As an FCA-authorised broker that has helped arrange over 800,000 policies, WeCovr provides expert guidance on private medical insurance in the UK. This article explores why window cleaners, both self-employed and company-employed, should consider private health cover to protect their health and livelihood against unexpected illness or injury.
Cover designed for self-employed and company-employed window cleaners
Window cleaning is a physically demanding job with unique health risks. Whether you're a sole trader scaling ladders or part of a larger company using cradles on skyscrapers, your ability to work is directly tied to your physical well-being. Private Medical Insurance (PMI) isn't a luxury; it's a practical tool to bypass long NHS waiting lists and get back on your feet—and back to earning—as quickly as possible.
This guide will walk you through everything you need to know about private health insurance for window cleaners in the UK, from understanding the specific risks of your trade to choosing a policy that fits your budget and needs.
Why Window Cleaners Should Consider Private Health Insurance
Working as a window cleaner exposes you to a higher risk of certain injuries and health issues compared to an office-based job. Relying solely on the NHS, while an incredible service, can sometimes mean long waits for diagnosis and treatment, which can be devastating for your income if you're unable to work.
According to the Health and Safety Executive (HSE), falls from height remain one of the biggest causes of workplace fatalities and major injuries. For window cleaners, this is a daily risk.
Key Health Risks for Window Cleaners:
- Musculoskeletal Disorders (MSDs): Repetitive motions, awkward postures, and carrying heavy equipment (ladders, water-fed poles) can lead to back pain, shoulder strain, and joint problems. The HSE estimates that 477,000 workers suffered from work-related MSDs in 2022/23.
- Injuries from Falls: A slip from a ladder or a misstep on a wet surface can cause fractures, sprains, or more severe trauma. Fast access to diagnostics like MRI scans and specialist consultations is crucial for a speedy recovery.
- Repetitive Strain Injury (RSI): Constant use of squeegees and poles can lead to conditions like tennis elbow or carpal tunnel syndrome.
- Weather Exposure: Working outdoors in all conditions can lead to everything from skin conditions (sun exposure) to respiratory issues.
The Impact of NHS Waiting Times
The NHS is the backbone of UK healthcare, but it is currently facing significant pressure. As of spring 2025, NHS England waiting lists for consultant-led elective care remain extensive, with millions of people waiting for treatment.
For a self-employed window cleaner, a six-month wait for a knee operation isn't just an inconvenience; it's six months with little to no income. Private health insurance provides a direct solution to this problem.
| Feature | NHS | Private Medical Insurance (PMI) |
|---|
| Cost | Free at the point of use (funded by taxes) | Monthly premiums |
| Waiting Times | Can be long for non-urgent procedures | Significantly shorter for diagnosis & treatment |
| Choice of Specialist | Limited choice, assigned by the NHS | Greater choice of specialists and consultants |
| Hospital Choice | Assigned to a local NHS hospital | Choice from a list of private hospitals |
| Room Type | Usually a shared ward | Private, en-suite room is common |
| Scheduling | Less flexible appointment times | More flexible, scheduled around your life |
A Real-Life Example:
- Meet David, a self-employed window cleaner from Manchester. He injures his shoulder and his GP refers him to a specialist. The NHS wait time for an initial consultation is 18 weeks, followed by another potential 20-week wait for an MRI scan and subsequent surgery. In total, he could be unable to work properly for nearly a year.
- With PMI, David could see a specialist within days, have an MRI the same week, and be booked for surgery within a fortnight. He would be back at work in a fraction of the time, protecting his business and income.
Understanding Private Medical Insurance: What's Covered and What Isn't
It's vital to understand what PMI is for. It is designed to cover the diagnosis and treatment of acute conditions—illnesses or injuries that are likely to respond quickly to treatment and return you to your previous state of health.
The Golden Rule: Acute vs. Chronic Conditions
- Acute Condition (Covered): A broken leg, a hernia, cataracts, or a joint needing replacement. These are conditions that can be "fixed."
- Chronic Condition (Not Covered): A long-term illness that needs ongoing management rather than a cure. Examples include diabetes, asthma, high blood pressure, and certain types of arthritis. Day-to-day management of these conditions remains with your NHS GP.
The Critical Point: Pre-Existing Conditions
Standard private medical insurance policies in the UK do not cover pre-existing conditions. This means any illness or injury you have had symptoms of, received advice for, or been treated for in the years leading up to taking out the policy will be excluded from cover.
There are two main ways insurers handle this:
- Moratorium Underwriting: This is the most common type. You don't declare your full medical history upfront. The insurer will automatically exclude any condition you've had in the last 5 years. However, if you go for a set period (usually 2 years) without any symptoms, treatment, or advice for that condition after your policy starts, it may become eligible for cover.
- Full Medical Underwriting (FMU): You complete a detailed medical questionnaire. The insurer assesses your history and lists specific conditions that will be permanently excluded from your policy. This provides clarity from day one but can be more time-consuming.
An expert broker, like WeCovr, can help you understand which type of underwriting is best for your personal circumstances.
Core Components of a Private Health Insurance Policy
When you build a PMI policy, you'll choose from a range of cover levels. Understanding these options is key to getting the right protection without paying for things you don't need.
1. Core Cover (In-patient and Day-patient)
This is the foundation of almost every PMI policy. It covers treatment when you are admitted to a hospital bed.
- In-patient: You are admitted to hospital and stay overnight.
- Day-patient: You are admitted for a procedure but do not stay overnight (e.g., an endoscopy).
Core cover typically includes surgery fees, consultant fees, anaesthetist fees, and hospital costs like your private room and nursing care.
2. Out-patient Cover
This is usually an optional add-on, but it's one of the most valuable parts of a policy. It covers diagnostic tests and consultations that don't require a hospital admission.
- Initial Consultations: Seeing a specialist after a GP referral.
- Diagnostic Tests: MRI scans, CT scans, X-rays, and blood tests.
- Follow-up Consultations: Seeing the specialist after your tests or treatment.
Without out-patient cover, you would rely on the NHS for diagnosis and only use your PMI once a specialist has recommended in-patient treatment. For a window cleaner with a suspected musculoskeletal injury, having comprehensive out-patient cover is essential for getting a fast diagnosis.
3. Therapies Cover
For a physically demanding job, this is a crucial add-on. It covers treatments to help you recover from injury and manage physical conditions. This often includes a set number of sessions per year for:
- Physiotherapy
- Osteopathy
- Chiropractic care
Given the high rate of MSDs among window cleaners, having therapies cover can keep you working and prevent minor aches from becoming debilitating injuries.
4. Mental Health Cover
The pressures of being self-employed or the physical toll of the job can affect mental well-being. Most modern PMI policies offer some level of mental health support, ranging from access to counselling helplines to full cover for psychiatric treatment.
Tailoring Your Policy: Options for Window Cleaners
Whether you're a one-person band or work for a large commercial cleaning company, your PMI needs will differ.
For the Self-Employed Window Cleaner
As a sole trader or director of your own limited company, you have complete control over your policy. Your main goals are likely to be affordability and ensuring you're covered for things that could stop you from working.
Key Considerations:
- Manage Costs with an Excess: An excess is a sum you agree to pay towards any claim. For example, with a £250 excess, you pay the first £250 of a claim, and the insurer pays the rest. A higher excess leads to a lower monthly premium.
- Choose a Hospital List: Insurers offer different tiers of hospitals. A "national" list covering most private hospitals will be more expensive than a more restricted local list. Choosing a list that has good options near you is a smart way to save money.
- The "6-Week Wait" Option: This is a popular cost-saving feature. If the NHS can provide the in-patient treatment you need within six weeks, you agree to use the NHS. If the wait is longer than six weeks, your private cover kicks in. This significantly reduces your premium while still protecting you from long delays.
- Consider a Business Policy: If you run your business as a limited company, you can have the company pay for your health insurance. This is often a tax-efficient way to arrange cover. We always recommend speaking to an accountant about this.
For the Company-Employed Window Cleaner
If you work for a larger company, you may be offered private health insurance as part of your employee benefits package.
Key Considerations:
- Check the Details: Don't just assume you're covered. Get a copy of the policy documents and check what's included. Does it have out-patient cover? What about therapies?
- Benefit-in-Kind (BIK) Tax: When your employer pays for your PMI, it's considered a "benefit in kind," and you'll have to pay income tax on the value of the premium.
- Adding Family: Many company schemes allow you to add your partner or children to the policy, often at a favourable corporate rate.
- What if You Leave? If you leave the company, you can usually continue the policy on a personal basis, but the price will likely increase.
How Much Does Private Health Insurance Cost for a Window Cleaner?
The cost of private health insurance is highly individual. There's no "one-size-fits-all" price. The main factors that determine your monthly premium are:
- Age: Premiums increase as you get older because the statistical likelihood of claiming increases.
- Location: The cost of private medical care varies across the UK. Central London is typically the most expensive.
- Level of Cover: A comprehensive policy with full out-patient and therapies cover will cost more than a basic in-patient-only plan.
- Excess: As mentioned, a higher excess will lower your premium.
- Hospital List: A limited hospital network is cheaper than one with access to premium London hospitals.
- Underwriting: The type of underwriting can sometimes affect the price.
- No Claims Discount: Similar to car insurance, many insurers offer a no-claims discount that increases each year you don't make a claim.
Illustrative Monthly Premiums for a Window Cleaner
The table below gives an indication of monthly costs for a non-smoking window cleaner living outside London. These are illustrative examples and your actual quote will vary.
| Age | Basic Cover (In-patient, £500 excess) | Comprehensive Cover (Full out-patient, therapies, £250 excess) |
|---|
| 30 | £35 - £50 | £60 - £85 |
| 40 | £50 - £70 | £85 - £120 |
| 50 | £75 - £100 | £130 - £180 |
Quotes are illustrative estimates as of August 2025. For an accurate quote, it's best to speak with an expert broker.
Choosing the Best PMI Provider in the UK
The UK has a competitive market with several excellent insurers. Each has slightly different strengths. A PMI broker like WeCovr can compare the entire market for you, but here's a brief overview of the main players.
| Provider | Key Strengths & Features for Window Cleaners |
|---|
| AXA Health | Known for excellent customer service and a clear, modular policy structure. Offers a "Guided" option where they help choose the specialist, which can lower premiums. |
| Bupa | One of the most recognised names in UK health insurance. Offers a wide range of options and direct access to services like cancer and mental health support without a GP referral. |
| Vitality | Unique approach that rewards healthy living. You can earn discounts and rewards (like free coffee or cinema tickets) for being active. Great for physically active people like window cleaners. |
| Aviva | A major UK insurer offering a strong core product. Their "Expert Select" option is similar to AXA's guided route, offering potential savings. Often has competitive pricing. |
Navigating the subtle differences between these providers' policies can be challenging. This is where using a free service like WeCovr is invaluable. We are not tied to any single insurer, so our advice is completely impartial. We focus on finding the policy that offers the best value and protection for your specific needs as a window cleaner.
A Window Cleaner's Guide to Staying Healthy at Work
While insurance is your safety net, prevention is always better than cure. Here are some practical health and wellness tips to help you minimise the risks of your job.
1. Master Your Movement
- Warm-Up: Before you start your first job of the day, take five minutes to stretch. Focus on your shoulders, back, and legs.
- Ladder Safety: Always maintain three points of contact on the ladder. Avoid over-reaching—it's better to move the ladder.
- Lifting Technique: When lifting heavy buckets or equipment, bend at your knees, not your waist. Keep your back straight and lift with your leg muscles.
2. Fuel Your Body
Working outdoors is physically demanding and burns a lot of calories.
- Stay Hydrated: Dehydration can cause fatigue and headaches, increasing the risk of accidents. Keep a water bottle with you and sip it throughout the day.
- Eat for Energy: Avoid sugary snacks that cause an energy crash. Opt for slow-release carbohydrates (oats, wholemeal bread), protein (lean meat, eggs, beans), and healthy fats (nuts, avocados) to maintain your energy levels.
As a WeCovr client, you get complimentary access to CalorieHero, our AI-powered calorie and nutrition tracking app. It makes it easy to monitor your intake and ensure you're fuelling your body correctly for the demands of the job.
3. Protect Yourself from the Elements
- Sun Protection: Use a high-SPF, broad-spectrum sunscreen, even on cloudy days. A hat and sunglasses are also essential.
- Cold Weather Gear: In winter, wear thermal layers to stay warm and dry. Good quality, waterproof gloves with a solid grip are a must.
4. Prioritise Rest and Recovery
- Quality Sleep: Aim for 7-9 hours of quality sleep per night. Sleep is when your body repairs muscle and tissue damage from the day's work.
- Listen to Your Body: If you feel a persistent ache or pain, don't ignore it. It could be the start of an RSI or MSD. Early intervention with a physiotherapist (covered by a good PMI policy) can prevent it from becoming a long-term problem.
How WeCovr Makes Finding Health Insurance Simple
Choosing private medical insurance can feel overwhelming. That’s why we’re here to help. WeCovr is an independent, FCA-authorised broker with high customer satisfaction ratings. Our service is provided at no cost to you.
Here's how we help:
- We Listen: We take the time to understand your job, your health, and your budget.
- We Compare: We search the market and compare policies from all the leading UK insurers to find the best options for you.
- We Explain: We break down the jargon and explain the pros and cons of each policy in plain English, ensuring you know exactly what you're buying.
- We Support: We help you with your application and are here to offer guidance if you ever need to make a claim.
- Extra Value: When you take out a PMI or Life Insurance policy through us, we offer discounts on other types of cover, such as home or van insurance, and provide complimentary access to our CalorieHero nutrition app.
Protecting your health is protecting your business. For a window cleaner, fast access to the best medical care isn't a "nice-to-have"—it's an essential part of your professional toolkit.
Does private health insurance cover injuries from a fall at work?
Yes, absolutely. Private medical insurance is designed to cover acute injuries, such as broken bones, sprains, or trauma resulting from an accident like a fall from a ladder. Your policy would cover the costs of consultations, diagnostic scans like MRI or X-ray, surgery, and post-operative care, including physiotherapy, to help you recover quickly. It is separate from accident or income protection insurance, which would provide a cash payout or replace your income.
Is it worth getting PMI if I'm young and healthy?
Yes, for two main reasons. Firstly, premiums are significantly lower when you are younger and have fewer health issues, so you can lock in comprehensive cover at a great price. Secondly, PMI is primarily for unforeseen accidents and acute illnesses, which can happen to anyone at any age. For a window cleaner, the risk of an accidental injury is always present, and having PMI ensures you can bypass NHS queues and get treated fast, protecting your income.
I have some old back pain. Can I get cover for that?
This is a very important point. Standard UK private health insurance policies do not cover pre-existing conditions. If you have received treatment, advice, or had symptoms of back pain in the 5 years before taking out a policy, it will be excluded from cover. If you chose a 'moratorium' policy and remained completely symptom and treatment-free for your back for a continuous 2-year period after the policy starts, it could potentially become eligible for cover in the future.
Ready to see how affordable peace of mind can be? Get your free, no-obligation quote from WeCovr today and let our experts find the perfect private health insurance policy to keep you healthy and earning.