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Private Medical Insurance for Employees Group Company Schemes

As one of the UK's most experienced private health insurance brokers, having helped arrange cover for over 900,000 people through various policies, WeCovr understands the significant value of a well-structured employee benefits package. This guide delivers expert, practical advice on company private medical insurance for UK businesses.

Last updated Oct 29, 2026

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TL;DR

As one of the UK's most experienced private health insurance brokers, having helped arrange cover for over 900,000 people through various policies, WeCovr understands the significant value of a well-structured employee benefits package. This guide delivers expert, practical advice on company private medical insurance for UK businesses.

Key takeaways

  • Virtual GP services (24/7 access)
  • Mental health support lines
  • Gym discounts and fitness tracking rewards
  • Nutritional advice and wellness apps (WeCovr clients, for example, get complimentary access to the CalorieHero AI calorie tracking app).
  • GP Referral: An employee feels unwell and visits their NHS GP as usual.

As one of the UK's most experienced private health insurance brokers, having helped arrange cover for over 900,000 people through various policies, WeCovr understands the significant value of a well-structured employee benefits package. This guide delivers expert, practical advice on company private medical insurance for UK businesses.

A practical guide to employee private medical insurance for UK employers

In today's competitive job market, attracting and retaining top talent requires more than just a competitive salary. A comprehensive benefits package that prioritises employee health and wellbeing is now a critical differentiator. Group Private Medical Insurance (PMI) stands out as one of the most valued employee benefits, offering tangible advantages for both your team and your business.

This guide provides UK employers with a clear, exhaustive roadmap to understanding, choosing, and implementing a company health insurance scheme that delivers real value.

What is Employee Private Medical Insurance (PMI)?

Employee private medical insurance, also known as a group or company health insurance scheme, is a single policy purchased by an employer to provide private healthcare access for its workforce. Instead of individuals buying their own cover, the company arranges the policy, often securing more favourable terms and broader cover than is typically available to individuals.

The core purpose of PMI is to cover the costs of diagnosis and treatment for acute conditions. An acute condition is a disease, illness, or injury that is likely to respond quickly to treatment and lead to a full recovery.

Key Fact: Standard UK private medical insurance is designed for new, short-term, curable conditions that arise after you take out the policy.

What it typically covers:

  • Diagnostics: Consultations with specialists, MRI/CT/PET scans, and other diagnostic tests to quickly determine the cause of a health issue.
  • Treatment: In-patient and day-patient treatment in a private hospital, including surgery, hospital accommodation, and nursing care.
  • Out-patient Care: Specialist consultations, therapies (like physiotherapy), and diagnostic tests that do not require a hospital admission.
  • Cancer Care: Comprehensive cover for chemotherapy, radiotherapy, and surgical procedures is a cornerstone of most PMI policies.
  • Mental Health Support: Access to counsellors, therapists, and psychiatrists, which is an increasingly vital component of modern schemes.

What it almost always excludes:

  • Chronic Conditions: Long-term illnesses that cannot be cured, only managed (e.g., diabetes, asthma, hypertension).
  • Pre-existing Conditions: Any medical condition you had symptoms of, or received treatment for, before the policy started (unless you have 'Medical History Disregarded' underwriting).
  • Emergencies: Emergency treatment is provided by the NHS. PMI is for planned, non-emergency care.
  • Routine Pregnancy & Childbirth: Normal maternity care is not covered, though complications may be.
  • Cosmetic Surgery: Procedures that are not medically necessary.
  • Self-inflicted Injuries: Including those from dangerous sports or substance abuse.

Why Should Your Company Offer Private Medical Insurance?

Offering PMI is a strategic investment in your most valuable asset: your people. The return on this investment is measured in productivity, loyalty, and a healthier, more resilient workforce.

1. Attract and Retain Top Talent In a candidate-driven market, a strong benefits package can be the deciding factor. PMI is consistently ranked as one of the most desirable employee benefits, signalling that you are an employer who genuinely cares.

2. Reduce Sickness Absence and Boost Productivity The reality of the UK healthcare landscape includes significant waiting times. According to the latest NHS England data, the waiting list for consultant-led elective care stands at several million. This can mean employees are off work, or working at reduced capacity, for months.

PMI bypasses these queues, enabling employees to get a diagnosis and start treatment in days or weeks, not months. This dramatically reduces the length of sickness-related absences and gets your team members back to full health and productivity faster.

3. Enhance Employee Morale and Loyalty Providing health insurance demonstrates a tangible commitment to employee wellbeing. Knowing they have access to fast, high-quality medical care gives employees and their families peace of mind, fostering a positive and loyal company culture.

4. Access to Advanced Treatments and Wellness Perks Many PMI policies provide access to the latest licensed drugs and treatments, some of which may not yet be available on the NHS due to funding decisions. Furthermore, modern insurers bundle valuable wellness services into their plans, such as:

  • Virtual GP services (24/7 access)
  • Mental health support lines
  • Gym discounts and fitness tracking rewards
  • Nutritional advice and wellness apps (WeCovr clients, for example, get complimentary access to the CalorieHero AI calorie tracking app).
Benefit for EmployerBenefit for Employee
Reduced sickness absenceFaster access to specialists & treatment
Increased productivityPeace of mind and reduced health anxiety
Stronger employee retentionAccess to a wider range of treatments
Enhanced employer reputationValuable wellness & mental health support
Tax-deductible business expenseA highly valued part of their compensation

How Does Group Private Medical Insurance Work?

Setting up and running a group scheme is a straightforward process, especially when guided by a specialist broker.

The Employee Journey:

  1. GP Referral: An employee feels unwell and visits their NHS GP as usual.
  2. Open Referral: The GP determines a specialist consultation is needed and provides an open referral letter.
  3. Claim Authorisation: The employee calls the insurer's claims line. The insurer checks the policy terms and authorises the consultation.
  4. Treatment: The insurer helps the employee book an appointment with a recognised specialist. If treatment is needed, the insurer provides a pre-authorisation code, and the hospital bills the insurer directly.

The employee's primary interaction is with the insurer's claims team, minimising administrative burden for the employer.

Types of Company Schemes:

  • Fully Insured Scheme: The most common type. The employer pays 100% of the premium for all included employees. This is treated as a Benefit in Kind for tax purposes.
  • Voluntary Scheme: The employer facilitates access to a group scheme, but employees opt-in and pay the premium themselves from their salary. They benefit from corporate rates which are typically cheaper than individual policies.
  • Flexible Benefits Scheme: The company gives employees a 'flex pot' or benefits allowance. Employees can then choose to allocate some or all of this allowance to 'purchase' PMI, alongside other options like dental cover or increased pension contributions.

Key Decisions for Employers: Tailoring Your Company Scheme

A "one-size-fits-all" approach does not work for PMI. The policy must be tailored to your budget, company culture, and employee demographics. A specialist at WeCovr or one of our broker partners can guide you through these critical choices.

1. Underwriting Options

Underwriting is how an insurer assesses risk and decides what to cover. For group schemes, there are several options, each with significant implications.

Underwriting TypeHow It WorksBest ForKey Consideration
Moratorium (Mori)Simple to set up, no medical forms. Automatically excludes conditions from the last 5 years. This exclusion is lifted if the member goes 2 years without symptoms, treatment, or advice for that condition after joining.Small groups (2-15 employees) or those wanting a quick, simple setup.Can create uncertainty. An old condition could resurface and be excluded.
Full Medical Underwriting (FMU)Each member completes a detailed health questionnaire. The insurer then sets specific, named exclusions on the policy from day one.Groups where members are generally healthy and want clarity on what is and isn't covered from the start.More initial administration. Can be intrusive for employees.
Medical History Disregarded (MHD)The gold standard. The insurer agrees to cover all eligible medical conditions, including pre-existing ones.Larger groups, typically 20+ employees. Essential for senior leadership teams or companies wanting the more comprehensive cover.The most expensive option, but offers complete peace of mind.
Continued Personal Medical Exclusions (CPME)Used when switching an existing scheme from one insurer to another. The new insurer agrees to honour the underwriting terms of the previous policy.Any group looking to switch providers without losing cover for conditions that were previously covered.Ensures seamless continuity of cover for all members.

Broker's Tip: Medical History Disregarded (MHD) is a powerful retention tool for key staff. It removes any anxiety an employee might have about losing cover for a known health condition if they move jobs.

2. Level of Cover

Insurers typically offer tiered policies. Choosing the right level depends on your budget and what you want to prioritise.

  • Basic/Entry-Level: Primarily covers in-patient and day-patient treatment. Out-patient diagnostics and consultations may be capped at a low limit (e.g., £500) or excluded entirely.
  • Mid-Range/Standard: The most popular choice. Offers comprehensive in-patient cover plus a reasonable out-patient limit (e.g., £1,000 - £1,500) for consultations and tests. Often includes some therapy cover.
  • Comprehensive: The premium option. Provides full cover for in-patient and out-patient treatment with no annual monetary limit. Usually includes extensive mental health, dental, and optical benefits.

3. Hospital Lists

The network of hospitals your employees can use directly impacts the premium.

  • Local/Regional Lists: Restrict access to hospitals in a specific area, offering significant cost savings. Ideal for businesses with a geographically concentrated workforce.
  • National Lists: Provide access to a wide range of private hospitals across the UK, excluding the most expensive central London facilities.
  • Premium/London Lists: Include the high-end private hospitals in central London (e.g., The London Clinic, Cromwell Hospital), which comes with a higher premium.

4. The Policy Excess

An excess is the amount a member pays towards a claim in a given policy year. For example, with a £100 excess, the employee pays the first £100 of their claim.

  • Impact on Premium: A higher excess reduces the overall policy premium for the employer.
  • Implementation: You can choose an excess of £0, £100, £250, or more. Setting a mandatory excess of £100-£250 is a common way to manage costs without significantly impacting the benefit's value.

Get a quote through WeCovr, and a specialist from WeCovr or one of its broker partners will help you compare policies from a range of UK insurers.

Understanding the Costs and Tax Implications

The cost of a group PMI scheme is influenced by several factors:

  • Average age of employees: Older workforces have higher premiums.
  • Company size: Larger groups often achieve better per-head rates.
  • Industry: Higher-risk occupations may attract higher premiums.
  • Location: Premiums are often higher in London and the South East.
  • Chosen Cover: The level of cover, hospital list, and excess are the biggest levers on price.

Tax Treatment: A Critical Detail for Employers

Understanding the tax rules is essential for budgeting and payroll.

  • For the Employer: The premiums you pay for a group PMI scheme are considered an allowable business expense. This means you can deduct the full cost from your pre-tax profits, reducing your Corporation Tax bill.
  • For the Employee: Company-paid health insurance is a 'Benefit in Kind' (BIK). This means it has a cash value that is treated as part of the employee's income for tax purposes. The employee must pay income tax on the value of the premium.
  • Employer National Insurance: The employer must also pay Class 1A National Insurance Contributions (NICs) on the value of the benefit provided to each employee. The current rate is 13.8%.

Practical Example: Let's say your company pays an annual PMI premium of £800 for an employee who is a higher-rate taxpayer (40%).

  • Employer Cost:

    • Premium: £800
    • Class 1A NICs (£800 x 13.8%): £110.40
    • Total cost to employer: £910.40
    • This entire amount is a tax-deductible expense.
  • Employee Cost:

    • The £800 premium is added to their taxable income.
    • Income Tax due (£800 x 40%): £320
    • This is typically collected via a change in their tax code.

The employer is responsible for reporting this benefit to HMRC on a P11D form for each employee.

The Role of a Specialist Health Insurance Broker

The UK PMI market is complex, with numerous providers, policies, and options. Partnering with an independent, unbiased WeCovr specialist or one of our broker partners is the most effective way to navigate this landscape.

Why use a broker?

  • Panel-based Access: We compare policies from all leading UK insurers, including Bupa, AXA Health, Aviva, Vitality, and WPA, ensuring you get the best terms and price.
  • Expert, Unbiased Advice: We take the time to understand your business and recommend a scheme that truly fits your needs and budget, explaining the pros and cons of each option.
  • Time and Hassle Savings: We handle the available market review, negotiation, and application process for you, freeing up your time.
  • Annual Review and Support: At renewal, we re-broke the market to ensure your scheme remains competitive. We also provide ongoing support for any administrative or claims queries.
  • No Direct Cost: Brokers are paid a commission by the insurer you choose. Our regulated guidance and support come at no additional cost to your business.

Furthermore, WeCovr clients often benefit from additional perks, such as discounts on other business or personal insurance policies when they take out a group PMI or life insurance scheme.

Common Mistakes Employers Make When Buying Group PMI

Drawing on our experience, here are some common pitfalls to avoid:

1. Focusing Only on the Lower-cost Price The Mistake: Choosing the policy with the lowest headline premium without scrutinising the cover levels. This often leads to policies with very low out-patient limits or restrictive hospital lists, causing employee frustration at the point of claim. Broker's Tip: Define your "must-have" benefits first (e.g., a £1,500 out-patient limit, good mental health cover). Then, ask your broker to find the most cost-effective policy that meets these requirements.

2. Misunderstanding the Underwriting The Mistake: Defaulting to Moratorium underwriting for a senior team with known medical histories. This can lead to key individuals finding their conditions are not covered when they need treatment. Broker's Tip: For groups over 20, always push for a Medical History Disregarded (MHD) quote. For smaller groups, discuss the pros and cons of FMU vs. Moratorium with your broker to match the option to your team's profile.

3. Failing to Communicate the Benefit The Mistake: Launching the scheme with a single email and expecting employees to understand its value. If employees don't know how to use the policy or what it covers, its value as a benefit is lost. Broker's Tip: Work with your broker and insurer to create a clear communications plan. This should include welcome packs, intranet pages, and even short presentations explaining the benefits and the claims process.

4. Auto-Renewing Without a Market Review The Mistake: Simply accepting the insurer's renewal quote each year. Premiums often increase above medical inflation, and the market is constantly evolving with new products and pricing. Broker's Tip: Mandate an independent market review by your broker at least 8 weeks before your renewal date. This gives you leverage to negotiate with your current insurer or the option to switch to a better-value provider seamlessly.

Ready to Offer Your Team the Best in Health Benefits?

Implementing a company private medical insurance scheme is one of the most powerful investments you can make in your workforce. It protects your employees' health, safeguards your business against productivity loss, and positions you as a top-tier employer.

Navigating the options can be complex, but you don't have to do it alone. A WeCovr specialist or one of our broker partners is here to provide free, regulated advice and a comprehensive market comparison tailored to your business.

Get a quote through WeCovr, and a specialist from WeCovr or one of its broker partners will help you compare policies from a range of UK insurers.

What is the minimum number of employees for a group PMI scheme?

Most UK insurers will offer a small group scheme for as few as two or three employees. However, some of the most attractive underwriting options, such as 'Medical History Disregarded' (MHD), typically become available for groups of 20 or more.

Does company health insurance cover pre-existing conditions?

Generally, standard private medical insurance does not cover pre-existing conditions. However, group schemes for larger companies (e.g., 20+ employees) can often be set up on a 'Medical History Disregarded' (MHD) basis. This is a premium underwriting option where the insurer agrees to cover all eligible conditions, including those that are pre-existing. For smaller groups, pre-existing conditions are typically excluded.

Is mental health treatment covered by company private medical insurance?

Yes, most modern company PMI schemes include cover for mental health. The level of cover varies significantly, from basic plans offering access to a counselling helpline, to comprehensive policies that cover out-patient consultations with psychologists and in-patient psychiatric treatment. This is a key area to compare when choosing a policy.

How is group private medical insurance taxed for my employees?

When an employer pays the premium, it is considered a 'Benefit in Kind' (BIK) for the employee. The value of the premium is added to the employee's taxable income, and they may pay income tax on it. The employer must report this on a P11D form and also pay Class 1A National Insurance Contributions on the premium amount.

Important Information and Risks

No advice: This article is for general information only. It is not financial, legal, insurance, or tax advice, and it is not a personal recommendation. WeCovr does not assess your individual circumstances or recommend a specific product through this article.

Policy exclusions and underwriting: Insurance policies, including life insurance, private medical insurance, critical illness cover, and income protection, are subject to insurer underwriting, eligibility, acceptance criteria, terms, conditions, limits, and exclusions. Pre-existing medical conditions may be excluded, restricted, or accepted on special terms unless an insurer confirms otherwise in writing.

Tax treatment: References to tax treatment, HMRC rules, or business reliefs are based on current UK legislation and guidance, which can change. Tax treatment depends on your personal or business circumstances and may differ from examples in this article.

Before you buy: Always read the Insurance Product Information Document (IPID), policy summary, and full policy terms before buying, renewing, changing, or keeping cover. If you are unsure whether a policy is suitable for you, speak to an insurance adviser.

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Why private medical insurance and how does it work?

What is Private Medical Insurance?

Private medical insurance (PMI) is a type of health insurance that provides access to private healthcare services in the UK. It covers the cost of private medical treatment, allowing you to bypass NHS waiting lists and receive faster, more convenient care.

How does it work?

Private medical insurance works by paying for your private healthcare costs. When you need treatment, you can choose to go private and your insurance will cover the costs, subject to your policy terms and conditions. This can include:

• Private consultations with specialists
• Private hospital treatment and surgery
• Diagnostic tests and scans
• Physiotherapy and rehabilitation
• Mental health treatment

Your premium depends on factors like your age, health, occupation, and the level of cover you choose. Most policies offer different levels of cover, from basic to comprehensive, allowing you to tailor the policy to your needs and budget.

Questions to ask yourself regarding private medical insurance

Just ask yourself:
👉 Are you concerned about NHS waiting times for treatment?
👉 Would you prefer to choose your own consultant and hospital?
👉 Do you want faster access to diagnostic tests and scans?
👉 Would you like private hospital accommodation and better food?
👉 Do you want to avoid the stress of NHS waiting lists?

Many people don't realise that private medical insurance is more affordable than they think, especially when you consider the value of faster treatment and better facilities. A great insurance policy can provide peace of mind and ensure you receive the care you need when you need it.

Benefits offered by private medical insurance

Private medical insurance provides numerous benefits that can significantly improve your healthcare experience and outcomes:

Faster Access to Treatment
One of the biggest advantages is avoiding NHS waiting lists. While the NHS provides excellent care, waiting times can be lengthy. With private medical insurance, you can often receive treatment within days or weeks rather than months.

Choice of Consultant and Hospital
You can choose your preferred consultant and hospital, giving you more control over your healthcare journey. This is particularly important for complex treatments where you want a specific specialist.

Better Facilities and Accommodation
Private hospitals typically offer superior facilities, including private rooms, better food, and more comfortable surroundings. This can make your recovery more pleasant and potentially faster.

Advanced Treatments
Private medical insurance often covers treatments and medications not available on the NHS, giving you access to the latest medical advances and technologies.

Mental Health Support
Many policies include comprehensive mental health coverage, providing faster access to therapy and psychiatric care when needed.

Tax Benefits for Business Owners
If you're self-employed or a business owner, private medical insurance premiums can be tax-deductible, making it a cost-effective way to protect your health and your business.

Peace of Mind
Knowing you have access to private healthcare when you need it provides invaluable peace of mind, especially for those with ongoing health conditions or concerns about NHS capacity.

Private medical insurance is particularly valuable for those who want to take control of their healthcare journey and ensure they receive the best possible treatment when they need it most.

Important Fact!

There is no need to wait until the renewal of your current policy.
We can look at a more suitable option mid-term!

Why is it important to get private medical insurance early?

👉 Many people are very thankful that they had their private medical insurance cover in place before running into some serious health issues. Private medical insurance is as important as life insurance for protecting your family's finances.

👉 We insure our cars, houses, and even our phones! Yet our health is the most precious thing we have.

Easily one of the most important insurance purchases an individual or family can make in their lifetime, the decision to buy private medical insurance can be made much simpler with the help of experienced advisers. They are the specialists who do the searching and analysis helping people choose between various types of private medical insurance policies available in the market, including different levels of cover and policy types most suitable to the client's individual circumstances.

It certainly won't do any harm if you speak with one of our experienced insurance experts who are passionate about advising people on financial matters related to private medical insurance and are keen to provide you with a free consultation.

You can discuss with them in detail what affordable private medical insurance plan for the necessary peace of mind they would recommend! WeCovr works with some of the best advisers in the market.

By tapping the button below, you can book a free call with them in less than 30 seconds right now:

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Life Insurance and Private Medical Insurance cover you for two different purposes, so you will need to assess your needs but may wish to consider holding the two policies. Private Medical Insurance covers you if you get sick or need treatment and want or need to go privately. Life Insurance covers you in the case of death, giving a payout to family/those left behind.

Private medical insurance is designed for conditions that start after your policy begins, so pre-existing conditions are usually excluded, at least at first. With moratorium underwriting, a pre-existing condition may become eligible for cover once you have gone two continuous years on the policy without symptoms, treatment or advice for it. With full medical underwriting, the insurer tells you upfront which conditions are excluded. If you are switching from another policy or leaving a company scheme, you may be able to keep your existing underwriting terms, and some larger company schemes use Medical History Disregarded underwriting, where pre-existing conditions aren't excluded. Chronic conditions that need long-term management aren't covered by standard policies.

If you prefer to get straight into treatment in the private sector without the long waiting times with the NHS, or you just prefer the private sector anyway, without having to pay it all yourself, then you would need to have Private Medical Insurance to cover it. Some policies can also cover treatments and drugs that aren't routinely available on the NHS.

There's no fee to get quotes through WeCovr. WeCovr and its broker partners are typically paid a commission by the insurer when you take out a policy. The cost of the policy itself depends on your age, where you live, the cover you choose and your excess.

It depends on your personal choice and preferences. If you are prepared to limit yourself to NHS-covered treatments only and can or want to endure long waiting times to get into treatment, then yes, NHS might work for you. Your cover there is free. If you don't want to be exposed to long waiting times or if your treatment is not covered by the NHS, then you may benefit from Private Medical Insurance.

Private Medical Insurance is an important financial product, and policies differ in ways that matter. Speaking to a specialist at WeCovr or one of its broker partners helps make sure your requirements are understood so you can choose the right cover.

WeCovr's broker partners are firms authorised and regulated by the Financial Conduct Authority (FCA), which requires them to treat customers fairly. You can check any firm on the FCA Register.

WeCovr and its broker partners are typically paid a commission by the insurer when a policy is taken out. The premium is set by the insurer, and you don't pay a separate fee for using the service. You can ask about the commission at any time.

The cost of private health insurance depends on several factors, including your age, location, smoking status, and the type of policy you choose. Your health insurance policy is tailored to your needs, and the cost can vary based on the level of cover you require, such as the amount of excess and specific treatment allowances.

Private health insurance covers eligible conditions that arise after your policy begins. You pay a monthly or annual premium and can claim for private healthcare covered by your policy. Benefits can include quicker access to treatment than on the NHS and, on some policies, access to drugs or treatments that aren't routinely available on the NHS.

Most health insurance covers private hospital stays and may include outpatient treatments like scans, tests, or appointments. Policies vary in coverage, and exclusions often include emergency treatment, maternity care, cosmetic surgery, chronic conditions and conditions present before the policy started.

Usually not on a new personal policy: pre-existing conditions are generally excluded, whatever the premium. Depending on your underwriting, a condition may become eligible later, and if you are switching policies or leaving a company scheme you may be able to keep existing terms. If you have questions about what is covered, contact WeCovr and a specialist at WeCovr or one of its broker partners can explain the options.

Your health insurance policy begins once you've selected your policy and set up your payment. After setup, you'll receive your cover documents detailing what is and isn't covered. It's important to review these details carefully as policies differ.

An excess is the amount you contribute towards treatment when you make a claim. Choosing a higher excess can reduce your policy's monthly cost but requires a larger contribution when claiming. Depending on the insurer, it applies once per policy year or once per claim. A specialist at WeCovr or one of its broker partners can explain the excess options available.

To reduce health insurance costs, consider choosing a higher excess, which lowers the monthly premium. However, ensure the plan still meets your needs. Other factors affecting cost include lifestyle choices like smoking and potential savings for couples or family plans.

Some insurers have an upper age limit for new customers, while others don't, and age affects the price. Many insurers will renew an existing policy regardless of age. A specialist at WeCovr or one of its broker partners can help you find insurers that accept your age.

A specialist at WeCovr or one of its broker partners can compare health insurance plans from a range of insurers for you, with no fee to you. Consider individual, couple, or family plans and review coverage details thoroughly before choosing.

Usually, yes. Many insurers let you add a partner or dependent children, either at any time or at renewal, depending on the insurer. The cost depends on factors like their age, where you live and the cover you choose. Contact WeCovr or your insurer for help adding someone to your policy.

UK private medical insurance is designed for treatment in the UK, although some policies include limited cover abroad. If you live or work abroad, international health insurance may be more suitable, and WeCovr or one of its broker partners can help you compare options. For holidays, travel insurance is recommended.

Comprehensive cover usually includes more extensive benefits, such as fuller outpatient cover for consultations, diagnostic tests, physiotherapy and mental health therapies, within the policy limits. A specialist at WeCovr or one of its broker partners can explain the different levels of cover.

Private health insurance typically does not cover routine dental treatment, although some insurers offer a dental option and there are standalone dental policies. A specialist at WeCovr or one of its broker partners can help you compare policies with dental options.

Most private medical insurance policies include cover for cancer diagnosed after the policy starts, but the level of cover varies: some policies limit drugs, treatment time or cost. A specialist at WeCovr or one of its broker partners can help you compare cancer cover between policies.

You can usually change your cover at renewal, and some insurers allow changes during the year. You also have a 14-day cooling-off period after receiving your policy documents, during which you can cancel. A specialist at WeCovr or one of its broker partners can help with changes.

Many policies include a digital GP service provided by the insurer, often with same-day or next-day appointments. Check what your policy includes.

Yes, family members on the same policy can potentially have different levels of cover tailored to their individual needs.

Yes. Insurers offer a range of cover levels to suit different budgets and needs, and a specialist at WeCovr or one of its broker partners can talk you through the options.

Your insurer can tell you which hospitals and specialists are included in your policy. For help comparing policies' hospital lists, tap one of the buttons above or below and fill in a few details, and a specialist at WeCovr or one of its broker partners will be in touch.

A fee-assured (or fee-approved) consultant has agreed to charge within your insurer's fee limits, so for eligible, authorised treatment you shouldn't have to pay a shortfall for their fees.

Many policies include some mental health cover, either as standard or as an option, usually with limits on therapy sessions or costs. Cover varies between insurers, so check the details.

Yes, children up to a certain age can usually be included on your policy, and some insurers offer discounts for children.

Like most health insurance plans, premiums may increase annually due to factors such as age and medical cost inflation.

The cost of health insurance varies based on several factors. Tap a button below to get your own personalised quote through WeCovr.

Private health insurance can offer quicker access to consultations and treatment for eligible conditions, and more choice over when and where you are treated.

Many policies include physiotherapy, sometimes with limits on sessions or cost. A specialist at WeCovr or one of its broker partners can help you find plans that include it.

Services such as the insurer's digital GP app are usually available as soon as your policy starts.

You can obtain a range of suitable quotes easily by tapping one of the buttons above or below and filling in a few details for personalised assistance.

Health insurance covers eligible new conditions that arise after the policy starts. Pre-existing conditions are usually excluded, chronic conditions aren't covered, and other exclusions apply.

Health insurance pays for eligible private healthcare, such as consultations and treatment, up to your policy limits. A specialist at WeCovr or one of its broker partners can help you arrange cover.

Outpatient cover includes consultations, physiotherapy, and mental health therapies outside hospital admissions.

Usually, yes: cover for eligible new conditions starts when your policy starts, and services like a nurse helpline or digital GP app are usually available straight away. If you make a claim soon after starting, the insurer may ask for a report from your GP. Health insurance is designed to cover new conditions that arise after the policy has started.

No, health insurance does not cover A&E (Accident and Emergency) visits. Private hospitals do not typically have the facilities for handling A&E cases. In case of an emergency, please dial 999 or use the NHS emergency services. However, if you require follow-up treatment after an emergency situation, your private medical insurance may be able to assist.

Yes, many insurers offer rewards in leisure, wellbeing, and health. Visit your insurer's website, or ask a specialist at WeCovr or one of its broker partners, for details of member rewards.

You may be able to continue your cover with the same insurer on a personal policy, or take out a new policy. Continuing with the same insurer can mean keeping your existing underwriting, so conditions covered under the company scheme may stay covered. A specialist at WeCovr or one of its broker partners can talk you through your options.

You can tap one of the buttons above or below and fill in a quick form to arrange a call to discuss your options.

Your cover may be similar but not identical, and ongoing medical conditions may be covered, depending on the terms. A specialist at WeCovr or one of its broker partners can help you find the right level of cover.

Usually not, because employers often pay for or contribute to staff cover and group schemes are priced differently. Your cover level and age also affect the price. A specialist at WeCovr or one of its broker partners can give you more detail.

There is usually a limited window after leaving, set by the insurer, so check as early as possible. Your personal policy can often start the day after your work cover ends, and a specialist at WeCovr or one of its broker partners can explain other options.

Have your leaving date and your current policy details ready, then contact WeCovr to discuss your options with a specialist at WeCovr or one of its broker partners.

Ongoing treatment may be covered if you continue with the same insurer on a personal policy, although it could affect the price. A specialist at WeCovr or one of its broker partners can explain your options.

Your insurer will explain how to pay your excess when you contact them for treatment authorisation. Usually you pay it to the hospital or consultant.

Usually not: with most insurers, there's no excess for services such as a digital GP. Check your policy.

Excess changes are usually made at renewal, although some insurers allow changes at other times.

No claims discounts can impact renewal costs based on claims history.

Pre-existing conditions usually aren't covered on a new personal policy. A specialist at WeCovr or one of its broker partners can explain the underwriting options.

This involves health-related questions before policy enrolment to determine coverage.

Moratorium underwriting simplifies enrolment but may require health disclosures during claims.

Claims may require additional information if under moratorium underwriting.

Pre-existing conditions are medical issues that existed before your policy started. Many insurers treat any condition you've had symptoms of, treatment for or advice about in the five years before the policy started as pre-existing. A specialist at WeCovr or one of its broker partners can help you understand how pre-existing conditions affect your options.

While some insurance providers automatically renew your private healthcare cover, it's worth comparing policies when yours is due for renewal to check it still offers good value for the cover you need. A specialist at WeCovr or one of its broker partners can help you compare.

Typically, you must be over 18 to take out your own policy, but children can usually be included on a family policy. Some insurers have an upper age limit for new customers, and premiums typically increase with age. A specialist at WeCovr or one of its broker partners can explain the age rules of different insurers.

Some insurers charge less if you pay annually, but this depends on the insurer. A specialist at WeCovr or one of its broker partners can tell you whether paying annually would save you money.

If your employer offers private health insurance as part of your benefits package, you likely don't need additional cover. However, there may be limits on the cover you receive, and it may not extend to your entire family. Remember, any insurance you get through work only covers you while you're employed there.

Usually not. With full medical underwriting you complete a medical questionnaire, and the insurer may occasionally ask your GP for a report. With moratorium underwriting there's no medical questionnaire upfront. A specialist at WeCovr or one of its broker partners can explain the requirements of different policies.

Many private health insurance providers now offer GP services, either digitally or face-to-face. This means you can often get a private GP appointment quickly, sometimes even on the same day. A specialist at WeCovr or one of its broker partners can help you find policies that offer GP services.

With private health insurance, you can often get a GP appointment much more quickly, sometimes even on the same day, through the insurer's GP service. A specialist at WeCovr or one of its broker partners can help you find policies that include it.

Inpatient care refers to any treatment requiring a stay in a hospital or clinic for at least one night. Outpatient care refers to treatments or tests that don't require hospital admission, such as minor diagnostic tests or physiotherapy sessions. A specialist at WeCovr or one of its broker partners can help you understand the different types of care and find a policy that suits your needs.

Private health insurance pays for eligible medical treatment if you fall ill, while critical illness cover pays a lump sum if you are diagnosed with one of the illnesses listed in the policy, which you can use however you choose, for example to replace lost income. A specialist at WeCovr or one of its broker partners can help you understand the differences.

Health insurance policies are designed for cover in the UK. For cover abroad, consider travel insurance for short trips or international health insurance for longer stays or if you have a holiday home overseas. A specialist at WeCovr or one of its broker partners can help you find appropriate cover.

If your employer pays for your health insurance, it's usually a taxable 'benefit in kind': you pay income tax on its value, normally through your tax code or payroll, and your employer pays Class 1A National Insurance. For the employer, the premiums are usually an allowable business expense. If you buy a personal policy, you pay for it from taxed income. For advice on your situation, speak to an accountant.

When you purchase a policy, you choose how much excess you pay, which is your contribution to the cost of treatment if you make a claim. The higher your excess, the lower your premium is likely to be. A specialist at WeCovr or one of its broker partners can help you understand how excess works and choose the right level for you.

These are two methods of underwriting a health insurance policy, relating to how insurance providers consider your pre-existing medical conditions when you take out cover. A specialist at WeCovr or one of its broker partners can help you understand the differences and choose the right option for you.

Some private health insurance providers offer a no-claims discount, similar to car insurance. Each year you don't claim typically adds to your no-claims discount, which can reduce your premium at renewal. A specialist at WeCovr or one of its broker partners can help you find policies that offer no-claims discounts.

To find the right health insurance for you, compare policies to find one that offers the features you need at a price you can afford. Consider your personal circumstances and what you want from your policy. A specialist at WeCovr or one of its broker partners can help you evaluate your options.

If you need treatment, a GP referral is not always necessary. However, this depends on how you plan to pay for your treatment. Most hospitals will allow you to book appointments with a consultant without a GP referral if you are paying out-of-pocket. If you have private medical insurance, check your policy terms to see whether your insurer requires a GP referral first (many do). Some policies offer direct access without a referral for certain conditions, such as muscle and joint problems or counselling for mental health issues.

Yes, you can obtain financing for a loan to cover the cost of surgery. Many private healthcare companies have partnerships with finance companies to allow you to spread the cost of private treatment over time. You could also explore getting an ordinary loan from your bank if this option proves to be more cost-effective for you.

WeCovr has published research into the cost of private health insurance in the UK. Click the link to find out more detailed information.

Yes, you can continue to receive treatment through the NHS even if you have private health insurance and have received private treatment in the past. This could be for rehabilitation after private surgery or for treatment that is not covered by your health insurance policy. For example, some cosmetic surgeries may be available through the NHS but are generally not covered by private medical insurance.

This is a difficult question to answer definitively. There are certain services that cannot be obtained privately, such as emergency treatment at an Accident and Emergency (A&E) department. Many NHS consultants also practise privately, so you could potentially see the same consultant either way. However, private healthcare typically offers shorter waiting times, usually a private room, and more flexible visiting. Some policies also give access to treatments and drugs that are not routinely available through the NHS.

Yes, you can self-refer to a private specialist without the need for a GP referral. However, the British Medical Association believes that in most cases, it is best practice to start with your GP, as they are familiar with your medical history.

Usually, yes. If you have private tests or scans but then want NHS treatment, your GP or private consultant can refer you to the NHS and share your results, although the NHS team may want to repeat some tests.



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