As an FCA-authorised expert broker that has helped arrange over 800,000 policies, WeCovr understands the UK private medical insurance market inside out. This guide provides a definitive strategy for managing your annual renewal, avoiding premium shocks, and ensuring your private health cover remains affordable and effective year after year.
Managing annual renewals, negotiating with current insurers, strategic switching timing, and maintaining affordable coverage as premiums increase with age
The dreaded renewal letter arrives, and your premium has jumped by 15%, 20%, or even more. It’s a common experience known as "premium shock," and it leaves many policyholders wondering if private health insurance is still worth it. The good news is that you have significant power to control these costs.
By understanding why your premium increases and employing a clear annual strategy, you can maintain excellent private health cover without breaking the bank. This guide will walk you through everything you need to know.
Why Do Private Health Insurance Premiums Increase?
Your renewal premium isn't an arbitrary figure. It’s calculated based on several predictable factors. Understanding them is the first step to managing them.
- Age: This is the single biggest driver of premium increases. As we get older, the statistical likelihood of needing medical treatment rises. Insurers price this increased risk accordingly. The increases are not linear; they tend to accelerate significantly once you reach your 50s, 60s, and 70s.
- Medical Inflation: The cost of private healthcare consistently outpaces general inflation (CPI). In 2024-2025, private medical inflation is estimated to be between 8% and 12%. This is driven by the rising costs of new medical technologies, advanced drugs, hospital overheads, and specialist fees.
- Your Claims History: If you've made one or more claims in the previous year, your premium will likely increase. This is because your insurer may see you as a higher risk, and you will likely lose some or all of your No-Claims Discount (NCD).
- Insurance Premium Tax (IPT): This is a tax levied by the UK government on all general insurance policies, including PMI. The standard rate is currently 12%, and this is automatically added to your premium.
Here's a simplified example of how age alone can impact your premium for a mid-range policy.
| Age Bracket | Example Monthly Premium | Reason for Increase |
|---|
| 30-39 | £55 | Lower statistical health risk. |
| 40-49 | £80 | Moderate increase as age-related risks begin to rise. |
| 50-59 | £120 | Significant jump as the likelihood of needing joint replacements, cardiac care, or cancer treatment increases. |
| 60-69 | £190 | Premiums accelerate as age becomes the dominant risk factor. |
| 70+ | £280+ | Highest risk bracket, reflecting the increased use of healthcare services. |
Note: These are illustrative figures. Your actual premium will depend on your chosen cover, location, and insurer.
Your Annual Renewal: The Critical Moment to Take Action
Around 3-4 weeks before your policy expires, your insurer will send you a renewal pack. This is arguably the most important document you will receive all year.
Resist the urge to just file it away or let it auto-renew. Auto-renewal is convenient for the insurer, but it's often a costly mistake for you. Insurers' renewal prices are frequently less competitive than the prices they offer to attract new customers. This practice, known as "price walking," has been scrutinised by the Financial Conduct Authority (FCA), but loyalty still rarely pays in the insurance world.
Your renewal is your annual opportunity to:
- Assess if your current cover still meets your needs.
- Benchmark your renewal price against the wider market.
- Negotiate better terms with your current provider.
- Strategically switch to a new insurer for better value.
Strategy 1: Dissecting Your Renewal Offer
Before you can make a decision, you must understand what you're being offered. Grab your renewal letter and your original policy documents.
Your Renewal Review Checklist:
- Check the New Premium: How does the new annual or monthly premium compare to last year's? Calculate the percentage increase. Is it in line with age and medical inflation, or is it significantly higher?
- Review Your Cover: Has the insurer made any changes to your policy terms? Sometimes, benefits are downgraded or hospital lists are changed at renewal. Ensure you're still getting the same level of cover you paid for.
- Analyse Claims Impact: If you made a claim, how has it affected your No-Claims Discount? The letter should specify this.
- Note the Renewal Date: This is your deadline. All negotiations or switches must be arranged before this date to ensure continuous cover.
Strategy 2: Negotiating with Your Current Insurer
Armed with your renewal details, your first port of call can be a conversation with your existing insurer. Many policyholders are surprised to learn that renewal premiums are often negotiable. You don't have to accept the first price they offer.
Here are the most effective levers you can pull to reduce your premium:
- Increase Your Excess: The excess is the amount you agree to pay towards the cost of any claim. Increasing it from, say, £250 to £500 or £1,000 can result in a significant premium reduction (often 10-20%). It's a trade-off: you're taking on more of the initial risk in exchange for a lower fixed cost.
- Add a "6-Week Wait" Option: This is one of the best ways to slash your premium. With this option, your private treatment is only covered if the waiting time for that treatment on the NHS is longer than six weeks. Given the current pressures on the NHS (with waiting lists in England standing at around 7.5 million cases in mid-2024 according to NHS data), this option still provides a valuable safety net for many conditions while making your policy much more affordable.
- Review Your Hospital List: Most policies come with a tiered list of hospitals. A "National" list that excludes expensive central London hospitals will be cheaper than a "Premium" list that includes them. If you don't live near London or are happy to travel to a hospital outside the M25, downgrading your list can save you money.
- Remove Optional Extras: Do you really need the dental, optical, or mental health add-ons? While valuable, they add to the cost. You can often remove these to bring the premium down, focusing your budget on the core inpatient and outpatient cover.
How Policy Tweaks Can Impact Your Premium
| Tweak Made to Policy | Potential Premium Reduction | Who It's Good For |
|---|
| Increase Excess from £250 to £1,000 | 15-25% | Those with savings who can comfortably cover the higher excess if they claim. |
| Add a 6-Week Wait Option | 20-30% | People happy to rely on the NHS for quicker procedures but want a backstop for long waits. |
| Downgrade Hospital List | 5-15% | Anyone who doesn't need or want access to the most expensive city-centre hospitals. |
| Remove Dental & Optical Cover | 10-20% | Individuals who have separate dental plans or are happy to pay for routine check-ups out of pocket. |
An expert PMI broker like WeCovr can handle these negotiations on your behalf, using their market knowledge to secure the best possible terms from your current insurer.
Strategy 3: The Power of Switching – Re-broking for a Better Deal
If your current insurer won't offer a competitive price, even after negotiation, it's time to shop around. This process is known as "re-broking." A whole-of-market review will almost always find you a better deal, either with a different provider or sometimes even with your same provider on a "new business" basis.
However, switching health insurance isn't like switching car insurance. The key is to protect the cover you already have for medical conditions that have arisen since you took out your policy. This is where understanding underwriting is vital.
A Note on Pre-existing and Chronic Conditions
It's a fundamental principle of the private medical insurance UK market that standard policies are designed for acute conditions—illnesses or injuries that are likely to respond quickly to treatment and lead to a full recovery (e.g., joint replacements, cataract surgery, hernia repair).
They are not designed to cover:
- Pre-existing Conditions: Any medical issue you had before the policy started.
- Chronic Conditions: Long-term conditions that require ongoing management rather than a cure, such as diabetes, asthma, high blood pressure, or arthritis.
This is why the method you use to switch is so important.
Underwriting Options for Switching Your Policy
When you switch, you need to choose an underwriting method that ensures you don't lose cover for conditions that have developed while you've been insured.
| Underwriting Type | How It Works | Best For... |
|---|
| Moratorium (MORI) | You don't declare your medical history upfront. The new insurer automatically excludes any condition you've had symptoms of, or sought advice for, in the last 5 years. This exclusion can be lifted if you go 2 full years without any symptoms, treatment, or advice for that condition. | Young, healthy individuals with no recent medical history, buying their first policy. Risky for switching if you have developed conditions. |
| Full Medical Underwriting (FMU) | You complete a full health questionnaire, declaring your entire medical history. The insurer then tells you exactly what is and isn't covered from the start. | People who want absolute clarity on their cover from day one. Again, new conditions that arose under your old policy will likely be excluded. |
| Continued Personal Medical Exclusions (CPME) | This is the gold standard for switching. With CPME, the new insurer agrees to accept the same medical exclusions you had on your previous policy. This means any new condition that developed and was covered by your old insurer will continue to be covered by your new one. You don't lose any cover. | Anyone who has a PMI policy and wants to switch to a new provider without losing cover for conditions that have arisen since they first took out insurance. |
Always aim to switch on a CPME basis. This gives you the freedom to move to a more competitive insurer while keeping your valuable, continuous cover intact.
The Indispensable Role of an Expert PMI Broker
Navigating renewal negotiations and CPME switching is complex. This is where an independent broker becomes your most valuable asset.
A specialist private health cover broker like WeCovr works for you, not the insurance companies. Here's why using one is a game-changer:
- Whole-of-Market Access: We can compare policies and prices from all the leading UK insurers—including Aviva, Bupa, AXA Health, and Vitality—to find the best deal.
- Expert Knowledge: We understand the nuances of CPME underwriting and can manage the entire switching process for you, ensuring a seamless transition with no loss of cover.
- Negotiating Power: We handle the awkward conversations and use our industry leverage to get you the best terms.
- No Cost to You: Our service is free. We are paid a commission by the insurer you choose, which is already built into the price of the policy. You get expert, impartial advice at no extra cost.
- Annual Review Service: We don't just find you a policy and disappear. We will contact you every year to repeat the review process, ensuring you are always on the best possible plan for your needs and budget.
Proactive Health Management: Your Secret Weapon for Affordable Cover
While insurance strategies are vital, don't overlook the power of your own lifestyle choices. Insurers reward healthy behaviour. By reducing your likelihood of needing to claim, you can protect your No-Claims Discount and keep your long-term premium costs more stable.
Simple Steps for Better Health and Lower Premiums
- Balanced Diet: A diet rich in fruits, vegetables, lean proteins, and whole grains can help prevent a range of chronic diseases that could eventually lead to acute complications. To help our clients on their health journey, WeCovr provides complimentary access to its AI-powered calorie and nutrition tracking app, CalorieHero.
- Regular Physical Activity: The NHS recommends at least 150 minutes of moderate-intensity activity a week. This could be brisk walking, cycling, or swimming. It's proven to reduce the risk of heart disease, stroke, and type 2 diabetes.
- Prioritise Sleep: Aim for 7-9 hours of quality sleep per night. Poor sleep is linked to a weakened immune system and a higher risk of numerous health problems.
- Manage Stress: Chronic stress can have a physical impact on your health. Techniques like mindfulness, yoga, or even just regular walks in nature can make a huge difference.
By taking a proactive approach to your well-being, you invest in both your future health and your financial health. As a WeCovr client, you may also benefit from discounts on other types of insurance, such as life or income protection cover, helping you build a comprehensive and affordable financial safety net.
Final Thoughts: Your Renewal Is an Opportunity, Not a Threat
Receiving a higher renewal premium can be disheartening, but it should be seen as a trigger for action. By following a clear, strategic approach each year, you can turn the tables in your favour.
- Analyse: Scrutinise your renewal offer.
- Negotiate: Talk to your current insurer about adjusting your policy to lower the cost.
- Compare: Work with an expert broker like WeCovr to review the entire market and find the best value.
- Switch Smartly: If you change providers, always do it on a Continued Personal Medical Exclusions (CPME) basis to protect your cover.
This annual process is the key to defeating premium shock and maintaining affordable, high-quality private medical insurance for the long term, giving you peace of mind and fast access to the best care when you need it most.
Can I switch private health insurance if I have a pre-existing condition?
Yes, it is possible and highly recommended to review your options. The key is to switch using a special underwriting method called 'Continued Personal Medical Exclusions' (CPME). This allows a new insurer to take on your policy while maintaining the exact same cover you had previously. Any new conditions that arose and were covered under your old policy will remain covered by your new one. This ensures you get a better price without creating new exclusions for your existing health conditions.
Will making a claim always make my private medical insurance more expensive?
Making a claim will likely lead to a premium increase at your next renewal. This happens for two reasons: firstly, the claim itself signals a higher risk to the insurer, and secondly, you will typically lose some or all of your No-Claims Discount (NCD). However, the purpose of insurance is to be used when needed. A good renewal strategy, such as comparing the market with a broker, can often find you a new policy that is cheaper than your increased renewal premium, even after you have claimed.
What is the single best way to reduce my PMI premium at renewal?
There are several effective ways, but adding a '6-week wait' option often provides the largest premium reduction, sometimes by as much as 30%. This option means your private cover only kicks in if the NHS waiting list for the required inpatient treatment is longer than six weeks. Given current NHS waiting times, this still offers a powerful safety net for serious conditions while making your policy significantly more affordable. Increasing your excess is another highly effective method.
Ready to take control of your private health insurance renewal? Let our expert team at WeCovr do the hard work for you. We'll compare the UK's leading insurers to find you the best cover at the best price, completely free of charge. Get your no-obligation quote today.