As an FCA-authorised expert with over 800,000 policies arranged, WeCovr helps UK company directors navigate private medical insurance. This guide reveals how using your business to fund your PMI can be a highly tax-efficient strategy, offering premium healthcare while reducing your company's tax bill.
How directors can reduce PMI costs through their business
For company directors, a business private medical insurance (PMI) policy is one of the most effective ways to access first-class healthcare while unlocking significant tax advantages. By paying for the policy through your limited company, you can treat the premium as an allowable business expense. This reduces your company's profit and, consequently, its Corporation Tax liability.
While the director will pay some personal tax on this as a 'benefit-in-kind', the overall cost is nearly always lower than paying for an equivalent personal policy from your post-tax salary. It’s a strategic move that benefits your health, your finances, and your business's bottom line.
In this comprehensive guide, we'll break down everything you need to know about setting up tax-efficient private health insurance as a UK company director.
Understanding Company-Paid Private Medical Insurance
Company-paid private health cover, often called a business PMI policy, is an insurance policy owned and paid for by a limited company for its employees—including its directors. It provides access to private healthcare services in the UK, allowing you to bypass long NHS waiting lists for eligible treatments.
The core purpose of PMI is to cover the costs of treating acute conditions. An acute condition is a disease, illness, or injury that is likely to respond quickly to treatment and lead to a full recovery.
Why is PMI so valuable for company directors?
Running a business is demanding. Your health is your most critical asset, and any prolonged illness can have a direct impact on your company's performance.
- Speed of Access: With NHS waiting lists in England reaching over 7.5 million cases in 2024 (according to NHS England data), waiting for a diagnosis or treatment can take months. PMI provides prompt access to specialists, diagnostic scans (like MRI and CT), and private hospital treatment.
- Choice and Comfort: Private healthcare offers greater choice over when and where you are treated, who your consultant is, and provides the comfort of a private room during a hospital stay.
- Peace of Mind: Knowing you have a plan in place to handle unexpected health issues provides invaluable peace of mind, allowing you to focus on your business.
- Business Continuity: For a small business where the director is integral to daily operations, a swift return to health is essential for business continuity.
The Tax Implications: A Win-Win for Directors and Their Companies
The primary financial advantage of a business PMI policy lies in its tax treatment. It creates benefits for both the company and the director personally. Let's explore how.
For the Company: Corporation Tax Relief
When your limited company pays for your private health insurance premium, HMRC views it as a legitimate business expense, just like salaries or office rent. This means the full cost of the premium can be deducted from your company's revenue before calculating its profit.
- Reduced Profit: A lower declared profit means a lower Corporation Tax bill.
- How it Works: The current Corporation Tax rate ranges from 19% to 25%, depending on your company's profits. By expensing the PMI premium, your company saves a percentage of the premium cost that it would have otherwise paid in tax.
Example: Corporation Tax Saving
| Item | Details |
|---|
| Annual PMI Premium | £1,500 |
| Company's Profit Bracket | Main Rate (25%) |
| Corporation Tax Saving | £1,500 x 25% = £375 |
| Effective Cost to Company | £1,500 - £375 = £1,125 |
In this scenario, a £1,500 policy effectively costs the business only £1,125 after tax relief.
For the Director: A Taxable Benefit-in-Kind
Because the company is paying for a personal benefit, HMRC classifies the health insurance premium as a 'benefit-in-kind' (BiK). This means you, the director, must pay personal income tax on the value of the benefit.
- P11D Form: Your company must report this benefit to HMRC each year using a P11D form.
- Income Tax: The value of the premium (£1,500 in our example) is added to your total income for the year, and you pay income tax on it at your marginal rate (20%, 40%, or 45%).
- National Insurance: While you don't pay employee's National Insurance on this benefit, your company must pay Class 1A Employer's National Insurance Contributions (NICs) on the value of the premium. The rate is currently 13.8%. This NIC payment is also an allowable business expense, providing further Corporation Tax relief.
So, is it still cheaper?
Absolutely. Even with the personal income tax liability, it's almost always more tax-efficient than the alternative: paying yourself a higher salary to cover a personal policy.
When you take extra salary, it's subject to:
- Employer's National Insurance (13.8%)
- Employee's National Insurance (rate varies)
- Income Tax (at your marginal rate)
A benefit-in-kind avoids Employee's NI, making it a more efficient way to extract value from your company.
Key Differences: Business PMI vs. Personal PMI
To truly understand the value, it's helpful to see a direct comparison. Let's look at the two ways a director could get a £1,500 annual PMI policy.
Scenario: A company director is a higher-rate (40%) taxpayer. Their company pays 25% Corporation Tax.
| Feature | Business PMI Policy | Personal PMI Policy (Paid from Salary) |
|---|
| Who Pays the Premium? | The limited company | The individual director |
| Initial Cost | £1,500 | £1,500 |
| Company Tax Treatment | £1,500 is an allowable business expense | The company must pay the director a higher salary to cover the cost |
| Gross Salary Needed | Not applicable | To get £1,500 after 40% tax and 2% NI, a gross salary of approx. £2,586 is needed |
| Corporation Tax Saving | £1,500 x 25% = £375 | No direct saving on the premium. Tax relief is on the salary paid. |
| Employer's NI Cost | £1,500 x 13.8% = £207 | £2,586 x 13.8% = £357 |
| Total Cost to Business | (£1,500 + £207) - (£375 + £52*) = £1,280 | £2,586 + £357 = £2,943 |
| Director's Personal Tax | £1,500 x 40% = £600 | The tax is already deducted from the gross salary |
| Overall Efficiency | Highly tax-efficient. The total cash outlay from the business is significantly lower. | Less tax-efficient. The business must pay out far more cash to enable the director to buy the same policy. |
*Tax relief on the Employer's NI payment.
As the table clearly shows, funding the policy through the business is substantially more cost-effective. It reduces the cash drain on the company, making it the superior choice for most company directors.
Crucial Exclusions: Understanding What UK Private Health Insurance Doesn't Cover
It is vital to understand that private medical insurance in the UK is designed for a specific purpose. It is not a replacement for the NHS but rather a way to supplement it for certain conditions.
PMI is designed to cover acute conditions that arise after you take out the policy.
There are several key exclusions you must be aware of:
- Pre-existing Conditions: Any medical condition you have had symptoms of, received advice for, or sought treatment for in the years before your policy starts (typically the last 5 years) will not be covered. Some policies may agree to cover them again if you remain symptom-free and treatment-free for a continuous period (usually 2 years) after your policy begins.
- Chronic Conditions: Long-term conditions that cannot be cured but can be managed, such as diabetes, asthma, arthritis, or high blood pressure, are not covered by standard PMI. The NHS will continue to manage your care for these. PMI may cover an acute 'flare-up' of a chronic condition, but not the day-to-day management.
- Emergency Services: In a medical emergency (e.g., a heart attack, stroke, or major accident), you should always call 999 and go to an NHS A&E department. Private hospitals are not typically equipped for emergency admissions.
- Other Standard Exclusions: Policies also typically exclude routine pregnancy and childbirth, cosmetic surgery, organ transplants, and treatment for addiction or substance abuse.
An expert PMI broker can help you navigate the specific terms and conditions of each insurer to ensure you have a clear understanding of what is and isn't covered.
How to Set Up a Business Health Insurance Policy: A 5-Step Guide
Setting up a business PMI policy is a straightforward process, especially with expert guidance.
1. Assess Your Needs and Budget
Think about what is most important to you. Is it fast access to diagnostics? Do you want a wide choice of hospitals, including those in Central London? What is a comfortable budget for the business to allocate annually?
2. Speak to a Specialist Broker
This is the most crucial step. A specialist private medical insurance broker, like WeCovr, does the hard work for you.
- They understand the entire UK market and the subtle differences between insurers.
- They can explain the tax implications in detail.
- They help you compare policies on a like-for-like basis.
- Their service comes at no cost to you, as they are paid a commission by the insurer you choose.
3. Compare Quotes and Providers
Your broker will present you with a range of options from the best PMI providers in the UK, such as Bupa, Aviva, AXA Health, and Vitality. They will explain the pros and cons of each, helping you find the perfect balance of cover and cost.
4. Finalise Your Policy Details
Once you've chosen a provider, you'll need to finalise the details. This includes choosing your underwriting method.
- Moratorium Underwriting: A simpler process where you don't declare your full medical history upfront. The insurer automatically excludes treatment for any condition you've had in the last 5 years. It's quicker but can lead to uncertainty at the point of claim.
- Full Medical Underwriting (FMU): You provide your full medical history on an application form. The insurer assesses it and tells you from day one exactly what is and isn't covered. It takes longer but provides complete clarity.
Remember to complete the P11D form at the end of the tax year to declare the benefit-in-kind to HMRC. Your accountant can easily handle this for you.
Choosing the Right Level of Cover: Customising Your Policy
One of the great things about private health cover is its flexibility. You can tailor your policy to match your needs and budget by adjusting several key components.
| Policy Component | Description | Impact on Premium |
|---|
| Level of Cover | Comprehensive: Covers inpatient, day-patient, and outpatient treatment (consultations, diagnostics). Standard: Covers inpatient and day-patient care, with limited or no outpatient cover. | Comprehensive cover is more expensive but offers greater peace of mind. |
| Excess | The amount you agree to pay towards the cost of a claim each year. A typical excess is £100, £250, or £500. | A higher excess significantly lowers your premium. |
| Hospital List | A list of eligible private hospitals. Options can range from local networks to nationwide lists, including premium Central London hospitals. | A more extensive hospital list, especially with London options, increases the cost. |
| Outpatient Limit | The maximum amount the policy will pay for outpatient services per year. This can range from £0 to unlimited. | A higher outpatient limit increases the premium. A limit of £1,000-£1,500 is often a good balance. |
| 6-Week Option | An option where you agree to use the NHS if the required treatment is available within 6 weeks. If the wait is longer, your private cover kicks in. | This can reduce your premium by 20-30%, offering a great cost-saving compromise. |
Popular Optional Add-ons
- Mental Health Cover: Provides access to psychiatrists, psychologists, and therapists. Crucial for directors dealing with high-stress environments.
- Therapies Cover: Includes treatments like physiotherapy, osteopathy, and chiropractic care, vital for musculoskeletal issues.
- Dental & Optical Cover: Contributes towards the cost of routine check-ups, treatments, and eyewear.
Can I Cover My Family on a Company Policy?
Yes, you can absolutely add your spouse, partner, and children to your business health insurance policy. This is a fantastic way to provide comprehensive health protection for your entire family.
Tax Implications of Covering Family Members
The tax treatment is straightforward: the entire premium for you and your family becomes the benefit-in-kind.
- The company still gets to treat the full premium as an allowable business expense and claim Corporation Tax relief.
- You, the director, will be personally liable for income tax on the total value of the premium paid for your whole family.
- The company will pay Class 1A Employer's NI on the total premium amount.
Even with the higher benefit-in-kind value, this is often still more efficient than funding a family policy personally.
Smart business leaders know that proactive health management is better than reactive treatment. A PMI policy is a safety net, but fostering a culture of wellness can prevent health issues from arising in the first place.
Health and Wellness Tips for Busy Directors
- Prioritise Sleep: Aim for 7-9 hours of quality sleep. It's fundamental for decision-making, mood regulation, and physical health. Avoid screens for an hour before bed.
- Mindful Nutrition: A balanced diet fuels performance. Avoid excessive processed foods, sugar, and caffeine. As a WeCovr client, you get complimentary access to our AI-powered calorie and nutrition tracking app, CalorieHero, to help you stay on track.
- Incorporate Movement: You don't need to spend hours in the gym. Take walking meetings, use a standing desk, and schedule short 10-15 minute breaks to stretch and walk around.
- Manage Stress: Find healthy coping mechanisms. This could be mindfulness, meditation, a hobby, or simply ensuring you take regular holidays. A trip away can be a powerful way to reset and gain perspective.
- Stay Hydrated: Dehydration can lead to fatigue, headaches, and a lack of focus. Keep a water bottle on your desk at all times.
By investing in wellness, you invest in the long-term resilience of both yourself and your business.
Why Use a Specialist PMI Broker like WeCovr?
Navigating the private medical insurance UK market can be complex. Using an independent, FCA-authorised broker like WeCovr simplifies the entire process and ensures you get the best possible outcome.
- Expert, Impartial Advice: We work for you, not the insurers. Our job is to understand your unique needs as a company director and find the policy that fits you perfectly.
- Market Access: We have access to policies from all the UK's leading insurers, including deals and arrangements that may not be available to the public directly. We do the shopping around, so you don't have to.
- No Extra Cost: Our service is free. We receive a standard commission from the insurer you choose, so you get expert advice without paying a penny extra.
- Ongoing Support: Our relationship doesn't end when you buy the policy. We're here to help with renewals, answer questions, and provide assistance if you need to make a claim. WeCovr consistently receives high customer satisfaction ratings for our dedicated service.
- Added Value: When you purchase a health or life insurance policy through us, we offer discounts on other types of business and personal cover, providing even more value.
Working with a specialist broker is the smartest way to secure the right protection at the right price.
Do I need to declare company-paid health insurance to HMRC?
Yes, absolutely. Private medical insurance paid for by your company is considered a 'benefit-in-kind'. Your company must report this on a P11D form at the end of each tax year. You will then pay personal income tax on the value of the premium through your tax code or self-assessment tax return.
Is private health insurance worth it for a company director in the UK?
For most company directors, the answer is a resounding yes. It provides fast access to high-quality medical care, bypassing potentially long NHS waits and minimising disruption to your business. When paid through the company, it is extremely tax-efficient, making it a financially astute way to protect your most important asset: your health.
Can a sole trader get business health insurance?
A sole trader cannot get 'business' health insurance in the same tax-efficient way as a limited company director. Because a sole trader and their business are legally the same entity, the premium is not considered an allowable business expense. Sole traders must take out a personal private medical insurance policy.
What is the difference between an acute and a chronic condition?
This is a critical distinction for UK private medical insurance. An acute condition is a disease or injury that is short-term and likely to be cured with treatment (e.g., a cataract, a hernia, or a joint replacement). PMI is designed to cover these. A chronic condition is a long-term illness that can be managed but not cured (e.g., diabetes, asthma, or high blood pressure). The day-to-day management of chronic conditions is not covered by PMI and remains with the NHS.
Ready to explore how a tax-efficient private medical insurance policy can benefit you and your business?
Contact WeCovr today for a free, no-obligation quote. Our expert advisors are ready to help you find the perfect cover.