As an FCA-authorised broker that has helped arrange over 900,000 policies, WeCovr provides expert guidance on navigating the UK private medical insurance market. This guide will show you how to find better value and potentially lower your premiums, without sacrificing the cover you and your family depend on.
WeCovr shows you how to change providers to save money without losing valuable cover
Each year, when that private medical insurance (PMI) renewal notice lands on your doormat or in your inbox, it's often accompanied by a higher premium. It's a moment that prompts many of us to ask: am I getting the best value? Could I get the same, or even better, cover for less money elsewhere?
The answer is often yes, but switching health insurance isn't like changing your car or home insurance. It’s a process that requires care and expert knowledge to ensure you don't accidentally lose cover for medical conditions you've developed over the years. This comprehensive 2026 guide is designed to demystify the process, empowering you to make an informed decision.
First, A Critical Rule of UK Private Medical Insurance
Before we dive in, it's vital to understand the fundamental principle of PMI in the UK.
Private medical insurance is designed to cover acute conditions that arise after you take out your policy.
- 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., joint replacement, cataract surgery, hernia repair).
- A chronic condition is a disease, illness, or injury that has one or more of the following characteristics: it needs ongoing or long-term monitoring, it has no known cure, or it is likely to recur (e.g., diabetes, asthma, hypertension).
Standard UK PMI policies do not cover chronic conditions or pre-existing conditions you had before your policy began. This is the single most important factor to consider when thinking about switching.
Why Consider Switching Your Private Health Insurance?
Your renewal price isn't the only reason to explore your options. Your life and priorities change, and your health cover should reflect that.
1. Rising Premiums: This is the most common trigger. Premiums increase for two main reasons:
- Age: As we get older, the statistical likelihood of needing medical treatment increases, so insurers raise prices at each renewal.
- Medical Inflation: The cost of new medical technology, advanced drugs, and private hospital fees consistently rises faster than general inflation. This cost is passed on to policyholders.
2. Changes in Your Circumstances:
- Family: You may have a new baby, or your children might be old enough to leave your policy.
- Finances: Your income may have changed, making your current premium less affordable, or you may now be able to afford more comprehensive cover.
- Location: You might have moved to a different part of the country, where a different hospital list would be more suitable and cost-effective.
3. Dissatisfaction with Your Current Provider:
- Poor customer service or a difficult claims experience can be a powerful motivator to switch.
- You might find your insurer's digital tools, like their app or member portal, are clunky and outdated.
4. Better Cover is Available Elsewhere:
- The PMI market is constantly evolving. A new provider might offer more extensive cancer cover, better mental health support, or innovative wellness benefits that your current policy lacks.
According to the latest NHS England data from late 2025, the number of people on waiting lists for consultant-led elective care remains a significant concern for the public. This continued pressure on the NHS is a key driver for millions of UK residents to maintain or take out private health cover, making it more important than ever to ensure your policy offers the best possible value.
The Risks: What You Could Lose When Switching
If you switch providers incorrectly, you could unintentionally create a gap in your cover. This is because a new insurer will view any medical conditions you've developed while with your old insurer as pre-existing.
Let's look at an example:
- Scenario: David took out a policy with Insurer A in 2022. In 2024, he developed knee pain and had a private consultation and MRI scan, which were covered by Insurer A.
- The Risk: In 2026, David sees a cheaper quote from Insurer B and switches using a standard 'Moratorium' application.
- The Outcome: His knee pain is now a pre-existing condition. Insurer B will exclude it from cover, likely for at least two years. If he needs a knee replacement in 2027, he won't be covered.
This is the trap many people fall into. They focus on the lower premium but fail to realise they've lost protection for the very conditions they might need to claim for.
The Golden Rule of Switching: Your goal is to move to a new provider while keeping the underwriting terms you have now. This ensures that any condition covered by your old policy remains covered by your new one.
The Key to a Safe Switch: Understanding Underwriting Options
Underwriting is how an insurer assesses your medical history to decide what they will and won't cover. When you switch, the type of underwriting you choose is the most critical decision you will make.
| Underwriting Type | How It Works for Switching | Best For... | Key Risk |
|---|
| Continued Personal Medical Exclusions (CPME) | You carry your original underwriting terms to the new insurer. Any conditions covered by your old policy remain covered. No new medical history is assessed. | Almost everyone switching. It's the safest way to change providers without losing cover. | None, if done correctly. The process can be complex, making broker assistance highly recommended. |
| Moratorium (Mori) | The new insurer automatically excludes any condition you've had symptoms of, or sought advice for, in the last 5 years. This exclusion can be lifted if you go 2 years without symptoms, treatment or advice for that condition. | Young, healthy individuals with no medical history who are switching for the first time. | High risk for switchers. You will lose cover for any conditions that have arisen while you were on your previous policy. |
| Full Medical Underwriting (FMU) | You complete a detailed health questionnaire, declaring your entire medical history. The insurer then gives you a list of specific, permanent exclusions. | People who want absolute clarity on what is and isn't covered, and who have a very simple medical history. | Any condition you declare will likely be permanently excluded. It's a "fresh start" that erases the continuity of your previous cover. |
Why CPME is the Gold Standard for Switching
CPME is specifically designed for people who already have private health insurance. It allows the new insurer to effectively step into the shoes of your old one.
- No New Exclusions: If your old policy was covering your troublesome back or a heart condition that developed three years ago, a CPME switch ensures the new policy will too.
- Peace of Mind: You don't have to worry about the 2-year waiting periods associated with moratorium underwriting.
- Access to the Market: Most major UK insurers, including Bupa, Aviva, AXA Health, and Vitality, offer a CPME switching option.
However, navigating a CPME switch requires precision. The application is more detailed, and you need to provide proof of your current certificate of insurance. This is where an expert broker like WeCovr becomes invaluable. We manage this process for our clients every day, ensuring the transfer is seamless and, most importantly, safe.
A Step-by-Step Guide to Switching Your PMI Provider in 2026
Follow these steps to ensure a smooth and successful transition to a new provider.
Step 1: Review Your Current Policy & Renewal Offer
Before you can compare, you need to know exactly what you have. Find your latest policy documents and your renewal letter. Pay attention to:
- Your Core Cover: What level of hospital access do you have? Is it a local list or nationwide?
- Out-patient Limits: Is there a cap on the value of consultations and diagnostic tests (e.g., £500, £1,000, or unlimited)?
- Your Excess: How much do you have to pay towards any claim? (e.g., £0, £250, £500).
- Add-ons: Do you have extras like dental, optical, or mental health cover?
- Your Underwriting: Crucially, what type of underwriting are you on? This will be on your original policy certificate.
- The Renewal Premium: The total cost for the year ahead.
Step 2: Define Your Needs for the Coming Year
Think about what you want from your cover. Don't just aim to replicate your old policy.
- Is the hospital list still right for you? Perhaps a more limited list could save you money.
- Is your out-patient limit appropriate? If you've never claimed, perhaps a lower limit would be a sensible saving.
- Do you need better mental health support? This is an area where cover levels vary significantly between insurers.
- Are you interested in wellness programmes? Some insurers offer significant rewards and discounts for staying active.
Step 3: Get Expert Advice from an Independent Broker
This is the most important step for a safe switch. Instead of going direct to one insurer, a broker works for you.
An independent broker like WeCovr provides:
- Whole-of-Market Comparison: We compare policies from all the leading UK insurers to find the best fit for your specific needs and budget.
- CPME Expertise: We specialise in continued underwriting switches, handling the complex paperwork and liaising with both your old and new insurer to guarantee continuous cover.
- No Cost to You: Our service is free. We are paid a commission by the insurer you choose, which is already built into the premium, whether you go direct or through a broker.
- Advocacy: We are on your side, helping you understand the jargon and ensuring you get the policy that truly protects you.
Step 4: Compare Your Personalised Quotes
Your broker will present you with a range of options. When you review them, don't just look at the price. Compare:
- Like-for-Like Cover: How does the core cover, out-patient limit, and excess compare to your renewal offer?
- Differences in Benefits: Does one provider offer superior cancer care or a better digital GP service?
- Hospital Lists: Check the hospitals included in the new plan are convenient for you.
- Trustpilot and Customer Service Ratings: How do other customers rate their experience?
Step 5: Apply for the New Policy (Do NOT Cancel Your Old One Yet!)
Once you've chosen your new policy, your broker will guide you through the application. For a CPME switch, you'll need to provide:
- A copy of your current certificate of insurance.
- Details of your claims history.
The new insurer will then assess the application and confirm in writing that they will accept you on a CPME basis. Only when you have this written confirmation is your new cover secure.
Step 6: Cancel Your Old Policy
With your new policy documents in hand and the start date confirmed, you can now contact your old provider to cancel your policy from the renewal date. This prevents any overlap or gaps in cover. Make sure you cancel any direct debits as well.
How to Save Money Without Switching Providers
Sometimes, the best option is to stay put, especially if you have a complex medical history or are in the middle of a claim. But that doesn't mean you have to accept the renewal price.
Here are some ways to lower your premium with your current insurer:
- Increase Your Excess: Agreeing to pay more towards your first claim each year (e.g., increasing your excess from £250 to £500) can significantly reduce your monthly premium.
- Change Your Hospital List: If you have a comprehensive nationwide list but would be happy using local private hospitals, switching to a more restricted list can offer substantial savings.
- Add a 6-Week NHS Wait Option: This is a popular cost-saving measure. It means that if the NHS can treat you for an eligible condition within six weeks, you use the NHS. If the waiting list is longer, your private cover kicks in. This can reduce your premium by 20-30%.
- Co-payment: Some policies allow you to agree to pay a percentage of every claim (e.g., 25%) up to a certain limit. This shares the risk with the insurer and lowers your premium.
- Review Add-ons: Are you paying for extras like travel cover or dental insurance that you don't use or could get cheaper elsewhere?
A good broker can even negotiate with your current provider on your behalf, using quotes from other insurers as leverage to secure you a better deal.
UK Health & Wellness in 2026: More Than Just Insurance
Leading PMI providers are increasingly focused on keeping you well, not just treating you when you're ill. This proactive approach benefits everyone.
- Healthy Living: A balanced diet, rich in whole foods, and regular physical activity are the cornerstones of good health. Aim for 150 minutes of moderate-intensity activity, like brisk walking or cycling, each week.
- The Power of Sleep: Prioritising 7-9 hours of quality sleep per night is crucial for mental and physical regeneration. Poor sleep is linked to a host of health issues.
- Mental Resilience: Techniques like mindfulness, spending time in nature, and maintaining strong social connections are vital for managing stress in a fast-paced world.
Insurers support this through a variety of wellness benefits:
- Discounted gym memberships.
- Wearable tech deals (Apple Watch, Fitbit).
- Points and rewards for hitting activity targets.
- Access to smoking cessation programmes.
- Digital health apps for tracking nutrition and fitness.
At WeCovr, we champion this holistic approach. That's why clients who purchase Private Medical or Life Insurance through us receive complimentary access to CalorieHero, our proprietary AI-powered calorie and nutrition tracking app, to help you stay on top of your health goals. Furthermore, our clients often benefit from discounts on other types of cover, like life insurance or income protection, when they arrange their PMI with us.
Frequently Asked Questions (FAQs)
Can I switch health insurance if I have an ongoing claim or am in the middle of treatment?
Generally, you should not switch providers while undergoing active treatment for a condition. A new insurer is highly unlikely to take on the costs of ongoing care. The safest course of action is to complete your treatment with your current insurer and then explore switching options at your next renewal, using a CPME (Continued Personal Medical Exclusions) basis to ensure the condition remains covered for any future recurrence.
Will my premiums always go up every year?
In most cases, yes. Premiums are affected by your age and by medical inflation (the rising cost of healthcare), so a year-on-year increase is standard across the industry. However, the size of the increase can vary significantly between insurers. This is why it is so important to review the market each year. Shopping around ensures you are not subject to uncompetitive price hikes and are always on the best value plan for your needs.
What is a '6-week NHS wait' option?
This is a policy option that can significantly reduce your premium. It means that for any eligible in-patient or day-patient procedure, you would first check the NHS waiting list. If the NHS can provide the treatment within six weeks, you would use the NHS. If the wait is longer than six weeks, your private medical insurance policy will activate, and you can proceed with private treatment immediately. It's a pragmatic compromise that provides a safety net against long waits while making cover more affordable.
Do I have to re-serve waiting periods for things like mental health when I switch?
Not if you switch correctly using a CPME (Continued Personal Medical Exclusions) transfer. With a CPME switch, the new insurer honours your original start date. If your old policy had a 2-year waiting period for a specific benefit which you have already served, you will not have to serve it again with the new provider. This is another critical reason why using the CPME route with the help of a broker is so important for maintaining continuous and comprehensive cover.
Take Control of Your Health Cover Today
Switching your private medical insurance provider can be a smart financial move, but it must be done with care and expertise. By understanding the underwriting process, particularly the benefits of a CPME switch, you can move to a better-priced policy without putting your health cover at risk.
The easiest and safest way to navigate this process is with an expert on your side.
Let WeCovr do the hard work for you. Our team of friendly, FCA-authorised advisers will compare the entire market, manage your application, and ensure your cover is protected, all at no cost to you.
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