
As an FCA-authorised expert with over 900,000 policies issued, WeCovr has analysed the latest trends in the UK private medical insurance market. The data is clear: claims are surging as more people turn to private healthcare for prompt diagnosis and treatment, navigating a healthcare landscape under immense pressure.
The last two years have marked a watershed moment for private medical insurance (PMI) in the United Kingdom. A combination of unprecedented strain on the NHS, growing health awareness post-pandemic, and a desire for faster access to care has fuelled a dramatic increase in the number of people both buying and using private health cover.
Analysis of claims data from across the industry reveals a clear and sustained trend: PMI utilisation is at an all-time high. According to the Association of British Insurers (ABI), health insurance providers paid out £7.7 million every day in 2023 to support the health of their members, funding vital treatments and diagnostics. This represents a significant uptick in claims volume compared to pre-pandemic levels, demonstrating that policyholders are not just holding policies for peace of mind—they are actively using them to bypass long waits and access the care they need, when they need it.
This surge has profound implications, not just for policyholders' wallets but also for the very design of the insurance products themselves.
Several powerful factors are converging to drive this unprecedented demand for private healthcare. Understanding these drivers is key to grasping the current state of the UK health insurance market.
The single most significant driver is the immense pressure on the National Health Service. As of mid-2025, the number of treatments on the NHS waiting list in England remains stubbornly high, hovering around 7.5 million. This figure represents individual treatments, not unique patients, but it paints a stark picture of the delays people face.
For many, waiting in pain or with uncertainty is not a viable option. Private medical insurance offers a direct route to bypass these queues, often reducing the wait for a consultation or scan from months to mere days or weeks.
The COVID-19 pandemic fundamentally shifted our collective attitude towards health. There is a heightened awareness of vulnerability and a greater proactivity in seeking medical advice. This has led to:
UK demographics are shifting. The Office for National Statistics (ONS) projects that by 2030, roughly one in five people in the UK will be aged 65 or over. An older population naturally has more complex health needs, leading to greater demand for treatments like joint replacements, cataract surgery, and cardiac care—all areas where PMI excels.
In a competitive job market, employers are increasingly using private medical insurance as a core part of their benefits package to attract and retain top talent. Offering health cover demonstrates a commitment to employee welfare and provides a tangible benefit that reduces absenteeism by ensuring staff get treated faster. The growth in these corporate schemes has significantly expanded the pool of insured individuals, naturally leading to a higher volume of claims.
The claims data reveals specific areas of healthcare where PMI is having the most significant impact. These are typically specialties with long NHS waiting lists or where private care offers access to newer technologies and faster diagnostic pathways.
| Treatment Category | Common Procedures | Why People Claim |
|---|---|---|
| Orthopaedics | Hip replacement, knee replacement, arthroscopy, spinal surgery | To avoid long, painful waits for surgery that impacts mobility and quality of life. |
| Oncology (Cancer) | Chemotherapy, radiotherapy, targeted therapies, surgery | Fast-track diagnosis, access to drugs not yet on the NHS, choice of specialist. |
| Diagnostics | MRI, CT, PET scans, ultrasound, endoscopy, colonoscopy | To get a swift and accurate diagnosis, often within days, to enable treatment to start. |
| Mental Health | Counselling, psychotherapy (CBT), psychiatric consultations | To bypass long waits for NHS mental health services (IAPT/Talking Therapies). |
| Gastroenterology | Hernia repair, gallbladder removal, investigation of digestive issues | To resolve painful and uncomfortable conditions without a protracted wait. |
| Cardiology | Angiography, pacemaker insertion, consultations for heart conditions | Rapid access to specialist assessment and intervention for peace of mind and health. |
A real-life example: Imagine Sarah, a 45-year-old marketing manager, is suffering from severe knee pain. Her GP suspects a torn meniscus and refers her for an NHS MRI scan, with an estimated wait of 12 weeks, followed by a further wait of many months for surgery if needed. Unable to walk without pain, she uses her company PMI. She sees a specialist within a week, has an MRI two days later, and is booked for keyhole surgery the following week. This is the tangible benefit driving the claims surge.
This is the most important concept to understand about private medical insurance in the UK. Failure to grasp this distinction is the source of most customer confusion.
Standard UK PMI is designed to cover acute conditions that arise after you take out your policy.
PMI does not cover the routine management of chronic conditions. It may cover the initial diagnosis of a chronic condition, but the day-to-day monitoring, check-ups, and medication would then fall back to the NHS.
Equally important are pre-existing conditions. These are any illnesses or injuries you had, or sought advice for, before your policy began. These are almost always excluded from cover. Insurers do this using two main methods:
The inescapable consequence of more people claiming more often for more expensive treatments is that premiums are rising. Just like in car insurance, a higher number of claims across the board puts upward pressure on prices for everyone.
This is compounded by medical inflation, which consistently outpaces general inflation (the Consumer Price Index). Medical inflation is driven by:
For 2025, many policyholders can expect to see their renewal premiums increase by a noticeable margin, reflecting these market-wide trends, in addition to any age-related increases or claims made on their policy.
| Factor | Impact on Premium | How to Manage It |
|---|---|---|
| Age | Increases significantly as you get older. | Cannot be changed, but locking in a policy when younger is cheaper. |
| Location | More expensive in major cities like London. | Cannot be changed, but be aware of the impact. |
| Level of Cover | Comprehensive plans are more expensive. | Choose a modular plan and only pay for what you need. |
| Excess | A higher excess lowers your premium. | Select an excess you are comfortable paying (£250-£500 is common). |
| Hospital List | A limited list of hospitals is cheaper. | Check if your local private hospital is on the insurer's guided network. |
| Claims History | Making a claim can reduce your No-Claims Discount. | Consider if it's worth claiming for smaller expenses. |
Navigating these rising costs can be challenging. This is where an expert PMI broker like WeCovr becomes invaluable. We can compare the entire market to find a policy that provides the right cover without breaking the bank.
Insurers are not just raising prices; they are also innovating to keep policies affordable and relevant. The modern PMI policy is far more flexible and customisable than its predecessors.
At WeCovr, we go a step further by providing our PMI and Life Insurance clients with complimentary access to CalorieHero, our AI-powered calorie and nutrition tracking app, helping you stay on top of your health goals.
In this changing landscape, being proactive is your best strategy. This applies to both your physical health and your financial planning.
Preventing illness is always better than treating it. Small, consistent lifestyle changes can have a huge impact on your long-term health and reduce your reliance on medical services.
The world of private medical insurance can seem complex, especially with the market evolving so rapidly. At WeCovr, our mission is to bring clarity and value to our clients. As an FCA-authorised broker with extensive experience and high customer satisfaction ratings, we provide impartial, expert advice tailored to you.
We don't just sell policies; we build relationships. We take the time to understand your health needs, your budget, and your priorities. Then, we search the market—from major names like Bupa and AXA to specialist providers—to find the perfect match. Our service costs you nothing, but our expertise can save you time, money, and stress.
The surge in PMI claims is a direct response to the pressures on our healthcare system. If you're considering how private health cover could benefit you, or if you want to ensure your current policy still offers the best value, don't navigate the market alone.






