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Restarting UK Private Health Insurance

Restarting UK Private Health Insurance 2025

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.

Get Tailored Quote

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 MethodMedical Information Required UpfrontHow Pre-existing Conditions are HandledSpeed of ApplicationClarity of CoverTypical Use for Restarting Cover
MoratoriumMinimalExcluded for initial period (e.g., 2 years) unless symptom-free.FastLess upfrontMost common
Full Medical Underwriting (FMU)Detailed (questionnaire, GP reports)Explicitly excluded or terms applied.SlowerFull upfrontCommon
CPMEN/A (based on previous policy)Exclusions carry overModerateFull upfrontRare (only for direct switch/reinstatement with same insurer)
MHD/CMHDNoneAll conditions coveredFastFull upfrontExtremely 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.

2. Completing the Application Form

  • 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:

  1. Age: The primary driver of premium increases.
  2. 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.
  3. Level of Cover: Comprehensive policies covering a wide range of benefits (e.g., extensive outpatient, mental health, dental/optical) will naturally be more expensive.
  4. Underwriting Method: While not a direct cost factor in terms of premium, FMU might lead to specific exclusions, while Moratorium has the initial uncertainty.
  5. Excess: The amount you agree to pay towards a claim before the insurer contributes.
  6. Hospital Network: Policies that offer access to a wider range of hospitals, particularly central London facilities, are usually more expensive.
  7. Smoker Status: Smokers typically face higher premiums due to increased health risks.
  8. 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

StrategyDescriptionPotential Premium ImpactConsiderations
Increase ExcessPay a higher initial amount per claimHighMust be affordable if you claim.
6-Week Wait OptionUse NHS if waiting time < 6 weeks; private if > 6 weeksHighRequires willingness to use NHS for some conditions.
Reduce Outpatient CoverLimit or remove cover for consultations, tests, scans outside of hospital staysMedium to HighYou pay for these costs yourself.
Restricted Hospital ListAccess to a specific network of hospitals, often excluding central LondonMediumEnsure network includes facilities convenient for you.
Remove Optional BenefitsExclude dental, optical, therapies not essential to youLow to MediumReview carefully to avoid removing something you might need.
Pay AnnuallyPay the full premium upfront once a yearLowRequires lump sum availability.
Maintain Healthy LifestyleQuit smoking, manage weight (long-term impact)Future LowersImproves 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.


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 FCA-authorised 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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1. Complete a brief form
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2. Our experts analyse your information and find you best quotes
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3. Enjoy your protection!
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Any questions?

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.

Health insurance covers conditions that develop after your policy starts. Pre-existing conditions are typically not covered, and insurers may exclude related issues. Some policies may cover symptoms of pre-existing conditions under specific circumstances. Always review your policy's exclusions. Coverage for pre-existing medical conditions may be available if you currently hold a medical insurance policy or are transitioning from a company scheme. However, if you have never had medical insurance before or if your policy is not active at the moment, pre-existing conditions will not be covered. This limitation exists because health insurance is primarily intended to protect against unexpected health issues. To simplify, it's akin to getting into a car accident and then trying to obtain insurance coverage afterward to repair the vehicle — insurance companies typically do not cover such claims. Nevertheless, there is an option to gain coverage for pre-existing conditions after a two-year waiting period, subject to specific rules and conditions.

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. Sometimes treatments and drugs that are not covered by the NHS can be covered by Private Medical Insurance.

It's free to use WeCovr to find health insurance - we never charge you for quotes. Health or private medical insurance is an investment that can pay for itself the first time you might need medical treatment.

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 would benefit from Private Medical Insurance.

Private Medical Insurance is an important financial product that insurance companies take a lot of care and diligence so speaking to real human beings ensures that they understand your requirements fully so that you can get the right cover.

All of our partners are carefully vetted and authorised by the FCA, which means they are held to the highest standards that the FCA expects from them and treat all customers fairly!

Our revenue comes from commissions paid by the insurance providers when a policy is taken out through us. Essentially, when you choose to secure a policy from one of the providers we work with, they compensate us for facilitating the transaction. It's important to note that this commission does not impact the premium you pay. We remain committed to providing transparent and unbiased quotes to help you find the best insurance options tailored to your needs.

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 you for conditions that arise after your policy begins. You pay a monthly fee and can make claims for private healthcare covered by your policy. One of the main benefits of private healthcare is quicker access to treatment compared to the NHS, along with access to new drugs or specialist treatments.

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, and ongoing conditions present before the policy started.

Unfortunately, you cannot pay extra to have a pre-existing condition covered as part of your health insurance policy. However, you have access to support from a nurse or digital GP. If you have questions about what is covered under your policy, please contact us for clarification.

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. WeCovr's experts will offer you flexible excess options depending on your preferences.

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.

There is no age limit for taking out health insurance, but age influences the policy's cost. The benefits of health insurance are consistent regardless of age. If you're considering health insurance, you can get a quote from WeCovr's experts regardless of your age.

Let WeCovr's experts do the legwork for you and compare health insurance plans at no cost to you to find the best fit for your needs. Consider individual, couple, or family plans and review coverage details thoroughly before choosing. WeCovr provides transparent information on coverage options for easy comparison.

Yes, you can add your partner (if you live at the same address) or dependents to your policy at any time. The cost of couple's or family health insurance depends on factors like location, age, health, and chosen excess. Contact WeCovr or your insurer for assistance in adding someone to your policy.

While WeCovr's private health insurance plans are tailored for the UK, we offer global health insurance options for those living or working abroad. For holiday coverage, travel insurance is recommended.

Comprehensive cover provides extensive benefits, including full outpatient services such as consultations, diagnostic tests, physiotherapy, and mental health therapies. Our team at WeCovr can assist in understanding the various coverage levels available.

Private health insurance typically does not cover dental treatment. However, WeCovr's experts can guide you to dental insurance policies offered by our partner insurers. Reach out to us to explore these options.

Yes, private health insurance covers cancer treatment from diagnosis through treatment. At WeCovr, we can help you navigate the cancer cover options that suit your needs.

At WeCovr, you have flexibility in adjusting your cover. Speak to our experts within 21 days of receiving your paperwork or at policy renewal to make changes.

Accessing a private GP appointment is fast and convenient with WeCovr's services, available through your digital platform provided under your chosen insurance plan.

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

WeCovr works with insurers offering a range of cover levels to accommodate different budgets and needs. Our experts can discuss these options with you.

Discovering healthcare facilities and specialists is easy with WeCovr's resources. Contact us for personalised assistance by tapping one of the buttons above or below and filling in a few details for personalised assistance.

Fee-assured consultants provides transparency and no hidden costs for clients.

WeCovr prioritises mental health support with comprehensive coverage and access to specialist advice and services.

Children up to a certain age can be included in your policy, and we offer discounts for family coverage.

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. Connect with our experts by tapping a button below and get your own personalised quote.

Private health insurance offers quicker access to consultations, treatments, and personalised care compared to the NHS.

Yes, WeCovr's experts can guide you which health insurance plans include coverage for physiotherapy treatments.

Immediate access to certain services like our digital GP app is available upon enrolment.

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 new conditions that arise after the policy starts. Pre-existing conditions and certain exclusions may apply.

WeCovr's experts help you arrange health insurance that simplifies access to private healthcare services, including consultations and treatments.

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

Yes, you can use your health insurance cover immediately. You have access to a nurse through your helpline and can consult with a GP using the digital GP app. If you need to make a claim right away, we may require a medical 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. Speak to WeCovr's experts or visit your insurer's website for more details on member rewards.

You may continue your cover or get another own personal policy. If you continue your cover, existing or ongoing medical conditions might be covered depending on the level of cover you choose. Contact our friendly experts to discuss your options and find the right option for you.

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

Your cover may be similar but not identical. We will help you find the right level of cover that suits your needs, and ongoing medical conditions may be covered. Contact our friendly advisers to explore all available options.

No, the price won't be the same as before since employers often contribute to the cost of employee cover. Additionally, different cover levels and medical histories may affect the price. Contact WeCovr's experts for detailed information.

You have a few weeks or months from leaving your job to decide to continue with your insurer or change to another one. Your policy may start the day after you left your work policy, and our experts can guide you through other available options.

After leaving your job, contact WeCovr's experts with your leave date to discuss available options.

Yes, ongoing treatment may be covered on your new personal policy, although it could affect the price. Contact our experts for personalised advice on your options.

Details on paying excess fees will be provided when you contact your insurer for treatment authorisation.

No, there is no excess fee for utilising these services.

Excess adjustments can be made at specific intervals during your policy term.

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

Pre-existing conditions typically aren't covered but can be discussed with our healthcare specialists.

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 refer to medical issues existing before policy inception. A pre-existing condition is anything you've previously had medical treatment for, such as diabetes, heart disease, or asthma. Most insurance providers consider any condition you've had symptoms or treatment for in the past five years as pre-existing. Our experts at WeCovr can help you understand how pre-existing conditions affect your policy options.

While some insurance providers automatically renew your private healthcare cover, it's beneficial to compare policies when yours is about to end. This ensures you're still getting the best deal for the coverage you need. Our experts at WeCovr can assist you in finding the right policy for you.

Typically, you must be over 18 to take out your own policy, but minors can usually be included in a family policy. There may also be an upper age limit for private health insurance, and premiums typically increase with age. Our experts at WeCovr can provide guidance on age-related policy aspects.

Paying for health insurance annually often results in savings compared to monthly payments. However, this depends on your insurance provider. For help determining the most cost-effective option, consider consulting our experts at WeCovr.

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.

If you don't have pre-existing conditions, a medical exam is usually not required. You'll just need to complete a medical history form and select your level of cover. However, if you're older, have a pre-existing condition, or lead an unhealthy lifestyle, a medical exam may be necessary. Our experts at WeCovr can clarify 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. Our experts at WeCovr can help you find policies that offer GP services.

With private health insurance, you can often secure a GP appointment much quicker than with traditional methods, sometimes even on the same day. Our experts at WeCovr can help you find policies that offer quick GP appointment services.

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. Our experts at WeCovr can help you understand the different types of care and find a policy that suits your needs.

Private health insurance covers your medical treatment if you fall ill, while critical illness cover provides additional financial help if you develop one of the critical illnesses listed in the policy, such as covering loss of income if you're unable to work. For assistance in understanding the differences and finding the right coverage, consult our experts at WeCovr.

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. Our experts at WeCovr can guide you in finding the appropriate coverage for your travel needs.

If your employer provides health insurance, it's considered a 'benefit in kind' and is not tax deductible. Your employer should calculate the tax you owe for your health insurance premiums and deduct it from your pay. There are some exceptions for small companies. For more information on tax implications, consider reaching out to our experts at WeCovr.

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. Our experts at WeCovr 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. For help understanding the differences and choosing the right option for you, consult our experts at WeCovr.

Some private health insurance providers offer a no-claims discount, similar to car insurance. Every year you don't make a claim gives you an extra year of no-claims discount, potentially reducing your premium when you renew. Our experts at WeCovr can help you find policies that offer no-claims discounts.

To find the best health insurance for you, compare various 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. Our experts at WeCovr can assist you in evaluating your options and selecting the right coverage for you.

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, you'll need to check the terms of your policy to see whether your insurer requires you to consult with a GP first (most insurers do). Some policies offer a direct booking system without a referral for certain conditions, such as counseling 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 conducted extensive 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 practice privately, so you could potentially see the same consultant regardless of whether you choose private or public healthcare. However, private healthcare typically offers shorter waiting times, guaranteed private rooms, and more relaxed visiting hours. Additionally, you may have 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.

Yes, if you have a health concern and pay for private tests and scans but cannot afford to have private surgery, you should be able to have your test results transferred to an NHS provider for treatment.


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Who Are WeCovr?

WeCovr is an insurance specialist for people valuing their peace of mind and a great service.

👍 WeCovr will help you get your private medical insurance, life insurance, critical illness insurance and others in no time thanks to our wonderful super-friendly experts ready to assist you every step of the way.

Just a quick and simple form and an easy conversation with one of our experts and your valuable insurance policy is in place for that needed peace of mind!

Important Information

Since 2011, WeCovr has helped thousands of individuals, families, and businesses protect what matters most. We make it easy to get quotes for life insurance, critical illness cover, private medical insurance, and a wide range of other insurance types. We also provide embedded insurance solutions tailored for business partners and platforms.

Political And Credit Risks Ltd is a registered company in England and Wales. Company Number: 07691072. Data Protection Register Number: ZA207579. Registered Office: 22-45 Old Castle Street, London, E1 7NY. WeCovr is a trading style of Political And Credit Risks Ltd. Political And Credit Risks Ltd is Authorised and Regulated by the Financial Conduct Authority and is on the Financial Services Register under number 735613.

About WeCovr

WeCovr is your trusted partner for comprehensive insurance solutions. We help families and individuals find the right protection for their needs.