TL;DR
As an FCA-authorised expert PMI broker that has helped arrange over 900,000 policies, WeCovr understands the unique needs of modern families. This guide explains private medical insurance for foster families and legal guardians in the UK, helping you navigate coverage options for the children in your care. Coverage for fostered and non-biological children in PMI Navigating the world of private medical insurance (PMI) can be complex, and for foster families and legal guardians, an extra layer of questions often arises.
Key takeaways
- Faster Diagnosis and Treatment: Skip long NHS waiting lists for specialist consultations, diagnostic scans (like MRI and CT), and eligible surgical procedures. This can mean getting answers and starting treatment in weeks, not months or years.
- Reduced Stress and Anxiety: For a child settling into a new home, the uncertainty of a long wait for medical care can be unsettling. The speed and efficiency of private care can provide reassurance and stability for the whole family.
- Choice and Control: PMI typically allows you to choose your specialist and the hospital where you receive treatment from a pre-approved list. This gives you more control over your family's healthcare journey.
- Access to Specialist Mental Health Support: This is a critical consideration. Research from the Department for Education shows that looked-after children have a higher rate of social, emotional and mental health needs than other children. PMI can provide faster access to therapies and psychiatric support, bypassing long waits for Child and Adolescent Mental Health Services (CAMHS).
- Comfort and Privacy: Private hospitals often offer private rooms with en-suite facilities, creating a more comfortable and less stressful environment for a child's recovery.
As an FCA-authorised expert PMI broker that has helped arrange over 900,000 policies, WeCovr understands the unique needs of modern families. This guide explains private medical insurance for foster families and legal guardians in the UK, helping you navigate coverage options for the children in your care.
Coverage for fostered and non-biological children in PMI
Navigating the world of private medical insurance (PMI) can be complex, and for foster families and legal guardians, an extra layer of questions often arises. The primary challenge lies in how UK health insurance providers define a 'dependant child'. While biological and legally adopted children are almost always straightforward to include on a family policy, the situation for fostered children, those under a special guardianship order, or other non-biological children can vary significantly between insurers.
The key question insurers will ask is about legal and financial dependency. A foster placement is technically temporary, even if it's long-term, which can make some insurers hesitant. However, many leading providers have adapted their policies to reflect the reality of modern family structures. The crucial first step is always transparency. You must be clear about the child's legal status when applying for cover. An experienced broker can be invaluable in finding an insurer with a flexible and inclusive definition of 'family'.
Why Consider Private Medical Insurance for Your Foster Family?
While the NHS provides excellent care, the reality of long waiting lists can add significant stress, particularly for a child who may have already experienced instability or trauma. Private medical insurance is designed to work alongside the NHS, offering you and your family more choice, control, and faster access to specialist care when you need it most.
According to the latest NHS England statistics, the referral to treatment (RTT) waiting list stood at approximately 7.54 million in early 2025. For children, prompt diagnosis and treatment are vital for their development and wellbeing.
Key benefits of PMI for foster families include:
- Faster Diagnosis and Treatment: Skip long NHS waiting lists for specialist consultations, diagnostic scans (like MRI and CT), and eligible surgical procedures. This can mean getting answers and starting treatment in weeks, not months or years.
- Reduced Stress and Anxiety: For a child settling into a new home, the uncertainty of a long wait for medical care can be unsettling. The speed and efficiency of private care can provide reassurance and stability for the whole family.
- Choice and Control: PMI typically allows you to choose your specialist and the hospital where you receive treatment from a pre-approved list. This gives you more control over your family's healthcare journey.
- Access to Specialist Mental Health Support: This is a critical consideration. Research from the Department for Education shows that looked-after children have a higher rate of social, emotional and mental health needs than other children. PMI can provide faster access to therapies and psychiatric support, bypassing long waits for Child and Adolescent Mental Health Services (CAMHS).
- Comfort and Privacy: Private hospitals often offer private rooms with en-suite facilities, creating a more comfortable and less stressful environment for a child's recovery.
PMI gives you the peace of mind that you can access high-quality care quickly, allowing you to focus on what matters most: providing a stable and nurturing home for the child in your care.
Understanding Insurer Definitions: Who Qualifies as a 'Dependant Child'?
This is the most critical area for foster carers and guardians. The term 'dependant child' is not standardised across the UK private medical insurance market. Each insurer sets its own rules, which is why you can be accepted by one and declined by another for the same child.
Typically, an insurer will want to establish:
- Legal Responsibility: Do you have legal parental responsibility for the child? This is automatically the case for biological and adopted children. For others, it depends on legal orders.
- Financial Dependency: Does the child live with you and are they financially dependent on you? This is usually the case for all children living within a family unit.
- Residency: Does the child reside with you permanently in the UK?
Let's break down the common scenarios:
- Legally Adopted Children: These children are treated exactly the same as biological children by all PMI providers. There are no barriers to adding them to a policy.
- Children Under a Special Guardianship Order (SGO): A Special Guardian has overriding parental responsibility. Most insurers will readily accept children under an SGO onto a family policy, as this is a permanent legal arrangement.
- Children Under a Child Arrangements Order (CAO): This order specifies where a child lives. If the order states the child lives with you, most insurers will consider them an eligible dependant.
- Foster Children: This is the most variable category. Some insurers will not cover foster children due to the potentially temporary nature of the placement. However, a growing number of forward-thinking insurers will, especially for long-term placements. They may require a letter from your fostering agency or local authority to confirm the arrangement.
The table below gives a general overview of how different legal statuses might be viewed.
| Child's Legal Status | Likelihood of PMI Coverage | Key Considerations for Insurers |
|---|---|---|
| Biological Child | Guaranteed | Lives with you and is financially dependent. |
| Legally Adopted Child | Guaranteed | Treated identically to a biological child. |
| Child under a SGO | Very High | Permanent legal order granting parental responsibility. |
| Step-Child | Very High | Generally accepted as a dependant if living with you. |
| Foster Child | Variable | Depends entirely on the insurer. Long-term placements are more likely to be accepted. Requires full disclosure. |
Crucial Advice: Never assume. Always declare the child's exact legal status. Hiding this information could invalidate your entire policy at the point of a claim. Working with an expert PMI broker like WeCovr is the safest way to ensure you apply to the right insurer from the start.
Key PMI Exclusions You MUST Know About
Understanding what private medical insurance doesn't cover is just as important as knowing what it does. This is vital for all families, but especially for foster families, as children entering care may have a complex or unknown medical history.
The single most important rule to remember is:
Standard UK private medical insurance is designed for new, unexpected, acute conditions that arise after your policy has started.
It is not designed to cover:
- Pre-existing Conditions: Any illness, injury, or symptom you (or your child) have experienced, had medication for, or sought advice on in the five years before taking out the policy. These will be excluded, either permanently or for a set period.
- Chronic Conditions: Long-term conditions that require ongoing management and have no known cure. These are managed by the NHS.
Here are some common exclusions found on most UK PMI policies:
| Category | Examples | Why is it Excluded? |
|---|---|---|
| Chronic Conditions | Diabetes, asthma, high blood pressure, arthritis, Crohn's disease. | PMI is for curative treatment, not long-term management. These fall under the care of the NHS. |
| Pre-existing Conditions | A knee injury from two years ago, previous consultations for anxiety, past treatment for eczema. | The policy is designed to cover future, unforeseen risks, not known past issues. |
| Emergency Services | A&E visits, ambulance services, treatment for a heart attack or stroke. | These are handled by the NHS emergency services, which provide immediate, critical care. |
| Normal Pregnancy & Birth | Routine maternity care. | PMI is for unexpected illness, not planned life events. Some high-end policies cover complications. |
| Cosmetic Surgery | Procedures for aesthetic reasons. | Not medically necessary. Reconstructive surgery after an accident or illness may be covered. |
| Self-inflicted Injuries | Injuries resulting from substance abuse or dangerous hobbies (unless declared and accepted). | These are not considered unforeseen medical events in the same way as an illness. |
For foster families, the "pre-existing conditions" clause is paramount. If a child has a known medical history, it's essential to understand how this will be treated by the insurer before you buy.
Navigating the Application Process for a Foster Family
Applying for PMI for your family, including a non-biological child, requires a careful and methodical approach. Follow these steps to ensure a smooth process and a policy that truly meets your needs.
Step 1: Gather Your Information
Before you start getting quotes, have the following details ready:
- Personal Details: Full names and dates of birth for everyone to be insured.
- Legal Status: Be prepared to explain the exact legal status of the child in your care (e.g., foster placement, special guardianship). You may need a copy of the relevant court order or a letter from the local authority.
- Medical History: Note down any significant medical conditions, consultations, or treatments each family member has had in the last five years. Be as thorough as you can, even if the information for a foster child is incomplete.
Step 2: Speak to an Expert PMI Broker
This is not a sales pitch; it's a practical necessity. Given the complexities around insuring foster children, going direct to an insurer can be a minefield. You might spend hours completing an application only to be rejected based on their internal definition of a 'dependant'.
An FCA-authorised broker like WeCovr:
- Knows the Market: We know which insurers have flexible policies for foster families and guardians.
- Saves You Time: We do the legwork, comparing policies from across the market to find the ones that fit your unique situation.
- Provides Expert Advice: We can explain the jargon and help you choose the right level of cover and underwriting.
- Costs You Nothing: Our service is free to you, as we are paid a commission by the insurer you choose.
Step 3: Choose Your Underwriting Method
Underwriting is how insurers assess risk and decide what they will and won't cover. For a family policy, you have two main choices. This decision is particularly important when medical history might be unclear.
| Underwriting Type | How it Works | Pros for Foster Families | Cons for Foster Families |
|---|---|---|---|
| Full Medical Underwriting (FMU) | You complete a detailed health questionnaire for each family member. The insurer reviews this and states any specific exclusions on your policy documents from day one. | Clarity. You know exactly what is and isn't covered from the start. | Difficult. Can be challenging if the child's full medical history is unknown. May lead to more initial exclusions. |
| Moratorium Underwriting (Mori) | No initial health questionnaire. The policy automatically excludes any condition that existed in the 5 years prior to joining. This exclusion is reviewed after a 2-year continuous period on the policy. | Simple & Fast. Easy to set up without needing a complete medical history. | Uncertainty. You may not know if a condition is covered until you make a claim. The "2-year rule" can be complex. |
For a foster child with a patchy medical history, Moratorium underwriting is often the more practical option, as it bypasses the need for a detailed initial questionnaire. However, you must be comfortable with the ambiguity it creates. Your broker can help you weigh the pros and cons for your specific situation.
Step 4: Full and Honest Disclosure
When you apply, you have a duty to disclose all 'material facts'. A material fact is anything that could influence an insurer's decision to offer you cover. The legal status of a child is always a material fact.
Never be tempted to list a foster child as a 'son' or 'daughter' without clarifying their legal status. If this is discovered later, the insurer has the right to cancel the policy, refuse a claim, and you could find it difficult to get insurance in the future. Honesty is always the best policy.
The Role of Local Authorities and Fostering Allowances
A common question from foster carers is whether they can use their fostering allowance to pay for private medical insurance. The fostering allowance is provided to cover the costs of caring for a child, including their health and wellbeing.
The short answer is: it depends on your local authority.
- There is no national rule that states you can or cannot use the allowance for PMI.
- Most local authorities would consider PMI a private expense, similar to a family choosing to pay for it for their biological children.
- However, if a child has specific health needs and is facing a very long wait on the NHS for a diagnosis or treatment that is impacting their wellbeing, a case could be made.
Our advice: Have an open conversation with your supervising social worker. Explain why you are considering PMI and ask for their guidance. They may be supportive, but you should not assume that the cost will be covered or subsidised by the allowance. Plan for PMI to be a cost you will cover yourself.
Mental Health Support: A Critical Component for Looked-After Children
For many foster families, the most compelling reason to consider PMI is the mental health support it can unlock. Looked-after children are more likely to have experienced trauma, neglect, or instability, which can have a significant impact on their emotional wellbeing.
While NHS CAMHS provides essential support, it is under immense pressure, with long waiting lists for assessment and therapy in many parts of the UK. Private medical insurance can offer a vital alternative route to care.
What can PMI mental health cover include?
- Initial Psychiatric Assessment: A consultation with a private specialist to get a diagnosis and treatment plan.
- Therapy Sessions: A set number of sessions (e.g., 8-10) with a qualified therapist, psychologist, or counsellor. This can include cognitive behavioural therapy (CBT), play therapy, or other approaches suitable for children.
- In-patient/Day-patient Care: Cover for more intensive treatment programmes if needed (this is often a higher-level benefit).
Many modern PMI policies also come with valuable added benefits that can be used without needing a GP referral:
- Digital GP Services: 24/7 access to a GP via phone or video call, perfect for quick advice and reassurance.
- Mental Health Helplines: Confidential support lines staffed by trained counsellors.
- Wellbeing Apps: Access to apps for mindfulness, stress management, and building resilience.
When comparing policies, pay close attention to the mental health cover. Check the limits, the types of therapy covered, and whether you can access services directly.
WeCovr's Added Value for Your Family
Choosing the right private health cover is a major decision. At WeCovr, we go beyond simply finding you a policy. We provide ongoing support and additional benefits to help your family thrive.
- Expert, Unbiased Advice: As an FCA-authorised broker, our primary duty is to you, not the insurance company. We'll help you find a policy from a major UK provider that genuinely accommodates your family's structure, whether that includes foster children, step-children, or children under guardianship.
- Complimentary Access to CalorieHero: When you take out a policy with us, your family gets free access to our AI-powered calorie and nutrition tracking app, CalorieHero. It’s a fun and easy way to encourage healthy eating habits and learn about nutrition together.
- Discounts on Other Protection: We believe in holistic protection. Our clients who purchase PMI or Life Insurance are eligible for discounts on other policies, such as income protection or critical illness cover, helping you build a comprehensive safety net for your family's future.
- High Customer Satisfaction: Our clients consistently rate our service highly on independent review websites, praising our knowledgeable advisors and commitment to finding the right solution.
We are here to act as your advocate, ensuring the process is as simple and transparent as possible.
Wellness and Health Tips for Foster Families
Providing a healthy and stable environment is the cornerstone of great foster care. While PMI is a tool for when things go wrong, focusing on daily wellness can make a huge difference to a child's physical and emotional health.
1. Establish Nurturing Routines
Children thrive on predictability. A consistent routine around meals, homework, and bedtime can create a sense of safety and security.
- Family Meals: Try to eat together at a table without screens. It’s a great time to connect and chat about the day.
- Bedtime Ritual: A calming bedtime routine—such as a warm bath, reading a story, or listening to quiet music—can significantly improve sleep quality.
2. Focus on Simple, Nutritious Food
Good nutrition is fundamental to physical health and mood.
- Involve Them: Let children help with meal planning and simple cooking tasks. They're more likely to eat something they've helped make.
- Healthy Snacks: Keep a good supply of healthy snacks on hand: fruit, vegetable sticks with hummus, yoghurt, or whole-grain crackers.
- Stay Hydrated: Encourage drinking plenty of water throughout the day.
3. Prioritise Physical Activity
Exercise is a powerful tool for managing stress and improving mood.
- Make it Fun: It doesn't have to be structured sport. A walk in the park, a bike ride, dancing in the living room, or building a den in the garden all count.
- Explore Local Resources: Check out local leisure centres, parks, and community groups for free or low-cost activities.
4. Support Emotional Wellbeing
Creating an environment where a child feels heard and valued is crucial.
- Listen Actively: Put down your phone and give them your full attention when they want to talk. Validate their feelings, even if you don't understand them.
- Build Your Support Network: Connect with other foster carers through local support groups or online forums. Sharing experiences can be incredibly helpful.
- Use available resources: Don't hesitate to reach out to your supervising social worker or the fostering agency for support if you have concerns about a child's emotional health.
Can I definitely get private medical insurance for a child I am fostering?
Do I have to tell the insurer that my child is fostered or under a guardianship order?
Will PMI cover my foster child's pre-existing medical or mental health conditions?
Is it better to add a foster child to my existing family policy or take out a new one?
Take the Next Step
Providing the best possible care for a child is your priority. Navigating the private medical insurance market to support that goal is ours. Let WeCovr help you find a policy that gives you peace of mind and your family fast access to the best care.
Get a free, no-obligation quote today and let our experts find the right private medical insurance for your unique family.












