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Switching from an Employer Scheme to Personal PMI Avoiding Loss of Cover

When leaving a job, a specialist at WeCovr or one of its broker partners can help you transition your UK private medical insurance to a personal policy. As an FCA-regulated broking firm with over 1,000,000 policies issued of various kinds, WeCovr ensures you understand options like CPME to preserve your underwriting history.

Last updated Oct 24, 2026

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Switching from an Employer Scheme to Personal PMI Avoiding...

TL;DR

When leaving a job, a specialist at WeCovr or one of its broker partners can help you transition your UK private medical insurance to a personal policy. As an FCA-regulated broking firm with over 1,000,000 policies issued of various kinds, WeCovr ensures you understand options like CPME to preserve your underwriting history.

Key takeaways

  • Leaving your employer means losing company-funded health cover.
  • CPME allows you to switch while keeping previous underwriting history.
  • Standard UK PMI covers acute, not chronic, conditions.
  • Act quickly, usually within 30 to 45 days of leaving.
  • A specialist broker compares options at no extra cost.

There is no fee to you for this; brokers are typically paid a commission by the insurer.

WeCovr's guide to policy continuation options, preserving underwriting history, and avoiding fresh pre-existing exclusions when changing jobs

Leaving a job often means leaving behind valuable employee benefits, with company-funded private medical insurance (PMI) typically being one of the most important. As an FCA-regulated broking firm that has seen over 1,000,000 policies issued of various kinds, WeCovr knows that losing health cover during a career transition can be a stressful experience.

If you are currently undergoing treatment or have claimed on your company policy in the past, simply buying a new personal policy online could result in losing coverage for those specific health issues. This is because standard new policies apply fresh medical underwriting, meaning any past illnesses usually become excluded as "pre-existing conditions."

Fortunately, there are formal ways to transition from a group scheme to a personal policy without resetting your medical history. A specialist at WeCovr or one of its broker partners can help you navigate this complex process, compare options from a range of UK insurers, and arrange a suitable policy. There is no fee to you for this; brokers are typically paid a commission by the insurer.

Understanding the Risk: The Problem with Fresh Underwriting

To understand why switching correctly is so important, it helps to look at how UK private medical insurance works.

When you take out a new, standard personal health insurance policy, the insurer assesses your medical history. Any illness, injury, or symptom you have experienced before the policy starts is typically classified as a pre-existing condition. Most new policies will place an exclusion on these conditions, meaning you cannot claim for private treatment if they flare up again.

If you have been on a company scheme for five years and developed back pain or needed minor knee surgery during that time, your company scheme likely covered it because it was a new condition when it occurred. If you leave your job and simply start a brand-new policy with a different insurer without using a continuation option, that back pain and knee issue become pre-existing conditions and will likely be excluded from the new cover.

The Solution: Continued Personal Medical Exclusions (CPME)

The most effective way to avoid fresh pre-existing exclusions when changing jobs is to use a switching process known as CPME (Continued Personal Medical Exclusions) or "switch" underwriting.

CPME is a type of underwriting that allows you to carry your existing medical underwriting terms over to a new policy. Instead of treating you as a brand-new applicant with fresh exclusions, the new insurer agrees to take you on exactly the same underwriting basis as your old company scheme.

If your company policy covered your back pain because it started after you joined the scheme, a CPME policy will typically continue to cover it, subject to the new insurer's specific policy terms and conditions.

Key Rules of CPME Switching

  • No New Symptoms: You usually cannot have any pending tests, ongoing symptoms, or planned treatments at the exact time you switch. If you do, the new insurer may decline the CPME switch and insist on fresh underwriting.
  • Similar Level of Cover: Insurers typically require you to move to a policy that offers a similar or lower level of coverage. You cannot usually upgrade your benefits (for example, moving from a very basic company policy to an elite personal policy) while retaining CPME terms.
  • Strict Deadlines: You must act quickly. Most UK insurers require you to set up your continuation policy within 30 to 45 days of leaving the company scheme. If you miss this window, CPME is generally no longer available.

Types of Underwriting Explained in Plain English

When a specialist at WeCovr or one of its broker partners helps you review your company policy documents, they will first identify your current underwriting type. This dictates how your transition will work.

Underwriting TypeWhat it MeansHow it Transitions to Personal PMI
Moratorium (Mori)Excludes conditions you had in the 5 years before joining. If you go 2 years clear of symptoms/treatment, it may be covered later.Under CPME, you keep your original start date. The time spent on the company scheme counts towards your 2-year clear period.
Full Medical Underwriting (FMU)You declared your medical history upfront, and specific exclusions were permanently applied to the policy.Under CPME, the exact same specific exclusions are carried over to your new personal policy. No new exclusions are added.
Medical History Disregarded (MHD)Common in large corporate schemes. The insurer ignores pre-existing conditions entirely and covers past illnesses.Moving from MHD to individual cover is complex. Some insurers offer a specific continuation, but premiums are usually much higher.

The Reality of Medical History Disregarded (MHD)

If you have been working for a large corporation, you may have enjoyed Medical History Disregarded (MHD) underwriting. This is highly generous cover where pre-existing conditions are not excluded.

It is vital to understand that MHD is incredibly rare on standard individual policies. When you leave an employer, transferring MHD terms to a personal policy is not always possible. Even when an insurer allows an MHD continuation, the monthly premium can be substantially higher than standard individual cover because the insurer is taking on a known medical risk.

If keeping MHD is too expensive, a specialist at WeCovr or one of its broker partners can explain alternative options, such as moving to a Moratorium policy. This would mean accepting exclusions for recent past conditions, but it often results in a much more manageable monthly premium.

Important Limitation: Acute vs. Chronic Conditions

Whether you are on a company scheme, buying a new policy, or transitioning via CPME, it is crucial to understand one of the fundamental rules of the UK market.

Standard UK private medical insurance is designed to cover acute conditions—these are diseases, illnesses, or injuries that respond quickly to treatment and aim to return you to your previous state of health (e.g., a broken bone, a hernia, or cataracts).

Standard UK PMI does not cover chronic conditions. A chronic condition is an illness that cannot be completely cured, requires long-term monitoring, or needs ongoing medication (e.g., asthma, diabetes, or arthritis). Even if you use CPME to seamlessly transition your policy, the new insurer will not pay for the routine management of a chronic condition. They may, however, cover unexpected acute flare-ups of a chronic condition to restabilise your health, subject to the policy terms.

Step-by-Step Guide: How to Switch Without Losing Cover

Transitioning from an employer scheme to personal PMI involves some administrative work, but following these steps can ensure a smooth process.

  1. Find Out Your Leaving Date: Confirm the exact date your company health insurance will end. This is sometimes your final day of employment, but some companies pay for cover until the end of the month.
  2. Request a 'Leaving Certificate': Ask your HR department or the current insurer for a "Leavers Certificate" or "Continuation Document." This official paper proves your membership dates, your current level of cover, and your underwriting type.
  3. Contact a Broker Promptly: Reach out to WeCovr before your company cover expires. A specialist at WeCovr or one of its broker partners will gather your details and review the market.
  4. Compare Options: Your broker partner will present illustrative quotes. You can usually choose to stay with your company's current insurer (often called a "continuation") or switch to a completely different UK insurer using CPME.
  5. Confirm Health Status: You will need to confirm to the new insurer that you do not have any planned treatments or pending diagnostic tests at the time of the switch.
  6. Set Up the Policy: Once you select an appropriate level of cover, the broker partner will arrange the application and ensure your underwriting history ports over correctly.

Illustrative Real-Life Scenarios

To demonstrate how the process works in practice, consider these two illustrative examples:

Scenario A: A Successful CPME Switch Imagine James, 45, who has been on his employer's PMI scheme for six years under Moratorium underwriting. Three years ago, he developed an acute shoulder issue that required physiotherapy and a minor operation, which his company scheme covered. James changes jobs. Before his 30-day window expires, he speaks with a specialist at WeCovr or one of its broker partners. They arrange a CPME switch to a new insurer. Because he used CPME, his original start date from six years ago is preserved. If he needs acute treatment on that shoulder again in the future, it is generally eligible for cover (subject to the new policy's terms), because it is not treated as a new pre-existing condition.

Scenario B: The Cost of Waiting Imagine Sarah, 50, who leaves her corporate job. She takes a few months off to travel and forgets about her health insurance. Four months later, she decides to buy a personal policy. Because she missed the 30-to-45-day continuation window, no insurer will accept her on CPME terms. She has to undergo fresh underwriting. Two years ago, she had treatment for a stomach ulcer on the company scheme. Under her brand-new personal policy, the stomach ulcer is now excluded as a pre-existing condition.

Managing the Cost of Personal PMI

One of the biggest shocks for people leaving a company scheme is the perceived cost of personal private medical insurance.

When you are part of a corporate scheme, the employer usually subsidises the premium, and the risk is spread across hundreds or thousands of employees. Personal PMI is individually priced based on your age, your location, and the rising costs of medical inflation in the UK.

If the illustrative quotes for matching your company cover are higher than expected, a specialist at WeCovr or one of its broker partners can help you adjust the policy to make it a more suitable option for your budget. You might consider:

  • Adding or Increasing an Excess: Agreeing to pay the first £250 or £500 of a claim in any policy year can notably reduce your monthly premium.
  • The 6-Week NHS Wait Option: This rule states that if the NHS can treat your condition within 6 weeks, you use the NHS. If the NHS wait is longer than 6 weeks, your private cover activates. This typically lowers premiums considerably.
  • Adjusting the Hospital List: If you live outside central London, removing premium London hospitals from your coverage list can lower your costs without affecting your local private care.
  • Reducing Outpatient Limits: Limiting cover for outpatient consultations and diagnostic tests to a set amount (e.g., £1,000 per year) rather than having full unrestricted outpatient cover.

Tax Implications of Changing Jobs

When you are enrolled in a company-paid private medical insurance scheme, HMRC views the premium as a "Benefit in Kind." This means you generally pay tax on the value of the benefit, usually processed through a P11D form or your PAYE tax code.

When you leave the company and set up a personal PMI policy, you pay the premium out of your own post-tax income. Therefore, you will no longer pay the Benefit in Kind tax associated with your previous employer’s scheme.

Disclaimer: This is general guidance only and does not constitute tax or financial advice. Tax treatment depends on individual circumstances and HMRC interpretation; consult a qualified accountant or tax adviser where needed.

Additional Support from WeCovr

WeCovr recognises that in supporting your broader well-being alongside helping you arrange appropriate financial protection.

WeCovr provides eligible customers with complimentary access to WeCovr's AI calorie tracking app, CalorieHero. WeCovr may also offer discounts on other types of cover, such as life insurance, to eligible customers who take PMI (subject to terms).

Get a quote through WeCovr, and a specialist from WeCovr or one of its broker partners will help you compare policies from a range of UK insurers.

Get Tailored Quote

Why Use a Broker to Switch?

Navigating the transition from an employer scheme to personal cover involves interpreting complex insurance jargon, understanding strict eligibility windows, and comparing terms across different insurers.

Because WeCovr is an FCA-regulated broking firm, the priority is ensuring any statement or comparison is fair, clear, and not misleading. A specialist at WeCovr or one of its broker partners will take the time to explain the limitations, excesses, and conditions of any proposed policy. They provide this comparison and arrangement service with no fee to you, meaning you get expert guidance without paying a direct fee for the broker's time. There is no fee to you for this; brokers are typically paid a commission by the insurer.

Your health insurance should be a strong fit based on your priorities. By exploring continuation options like CPME, you can secure peace of mind, knowing that past acute health issues won't automatically disqualify you from future private medical care.


Frequently Asked Questions

Can I keep my company health insurance when I leave my job?

You cannot keep the exact company-funded policy, but you can generally transition to a personal policy while preserving your underwriting history. This process is known as Continued Personal Medical Exclusions (CPME). A specialist at WeCovr or one of its broker partners can help arrange this transition with no fee to you, subject to insurer eligibility.

What is CPME in UK health insurance?

CPME stands for Continued Personal Medical Exclusions. It is an underwriting method that allows you to switch from one health insurance policy (like an employer scheme) to a new personal policy without adding fresh exclusions for pre-existing conditions that arose during your previous cover.

Will my new personal PMI cover chronic conditions?

Generally, no. Standard UK private medical insurance is designed to cover acute conditions (short-term, curable illnesses) and does not cover the routine monitoring or ongoing medication for chronic conditions (like diabetes or asthma), regardless of whether you use CPME to switch policies.

How long do I have to switch my health insurance after leaving my job?

Insurers typically impose strict deadlines. You usually have between 30 and 45 days from the date your company cover ends to set up a continuation policy using CPME. If you miss this window, you will likely have to take out a new policy with fresh medical underwriting.

Do I have to stay with the same insurer when leaving a company scheme?

No, you do not always have to stay with the same insurer. While you can often arrange a straightforward 'continuation' with the current provider, many UK insurers accept CPME switches from competitors. Comparing policies from a range of insurers with the help of a specialist broker can ensure you find an appropriate level of cover for your circumstances.

Sources

  • Financial Conduct Authority (FCA)
  • National Health Service (NHS England)
  • Office for National Statistics (ONS)
  • Association of British Insurers (ABI)
  • GOV.UK (HM Revenue & Customs guidance on Benefits in Kind)

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.

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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 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:

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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.

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.



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