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Self-Pay Declines as PMI Claims Surge in Q1 2026

Self-Pay Declines as PMI Claims Surge in Q1 2026 2026

As an FCA-authorised expert broker that has helped arrange over 900,000 policies, WeCovr has observed a seismic shift in the UK's healthcare landscape. Recent market analysis reveals a significant drop in self-funded private treatment, while demand for private medical insurance soars. This article explores the forces driving this change.

Market analysis of payment methods and reasons for drop in self-paying admissions in clinics and hospitals

Preliminary data from the first quarter of 2026 paints a clear picture: the way Britons pay for private healthcare is undergoing a fundamental transformation. For years, the 'self-pay' market, where individuals fund their own treatment out-of-pocket, saw steady growth. However, new figures indicate a marked downturn in self-pay admissions, contrasted by a robust surge in procedures funded by private medical insurance (PMI).

This shift is not a single-cause event but the result of a perfect storm of economic pressures, changing consumer behaviour, and evolving dynamics within the UK healthcare system. The cost-of-living crisis, stubbornly high NHS waiting lists, and a greater appreciation for financial predictability are all pushing consumers away from large, unplanned medical bills and towards the structured security of a monthly insurance premium.

Let's delve into the key factors behind this trend.

The Surge in PMI: Why More Britons are Opting for Private Health Cover

The growth in private medical insurance uptake isn't just a statistic; it's a reflection of a national mood. Faced with unprecedented challenges in accessing timely NHS care, people are actively seeking alternatives.

The most significant driver remains the pressure on the National Health Service. According to the latest NHS England data, the referral to treatment (RTT) waiting list remains historically high, with millions of people waiting for routine procedures.

  • The Reality of Waiting: As of early 2026, figures from the Office for National Statistics (ONS) and NHS sources show that the median waiting time for non-emergency treatment is still measured in months, not weeks. For some specialisms, such as orthopaedics or ophthalmology, waits can extend even longer.
  • The Impact on Quality of Life: Long waits aren't just an inconvenience. They can lead to deteriorating health, prolonged pain, and an inability to work or enjoy daily life. For many, the prospect of skipping this queue via PMI is the primary motivation.

2. The Cost-of-Living Paradox

It might seem counter-intuitive that in a time of squeezed household budgets, people would take on a new monthly expense. However, the logic is sound. The cost-of-living crisis has made consumers more risk-averse.

  • Predictable Premiums vs. Unpredictable Bills: A fixed monthly PMI premium (which can be as little as the cost of a few weekly coffees) is far easier to budget for than a sudden, five-figure bill for a hip replacement or cardiac procedure.
  • Financial Security: PMI acts as a financial safety net. It removes the fear of a medical issue becoming a financial catastrophe, providing peace of mind that is increasingly valuable in uncertain economic times.

3. The Rise of Employee Benefits

In a competitive job market, employers are increasingly using comprehensive benefits packages to attract and retain top talent. Private health cover has shifted from a senior executive perk to a mainstream employee expectation.

  • A Valued Perk: A 2026 survey by the Chartered Institute of Personnel and Development (CIPD) highlighted health and wellbeing benefits as a key factor in employee satisfaction and retention.
  • Reduced Absenteeism: For employers, providing PMI is a strategic investment. It ensures staff can access treatment quickly, reducing long-term sickness absence and boosting productivity.

The Decline of the Self-Pay Model: A Closer Look

While PMI is on the rise, the self-pay market is feeling the strain. The very factors making insurance attractive are making one-off payments for treatment a less viable option for many.

Soaring Procedure Costs

The cost of providing private medical care has increased significantly due to inflation, rising energy prices, and global supply chain issues affecting medical equipment. This has been passed directly on to the self-paying customer.

Here’s a look at how average self-pay costs for common procedures have evolved, based on data from the Private Healthcare Information Network (PHIN) and market analysis.

ProcedureAverage UK Self-Pay Cost (2024)Estimated UK Self-Pay Cost (Q1 2026)Percentage Increase
Knee Replacement£13,500£15,500+~15%
Cataract Surgery (per eye)£2,800£3,400+~21%
MRI Scan (one part)£400£550+~37%
Hernia Repair£3,500£4,200+~20%

These escalating costs make self-funding an unrealistic option for a growing portion of the population. A procedure that might have been "affordable" a few years ago now requires significant savings or debt.

Economic Uncertainty and Depleted Savings

The economic climate has left many households with less disposable income and depleted savings. The buffer that families might have once had for emergencies, including medical ones, has shrunk. Faced with a choice between paying for essential living costs and setting aside thousands for a potential but uncertain medical need, most are prioritising the former.

Understanding Private Medical Insurance (PMI) in the UK

With more people considering it, it’s vital to understand what private medical insurance is and, just as importantly, what it is not.

PMI is an insurance policy designed to cover the costs of private medical treatment for acute conditions that arise after you take out the policy.

Crucial Point: Standard private medical insurance in the UK is not designed to cover pre-existing conditions (illnesses you already have when you take out the policy) or chronic conditions (long-term illnesses that require ongoing management rather than a cure).

Think of it this way: PMI is for getting you back to your previous state of health quickly after a new, unexpected illness or injury. It is not for managing a lifelong condition like diabetes or asthma.

Acute vs. Chronic Conditions: A Simple Guide

FeatureAcute ConditionChronic Condition
DefinitionA disease, illness, or injury that is likely to respond quickly to treatment and return you to your previous state of health.A disease, illness, or injury that has one or more of the following characteristics: needs long-term monitoring, has no known cure, is likely to recur.
ExamplesBone fractures, appendicitis, hernias, cataracts, joint injuries needing replacement.Diabetes, asthma, high blood pressure, Crohn's disease, arthritis.
Covered by PMI?Yes (if it arises after the policy starts).No (standard policies exclude chronic care).

Key PMI Terms Explained

  • Underwriting: This is how insurers assess your medical history to decide what they will and won't cover.
    • Moratorium (Mori): The most common type. The insurer won't ask for your full medical history upfront. Instead, they will automatically exclude any condition you've had symptoms of, or received treatment for, in the past five years. If you then go two full years on the policy without any issues relating to that condition, it may become eligible for cover.
    • Full Medical Underwriting (FMU): You provide your full medical history via a questionnaire. The insurer then tells you from day one exactly what is excluded from your policy.
  • Excess: This is the amount you agree to pay towards a claim. For example, if you have a £250 excess and your treatment costs £4,000, you pay the first £250 and the insurer pays the remaining £3,750. A higher excess usually means a lower monthly premium.
  • Hospital Lists: Policies come with a list of approved hospitals where you can have your treatment. These are often tiered, with more comprehensive (and expensive) policies giving you access to premium central London hospitals.

How to Choose the Right PMI Policy in 2026

Choosing a private health cover plan can feel daunting, but it boils down to matching the cover to your needs and budget. Working with an expert PMI broker like WeCovr can demystify the process, as they compare the market for you at no extra cost.

Here are the key considerations:

1. Level of Cover

PMI policies are generally offered in three tiers:

Level of CoverWhat It Typically IncludesBest For
BasicIn-patient and day-patient treatment only. This covers costs if you need to be admitted to a hospital bed, including surgery and nursing care.Those on a tight budget who want cover for major medical events, protecting against the largest potential bills.
Mid-RangeEverything in Basic, plus some out-patient cover. This can include specialist consultations, diagnostic tests (like MRI/CT scans), and therapies.A good balance of comprehensive cover and affordability. It's the most popular choice for individuals and families.
ComprehensiveEverything in Mid-Range, with more extensive out-patient limits, plus therapies (physio, osteopathy), mental health support, and alternative therapies.Those who want the most complete peace of mind, with cover for diagnostics and treatment from start to finish.

2. Customising Your Policy

To manage your premium, you can adjust several elements:

  • Choose a higher excess: Opting for a £500 excess instead of £100 will lower your premium.
  • Limit your hospital list: If you don't need access to prime central London hospitals, choosing a national or regional list can save you money.
  • Consider a 6-week wait option: This is a popular way to reduce costs. With this option, if the NHS can provide the in-patient treatment you need within six weeks, you use the NHS. If the wait is longer than six weeks, your private policy kicks in.

3. The Role of a PMI Broker

The UK private medical insurance market is complex, with dozens of providers and hundreds of policy variations. A broker's job is to navigate this on your behalf.

An independent broker like WeCovr is not tied to any single insurer. Their experts:

  • Listen to your specific needs and budget.
  • Compare policies from across the market to find the best fit.
  • Explain the fine print and any exclusions in plain English.
  • Help you fill out the application and get your policy set up.
  • Provide ongoing support if you need to make a claim.

This service comes at no cost to you, as brokers are paid a commission by the insurer you choose.

Beyond Healthcare: The Added Value of Modern PMI Policies

Today's best PMI providers offer more than just access to treatment. Policies are evolving into holistic health and wellness programmes designed to keep you healthy, not just treat you when you're ill.

These 'added value' benefits often include:

  • Virtual GP Services: 24/7 access to a GP via phone or video call, often with the ability to get prescriptions delivered.
  • Mental Health Support: Access to telephone counselling lines or a set number of face-to-face therapy sessions.
  • Wellness Programmes: Many insurers offer points and rewards for healthy behaviour, such as hitting a daily step count or going to the gym.
  • Gym and Spa Discounts: Significant discounts on memberships at major UK fitness chains.
  • Health and Nutrition Tools: Access to apps and resources to support a healthy lifestyle.

At WeCovr, we enhance this value further. All our PMI and Life Insurance clients receive complimentary access to CalorieHero, our cutting-edge AI-powered calorie and nutrition tracking app. Furthermore, clients who purchase PMI through us can benefit from exclusive discounts on other types of cover, such as life insurance or income protection, creating a comprehensive financial safety net.

The Future Outlook: What to Expect for the Rest of 2026 and Beyond

The trends observed in Q1 2026 are not a temporary blip; they are indicative of a long-term realignment in the UK healthcare market.

  1. Continued PMI Growth: As long as NHS waiting lists remain a concern and the cost of self-funding continues to rise, the demand for affordable private medical insurance UK plans will grow.
  2. Increased Focus on Value: Consumers will become more discerning, looking not just at the core cover but at the entire value proposition, including wellness benefits and digital tools.
  3. Technology Integration: Expect to see more AI-driven tools for policy management, virtual health consultations becoming standard, and wearable tech being integrated into wellness programmes.

In this evolving market, expert, impartial advice is more critical than ever. The difference between a good policy and a great one can mean thousands of pounds and a vastly different patient experience.


Do I need to declare my pre-existing conditions when applying for PMI?

Yes, you absolutely must be honest about your medical history. How you declare it depends on the type of underwriting. With 'Moratorium' underwriting, you don't list conditions upfront, but anything you've had symptoms or treatment for in the last 5 years is automatically excluded for a set period. With 'Full Medical Underwriting', you complete a health questionnaire, and the insurer gives you a definitive list of exclusions from the start. Hiding a condition can invalidate your policy and lead to claims being rejected. Remember, standard UK PMI is for new, acute conditions that arise after your policy begins, not for managing existing or long-term chronic illnesses.

Is private medical insurance worth it if I'm young and healthy?

This is a common question. While you may feel invincible when you're young, accidents and unexpected illnesses can happen to anyone at any age. The key benefit of buying PMI when you are young and healthy is that your premiums will be significantly lower, and you are less likely to have pre-existing conditions that would be excluded from cover. It provides peace of mind that if you need prompt diagnosis or treatment for a new condition, from a sports injury to appendicitis, you can get it quickly without long waits, allowing you to get back to work and life faster.

How can a PMI broker like WeCovr help me find the best policy?

An expert PMI broker like WeCovr acts as your specialist guide through the complex insurance market. Instead of you spending hours trying to compare dozens of policies, we do the hard work for you. We are FCA-authorised and independent, meaning we aren't tied to any one insurer. We listen to your needs, priorities, and budget, then search the market to find the policies that offer the best value and cover for you. We explain the differences in plain English and help you tailor the policy to save money. This service is provided at no direct cost to you.

What is the difference between an 'in-patient' and an 'out-patient'?

This is a crucial distinction in private medical insurance. An 'in-patient' is someone who is admitted to a hospital and occupies a bed overnight or for a full day for treatment. 'Day-patient' is similar but you are discharged on the same day. 'Out-patient' refers to any treatment or consultation where you are not admitted to a hospital bed. This includes specialist consultations, diagnostic tests like X-rays and MRI scans, and therapies like physiotherapy. Basic policies may only cover in-patient care, while more comprehensive plans will include out-patient cover.

The Q1 2026 data confirms a clear and decisive trend: private medical insurance is no longer a luxury but a pragmatic choice for a growing number of UK residents seeking control over their health.

Ready to explore your options? Get a free, no-obligation quote from WeCovr today and let our experts find the perfect private health cover for your needs and budget.


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Why private medical insurance and how does it work?

What is Private Medical Insurance?

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

How does it work?

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

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

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

Questions to ask yourself regarding private medical insurance

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

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

Benefits offered by private medical insurance

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

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

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

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

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

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

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

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

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

Important Fact!

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

Why is it important to get private medical insurance early?

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

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

Easily one of the most important insurance purchases an individual or family can make in their lifetime, the decision to buy private medical insurance can be made much simpler with the help of 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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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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