Navigating the UK private medical insurance market can feel complex, especially at renewal time. As an FCA-authorised broker that has arranged over 800,000 policies, WeCovr provides expert guidance to help you secure the right cover at the best price, whether you're renewing or switching your existing plan.
How renewal works, negotiating better premiums, and step-by-step advice on switching insurers while maintaining coverage and avoiding gaps
That familiar envelope or email from your health insurer has arrived. It's your annual renewal notice, and chances are, the premium has gone up. It’s a moment that leaves many people wondering: "Am I still getting good value? Should I just accept the new price, or is there a better option out there?"
This is a critical annual checkpoint for any private medical insurance (PMI) policyholder in the UK. Simply letting your policy auto-renew could mean paying more than you need to for cover that might no longer be the best fit.
This comprehensive guide will demystify the renewal and switching process. We’ll explore why premiums rise, how you can negotiate a better deal with your current provider, and provide a step-by-step walkthrough on how to switch insurers smoothly, without losing important cover or creating a dangerous gap in your protection.
Understanding Your Private Medical Insurance Renewal
Each year, your insurer will send you a renewal pack around 3-4 weeks before your policy's expiry date. This isn't just a bill; it's an important document outlining your cover for the next 12 months.
What to look for in your renewal pack:
- The New Premium: The most obvious change will be your new monthly or annual premium.
- Schedule of Cover: A summary of your benefits, including outpatient limits, hospital lists, and any excess you have. Check this carefully for any changes.
- Policy Terms & Conditions: Insurers sometimes update their T&Cs. While it's a dense read, pay attention to any highlighted changes to exclusions or benefit rules.
- Your No Claims Discount (NCD): The document will show your current NCD level and how it has been affected by any claims made in the previous year.
Why Do PMI Premiums Increase Every Year?
It’s the most common question policyholders ask. An increase doesn't necessarily mean your insurer is trying to pull a fast one. Several factors are at play:
- Age: As we get older, the statistical likelihood of needing medical treatment increases. Most insurers have age-related price brackets, and moving into a new one (e.g., turning 40, 50, or 65) will trigger a price rise.
- Medical Inflation: This is a major driver. The cost of medical technology, new drugs, and specialist fees consistently rises faster than general inflation. According to industry data, medical inflation often runs between 8% and 12% per year. Your premium has to absorb these rising underlying costs.
- Your Claims History: If you've made a claim in the past year, it will likely impact your No Claims Discount, leading to a higher premium. Conversely, a claim-free year usually increases your discount, offsetting some of the other price pressures.
- 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 any changes to this tax are passed directly onto the consumer.
Understanding these factors gives you context, but it doesn't mean you have to accept the new price without question.
The Golden Rule of UK Private Health Cover: Acute vs. Chronic Conditions
Before we discuss switching, it's vital to understand the fundamental purpose of private medical insurance in the UK. This is the single most important concept to grasp.
PMI is designed to cover acute conditions that arise after you take out your 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 things like joint replacements, cataract surgery, hernia repair, or treatment for a sudden infection.
- A Chronic Condition is a disease, illness, or injury that has one or more of the following characteristics: it needs long-term monitoring, has no known cure, is likely to recur, or requires ongoing management. Examples include diabetes, asthma, high blood pressure, and arthritis.
Standard UK private medical insurance does not cover the routine management of chronic conditions. It may cover an acute flare-up of a chronic condition, but the day-to-day monitoring and medication will be handled by the NHS.
Similarly, pre-existing conditions—any ailment you had symptoms of, or sought advice or treatment for, before your policy started—are typically excluded, at least for an initial period.
This is why it's so important to get the right advice when switching, to ensure you don't inadvertently lose cover for a condition that your old policy had started to cover.
Should You Renew or Switch? A Decision-Making Framework
Don't automatically renew, but don't automatically switch either. Use your renewal notice as a prompt to conduct a proper review.
Here’s a simple framework to help you decide:
| Factor | Consider Renewing If... | Consider Switching If... |
|---|
| Premium Increase | The increase is modest (e.g., under 10%) and you are happy with the service. | The increase is substantial (e.g., over 20%) and seems unjustified. |
| Satisfaction | Your insurer has been efficient, easy to deal with, and paid claims without hassle. | You've had poor customer service, a difficult claims process, or feel undervalued. |
| Health Status | You have recently developed a condition that is now covered by your current policy. | Your health is good, and you haven't claimed for several years. |
| Cover Needs | Your policy benefits (e.g., mental health, cancer cover) are still perfectly aligned with your needs. | Your needs have changed. You might want better cancer cover, a different hospital list, or have started a family. |
| Market Rates | You've compared the market (or had a broker do it) and your renewal price is still competitive. | A reputable broker like WeCovr has found a comparable or better policy for a significantly lower price. |
The best approach is to arm yourself with information. The only way to know if your renewal offer is fair is to compare it against the rest of the market.
How to Negotiate a Better Premium with Your Current Insurer
Before you jump ship, it's always worth trying to negotiate with your current provider. They have an incentive to keep you as a customer.
Here’s how to do it effectively:
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Review Your Policy Options: Often, you can reduce your premium by adjusting your cover. Consider:
- Increasing Your Excess: This is the amount you pay towards a claim. Increasing your excess from £250 to £500 could reduce your premium by 10-20%.
- Changing Your Hospital List: If you have a comprehensive list including expensive Central London hospitals, moving to a more standard list can generate significant savings. Ask yourself: "Would I realistically travel to London for treatment?"
- Adding a "6-Week Wait" Option: This is a popular way to cut costs. The policy will only pay for inpatient treatment if the NHS waiting list for that treatment is longer than six weeks. For many, this is a perfect compromise, blending the strengths of the NHS with the speed of private care when it's most needed.
- Reducing Your Outpatient Limit: If your policy has an unlimited outpatient allowance, reducing it to a set amount (e.g., £1,000) will lower the cost.
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Get Competitive Quotes: This is your most powerful negotiating tool. Contact a specialist PMI broker like WeCovr. We can provide you with like-for-like quotes from a wide range of leading UK insurers. This service is free, and it gives you concrete evidence of what the market is offering.
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Make the Call: Phone your insurer's renewal or customer retention department.
- Be polite and calm.
- State that you are happy with the service but are concerned about the premium increase.
- Mention that you have received more competitive quotes for a similar level of cover. For example: "I've been offered a policy with Axa Health with the same excess and hospital list for £25 less per month."
- Ask if they can match the price or offer you a better deal.
- If their first offer isn't good enough, ask about the policy tweaks mentioned in step 1.
Often, insurers have a "retention budget" and can offer a discount to prevent a loyal customer from leaving.
Switching Insurers: A Step-by-Step Guide to a Seamless Transition
If negotiation fails or you've found a much better deal elsewhere, it's time to switch. The key is to do it carefully to maintain continuous cover for conditions you've already developed.
Crucial First Step: DO NOT CANCEL YOUR CURRENT POLICY! Wait until your new policy is fully active.
Step 1: Speak to an Expert Broker
This is the most important step. While you can go directly to an insurer, a broker works for you, not the insurance company. An independent broker like WeCovr will:
- Assess your current policy and health needs.
- Compare the entire market to find the best options.
- Crucially, advise you on the best underwriting method to use for the switch.
Step 2: Understand Underwriting for Switchers
When you switch, your new insurer needs to assess the risk you present. There are special methods designed for people switching from another PMI policy.
| Underwriting Method | How It Works | Best For... |
|---|
| Continued Personal Medical Exclusions (CPME) | You carry over the exclusions from your old policy to the new one. The new insurer agrees to cover anything your old insurer was covering. New conditions are covered subject to the new policy's terms. | Almost everyone switching. It's the safest way to switch without losing cover for conditions that have developed while you've been insured. |
| New Moratorium | You start a fresh 2-year moratorium period. The new policy won't cover any conditions you've had symptoms of, or sought treatment for, in the 5 years prior to starting. These exclusions can be lifted if you go 2 continuous years without symptoms, advice or treatment for them. | Younger, healthier individuals who haven't claimed or developed any conditions on their old policy. It can sometimes be cheaper but carries more risk. |
| Full Medical Underwriting (FMU) | You complete a detailed health questionnaire. The insurer assesses your entire medical history and may apply specific, permanent exclusions to your policy based on your answers. | People who want absolute certainty about what is and isn't covered from day one. |
For 99% of people switching, CPME underwriting is the gold standard. It ensures a seamless transition of cover. A good broker will always look for a CPME switch option for you.
Step 3: Choose and Apply for Your New Policy
Your broker will present you with the best options. They will help you complete the application form, ensuring all details are correct. The application will clearly state that you are switching on a CPME basis.
Step 4: Receive Your Acceptance Terms
The new insurer will review your application and your old policy documents. They will then issue acceptance terms, confirming your new premium and a "Certificate of Transfer" which outlines the continuous cover. Review this carefully with your broker.
Step 5: Cancel Your Old Policy
Only once your new policy is confirmed and active should you cancel your old one.
- Inform your old insurer in writing (email is usually sufficient) that you do not wish to renew.
- Cancel the direct debit with your bank to prevent an automatic payment from being taken.
- Do this a few days before the renewal date to ensure there is no overlap or gap in cover.
Following these steps guarantees you are never without private medical cover.
Common Pitfalls to Avoid When Switching Your PMI Policy
- Creating a Gap in Cover: The biggest mistake is cancelling your old policy before the new one is live. An accident or sudden illness during this gap would not be covered.
- Losing Cover for Existing Conditions: Switching on a "New Moratorium" basis when you should have used CPME can lead to conditions you thought were covered being excluded for at least two years.
- Not Declaring Your Full Medical History: Attempting to hide a condition will invalidate your policy. Insurers share information and can access your medical records (with your consent) during a claim. Be honest.
- Focusing Only on Price: The cheapest policy is not always the best. Look at the value: what are the cancer cover limits? What are the mental health benefits? Does it include virtual GP services?
- Misunderstanding Hospital Lists: A cheaper policy might have a very restrictive hospital list that excludes facilities in your local area.
The Role of a Specialist PMI Broker like WeCovr
Using an expert, FCA-authorised broker is the single best way to navigate the complexities of renewing and switching. WeCovr offers a service that is completely free to you (we are paid a commission by the insurer you choose), and we bring immense value:
- Whole-of-Market Expertise: We have access to policies and deals from all the UK's leading insurers, including Aviva, Bupa, Axa Health, Vitality, and The Exeter.
- Personalised Advice: We take the time to understand your unique circumstances and recommend a policy that truly fits your needs and budget.
- Hassle-Free Switching: We handle all the paperwork and guide you through the CPME process to ensure a seamless transition.
- Ongoing Support: We are here for you at every renewal, ready to re-evaluate the market and ensure you are always on the best possible plan.
- Added Value: As a WeCovr client, you get complimentary access to our AI-powered calorie and nutrition tracking app, CalorieHero, to support your health goals. Plus, you can receive discounts on other types of insurance, like life or income protection, when you hold a PMI policy with us. Our high customer satisfaction ratings reflect our commitment to exceptional service.
Beyond Premiums: Enhancing Your Health and Wellbeing
While managing costs is important, remember that private medical insurance is ultimately about your health. Many modern PMI policies come with a fantastic range of preventative and wellness benefits designed to keep you healthy.
When comparing policies, look for:
- Virtual GP Services: 24/7 access to a GP via phone or video call.
- Mental Health Support: Access to counselling or therapy, often without needing a GP referral.
- Gym Discounts and Activity Rewards: Insurers like Vitality are famous for rewarding healthy living with cinema tickets, coffee, and discounts on smartwatches.
- Health Screenings: Subsidised or free regular health checks to catch potential issues early.
A healthy lifestyle can also play a part. While it won't directly lower your next renewal premium, staying active, eating a balanced diet, prioritising sleep, and managing stress are the best investments you can make in your long-term health. Tools like WeCovr's CalorieHero app can be a great companion on this journey, helping you make informed choices about your nutrition every day.
Your annual renewal is more than just a price update; it's an opportunity. It's your chance to take control, review your needs, and ensure the private medical insurance you're paying for provides the best possible protection and value for you and your family.
Will my pre-existing conditions be covered if I switch my health insurance?
This is a crucial point. If you switch using "Continued Personal Medical Exclusions" (CPME) underwriting, your new insurer agrees to provide cover on the same basis as your old one. This means if a condition was already covered by your old policy, it will be covered by your new one. However, if you switch on a "New Moratorium" basis, pre-existing conditions from the last 5 years will be excluded for at least 2 years. This is why using a broker to manage a CPME switch is so important.
Can I switch my private medical insurance policy if I am currently undergoing treatment?
Generally, you must complete any ongoing course of treatment with your current insurer. A new insurer will not take on an active claim. Once your treatment is complete, you are free to switch. If you are in the middle of a claim, it's best to renew with your current provider and then look to switch at your next renewal once the claim is fully settled and closed.
Do I have to switch insurers every year to get the best price?
Not necessarily. While it's wise to review the market every year, sometimes your existing insurer, after negotiation, will offer the best value. Insurers often reward loyalty, and if you have recently developed a medical condition, staying with the provider that is already covering it can be the safest option. The goal is to perform an annual review, not to switch automatically.
What is a No Claims Discount (NCD) and how does it work?
A No Claims Discount is a discount applied to your premium for every consecutive year you don't make a claim. It works on a sliding scale, often ranging from 0% to a maximum of 70-75%. If you make a claim, your NCD will typically be reduced by a few levels, which increases your next year's premium. When you switch insurers, you can usually carry your NCD level with you.
Ready to review your private medical insurance?
Don't just accept your renewal price. Let us do the hard work for you. Get a free, no-obligation comparison quote from WeCovr and see how much you could save. Our expert team will ensure you get the right cover at the best price, with a seamless transition if you decide to switch.