Had a break from your private health insurance? Here's how to smoothly restart your UK policy and regain vital cover.
UK Private Health Insurance: Restarting Your Cover After a Break
Life in the UK is unpredictable. From career changes and family growth to financial shifts, our circumstances are constantly evolving. For many, this has meant making difficult decisions about essential outgoings, including private health insurance. Perhaps you paused your cover during a period of financial constraint, or you relied on the NHS, or even a previous employer's scheme that has now ended.
Whatever the reason for your break, the decision to restart your private health insurance cover is a significant one. The landscape of UK healthcare is complex, and the specific terms and conditions for re-entry into the private system can be daunting. You might be wondering: will my previous medical history affect my new policy? How do I choose the right provider? What about conditions that developed while I was uninsured?
This comprehensive guide is designed to demystify the process of restarting your UK private health insurance. We'll explore the critical factors you need to consider, the different underwriting options available, and how to navigate the application process to secure the best possible cover for your needs. Our aim is to provide you with the clarity and confidence to make informed decisions about your health and well-being.
Why People Pause or Cancel Private Health Insurance
Understanding why individuals take a break from private health insurance can illuminate common concerns and help us address them. The reasons are varied and often interconnected:
- Financial Constraints: This is arguably the most common factor. Rising living costs, unexpected expenses, or a change in employment can lead people to cut back on what they perceive as discretionary spending.
- Reliance on the NHS: The National Health Service is a cornerstone of UK society, providing universal healthcare. Some individuals feel confident in the NHS's ability to meet their needs, particularly if they haven't experienced significant health issues.
- Employer Scheme Cessation: Many people enjoy private health insurance as an employee benefit. When they change jobs, retire, or are made redundant, this valuable cover often ceases, leaving them without private provision.
- Perceived Lack of Need: For younger, healthier individuals, the immediate need for private health insurance might not be apparent. They might feel they can manage with the NHS for minor ailments, or simply haven't considered the benefits of private care.
- Moving Abroad (and Returning): Expatriates returning to the UK often find themselves without continuity of health cover, needing to re-establish their insurance arrangements.
- Temporary Periods of Ill Health: Some might cancel if they are managing a long-term condition that private insurance wouldn't cover anyway (as pre-existing conditions are generally excluded), or if they’ve had a major health event and feel financially stretched afterwards.
While these reasons are perfectly understandable, the long-term implications of being without private health cover can be substantial, especially as we age or as our health needs evolve.
The Importance of Restarting Your Cover
The decision to restart private health insurance isn't merely about convenience; it's about safeguarding your health, gaining peace of mind, and accessing care that aligns with your preferences.
- Escalating NHS Waiting Lists: The NHS, while incredible, is under immense pressure. Waiting times for consultations, diagnostics, and elective surgeries have significantly lengthened. Private health insurance often provides much quicker access to these services.
- Choice and Control: Private cover typically offers you the ability to choose your consultant, select a hospital that suits you (within the network), and often dictate appointment times that fit your schedule. This level of control is rarely available within the NHS.
- Access to New Treatments and Technologies: Private hospitals and consultants often have faster access to the latest drugs, treatments, and diagnostic equipment, sometimes even before they become widely available on the NHS.
- Comfort and Privacy: Private hospitals often offer private rooms, enhanced catering, and a quieter, more comfortable environment, which can significantly aid recovery.
- Reduced Stress During Illness: When you're unwell, the last thing you want is the added stress of navigating long waiting lists or worrying about the costs of treatment. Private health insurance alleviates this burden, allowing you to focus on getting better.
- Preventative Care: Many modern private health insurance policies now include benefits for preventative health, such as health checks, mental health support lines, and virtual GP services, encouraging a proactive approach to well-being.
Re-establishing your private health insurance means taking a proactive step towards ensuring prompt access to high-quality medical care when you need it most.
Key Considerations When Restarting Your Cover
Restarting your private health insurance isn't as simple as picking up where you left off. Several crucial factors will influence your options and premiums.
1. Your Current Health Status
This is, without doubt, the most critical factor. Any conditions, symptoms, or investigations that have occurred since your previous policy ended (or since you last declared your health to an insurer) will be relevant.
Crucial Point: Pre-existing Conditions Are Generally Excluded.
It is vital to understand that for new individual private health insurance policies in the UK, pre-existing medical conditions are almost always excluded from cover. A pre-existing condition is typically defined as any disease, illness, or injury for which you have received medication, advice, or treatment, or had symptoms, in the period leading up to you taking out the insurance. This period usually refers to the last five years.
If you developed a new condition while uninsured, or if a pre-existing condition flared up, that condition (and often related conditions) will likely be excluded from your new policy. This is not punitive; it's how insurance works to manage risk. Insurance is designed to cover new and unforeseen medical issues that arise after your policy begins.
2. Your Age
Your age at the time of application will directly impact your premiums. Generally, the older you are, the higher your premiums will be, as the likelihood of needing medical care increases with age. This means that if you paused your cover for several years, you'll likely find the premiums significantly higher than when you last had a policy.
3. Your Lifestyle Factors
Insurers consider lifestyle elements such as smoking habits, alcohol consumption, and Body Mass Index (BMI). These factors can influence your risk profile and, consequently, your premiums or even the availability of certain benefits. Being open and honest about these aspects is crucial.
4. Your Previous Underwriting Method (if applicable)
If you previously had private health insurance, how it was underwritten can sometimes influence how a new insurer might view your application, though this is less common after a break. More importantly, understanding underwriting methods is key for your new policy.
5. Your Budget
It's essential to have a clear idea of what you can afford. Private health insurance is an ongoing expense. Balancing comprehensive cover with affordability is key to ensuring you can maintain the policy long-term. There are several ways to manage costs, which we'll discuss later.
6. Desired Level of Cover
Think about what's most important to you:
- In-patient and day-patient treatment (hospital stays)
- Out-patient consultations and diagnostics (GP referrals, scans)
- Mental health support
- Therapies (physiotherapy, chiropractic)
- Dental and optical benefits (often optional add-ons)
- Cancer cover
Not all policies are equal, and different insurers specialise in different areas or offer varying levels of benefits.
Understanding Underwriting Methods for New Policies
When applying for a new private health insurance policy after a break, the underwriting method chosen by the insurer is paramount, as it dictates how your past medical history (and any new conditions) will be assessed. The most common methods for individual policies are Moratorium and Full Medical Underwriting (FMU).
1. Moratorium Underwriting (Mori)
This is the most common and often simplest method for new applications.
- How it works: When you apply, you don't need to provide a detailed medical history upfront. The insurer will generally exclude cover for any medical condition you have experienced symptoms of, received treatment for, or sought advice on during a specified period before you take out the policy (usually the last 5 years). This is your "moratorium period" or "look-back period".
- The "Clean Period": Crucially, after you've had the policy for a continuous period (typically 2 years), if you haven't experienced any symptoms, required any treatment, or sought any advice for a specific pre-existing condition during that time, it may then become covered. This is known as a "clean period". If symptoms reappear, the clock effectively restarts for that condition.
- Advantages: Quick and easy application process. No need for immediate GP reports.
- Disadvantages: Uncertainty about what's covered initially. You only find out if a condition is covered when you make a claim, which can be stressful. Pre-existing conditions are still excluded initially.
Example: If you had knee pain a year before taking out the policy under moratorium, any treatment for that knee pain would be excluded for the first two years. If you have no symptoms or treatment for that knee pain for two continuous years while covered, it might then become covered. However, if the pain returns after 18 months, the 2-year clock restarts.
2. Full Medical Underwriting (FMU)
This method involves a more thorough assessment of your health history from the outset.
- How it works: You will complete a detailed medical questionnaire during the application process. Based on this information, the insurer will decide whether to offer cover and, if so, what specific exclusions or loadings (increased premiums) might apply.
- Advantages: Clarity from day one. You know exactly what is and isn't covered. No surprises at the point of claim.
- Disadvantages: Longer application process. Requires GP involvement (though insurers usually handle the request). May result in explicit exclusions for known conditions.
Example: If you declare a history of migraines on your FMU application, the insurer might review your records. They might then issue a policy document that explicitly states "migraines and related conditions are excluded." You would know this upfront.
3. Continued Personal Medical Exclusions (CPME)
This method is not typically available when restarting after a significant break, but it's important to understand for context, especially if your "break" was very short and you're reinstating with the same insurer.
- How it works: CPME is primarily used when switching directly from one individual private health insurance policy to another without a break, or when moving from an individual policy to a small corporate scheme. It allows your previous insurer's exclusions to be carried over by the new insurer. The advantage is that you don't restart the "moratorium clock" or get new exclusions for conditions that were already covered or excluded under your old policy.
- Relevance to "Restarting after a Break": As mentioned, if there's been a significant period of uninsured time, CPME is generally not an option. You'll be treated as a new applicant, usually falling under Moratorium or FMU.
4. Medical History Disregarded (MHD) / Continued Medical History Disregarded (CMHD)
This is the "gold standard" of underwriting, but it is extremely rare for individual policies, especially when restarting after a break.
- How it works: MHD policies do not exclude pre-existing medical conditions, and no medical questionnaire is required.
- Relevance to "Restarting after a Break": MHD is almost exclusively offered as part of large corporate group schemes, particularly those with a significant number of employees and a history of claims. It is highly unlikely to be an option when you are reapplying for an individual policy after a period without cover. If you had MHD cover previously through an employer, and that cover ceased, you will most certainly be subject to Moratorium or FMU when applying for individual cover.
Summary Table of Underwriting Methods (for New Individual Policies After a Break):
| Underwriting Method | Medical Information Required Upfront | How Pre-existing Conditions are Handled | Speed of Application | Clarity of Cover | Typical Use for Restarting Cover |
|---|
| Moratorium | Minimal | Excluded for initial period (e.g., 2 years) unless symptom-free. | Fast | Less upfront | Most common |
| Full Medical Underwriting (FMU) | Detailed (questionnaire, GP reports) | Explicitly excluded or terms applied. | Slower | Full upfront | Common |
| CPME | N/A (based on previous policy) | Exclusions carry over | Moderate | Full upfront | Rare (only for direct switch/reinstatement with same insurer) |
| MHD/CMHD | None | All conditions covered | Fast | Full upfront | Extremely rare (large group schemes only) |
Given that you are restarting after a break, your choices will almost certainly be limited to Moratorium or Full Medical Underwriting (FMU). It is critical to understand the implications of each, particularly regarding the exclusion of pre-existing conditions.
What to Expect When Applying
The application process for restarting your private health insurance follows a general pattern, though specifics may vary between insurers.
1. Initial Research and Comparison
- Identify Your Needs: Based on our earlier discussion, determine your budget and desired level of cover.
- Broker vs. Direct: You can approach insurers directly, but using an independent broker like WeCovr can significantly simplify the process. We have access to policies from all major UK insurers and can compare options tailored to your specific needs, explaining the nuances of each policy. And importantly, our service comes at no direct cost to you.
- Personal Details: Standard information like name, address, date of birth.
- Medical Questionnaire: This is the most crucial part. Be prepared to provide accurate and detailed information about your medical history since your previous policy ended, or for the last 5 years (whichever is more relevant based on the underwriting method).
- Be Honest and Comprehensive: This cannot be stressed enough. Failure to disclose relevant medical information, however minor it may seem, can lead to your policy being voided or a claim being denied later. If in doubt, disclose it. The insurer will assess its relevance.
- This will include questions about:
- Any conditions you have been diagnosed with.
- Symptoms you have experienced.
- Medications you are currently taking or have taken.
- Consultations, investigations (scans, tests), or treatments you have received.
- Hospital admissions or surgeries.
3. Underwriting Assessment
- Moratorium: If you choose moratorium, the insurer accepts your application based on your declaration, with the automatic exclusions applied. No immediate medical reports are typically needed.
- FMU: If you choose FMU, the insurer will review your medical questionnaire. They may then:
- Request a GP report (this requires your consent).
- Ask for further details or clarification on specific conditions.
- In rare cases, request an independent medical examination.
4. Receiving Your Offer
- Once the underwriting assessment is complete, the insurer will issue an offer of cover. This will detail:
- Your premium.
- The specific benefits included.
- Any specific exclusions (for FMU) or general moratorium terms (for moratorium).
- Your policy excess (the amount you pay towards a claim before the insurer contributes).
- Any waiting periods for certain benefits.
5. Reviewing and Accepting the Policy
- Read Carefully: It is absolutely essential to read the policy documents thoroughly. Understand what is covered, what is excluded, and any terms and conditions.
- Clarify Doubts: If anything is unclear, ask questions. This is where an expert broker can be invaluable, helping you interpret the jargon and ensuring you fully understand your cover.
- Acceptance: Once satisfied, you can accept the offer and arrange payment. Your cover will then commence.
The entire process, from initial inquiry to policy commencement, can take anywhere from a few days (for straightforward moratorium applications) to several weeks (for complex FMU cases requiring GP reports).
Common Pitfalls and How to Avoid Them
Restarting private health insurance can be fraught with potential missteps if you're not fully informed. Being aware of these pitfalls can save you time, money, and future disappointment.
1. Non-Disclosure of Medical History
- Pitfall: Failing to declare a pre-existing condition, even if you believe it to be minor or resolved, or thinking it won't be relevant.
- Why it's dangerous: Insurers have the right to void your policy or refuse a claim if they discover material non-disclosure. This means you could be left without cover when you need it most, and you might lose the premiums you've paid.
- How to avoid: Always be completely honest and thorough when completing your medical questionnaire. If in doubt, disclose it. Let the insurer decide its relevance.
2. Assuming Previous Terms Apply
- Pitfall: Believing that because you had private health insurance before, your new policy will have the same terms, benefits, or cover the same conditions.
- Why it's dangerous: Policy terms, exclusions, and pricing models evolve. A break in cover, especially a significant one, means you are applying for a new policy under current market conditions and your current health status.
- How to avoid: Approach the process as if you've never had private health insurance before. Understand the new terms offered.
3. Underestimating Premiums
- Pitfall: Being surprised by higher premiums, particularly due to increased age since your last policy.
- Why it's dangerous: Unaffordable premiums can lead to cancelling your policy again, creating another break in cover and potentially worse terms if you reapply later.
- How to avoid: Get realistic quotes based on your current age and health. Consider options like increasing your excess, choosing a 6-week wait option (where you use the NHS for the first 6 weeks if waiting lists are shorter than that), or opting for a lower level of outpatient cover to manage costs.
4. Choosing the Wrong Underwriting Method
- Pitfall: Opting for moratorium underwriting when FMU might have provided more upfront clarity, or vice versa.
- Why it's dangerous: With moratorium, you might discover a condition isn't covered only when you need to claim, causing stress and financial burden. With FMU, the upfront process might seem arduous, but it provides certainty.
- How to avoid: Understand the pros and cons of both Moratorium and FMU based on your personal circumstances and risk tolerance. Discuss these with a knowledgeable broker who can help you weigh the options.
5. Not Reviewing Policy Documents Thoroughly
- Pitfall: Signing up without fully reading the policy terms, especially the exclusions and waiting periods.
- Why it's dangerous: You might be unaware of limitations in your cover until it's too late.
- How to avoid: Dedicate time to read the full policy wording. Pay close attention to the schedule of benefits, exclusions, and any special conditions applied to your policy. Don't hesitate to ask for clarification.
By being diligent and informed, you can significantly reduce the likelihood of encountering these common problems and ensure a smoother, more effective process of restarting your private health insurance.
Benefits of Using a Broker Like WeCovr
Navigating the complexities of UK private health insurance, especially after a break, can be overwhelming. This is where an independent, expert broker like WeCovr becomes an invaluable asset.
- Access to the Whole Market: We aren't tied to a single insurer. We work with all major UK providers, meaning we can compare a wide range of policies and find the one that best suits your specific needs and budget. You avoid the time-consuming process of contacting multiple insurers yourself.
- Expert Knowledge: Our team comprises experienced professionals who understand the intricate details of policy wordings, underwriting methods, and claims processes. We can explain complex jargon in plain English, ensuring you fully comprehend your options.
- Tailored Advice: We take the time to understand your unique circumstances – your health history, your budget, your priorities, and why you had a break in cover. This allows us to recommend policies that are genuinely fit for purpose, rather than a generic solution.
- Simplifying the Application Process: We guide you through every step of the application, helping you accurately complete medical questionnaires and ensuring all necessary information is provided. This reduces the risk of errors or non-disclosure.
- Advocacy and Support: Should you encounter any issues during the application or even later with a claim, we act as your advocate, liaising with the insurer on your behalf.
- Cost-Effective Service: Our services are at no direct cost to you. We are paid by the insurers through a commission if you take out a policy through us, but this does not affect your premium. Our commitment is to finding you the best deal, not to pushing a particular insurer.
- Ongoing Support: Our relationship doesn't end once your policy is in force. We're here for annual reviews, adjustments to your cover, or any questions that arise throughout your policy term.
In essence, using WeCovr provides you with a dedicated partner who simplifies the process, ensures clarity, and helps you make the most informed decision about your private health insurance, all while saving you time and stress.
Cost Implications and How to Manage Them
Restarting private health insurance often comes with a renewed focus on costs. Premiums typically increase with age, and if you've had a significant break, you might find prices considerably higher than you remember. However, there are several effective strategies to manage and reduce your premiums without compromising essential cover.
Factors Influencing Your Premium:
- Age: The primary driver of premium increases.
- Location: Postcode can impact premiums due to varying healthcare costs and facility availability across the UK. Living in London, for instance, is often more expensive.
- Level of Cover: Comprehensive policies covering a wide range of benefits (e.g., extensive outpatient, mental health, dental/optical) will naturally be more expensive.
- Underwriting Method: While not a direct cost factor in terms of premium, FMU might lead to specific exclusions, while Moratorium has the initial uncertainty.
- Excess: The amount you agree to pay towards a claim before the insurer contributes.
- Hospital Network: Policies that offer access to a wider range of hospitals, particularly central London facilities, are usually more expensive.
- Smoker Status: Smokers typically face higher premiums due to increased health risks.
- Medical History: While pre-existing conditions are excluded, a history of certain conditions might lead to a higher overall risk assessment for FMU.
Strategies to Reduce Your Premiums:
- Increase Your Excess: This is one of the most effective ways to lower your premium. By agreeing to pay a larger amount towards a claim (e.g., £250, £500, or £1,000), your monthly or annual premium will decrease significantly. Just ensure you can comfortably afford the excess if you need to claim.
- Choose a '6-Week Wait' Option: Some insurers offer a "6-week option" or "NHS wait option." If an inpatient or day-patient procedure is available on the NHS within 6 weeks, you agree to use the NHS. If the NHS waiting list is longer than 6 weeks, your private insurance will kick in. This can lead to substantial premium reductions.
- Reduce Outpatient Cover: Outpatient consultations, tests, and scans can be a significant cost component. You could opt for:
- Limited Outpatient Cover: Cap your outpatient benefits (e.g., £1,000 or £1,500 per year).
- No Outpatient Cover: This will significantly reduce your premium, but you would pay for all outpatient costs yourself. Your policy would then primarily cover inpatient treatment and day-patient procedures.
- Select a Restricted Hospital List: Instead of access to every private hospital, choose a policy with a more limited (but still comprehensive for your area) hospital network. Avoid policies with central London hospital access if you don't need it.
- Exclude Specific Benefits: If you're confident you won't need certain benefits (e.g., complementary therapies, dental/optical), you can often remove them to reduce costs.
- Pay Annually: Many insurers offer a discount if you pay your premium as a single annual lump sum, rather than monthly instalments.
- Maintain a Healthy Lifestyle: While it won't instantly reduce your current premium, improvements in lifestyle (e.g., quitting smoking) can lead to better rates at renewal or when applying for new policies in the future.
Table: Premium Reduction Strategies
| Strategy | Description | Potential Premium Impact | Considerations |
|---|
| Increase Excess | Pay a higher initial amount per claim | High | Must be affordable if you claim. |
| 6-Week Wait Option | Use NHS if waiting time < 6 weeks; private if > 6 weeks | High | Requires willingness to use NHS for some conditions. |
| Reduce Outpatient Cover | Limit or remove cover for consultations, tests, scans outside of hospital stays | Medium to High | You pay for these costs yourself. |
| Restricted Hospital List | Access to a specific network of hospitals, often excluding central London | Medium | Ensure network includes facilities convenient for you. |
| Remove Optional Benefits | Exclude dental, optical, therapies not essential to you | Low to Medium | Review carefully to avoid removing something you might need. |
| Pay Annually | Pay the full premium upfront once a year | Low | Requires lump sum availability. |
| Maintain Healthy Lifestyle | Quit smoking, manage weight (long-term impact) | Future Lowers | Improves overall health and future insurability. |
By strategically adjusting these factors, you can tailor a private health insurance policy that meets your needs without breaking the bank. A broker like WeCovr can help you run scenarios and find the optimal balance for your budget.
Understanding Waiting Periods
When you start a new private health insurance policy after a break, it's crucial to be aware of any waiting periods that may apply before you can make a claim for certain conditions or treatments. These periods are designed to prevent individuals from taking out a policy only when they know they are about to need expensive treatment.
Common waiting periods include:
- New Conditions (Acute): For entirely new, acute conditions that develop after your policy starts and are not pre-existing, cover typically begins immediately or after a very short initial period (e.g., 14 days for a new illness).
- Chronic Conditions: As a general rule, chronic conditions (long-term, incurable conditions) are not covered by private health insurance, whether new or pre-existing. This remains true regardless of waiting periods. Private health insurance typically covers acute conditions that are short-term, curable, or require short-term treatment.
- Mental Health: Some policies may have a waiting period (e.g., 3-6 months) before you can claim for mental health treatment, especially for complex or ongoing conditions. Basic helpline or virtual GP mental health support might be available sooner.
- Pregnancy and Childbirth: Almost universally, private health insurance does not cover routine pregnancy, childbirth, or fertility treatment. If available as an add-on (which is rare), it would involve a significant waiting period (e.g., 24 months) and high premiums.
- Specific Conditions: Some policies might impose specific waiting periods for conditions that are often associated with lifestyle or older age, even if they aren't technically pre-existing in the traditional sense, though this is less common for standard acute policies.
- Cancer Cover: Initial diagnostics for potential cancer may be covered quite quickly, but comprehensive cancer treatment for a new diagnosis might have a short waiting period (e.g., 90 days), though this is increasingly being removed by insurers for immediate critical cover. Always check your specific policy.
It's paramount to read your policy documents carefully to understand any applicable waiting periods. If you are unsure, clarify with your insurer or broker before you need to make a claim.
Real-Life Examples (Illustrative)
Let's look at a few scenarios to bring these concepts to life.
Case Study 1: Sarah, 45 – Financial Break
Background: Sarah had private health insurance through her employer until she was made redundant at age 42. Due to financial pressures, she didn't replace it. Now, at 45, she's in a more stable job and wants to restart cover. During her uninsured period, she developed recurring lower back pain, which she managed with NHS physiotherapy.
Challenge: Her back pain is a pre-existing condition.
Outcome: Sarah contacts WeCovr. We explain the underwriting options.
- Moratorium: Her back pain would likely be excluded for the first two years of her new policy. If she goes two continuous years without symptoms or treatment, it could then become covered. If it flares up during that period, the clock restarts.
- FMU: The back pain would be declared. The insurer would likely explicitly exclude it from her new policy.
Sarah opted for Moratorium for the lower premium, understanding the initial exclusion for her back. She also chose a £250 excess to further reduce costs. She knows any new, unrelated acute conditions would be covered.
Case Study 2: Mark, 58 – Employer Scheme Ended
Background: Mark has always had private health insurance through his various employers. He's now retired and his comprehensive company policy has ended. He's concerned about long NHS waiting lists for elective surgeries like cataracts, which are starting to affect him. He had a few investigations for high blood pressure two years ago, now managed with medication.
Challenge: His high blood pressure is pre-existing. The cataract issue may or may not be if he had no symptoms during his previous policy or immediately before applying.
Outcome: Mark uses WeCovr to compare options. We explain that his employer's "Medical History Disregarded" policy cannot be transferred to an individual plan. He'll need a new individual policy under Moratorium or FMU.
- FMU: Mark chooses FMU because he wants clarity upfront. He declares his high blood pressure. The insurer explicitly excludes blood pressure-related conditions from his policy. His early cataract symptoms are also declared and excluded, as they were present before his application.
- Cost Management: To keep premiums manageable, Mark chooses a policy with a restricted hospital list and opts for limited outpatient cover, knowing he will use the NHS for GP appointments and initial tests.
Mark now has peace of mind that new acute conditions will be covered, even if his blood pressure and cataracts are not.
Case Study 3: Emily, 30 – Short Break, Concerned About Mental Health
Background: Emily had individual private health insurance but cancelled it six months ago during a career break. She's now back in work and wants to restart. During her break, she experienced some anxiety and had a few therapy sessions, which she paid for herself.
Challenge: Her anxiety is a pre-existing condition. She wants mental health cover.
Outcome: Emily contacts WeCovr. We explain that her anxiety will be a pre-existing condition.
- Underwriting: We suggest Moratorium. Her anxiety would be excluded for two years. If she goes two years symptom-free and without treatment, it could become covered. If she makes a claim for a new mental health issue that is unrelated to her previous anxiety, that could be covered (subject to any mental health waiting periods on the policy).
- Mental Health Coverage: We ensure the chosen policy has robust mental health benefits for new conditions, noting any waiting periods (e.g., 3 months for psychiatric inpatient care).
Emily understands that her previous anxiety cannot be covered immediately, but she values having cover for any future, new mental health challenges and general acute medical needs.
These examples highlight the nuances of restarting cover and the importance of professional advice.
Frequently Asked Questions (FAQs)
Q1: Will my premiums be higher if I restart after a break?
A: Almost certainly. Premiums generally increase with age, so if you've had a break of several years, you'll be older and therefore your premiums will be higher than when you last had cover. Any new health conditions that developed while uninsured could also impact costs or lead to exclusions.
Q2: Can I get my pre-existing conditions covered if I restart my policy?
A: For a new individual policy after a break, no. Pre-existing conditions (any condition for which you've had symptoms, advice, or treatment in a specified period, usually the last 5 years) are almost always excluded from new individual private health insurance policies under both Moratorium and Full Medical Underwriting.
Q3: What is the difference between Moratorium and Full Medical Underwriting for new policies?
A:
- Moratorium: You don't declare full medical history upfront. Pre-existing conditions are automatically excluded for an initial period (e.g., 2 years). They may become covered if you have a continuous symptom-free period.
- Full Medical Underwriting (FMU): You provide a detailed medical history upfront. The insurer explicitly decides what is covered and what is excluded (or whether loadings apply) before your policy starts, giving you clarity from day one.
Q4: If I developed a new condition while uninsured, will it be covered?
A: No. If a condition developed (i.e., you experienced symptoms, sought advice, or received treatment) while you were uninsured, it will be considered a pre-existing condition when you apply for your new policy. Therefore, it will be excluded, regardless of the underwriting method. Private health insurance covers new, unforeseen acute conditions that arise after your policy starts.
Q5: Are there any waiting periods when I restart cover?
A: Yes. While new acute conditions often have immediate cover (or a very short initial waiting period like 14 days), certain benefits or treatments (e.g., mental health care, some specific surgeries) might have longer waiting periods (e.g., 3-6 months) before you can claim. It's crucial to check your policy documents.
Q6: Can I transfer my old policy to a new insurer?
A: If you've had a break, you cannot "transfer" your old policy. You will be applying for a new policy as a new applicant. If you were switching directly from one individual policy to another without a break, some insurers offer "Continued Personal Medical Exclusions (CPME)" which carries over your old exclusions. However, after a break, this isn't typically an option.
Q7: How can I make my private health insurance more affordable when restarting?
A: You can manage costs by:
- Increasing your policy excess.
- Choosing a "6-week wait" option (using NHS if waiting lists are short).
- Reducing your outpatient cover.
- Selecting a more restricted hospital list.
- Removing optional benefits you don't need.
- Paying your premium annually instead of monthly.
Q8: Should I use a broker like WeCovr or go directly to an insurer?
A: An independent broker like WeCovr can save you significant time and effort. We compare policies from all major UK insurers, understand the nuances of underwriting, help you navigate the application process, and provide impartial advice tailored to your specific circumstances, all at no direct cost to you. Going direct means you only get information on that specific insurer's products.
Q9: What if I forget to declare something on my application?
A: It is critically important to be completely honest and thorough. Non-disclosure, even if unintentional, can lead to your policy being voided or a claim being refused. If you remember something after applying but before the policy starts, inform the insurer immediately. If in doubt, disclose it.
Conclusion
Restarting your UK private health insurance cover after a break is a significant decision that requires careful consideration and a thorough understanding of the options available. While the process can seem complex, particularly concerning pre-existing conditions and underwriting methods, the benefits of securing prompt access to quality healthcare are immeasurable.
By acknowledging the reasons for your previous break, assessing your current health and financial situation, and understanding how different underwriting methods impact cover for pre-existing conditions, you can make an informed choice. Remember, private health insurance is designed to cover new and unforeseen acute conditions that arise after your policy begins.
Navigating the multitude of policies, understanding the jargon, and ensuring you secure the best cover for your needs can be challenging. This is precisely where the expertise of an independent broker like WeCovr becomes invaluable. We are here to guide you through every step, comparing policies from all major insurers, clarifying terms, and helping you achieve the peace of mind that comes with robust health protection.
Don't let past breaks or current complexities deter you from taking control of your health. Your well-being is paramount, and restarting your private health insurance is a proactive step towards securing timely, high-quality medical care when it truly matters.
Ready to explore your options and find the right private health insurance policy for you? Contact us at WeCovr today for a no-obligation consultation. We're here to help you get back on track.