WeCovr

Six Week Rule in UK PMI Explained

As an broker that has helped arrange over 1,000,000 policies, WeCovr understands the nuances of private medical insurance in the UK. One of the most common, yet often misunderstood, features is the "Six Week Rule." This article breaks down exactly what it is and how it works.

Last updated Oct 7, 2026

Editorial standards

We research and update guides regularly, keep commercial relationships separate from editorial rankings, and publish content for information only rather than personal advice.

Highly rated by our customers
over 1,000,000 policies arranged
Expert guidance



TL;DR

As an broker that has helped arrange over 1,000,000 policies, WeCovr understands the nuances of private medical insurance in the UK. One of the most common, yet often misunderstood, features is the "Six Week Rule." This article breaks down exactly what it is and how it works.

Key takeaways

  • An acute condition is a disease, illness, or injury that is likely to respond quickly to treatment and lead to a full recovery (e.g., cataracts, joint replacement, hernia repair).
  • PMI does not typically cover pre-existing conditions (ailments you had before taking out the policy) or chronic conditions (long-term illnesses that require ongoing management, like diabetes, asthma, or high blood pressure).
  • The Problem: David develops persistent hip pain. His GP suspects osteoarthritis and refers him to an orthopaedic specialist.
  • Using Outpatient Cover: Davids PMI policy has outpatient cover. He uses this to see a private specialist within a week, reducing waiting times compared with NHS lists (subject to policy terms) for a consultation. The specialist confirms via an MRI scan (also covered by his outpatient benefits) that he needs a total hip replacement.
  • The Six Week Rule Kicks In: The hip replacement is an inpatient procedure. Now, the Six Week Rule becomes relevant. David's insurer asks him to find out the current NHS waiting time for this operation at his local hospital.

As an broker that has helped arrange over 1,000,000 policies, WeCovr understands the nuances of private medical insurance in the UK. One of the most common, yet often misunderstood, features is the "Six Week Rule." This article breaks down exactly what it is and how it works.

How this NHS-private hybrid feature is applied and why it matters

Private Medical Insurance (PMI) is designed to work alongside the fantastic care provided by our National Health Service (NHS). The Six Week Rule is a perfect example of this partnership.

It's an optional clause in many PMI policies that acts as a cost-saving measure. In simple terms, if you need eligible inpatient treatment and the NHS waiting list for that specific procedure is less than six weeks, you will receive your treatment on the NHS. If the wait is longer than six weeks, your private health cover kicks in, and you can be treated privately.

This feature acknowledges the NHS's ability to deliver timely care for many procedures while providing a private safety net for when delays become significant. Understanding how it's applied is crucial to deciding if it's the right choice for your policy.

A Critical Note on PMI Coverage

Before we dive deeper, it's vital to remember a fundamental principle of UK private medical insurance:

Standard PMI policies are designed to cover acute conditions that arise after your policy has started.

  • An acute condition is a disease, illness, or injury that is likely to respond quickly to treatment and lead to a full recovery (e.g., cataracts, joint replacement, hernia repair).
  • PMI does not typically cover pre-existing conditions (ailments you had before taking out the policy) or chronic conditions (long-term illnesses that require ongoing management, like diabetes, asthma, or high blood pressure).

The Six Week Rule applies only to eligible acute conditions covered by your policy.

What is the Six Week Rule in Detail?

The Six Week Rule, sometimes called the "NHS Wait-List Clause," is a feature you can add to your PMI policy, usually in exchange for a lower premium. It directly links your access to private inpatient treatment to the length of the corresponding NHS waiting list.

Here’s the core mechanism:

  1. You receive a GP referral for specialist inpatient or day-patient treatment (e.g., a knee replacement).
  2. You check the NHS waiting list for that specific procedure at your local NHS trust.
  3. The outcome determines your path:
    • If the wait is 6 weeks or less: You will use the NHS for your treatment. Your PMI policy will not pay for it.
    • If the wait is more than 6 weeks: You can activate your PMI policy and arrange for the treatment to be done privately at a time and hospital of your choosing (from your insurer's approved list).

It’s important to note that this rule generally only applies to inpatient and day-patient procedures—treatments where you need a hospital bed. It does not typically apply to initial consultations, diagnostic scans, or tests (outpatient cover), which are often covered separately and can be used to speed up your diagnosis regardless of the Six Week Rule.

How the Six Week Rule is Applied in Practice: A Real-Life Example

Theory is one thing, but let's see how this works for a real person. Meet David, a 55-year-old architect with a PMI policy that includes the Six Week Rule.

Scenario: David Needs a Hip Replacement

  1. The Problem: David develops persistent hip pain. His GP suspects osteoarthritis and refers him to an orthopaedic specialist.
  2. Using Outpatient Cover: David’s PMI policy has outpatient cover. He uses this to see a private specialist within a week, reducing waiting times compared with NHS lists (subject to policy terms) for a consultation. The specialist confirms via an MRI scan (also covered by his outpatient benefits) that he needs a total hip replacement.
  3. The Six Week Rule Kicks In: The hip replacement is an inpatient procedure. Now, the Six Week Rule becomes relevant. David's insurer asks him to find out the current NHS waiting time for this operation at his local hospital.
  4. Checking the Wait: David contacts his local NHS trust and finds out the waiting list for a routine hip replacement is currently 22 weeks.
  5. The Decision: Since 22 weeks is significantly longer than 6 weeks, David's private medical insurance policy authorises his claim.
  6. The Outcome: David contacts his insurer to get the treatment authorised. He is booked into a private hospital from his insurer's list and has his hip replacement surgery just three weeks later. His PMI covers the cost of the surgeon, anaesthetist, hospital room, and post-operative physiotherapy.

What if the NHS wait had been shorter?

If the NHS waiting list had been, for example, four weeks, David would have been required to have his operation on the NHS. His PMI would not have covered the surgery, though it already paid for the speedy private diagnosis.

The Financial Impact: Does the Six Week Rule Save You Money?

Yes, the primary reason for including the Six Week Rule in your private health cover is to reduce your monthly or annual premiums. By agreeing to use the NHS when it can provide prompt treatment, you are reducing the overall risk for the insurer, and they pass some of that saving on to you.

The discount can be significant, often ranging from 15% to 25%, depending on the provider and your individual circumstances.

Let's look at an illustrative example for a healthy 45-year-old non-smoker seeking comprehensive cover in the South East.

Policy TypeIllustrative Monthly PremiumKey Feature
Standard Comprehensive PMI£95Full private access for eligible inpatient treatment.
PMI with Six Week Rule£75Private access only if NHS wait > 6 weeks.
Potential Annual Saving£240

As you can see, the savings can be substantial. However, this cost benefit must be weighed against the possibility of having to wait for NHS treatment. An expert PMI broker can provide detailed quotes to show you the precise financial impact of choosing this option.

The Bigger Picture: NHS Waiting Lists in 2025

The relevance and value of the Six Week Rule are directly tied to the state of NHS waiting lists. In recent years, these lists have grown, making the rule more likely to trigger private treatment.

According to the latest available data from NHS England for mid-2025:

  • The overall elective care waiting list in England stands at approximately 7.5 million treatment pathways.
  • Of those on the list, around 3.1 million have been waiting for more than 18 weeks.
  • Crucially, the number of patients waiting longer than 6 weeks for many common procedures remains high across numerous trusts.

These figures demonstrate that for many common operations, the NHS waiting time is likely to exceed the six-week threshold, meaning a policy with this clause would still grant you access to private care. However, waiting times can vary dramatically by:

  • Geographical location: Different NHS trusts have vastly different waiting lists.
  • Type of treatment: A common procedure might have a shorter wait than a highly specialised one.
  • Urgency: Urgent cases are always prioritised on the NHS.

Therefore, while the current climate makes the Six Week Rule an attractive cost-saving option, it's not a guaranteed faster route to private care in every single instance.

Pros and Cons of the Six Week Rule

Is adding this clause to your policy a smart move? It depends entirely on your priorities, budget, and attitude to risk. Here’s a balanced breakdown.

Pros (Advantages)Cons (Disadvantages)
✅ Lower Premiums: The most significant benefit is the reduction in your monthly insurance costs.❌ Potential for NHS Wait: You lose the certainty of immediate private access for all inpatient care.
✅ Good Value: If NHS waiting lists remain long, you get private care anyway, but at a lower premium.❌ Uncertainty: You won't know if you can go private until you check the specific NHS wait time for your condition.
✅ Supports the NHS: It utilises the NHS for what it does well, easing the burden on private resources.❌ Geographical Lottery: Your ability to use your PMI depends on the efficiency of your local NHS trust.
✅ Still Speeds Up Diagnosis: The rule doesn't affect outpatient cover, so you still benefit from fast consultations and scans.❌ Not for Everyone: If your absolute priority is to bypass the NHS entirely, this option is not for you.

Who is the Six Week Rule Good For?

  • The Budget-Conscious: Individuals and families who want the reassurance of private health cover but need to manage their monthly outgoings.
  • The Pragmatist: People who are happy to use the NHS if it's efficient but want a robust backup plan for long delays.
  • Those with Good Outpatient Cover: If your policy allows for a quick diagnosis, waiting a few weeks for NHS treatment may be more palatable.

Who Should Avoid the Six Week Rule?

  • Those Who Want Maximum Control: If your primary reason for buying PMI is to have complete control over when and where you are treated, you should opt for a policy without this clause.
  • People in Areas with Short NHS Waits: If your local hospitals are known for being particularly efficient, you may find the rule prevents you from using your private cover.

Navigating these choices can be complex. A specialist at WeCovr or one of our broker partners can help you compare policies from our panel, with and without the Six Week Rule, ensuring you find the perfect balance of cost and coverage for your needs with no separate broker fee.

Critical Considerations: What the Six Week Rule Doesn't Cover

It is essential to be clear about the limitations of this feature to avoid disappointment at the point of claim.

  1. Outpatient Services: As mentioned, the rule applies to inpatient/day-patient care. Your access to private specialist consultations, diagnostic tests, and scans is determined by your outpatient cover limit, not the Six Week Rule.
  2. Treatments Not Available on the NHS: If a specific drug, treatment, or procedure is not offered by the NHS for your condition, the Six Week Rule does not apply. In these cases, your PMI policy would typically cover it (subject to your policy terms), as there is no NHS alternative to wait for.
  3. Chronic and Pre-existing Conditions: This cannot be stressed enough. PMI and the Six Week Rule are for new, acute conditions. They do not cover long-term management of illnesses you already have.
  4. Emergency Treatment: Private medical insurance does not cover A&E visits or emergency admissions. These are always handled by the NHS.

WeCovr's Expert View: Making an Informed Choice

WeCovr believes the Six Week Rule can be an excellent tool for making private medical insurance more affordable and accessible. Our high customer satisfaction ratings are built on helping clients understand these features properly, ensuring there are no surprises.

Choosing whether to include it involves a personal calculation: is the premium saving worth the potential of having to wait up to six weeks for NHS treatment?

For many, given the current pressure on the health service, the answer is yes. The likelihood of the NHS providing the necessary inpatient treatment within that six-week window is often low for many routine procedures. This means you benefit from a lower premium while still being highly likely to access private care when you need it most.

When you get a policy through us, we go beyond just the insurance. We provide complimentary access to our AI-powered nutrition app, CalorieHero, to support your everyday wellness. Furthermore, clients who purchase PMI or Life Insurance with us can often benefit from discounts on other types of cover, from home to travel insurance. We believe in providing holistic value that supports your health and financial wellbeing.

Frequently Asked Questions (FAQs)

Does the Six Week Rule apply to diagnostic scans like MRI or CT?

No, the Six Week Rule generally only applies to inpatient and day-patient treatment (i.e., procedures requiring a hospital bed). Your ability to have a private MRI, CT scan, or specialist consultation is determined by the "outpatient cover" limit on your policy. This means you can often get a diagnosis privately and quickly, even if your policy includes the Six Week Rule for the subsequent treatment.

What happens if the NHS waiting list is exactly six weeks?

Most UK PMI providers state that if the NHS waiting list is "less than six weeks," you use the NHS. Therefore, if the waiting list is confirmed to be exactly six weeks or longer, your private medical insurance should cover your private treatment. Always confirm the specific wording with your insurer, as small print can vary.

Do all private medical insurance UK providers offer a Six Week Rule option?

Most of the major UK health insurers, including Aviva, Bupa, and AXA Health, offer a version of the Six Week Rule as a way to reduce premiums. The exact name and terms may differ slightly between providers. A regulated PMI broker can compare these options for you to find a strong fit for your budget and needs.

Choosing the right private health cover is a significant decision. The Six Week Rule is just one of many options that can tailor a policy to your specific needs and budget.

Ready to find out how much you could save?

Let a WeCovr specialist or trusted broker partner provide you with a free, no-obligation quote. We'll compare the well-known providers and explain all your options in plain English, helping you secure the right protection for you and your family.

Sources

  • NHS England: Waiting times and referral-to-treatment statistics.
  • Office for National Statistics (ONS): Health, mortality, and workforce data.
  • NICE: Clinical guidance and technology appraisals.
  • Care Quality Commission (CQC): Provider quality and inspection reports.
  • UK Health Security Agency (UKHSA): Public health surveillance reports.
  • Association of British Insurers (ABI): Health and protection market publications.

Important Information and Risks

No advice: This article is for general information only. It is not financial, legal, insurance, or tax advice, and it is not a personal recommendation. WeCovr does not assess your individual circumstances or recommend a specific product through this article.

Policy exclusions and underwriting: Insurance policies, including life insurance, private medical insurance, critical illness cover, and income protection, are subject to insurer underwriting, eligibility, acceptance criteria, terms, conditions, limits, and exclusions. Pre-existing medical conditions may be excluded, restricted, or accepted on special terms unless an insurer confirms otherwise in writing.

Tax treatment: References to tax treatment, HMRC rules, or business reliefs are based on current UK legislation and guidance, which can change. Tax treatment depends on your personal or business circumstances and may differ from examples in this article.

Before you buy: Always read the Insurance Product Information Document (IPID), policy summary, and full policy terms before buying, renewing, changing, or keeping cover. If you are unsure whether a policy is suitable for you, speak to an insurance adviser.

Get Quote
Before you compare PMI quotes

Start with your Protection Score, then decide whether private health cover is the right fit

Check where health access sits in your overall protection picture before deciding whether to compare private health cover.

Check My Health Access GapGet PMI Help If It Fits

Spot whether NHS access risk is the real issue

See if PMI is the gap to fix first

Get health insurance help only if it makes sense for you

📚 Recommended reads

Best Private Health Insurance UK 2026

Read

Average Cost of PMI (UK)

Read

PMI Provider Reviews

Read

Get your score

Start with your protection score

Check your current position first, then get health insurance help if you need it.

1

Check your current resilience

Score your income, health access and family protection position in a few minutes.

2

See where private cover helps

Understand whether faster diagnosis and treatment is a priority gap.

3

Continue to tailored PMI help

If health access is the issue, continue to tailored PMI help.

What you get

A quick view of your current protection position

A clearer idea of where the biggest gaps may be

A direct route to tailored help if you want it


See Plans

Related tools


WeCovr is an FCA‑regulated insurance broker. We may earn a commission if you purchase a policy via us. This guide is written to be impartial and informational.


Explore insurance hubs

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 experienced 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:

Our Group Is Proud To Have Issued over 1,000,000 policies!

We've established collaboration agreements with leading insurance groups to create tailored coverage
Working with leading UK insurers
Allianz Logo
Ageas Logo
Covea Logo
AIG Logo
Zurich Logo
BUPA Logo
Aviva Logo
Axa Logo
Vitality Logo
Exeter Logo
WPA Logo
National Friendly Logo
General & Medical Logo
Legal & General Logo
ARAG Logo
Scottish Widows Logo
Metlife Logo
HSBC Logo
Guardian Logo
Royal London Logo
Cigna Logo
NIG Logo
CanadaLife Logo
TMHCC Logo

How It Works

1. Complete a brief form
Complete a brief form
2. Our experts analyse your information and find you best quotes
Experts discuss your quotes
3. Enjoy your protection!
Enjoy your protection

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.

Private medical insurance is designed for conditions that start after your policy begins, so pre-existing conditions are usually excluded, at least at first. With moratorium underwriting, a pre-existing condition may become eligible for cover once you have gone two continuous years on the policy without symptoms, treatment or advice for it. With full medical underwriting, the insurer tells you upfront which conditions are excluded. If you are switching from another policy or leaving a company scheme, you may be able to keep your existing underwriting terms, and some larger company schemes use Medical History Disregarded underwriting, where pre-existing conditions aren't excluded. Chronic conditions that need long-term management aren't covered by standard policies.

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. Some policies can also cover treatments and drugs that aren't routinely available on the NHS.

There's no fee to get quotes through WeCovr. WeCovr and its broker partners are typically paid a commission by the insurer when you take out a policy. The cost of the policy itself depends on your age, where you live, the cover you choose and your excess.

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 may benefit from Private Medical Insurance.

Private Medical Insurance is an important financial product, and policies differ in ways that matter. Speaking to a specialist at WeCovr or one of its broker partners helps make sure your requirements are understood so you can choose the right cover.

WeCovr's broker partners are firms authorised and regulated by the Financial Conduct Authority (FCA), which requires them to treat customers fairly. You can check any firm on the FCA Register.

WeCovr and its broker partners are typically paid a commission by the insurer when a policy is taken out. The premium is set by the insurer, and you don't pay a separate fee for using the service. You can ask about the commission at any time.

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 eligible conditions that arise after your policy begins. You pay a monthly or annual premium and can claim for private healthcare covered by your policy. Benefits can include quicker access to treatment than on the NHS and, on some policies, access to drugs or treatments that aren't routinely available on the NHS.

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, chronic conditions and conditions present before the policy started.

Usually not on a new personal policy: pre-existing conditions are generally excluded, whatever the premium. Depending on your underwriting, a condition may become eligible later, and if you are switching policies or leaving a company scheme you may be able to keep existing terms. If you have questions about what is covered, contact WeCovr and a specialist at WeCovr or one of its broker partners can explain the options.

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. Depending on the insurer, it applies once per policy year or once per claim. A specialist at WeCovr or one of its broker partners can explain the excess options available.

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.

Some insurers have an upper age limit for new customers, while others don't, and age affects the price. Many insurers will renew an existing policy regardless of age. A specialist at WeCovr or one of its broker partners can help you find insurers that accept your age.

A specialist at WeCovr or one of its broker partners can compare health insurance plans from a range of insurers for you, with no fee to you. Consider individual, couple, or family plans and review coverage details thoroughly before choosing.

Usually, yes. Many insurers let you add a partner or dependent children, either at any time or at renewal, depending on the insurer. The cost depends on factors like their age, where you live and the cover you choose. Contact WeCovr or your insurer for help adding someone to your policy.

UK private medical insurance is designed for treatment in the UK, although some policies include limited cover abroad. If you live or work abroad, international health insurance may be more suitable, and WeCovr or one of its broker partners can help you compare options. For holidays, travel insurance is recommended.

Comprehensive cover usually includes more extensive benefits, such as fuller outpatient cover for consultations, diagnostic tests, physiotherapy and mental health therapies, within the policy limits. A specialist at WeCovr or one of its broker partners can explain the different levels of cover.

Private health insurance typically does not cover routine dental treatment, although some insurers offer a dental option and there are standalone dental policies. A specialist at WeCovr or one of its broker partners can help you compare policies with dental options.

Most private medical insurance policies include cover for cancer diagnosed after the policy starts, but the level of cover varies: some policies limit drugs, treatment time or cost. A specialist at WeCovr or one of its broker partners can help you compare cancer cover between policies.

You can usually change your cover at renewal, and some insurers allow changes during the year. You also have a 14-day cooling-off period after receiving your policy documents, during which you can cancel. A specialist at WeCovr or one of its broker partners can help with changes.

Many policies include a digital GP service provided by the insurer, often with same-day or next-day appointments. Check what your policy includes.

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

Yes. Insurers offer a range of cover levels to suit different budgets and needs, and a specialist at WeCovr or one of its broker partners can talk you through the options.

Your insurer can tell you which hospitals and specialists are included in your policy. For help comparing policies' hospital lists, tap one of the buttons above or below and fill in a few details, and a specialist at WeCovr or one of its broker partners will be in touch.

A fee-assured (or fee-approved) consultant has agreed to charge within your insurer's fee limits, so for eligible, authorised treatment you shouldn't have to pay a shortfall for their fees.

Many policies include some mental health cover, either as standard or as an option, usually with limits on therapy sessions or costs. Cover varies between insurers, so check the details.

Yes, children up to a certain age can usually be included on your policy, and some insurers offer discounts for children.

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. Tap a button below to get your own personalised quote through WeCovr.

Private health insurance can offer quicker access to consultations and treatment for eligible conditions, and more choice over when and where you are treated.

Many policies include physiotherapy, sometimes with limits on sessions or cost. A specialist at WeCovr or one of its broker partners can help you find plans that include it.

Services such as the insurer's digital GP app are usually available as soon as your policy starts.

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 eligible new conditions that arise after the policy starts. Pre-existing conditions are usually excluded, chronic conditions aren't covered, and other exclusions apply.

Health insurance pays for eligible private healthcare, such as consultations and treatment, up to your policy limits. A specialist at WeCovr or one of its broker partners can help you arrange cover.

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

Usually, yes: cover for eligible new conditions starts when your policy starts, and services like a nurse helpline or digital GP app are usually available straight away. If you make a claim soon after starting, the insurer may ask for a 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. Visit your insurer's website, or ask a specialist at WeCovr or one of its broker partners, for details of member rewards.

You may be able to continue your cover with the same insurer on a personal policy, or take out a new policy. Continuing with the same insurer can mean keeping your existing underwriting, so conditions covered under the company scheme may stay covered. A specialist at WeCovr or one of its broker partners can talk you through your options.

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

Your cover may be similar but not identical, and ongoing medical conditions may be covered, depending on the terms. A specialist at WeCovr or one of its broker partners can help you find the right level of cover.

Usually not, because employers often pay for or contribute to staff cover and group schemes are priced differently. Your cover level and age also affect the price. A specialist at WeCovr or one of its broker partners can give you more detail.

There is usually a limited window after leaving, set by the insurer, so check as early as possible. Your personal policy can often start the day after your work cover ends, and a specialist at WeCovr or one of its broker partners can explain other options.

Have your leaving date and your current policy details ready, then contact WeCovr to discuss your options with a specialist at WeCovr or one of its broker partners.

Ongoing treatment may be covered if you continue with the same insurer on a personal policy, although it could affect the price. A specialist at WeCovr or one of its broker partners can explain your options.

Your insurer will explain how to pay your excess when you contact them for treatment authorisation. Usually you pay it to the hospital or consultant.

Usually not: with most insurers, there's no excess for services such as a digital GP. Check your policy.

Excess changes are usually made at renewal, although some insurers allow changes at other times.

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

Pre-existing conditions usually aren't covered on a new personal policy. A specialist at WeCovr or one of its broker partners can explain the underwriting options.

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 are medical issues that existed before your policy started. Many insurers treat any condition you've had symptoms of, treatment for or advice about in the five years before the policy started as pre-existing. A specialist at WeCovr or one of its broker partners can help you understand how pre-existing conditions affect your options.

While some insurance providers automatically renew your private healthcare cover, it's worth comparing policies when yours is due for renewal to check it still offers good value for the cover you need. A specialist at WeCovr or one of its broker partners can help you compare.

Typically, you must be over 18 to take out your own policy, but children can usually be included on a family policy. Some insurers have an upper age limit for new customers, and premiums typically increase with age. A specialist at WeCovr or one of its broker partners can explain the age rules of different insurers.

Some insurers charge less if you pay annually, but this depends on the insurer. A specialist at WeCovr or one of its broker partners can tell you whether paying annually would save you money.

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.

Usually not. With full medical underwriting you complete a medical questionnaire, and the insurer may occasionally ask your GP for a report. With moratorium underwriting there's no medical questionnaire upfront. A specialist at WeCovr or one of its broker partners can explain 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. A specialist at WeCovr or one of its broker partners can help you find policies that offer GP services.

With private health insurance, you can often get a GP appointment much more quickly, sometimes even on the same day, through the insurer's GP service. A specialist at WeCovr or one of its broker partners can help you find policies that include it.

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. A specialist at WeCovr or one of its broker partners can help you understand the different types of care and find a policy that suits your needs.

Private health insurance pays for eligible medical treatment if you fall ill, while critical illness cover pays a lump sum if you are diagnosed with one of the illnesses listed in the policy, which you can use however you choose, for example to replace lost income. A specialist at WeCovr or one of its broker partners can help you understand the differences.

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. A specialist at WeCovr or one of its broker partners can help you find appropriate cover.

If your employer pays for your health insurance, it's usually a taxable 'benefit in kind': you pay income tax on its value, normally through your tax code or payroll, and your employer pays Class 1A National Insurance. For the employer, the premiums are usually an allowable business expense. If you buy a personal policy, you pay for it from taxed income. For advice on your situation, speak to an accountant.

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. A specialist at WeCovr or one of its broker partners 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. A specialist at WeCovr or one of its broker partners can help you understand the differences and choose the right option for you.

Some private health insurance providers offer a no-claims discount, similar to car insurance. Each year you don't claim typically adds to your no-claims discount, which can reduce your premium at renewal. A specialist at WeCovr or one of its broker partners can help you find policies that offer no-claims discounts.

To find the right health insurance for you, compare 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. A specialist at WeCovr or one of its broker partners can help you evaluate your options.

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, check your policy terms to see whether your insurer requires a GP referral first (many do). Some policies offer direct access without a referral for certain conditions, such as muscle and joint problems or counselling 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 published 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 practise privately, so you could potentially see the same consultant either way. However, private healthcare typically offers shorter waiting times, usually a private room, and more flexible visiting. Some policies also give 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.

Usually, yes. If you have private tests or scans but then want NHS treatment, your GP or private consultant can refer you to the NHS and share your results, although the NHS team may want to repeat some tests.



...

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!