
As an FCA-authorised broker that has helped arrange over 800,000 policies, WeCovr understands the nuances of private medical insurance. For UK residents, the choice between domestic and international cover can be confusing. This guide clarifies everything you need to know about whether international private medical insurance is worth it for you.
Deciding on the right health insurance isn't just about choosing a provider; it's about matching the policy's scope to your life. The fundamental difference between UK Private Medical Insurance (PMI) and International Private Medical Insurance (IPMI) lies in geography.
One is designed to complement the NHS within the UK's borders, while the other provides comprehensive medical care across the globe. Understanding which one fits your circumstances is the first step towards securing peace of mind and timely access to healthcare, wherever you are.
Let's break down what each type of cover entails.
UK PMI is a policy designed to work alongside the National Health Service (NHS). Its primary purpose is to cover the costs of diagnosis and treatment for acute conditions that arise after you've taken out the policy.
An acute condition is a disease, illness, or injury that is likely to respond quickly to treatment and lead to a full recovery. Think of conditions like hernias, joint replacements, or cataracts.
Crucially, standard UK private medical insurance does not cover:
The main draw of UK PMI is speed and choice. It allows you to bypass potential NHS waiting lists, choose your specialist or surgeon, and recover in a private hospital room.
According to NHS England data from mid-2024, the elective care waiting list remains a significant concern, with millions of treatment pathways creating long waits for routine procedures. This is the primary driver for many people considering private health cover in the UK.
International PMI is a far more comprehensive health plan designed for individuals and families living or working outside their home country for extended periods. This includes:
Unlike UK PMI, which supplements a national health service, IPMI often acts as the primary source of healthcare for the policyholder in their new country of residence. It's built to navigate different healthcare systems, languages, and medical billing practices around the world.
These policies are typically more expensive but offer a much broader scope of cover, often including benefits like medical evacuation, repatriation, and sometimes routine dental and maternity care as standard or high-level options.
To make the distinction crystal clear, here’s a side-by-side comparison of the two types of cover.
| Feature | UK Private Medical Insurance (PMI) | International Private Medical Insurance (IPMI) |
|---|---|---|
| Geographical Cover | United Kingdom only. | A defined region (e.g., Europe) or Worldwide. Often with an option to exclude the USA to reduce costs. |
| Core Purpose | To supplement the NHS, providing faster access to treatment for acute conditions. | To act as the primary health insurance plan for those living or working abroad long-term. |
| Typical Cost | Lower. A healthy 40-year-old might pay £40-£80 per month for a mid-range policy. | Higher. The same 40-year-old could pay £200-£500+ per month, especially for cover including the USA. |
| Portability | Policy is tied to your UK residency and typically ends if you move abroad permanently. | Fully portable. The policy moves with you as you relocate between covered countries. |
| Typical Benefits | In-patient/day-patient care, diagnostics, some outpatient cover, cancer care. | All UK PMI benefits plus medical evacuation, repatriation, 24/7 multilingual support, often dental, vision & maternity. |
| Chronic Conditions | Not covered. Designed for acute conditions only. | Some high-tier plans may offer management for certain chronic conditions, but this is rare and expensive. |
UK-only PMI is the right choice for the vast majority of people whose lives are centred in the United Kingdom. If you live and work in the UK and only travel abroad for short holidays, a standard PMI policy is likely all you need.
You should consider UK PMI if you:
Example Scenario:
Sarah is a 45-year-old graphic designer living in Bristol. She is self-employed and cannot afford to be on a waiting list for months if she needs a procedure like a hip replacement. She takes out a UK PMI policy. A year later, she develops severe hip pain. Her GP refers her to a specialist. With her PMI, she sees a consultant within a week, has an MRI scan the following week, and is booked for surgery a month later in a private hospital of her choice. The NHS waiting time for the same procedure in her area was estimated at 14 months.
An expert PMI broker like WeCovr can help you navigate the market, comparing policies from leading UK providers like Bupa, Aviva, AXA Health, and Vitality to find the perfect fit for your needs and budget, at no extra cost to you.
IPMI is a specialist product for a more mobile population. It is essential if your life or work takes you outside the UK for more than just a few weeks at a time.
You almost certainly need IPMI if you are:
Example Scenario:
The Patel family is moving from London to Singapore for a three-year work assignment. They will no longer be covered by the NHS. They take out a comprehensive IPMI policy covering Asia. When their son develops a serious ear infection, they can use their policy to see a top paediatric specialist at a private international clinic, with the costs billed directly to the insurer. Six months later, Mrs Patel needs emergency dental work, which is also covered under their plan's dental add-on.
Many people mistakenly believe that an annual travel insurance policy is sufficient for long-term stays abroad. This is a dangerous and costly assumption. The two products are designed for entirely different purposes.
| Aspect | Annual Travel Insurance | International Private Medical Insurance (IPMI) |
|---|---|---|
| Purpose | Covers short-term trips (usually up to 30-90 days per trip) for unforeseen emergencies. | Provides long-term, comprehensive healthcare for people living or working abroad. |
| Medical Cover | Emergency medical treatment only. Its goal is to stabilise you and get you home. | Covers everything from routine GP visits and diagnostics to major surgery and cancer treatment. |
| Non-Medical Cover | Includes cover for lost luggage, flight cancellations, and travel disruption. | Purely a health insurance product. Does not cover travel-related mishaps. |
| Duration of Stay | Limited time per trip. Not suitable for living abroad. | Designed for residency abroad, typically for 12 months or more, and is renewable. |
| Cost | Relatively inexpensive. | Significantly more expensive, reflecting its comprehensive nature. |
In short: Travel insurance is for holidays. IPMI is for living. Relying on travel insurance when you are an expat is like using a plaster for a broken leg – it's simply not the right tool for the job.
Whether you choose UK PMI or IPMI, several factors will determine the price you pay. Understanding these can help you tailor a policy to your budget.
IPMI premiums are influenced by the same factors as UK PMI (age, cover level, excess) but with some crucial additions:
This table provides a rough guide to monthly premiums for a healthy, non-smoking 40-year-old.
| Policy Type | Level of Cover | Estimated Monthly Premium |
|---|---|---|
| UK PMI | Basic (In-patient only, £500 excess) | £45 |
| UK PMI | Comprehensive (Full outpatient, £250 excess) | £80 |
| International PMI | Europe Cover (£1,000 deductible) | £220 |
| International PMI | Worldwide excl. USA (£1,000 deductible) | £300 |
| International PMI | Worldwide incl. USA (£1,000 deductible) | £550+ |
Note: These are illustrative figures. Your actual quote will depend on your personal circumstances.
The health insurance market is complex. With dozens of providers, hundreds of policy combinations, and confusing jargon, trying to find the best deal on your own can be overwhelming. This is where an independent broker like WeCovr provides immense value.
Here's how we help:
When you arrange a policy through us, you also get complimentary access to our AI-powered nutrition app, CalorieHero, and may receive discounts on other insurance products, like life or income protection insurance.
Modern private health cover is evolving. The best PMI providers are no longer just waiting for you to get sick; they are actively helping you stay healthy. Many policies now include a suite of wellness benefits designed to support your physical and mental wellbeing.
These often include:
Embracing a healthy lifestyle is the best insurance of all. Aim for a balanced diet, 7-9 hours of quality sleep per night, and at least 150 minutes of moderate-intensity exercise per week, as recommended by NHS guidelines. These wellness benefits are designed to help you achieve just that.
The answer depends entirely on your life's geography.
For the 99% of UK residents who live, work, and spend most of their time within the UK, international PMI is not worth it. It is an expensive and unnecessarily complex product for your needs. A robust UK-only private medical insurance policy will provide all the cover you need to bypass NHS queues and get choice over your care, at a fraction of the cost.
However, for the 1% who are expats, digital nomads, or long-term international travellers, international PMI is not just "worth it" – it is absolutely essential. It is your primary lifeline to quality healthcare when you are far from home and the NHS. In this scenario, failing to have IPMI is a significant financial and health risk.
The key is to honestly assess your lifestyle and future plans. Once you know which type of cover you need, the next step is to find the right policy.
Ready to explore your options?
Whether you need UK-only or international cover, our expert team at WeCovr is here to help. Get a free, no-obligation quote today and let us compare the market to find the best private medical insurance for you.






