
As an FCA-authorised expert broker that has helped arrange over 800,000 policies, WeCovr understands that seeing your private medical insurance premium increase can be frustrating. This in-depth guide explains why private health insurance prices rise in the UK and provides actionable strategies to ensure you always get the best value.
It’s the one letter or email every policyholder dreads: your private health insurance renewal notice. More often than not, the price has gone up. But this isn't arbitrary. The increase reflects a complex mix of factors, from your personal circumstances to broader trends in UK healthcare.
Understanding these drivers is the first step to taking control. This guide will demystify the price rises and empower you with the knowledge to effectively manage your annual private health cover costs.
Several powerful forces combine to push premiums upwards each year. While some are personal to you, many are market-wide trends that affect all policyholders and insurers.
This is the single biggest factor behind rising premiums. Medical inflation is not the same as the standard Consumer Price Index (CPI) that we hear about in the news. It refers to the rising cost of delivering private healthcare and consistently outpaces general inflation.
Key components of medical inflation include:
According to industry analysis, medical inflation in the UK typically runs between 8% and 12% per year, a stark contrast to the government's 2% target for general inflation. This underlying cost pressure is a primary reason your premium increases even if you haven't made a claim.
From an insurer's perspective, age is a key indicator of risk. As we get older, we are statistically more likely to require medical treatment. Insurers group customers into age bands, and each year on your birthday, you may move into a new, higher-priced band.
This age-related increase is separate from any other factor. It will happen even if:
Think of it as a predictable, incremental increase that reflects your changing risk profile over time.
| Age Bracket | Illustrative Monthly Premium | Why the Cost is Higher |
|---|---|---|
| 25-30 | £45 | Lower statistical likelihood of needing major treatment. |
| 45-50 | £85 | Risk of conditions like joint problems or heart issues begins to rise. |
| 65-70 | £160+ | Higher probability of needing procedures like hip replacements or cancer care. |
Note: These are illustrative figures for a mid-range policy. Actual costs will vary significantly.
Just like with car insurance, most private health insurance policies feature a No Claims Discount (NCD). This is a tiered discount that rewards you for not making a claim.
Here’s how it typically works:
A claim can therefore cause a significant "double impact" on your renewal price:
This is why a premium can sometimes feel like it has doubled after your first claim.
IPT is a tax levied by the UK government on all general insurance policies, including private medical insurance. It is charged to the insurer, who then passes the cost directly on to you, the customer.
As of 2025, the standard rate of IPT is 12%.
Any increase in your underlying premium automatically means you pay more tax, too. For example, if your base premium is £1,000, IPT adds £120. If your base premium rises to £1,100 due to inflation, IPT adds £132. It’s a tax on a tax, amplifying the overall increase.
The UK's beloved National Health Service is facing unprecedented challenges. As of mid-2025, NHS England's waiting list for routine consultant-led treatment remains stubbornly high, with millions of people waiting for care.
How does this affect your private health insurance premium?
In essence, when the NHS struggles, the private sector absorbs more demand, and the cost is reflected in renewal prices.
To manage your costs, it helps to understand exactly what you're paying for. Your premium is a carefully calculated figure based on a range of personal and policy-level choices.
Before we go further, it is critical to understand a fundamental principle of the UK private medical insurance market. Standard policies are designed to cover acute conditions—illnesses or injuries that are short-term and likely to respond quickly to treatment.
Private medical insurance does not cover pre-existing conditions or chronic conditions.
This is the single most important exclusion to be aware of when purchasing or reviewing cover.
Your final price is a blend of the following elements. Understanding these levers is key to customising a policy that fits your budget.
| Factor | Impact on Premium | How to Manage It |
|---|---|---|
| Your Age | Higher age = Higher premium. | The best time to buy is when you're younger and healthier. |
| Your Location | Premiums are higher in major cities, especially London, due to higher hospital costs. | Choose a policy that excludes expensive city-centre hospitals if you don't need them. |
| Cover Level | Comprehensive plans with full cancer care, therapies, and mental health are most expensive. | Tailor your cover. Do you need full outpatient cover, or could you use the NHS for initial diagnostics? |
| Policy Excess | A higher excess (the amount you pay towards a claim) leads to a lower premium. | Increasing your excess from £100 to £500 can create significant monthly savings. |
| Hospital List | Policies with access to all UK private hospitals are pricier than those with a limited local network. | Opt for a regional or guided hospital list to reduce costs. |
| Underwriting Type | 'Full Medical Underwriting' can sometimes be cheaper initially if you have no pre-existing conditions. | Discuss with a broker which underwriting type (Moratorium or FMU) is best for your situation. |
| Smoker Status | Smokers and vapers are considered higher risk and will always pay more. | Quitting smoking can lead to lower premiums after a qualifying period (usually 12 months). |
Receiving a higher renewal quote doesn't mean you have to accept it. You have significant power to influence the cost. Here are the most effective strategies to keep your private health cover affordable.
The biggest mistake is letting your policy auto-renew without a second thought. Life changes, and your health insurance needs might too. Ask yourself:
An annual review is your best opportunity to right-size your policy.
The excess is the fixed amount you agree to pay towards the cost of any claim you make. The insurer pays the rest. By agreeing to share more of the initial cost, you lower the insurer's risk, and they reward you with a lower premium.
Example:
This is often the quickest and easiest way to make a meaningful reduction in your premium.
Insurers typically offer tiered hospital lists. A top-tier list gives you access to every private hospital in the country, including the prestigious and expensive ones in Central London. A more restricted list might limit you to a network of hospitals in your local area.
Unless you specifically need access to a particular London-based specialist, opting for a regional or national list that excludes the most expensive facilities can slash your premium by as much as 20-30%.
A growing number of insurers now offer "guided" pathways. With these plans, instead of choosing any consultant you wish, the insurer provides you with a shortlist of 3-5 pre-approved specialists for your condition.
Because the insurer has negotiated preferential rates with these consultants, they can pass the savings on to you in the form of a lower premium. This is an excellent way to save money without compromising on the quality of care, as the specialists are all fully vetted.
This is a clever compromise between relying solely on the NHS and having full private cover. With a 6-week wait option, your policy will only pay for in-patient treatment if the NHS waiting list for that specific procedure is longer than six weeks.
If the NHS can treat you within six weeks, you use the NHS. If not, your private cover kicks in. Given the current extensive NHS waiting times for many treatments, this option often provides a very similar level of access to a full-cover policy but at a significantly reduced price.
This is, without a doubt, the most effective strategy. Instead of just accepting your current insurer's renewal price, you can have an independent broker, like WeCovr, search the entire market for you.
A specialist broker can:
This service costs you nothing. Brokers are paid a commission by the insurer you choose, so you get impartial, expert advice for free. Often, a new insurer will offer an attractive introductory price to win your business, resulting in substantial savings.
Insurers are increasingly moving towards proactive health management. Many now offer rewards and even premium discounts for engaging in healthy behaviours.
By taking steps to improve your diet, exercise regularly, manage stress, and get enough sleep, you not only improve your wellbeing but can also directly lower the cost of your insurance and reduce your likelihood of needing to claim. Furthermore, if you purchase your private medical or life insurance through us, we can often provide discounts on other types of cover you may need, like home or travel insurance.
When faced with a steep renewal price, the temptation to switch is strong. While it's often the right move, it must be done carefully to avoid accidentally losing cover for conditions that have developed.
The biggest risk of switching is losing cover for medical conditions that have arisen since you took out your original policy.
Example: You took out a policy with Insurer A in 2020. In 2023, you developed knee pain and had a private MRI scan. At renewal in 2025, you switch to Insurer B on a standard 'Moratorium' basis. Your knee pain would now be considered a pre-existing condition by Insurer B and would not be covered for at least two years.
The Solution: Switching on a 'Continued Personal Medical Exclusions' (CPME) basis.
This is a special type of underwriting designed specifically for people who are switching providers. With CPME, your new insurer agrees to honour the same cover level you had with your old insurer. Any condition that was covered by your old policy will be covered by your new one.
CPME is the safest way to switch providers. However, it is a complex process and is best handled by an expert PMI broker. They can ensure the switch is seamless and that you don't inadvertently create new exclusions.
| Situation | Recommended Action |
|---|---|
| Large premium hike with no claims. | Re-broke. This is the perfect scenario to use a broker like WeCovr to compare the market. You are a low-risk, attractive customer for a new insurer. |
| You've recently developed a new condition. | Seek expert advice. A CPME switch is likely the best option. A broker can find a provider who will continue your cover at a better price. |
| Your cover needs have changed. | Review and potentially switch. If you need enhanced cancer cover or better mental health support, a new policy may be a better fit than upgrading your old one. |
| You're happy with your insurer but not the price. | Renegotiate first. Call your insurer or ask your broker to. They may be able to offer a loyalty discount or help you tweak your cover (e.g., raise the excess) to bring the price down. |
Dealing with private health insurance price increases can be complex, but you are not alone. By understanding the reasons behind the rises and knowing the strategies to manage them, you can ensure you're never paying more than you need to.
The single most effective step is to get an expert, impartial view of the market.
At WeCovr, our team of friendly, UK-based specialists can review your renewal and compare it against the best private medical insurance providers in minutes. Our advice is free, independent, and could save you hundreds of pounds a year.
[Get Your Free, No-Obligation PMI Quote Today and See How Much You Could Save]






