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The Difference Between Health Insurance and Health Cash Plans

As an insurance intermediary with over 1,000,000 policies of various kinds issued, WeCovr understands that navigating the world of private medical insurance in the UK can be confusing. Many people use the terms "health insurance" and "health cash plan" interchangeably, but they are fundamentally different products designed for very different needs.

Last updated Oct 7, 2026

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TL;DR

As an insurance intermediary with over 1,000,000 policies of various kinds issued, WeCovr understands that navigating the world of private medical insurance in the UK can be confusing. Many people use the terms "health insurance" and "health cash plan" interchangeably, but they are fundamentally different products designed for very different needs.

Key takeaways

  • In-patient and Day-patient Treatment: This includes costs for surgery, hospital accommodation, nursing care, and specialist fees when you are admitted to a hospital.
  • Out-patient Consultations and Tests: Covers appointments with specialists and diagnostic tests like MRI, CT, and PET scans before you are admitted to hospital.
  • Advanced Cancer Care: This is a cornerstone of most PMI policies, offering access to the latest drugs and treatments, some of which may not be available on the NHS.
  • Mental Health Support: Many modern policies now include cover for therapy and psychiatric treatment, reflecting a growing focus on mental wellbeing.
  • Complementary Therapies: Post-operative physiotherapy or osteopathy to aid your recovery.

As an insurance intermediary with over 1,000,000 policies of various kinds issued, WeCovr understands that navigating the world of private medical insurance in the UK can be confusing. Many people use the terms "health insurance" and "health cash plan" interchangeably, but they are fundamentally different products designed for very different needs.

WeCovr's guide to these two products and which suits you best

This comprehensive guide will demystify these two popular forms of health cover. We’ll break down exactly what each one does, explore the costs and benefits, and provide real-life examples to help you decide which, if either, is the right choice for you and your family.

What is Private Medical Insurance (PMI)? A Shield Against the Unexpected

Private Medical Insurance, often called PMI or private health cover, is designed to be your safety net for significant, unforeseen medical issues. Its primary purpose is to cover the costs of private treatment for acute conditions that arise after you take out the policy.

An acute condition is a disease, illness, or injury that is likely to respond quickly to treatment and lead to a full recovery. Think of conditions like a joint injury requiring surgery, cataracts, or a hernia.

The Critical Distinction: Acute vs. Chronic and Pre-existing Conditions

This is the single most important concept to grasp about private medical insurance in the UK:

Standard PMI policies are designed for acute conditions only. They do not cover pre-existing conditions or chronic conditions.

  • Pre-existing Conditions: Any illness or injury you had symptoms of, or received advice or treatment for, before your policy began.
  • Chronic Conditions: Illnesses that are long-term and cannot be conventionally cured, only managed. Examples include diabetes, asthma, arthritis, and high blood pressure. The NHS is responsible for managing these long-term conditions.

PMI gives you peace of mind that if you are diagnosed with a new, curable condition, you can reduce waiting times compared with NHS lists (subject to policy terms) and receive prompt, private care in a comfortable setting.

What Does Private Health Cover Typically Include?

While policies vary, a comprehensive PMI plan usually covers:

  • In-patient and Day-patient Treatment: This includes costs for surgery, hospital accommodation, nursing care, and specialist fees when you are admitted to a hospital.
  • Out-patient Consultations and Tests: Covers appointments with specialists and diagnostic tests like MRI, CT, and PET scans before you are admitted to hospital.
  • Advanced Cancer Care: This is a cornerstone of most PMI policies, offering access to the latest drugs and treatments, some of which may not be available on the NHS.
  • Mental Health Support: Many modern policies now include cover for therapy and psychiatric treatment, reflecting a growing focus on mental wellbeing.
  • Complementary Therapies: Post-operative physiotherapy or osteopathy to aid your recovery.

Many providers also offer optional add-ons for an extra premium, such as dental and optical cover, though these are often limited.

Key PMI Exclusions: What It Won't Cover

Besides chronic and pre-existing conditions, PMI generally excludes:

  • Emergency Care: A&E visits, ambulance services, and immediate trauma care remain the domain of the NHS.
  • Normal Pregnancy and Childbirth: Complications may be covered, but routine maternity care is not.
  • Cosmetic Surgery: Procedures that are not medically necessary.
  • Organ Transplants
  • Drug and Alcohol Abuse Treatment

What is a Health Cash Plan? Your Partner for Everyday Health

A Health Cash Plan is a completely different beast. It is not insurance against a major medical catastrophe; instead, it's a simple, affordable way to manage and claim back money on your routine healthcare expenses.

Think of it as a health budgeting tool. You pay a small monthly premium, and in return, you may be able to claim back a set amount of cash each year for specific, everyday treatments.

How Do Health Cash Plans Work?

The process is straightforward:

  1. You pay for your treatment: You visit your dentist, optician, or physiotherapist and pay the bill as usual.
  2. You submit your receipt: You send a copy of your receipt to the cash plan provider, usually via an online portal or app.
  3. You get cash back: The provider reimburses you for the cost, up to the annual limit for that specific benefit.

For example, if your plan offers £150 for dental cover and your check-up and filling cost £110, you can claim the full £110 back. You would still have £40 remaining in your dental pot for that year.

What Do Health Cash Plans Typically Cover?

Cash plans focus on routine, out-of-pocket expenses. Coverage is split into categories, each with its own annual limit.

  • Dental: Check-ups, hygienist visits, fillings, crowns, and bridges.
  • Optical: Eye tests, glasses, and contact lenses.
  • Therapies: Physiotherapy, osteopathy, chiropractic treatment, and sometimes acupuncture or chiropody.
  • Specialist Consultations: A contribution towards seeing a specialist privately.
  • Prescription Charges: Reclaiming the cost of NHS prescriptions.
  • Health Screenings: Contributions towards preventative health checks.
  • Hospital Stays: A small cash payment for each night you spend in an NHS hospital.

Head-to-Head Comparison: PMI vs. Health Cash Plans

To make the distinction crystal clear, let's compare the two products side-by-side.

FeaturePrivate Medical Insurance (PMI)Health Cash Plan
Primary PurposeCovers high-cost, unexpected medical events and surgery for acute conditions.Helps budget for and reclaim costs of routine, everyday healthcare.
Coverage ScopeIn-depth cover for major treatments (e.g., surgery, cancer care).Cashback for predictable costs (e.g., dental, optical, therapies).
CostHigher premiums (£40 - £200+ per month), based on age, health, and cover level.Lower premiums (£10 - £40 per month), often tiered by benefit level.
Main BenefitAvoids NHS waiting lists for eligible treatments and provides choice over specialists and hospitals.Makes routine healthcare more affordable and encourages preventative care.
Claim ProcessPre-authorisation required. The insurer pays the hospital/specialist directly.You pay upfront, then claim the cash back by submitting a receipt.
Pre-existing ConditionsNot covered.Often covered after a qualifying period, or sometimes immediately.
Financial LimitHigh annual limits, often £1 million or more. Some are unlimited.Modest annual limits per benefit category (e.g., £150 for dental).

Real-Life Scenarios: Which Product Helps When?

Let's apply this to some common situations to see how each product performs.

Scenario 1: Ahmed Needs Knee Surgery

Ahmed, a 45-year-old active man, injures his knee playing football. His GP refers him to an NHS specialist, but the waiting list for an initial consultation is four months, and the wait for potential surgery is over a year.

  • With Private Medical Insurance: Ahmed calls his PMI provider. They authorise a private consultation with an orthopaedic surgeon within a week. An MRI scan is performed a few days later, confirming a torn ligament. Surgery is scheduled for two weeks' time at a private hospital of his choice. His PMI policy covers the entire cost, minus his £250 excess. He also gets post-operative physiotherapy included.
  • With a Health Cash Plan (illustrative): Ahmed's cash plan could help. He might be able to claim back around £250-£300 towards his post-operative physiotherapy sessions, but it would not cover the tens of thousands of pounds for the consultation, scan, and surgery.

Conclusion: For serious, acute conditions requiring specialist treatment or surgery, PMI is the essential product.

Scenario 2: The Taylor Family's Routine Year

The Taylor family consists of two parents and two children. They are all in good health but have regular check-ups.

  • Annual Costs without a Plan:

    • Illustrative estimate: 4 x Dental check-ups & hygienist: £360
    • Illustrative estimate: 2 x Eye tests & 1 new pair of glasses: £250
    • Illustrative estimate: Mother's 4 physiotherapy sessions: £200
    • Illustrative estimate: Total Annual Spend: £810
  • With a Health Cash Plan (illustrative): The Taylors pay £25 a month (£300 per year) for a family cash plan.

    • Dental (illustrative): They claim back £75 per person (£300 total).
    • Optical (illustrative): They claim back £150.
    • Therapies (illustrative): They claim back £200.
    • Illustrative estimate: Total Claimed Back: £650
    • Net Result (illustrative): They spent £300 on the plan and got £650 back, saving them £350 on their expected healthcare costs.

Conclusion: For predictable, routine expenses, a Health Cash Plan is a highly effective budgeting tool.

Can You Have Both? The Complementary Approach

For complete peace of mind, many people choose to have both.

  • PMI acts as the shield for major, high-cost health shocks.
  • A Health Cash Plan acts as the wallet for managing everyday, predictable costs.

This combination ensures you may be covered for almost every eventuality, from a dental filling to major heart surgery, without facing significant out-of-pocket expenses.

Understanding the Costs: How Premiums are Calculated in 2025

The cost of these two products is determined by very different factors.

Factors Influencing Private Medical Insurance Premiums

PMI pricing is complex and personalised. A WeCovr specialist or one of our broker partners can help you find good value by navigating these factors:

  1. Age: The single biggest factor. Premiums increase as you get older.
  2. Location: Costs are higher in areas with more expensive private hospitals, like Central London.
  3. Level of Cover: A basic policy covering only in-patient treatment will be cheaper than a comprehensive plan with full out-patient, mental health, and therapy cover.
  4. Excess (illustrative): This is the amount you agree to pay towards a claim. A higher excess (£500 or £1,000) will significantly lower your monthly premium.
  5. Hospital List: Choosing a policy with a limited list of local hospitals is cheaper than one giving you nationwide access.
  6. Underwriting: A "moratorium" policy, which automatically excludes conditions you've had in the last 5 years, is often cheaper than a "full medical underwriting" policy where you declare your entire history.

Illustrative Monthly PMI Premiums (2025)

These are for guidance only. Your quote will be specific to your circumstances.

AgeBasic Cover (Mid-level Excess)Comprehensive Cover (Low Excess)
30£40 - £55£70 - £90
45£60 - £80£110 - £140
60£100 - £140£180 - £250+

Health Cash Plan Pricing: Simple and Affordable

Cash plan pricing is much simpler. It's usually based on pre-set levels of cover, and your age or medical history has little to no impact.

Illustrative Monthly Health Cash Plan Premiums (2025)

LevelMonthly Cost (Individual)Typical Annual Limits
Level 1£10£75 Dental, £75 Optical, £100 Therapies
Level 2£20£150 Dental, £150 Optical, £250 Therapies
Level 3£35£250 Dental, £250 Optical, £400 Therapies
Level 4£45£350 Dental, £350 Optical, £500+ Therapies

The WeCovr Advantage: More Than Just Insurance

Choosing the right cover can feel overwhelming. WeCovr specialists or broker partners not only simplify the process but also add significant value. As regulated and FCA-authorised broker, WeCovr, sometimes working with broker partners, compares policies from the insurers on our UK panel to find the one that best fits your needs and budget, with no separate broker fee.

We are proud of our high customer satisfaction ratings, which reflect our commitment to clear, honest advice. When you choose a policy through us, you also gain access to exclusive benefits:

  • Complimentary CalorieHero App: All our health and life insurance clients receive free access to CalorieHero, our AI-powered calorie and nutrition tracking app, to help you proactively manage your wellness.
  • Multi-Policy Discounts: When you take out a private medical insurance policy with us, you can receive discounts on other essential cover, such as life insurance or income protection.

How to Choose the Right Cover for You

Ask yourself these key questions:

  1. What is my main worry? Is it the risk of a long NHS wait for surgery, or is it the rising cost of dental and optical care?

    • Long waits -> Consider PMI.
    • Routine costs -> Consider a Health Cash Plan.
  2. What is my monthly budget? If you have a limited budget but want some cover, a cash plan is a great starting point. If you can afford more and want comprehensive protection, PMI is the priority.

  3. What is my health and lifestyle like? If you are very active and concerned about potential injuries, or have a family history of specific acute conditions, PMI might offer greater peace of mind.

  4. Do I use routine services regularly? If you wear glasses, visit the dentist twice a year, and see a physio, a cash plan will almost certainly save you money.

Frequently Asked Questions (FAQ)

Here are answers to some of the most common questions we receive.

1. Can I get private medical insurance if I have a pre-existing condition? Yes, you can still get a policy, but it will not cover your pre-existing conditions. Insurers use two main methods: "Moratorium underwriting" automatically excludes anything you've had symptoms or treatment for in the past 5 years. "Full medical underwriting" requires you to declare your medical history, and the insurer will list specific exclusions on your policy from the start.

2. Do I still need the NHS if I have private medical insurance? Absolutely. The NHS remains essential for everyone. PMI does not cover emergencies (like a heart attack or car accident), management of chronic conditions (like diabetes), or routine GP services. PMI and the NHS work in parallel; one does not replace the other.

3. Is a health cash plan worth the money? A health cash plan is worth it if you are disciplined enough to use the benefits. Before buying, add up your typical annual spending on dental, optical, and therapy treatments. If this amount is greater than the annual cost of the plan, it represents excellent value and will save you money.

4. How does an 'excess' work with private medical insurance? An excess is a fixed amount you agree to pay towards the cost of a claim each policy year. For example, if you have a £250 excess and your surgery costs £8,000, you would pay the first £250, and your insurer would pay the remaining £7,750. Choosing a higher excess is a popular way to make your monthly premium more affordable.


Deciding between private medical insurance and a health cash plan comes down to your priorities, budget, and what gives you the most peace of mind. One protects against the large, unexpected shocks, while the other helps you manage the small, predictable ones.

Ready to explore your options and find the right protection for you and your family?

A WeCovr specialist or one of our broker partners is here to help. We provide free, no-obligation quotes and regulated advice to help you compare the UK's PMI options providers.

Get your free, personalised health insurance quote from WeCovr today and take the first step towards better health security.

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.

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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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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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