplest and most popular choice. A broker at WeCovr can talk you through which option is best for your personal circumstances.
How WeCovr Helps Skilled Workers Find the Right PMI
Navigating the UK insurance market alone can be daunting. As an independent and FCA-authorised broker, WeCovr acts as your expert guide.
- We're Impartial: We are not tied to any single insurer. Our loyalty is to you. We compare policies from across the market to find the best fit for your needs and budget.
- We Save You Time and Money: We do all the research for you and use our industry knowledge to find the most competitive prices and comprehensive cover. Our service is completely free for you to use.
- Expert Advice: We demystify the jargon. We'll explain the difference between moratorium and FMU, what an excess is, and which hospital list is best for your location.
- Added Benefits: When you arrange your policy through WeCovr, you also get complimentary access to our AI-powered calorie and nutrition tracking app, CalorieHero, to support your health goals. Plus, we can offer discounts on other essential insurance products like life or income protection cover.
Do I legally need private health insurance for a UK Skilled Worker Visa?
Can I get a refund on my IHS payment if I buy private medical insurance?
Does UK private health insurance cover pre-existing or chronic conditions?
How much does private health insurance cost for a new immigrant in the UK?
Your Next Step to Health Security in the UK
While the Immigration Health Surcharge is a necessary cost, private medical insurance is a smart investment in your health and wellbeing. It provides the peace of mind that should you or your family need non-urgent medical care, you won't have to endure long waits.
Let us help you make the right choice. Our friendly, expert team can provide a no-obligation comparison of the UK's leading insurers in minutes.
Contact WeCovr today for a free, personalised quote and secure your health and peace of mind for your new life in the UK.
Sources
- Office for National Statistics (ONS): Mortality, earnings, and household statistics.
- Financial Conduct Authority (FCA): Insurance and consumer protection guidance.
- Association of British Insurers (ABI): Life insurance and protection market publications.
- HMRC: Tax treatment guidance for relevant protection and benefits products.












