
With the cost of living a primary concern for many UK households, finding ways to save money is more important than ever. At WeCovr, an FCA-authorised broker that has helped arrange over 800,000 policies, we understand that managing the cost of your private medical insurance is a key part of your financial planning.
This guide provides expert tips to help you reduce your PMI premiums in 2025 without sacrificing peace of mind.
Saving money on your private health cover falls into two main categories: immediate savings through smart policy adjustments and long-term savings through positive lifestyle changes. By understanding and combining both, you can secure the best possible value and ensure your policy remains affordable for years to come.
This article will walk you through every option, explaining the jargon and giving you the confidence to take control of your PMI costs.
Before we explore how to reduce your premiums, it’s crucial to understand what factors insurers use to calculate them in the first place. Your premium is a direct reflection of the level of risk the insurer believes you represent.
Key factors include:
You have significant control over your premium through the choices you make when setting up or renewing your policy. These adjustments can deliver immediate and substantial savings.
An excess is the contribution you make towards the cost of your treatment each time you claim. For example, if you have a £250 excess and your eligible treatment costs £3,000, you pay the first £250 and your insurer pays the remaining £2,750.
Almost all UK PMI providers offer a range of excess options, typically from £0 to £1,000 or more.
How it saves you money: By agreeing to a higher excess, you are sharing more of the initial risk with the insurer. In return, they will reduce your monthly or annual premium. This is often the quickest and easiest way to cut costs.
| Excess Level | Example Monthly Premium | Potential Annual Saving (vs. £0 Excess) |
|---|---|---|
| £0 | £85 | £0 |
| £100 | £78 | £84 |
| £250 | £70 | £180 |
| £500 | £62 | £276 |
| £1,000 | £55 | £360 |
| Illustrative figures for a 40-year-old non-smoker. Actual savings will vary by insurer and individual circumstances. |
Expert Tip: Choose an excess level that you could comfortably afford to pay without causing financial hardship. For many, a £250 or £500 excess strikes the perfect balance between premium savings and manageable risk.
Insurers group UK private hospitals into tiers or 'lists'. A policy that grants you access to every private hospital in the country, including the most expensive facilities in Central London, will be the most costly.
You can save money by choosing a more restricted hospital list that still meets your needs. Common options include:
Real-Life Example: Sarah, living in Manchester, had a comprehensive national policy that included London hospitals 'just in case'. At renewal, her broker at WeCovr pointed out that removing the London list, which she was highly unlikely to use, would save her over £20 a month. She made the switch, saving £240 a year with no practical impact on her access to excellent local care.
This is one of the most popular ways to make private medical insurance in the UK more affordable. If you add a 6-week wait option, you agree to use the NHS for any inpatient treatment if the NHS waiting list for that procedure is less than six weeks.
If the NHS wait is longer than six weeks, your private cover kicks in immediately, and you can proceed with private treatment.
Why it works: It provides a safety net against long NHS waiting lists, which is the primary reason many people buy PMI. With NHS England's referral-to-treatment waiting list remaining stubbornly high (over 7.5 million pathways in early 2025), this option is highly likely to be triggered for most common procedures. Because it reduces the insurer's potential outlay, they offer a significant premium discount, often 20-25%.
This option does not apply to initial consultations or diagnostics; it is purely for the treatment itself.
'Outpatient' refers to any medical care that doesn't require admission to a hospital bed. This includes:
Comprehensive policies offer 'full' outpatient cover, meaning all eligible costs are paid. However, this is a major driver of your premium. To save money, consider limiting it.
| Outpatient Cover Level | Description | Impact on Premium |
|---|---|---|
| Full Cover | All eligible consultations and diagnostics are covered. | Highest cost. |
| Capped Cover | A monetary limit per year (e.g., £500, £1,000, £1,500). | Significant saving. A £1,000 cap is a popular choice. |
| Diagnostics Only | Consultations are not covered, but scans are. | Lower cost than full or capped cover. |
| No Outpatient Cover | You self-fund all outpatient stages. The PMI covers inpatient treatment only. | Lowest cost, but you bear the risk of diagnostic bills. |
Expert Tip: Capping your outpatient cover at around £1,000 is often a sweet spot. This is usually sufficient to cover the initial consultation and one major scan (like an MRI), getting you a diagnosis quickly. Your inpatient cover then takes over for the main treatment.
A growing number of leading PMI providers now offer 'guided' consultant options. With a traditional policy, you get a GP referral and can choose any specialist recognised by the insurer.
With a guided option, the insurer provides a shortlist of 3-5 specialists they have pre-approved for your condition, based on quality and cost-effectiveness. You then choose from that list.
Because the insurer can direct you to consultants with whom they have fee agreements, it helps them manage costs. This saving is passed directly to you as a lower premium, often saving you 15-20%.
This is an excellent way to save money without compromising on the quality of care, as the specialists on these lists are all fully qualified and vetted.
This is a simple but effective tip. Most insurers charge a small administrative fee or interest for paying your premium in monthly instalments. If you can afford to pay the entire year's premium upfront, you can often save around 5-10%.
While policy tweaks offer instant savings, lifestyle changes provide a powerful, long-term strategy to keep your premiums low while also improving your overall health and wellbeing. Insurers reward healthy living.
This is the single most impactful lifestyle change you can make for your health and your wallet. Insurers view smoking as a major risk factor for a vast range of health conditions, from cancer and heart disease to respiratory illnesses.
Most insurers require you to have been completely nicotine-free (including patches, gum, and vapes) for at least 12 months to be classified as a non-smoker. Be honest on your application; providing false information can invalidate your policy.
Your Body Mass Index (BMI) is a measure that uses your height and weight to work out if your weight is healthy. While not a perfect metric, it is used by insurers as an indicator of risk.
WeCovr's Added Benefit: To support our clients on their health journey, WeCovr provides complimentary access to CalorieHero, our AI-powered calorie and nutrition tracking app. It makes managing your diet simple and effective, helping you reach your health goals.
Regularly consuming alcohol above the recommended UK guidelines (no more than 14 units a week) can contribute to long-term health problems. While insurers don't typically ask for your exact weekly unit count on a standard application, your overall health is a key factor. A healthy lifestyle, including moderate alcohol consumption, reduces your long-term risk profile and the likelihood of claims, helping to keep your renewal premiums more stable.
Regular physical activity is a cornerstone of good health. It helps with weight management, reduces stress, and lowers the risk of numerous chronic diseases.
Some of the best PMI providers actively encourage this. For example, Vitality's entire model is built around rewarding members with cinema tickets, coffee, and even Apple Watch discounts for being active. Other insurers are also integrating wellness apps and rewards into their offerings.
Even if your insurer doesn't offer direct rewards, an active lifestyle leads to better health outcomes, fewer claims, and therefore a better long-term premium history.
Navigating the private medical insurance UK market can be complex. The terminology is confusing, and with dozens of policies from providers like Bupa, AXA Health, Aviva, and Vitality, it's almost impossible to know if you're getting the best deal.
This is where an independent PMI broker like WeCovr becomes your most valuable asset.
It is vital to understand a fundamental principle of the UK private medical insurance market:
Standard PMI policies are designed to cover acute conditions that arise after you take out the policy.
PMI does not cover the routine management of chronic conditions. It also does not cover pre-existing conditions—any illness or injury for which you have had symptoms, advice, or treatment in the years immediately before your policy began (typically the last 5 years).
This is why PMI is a complement to the NHS, not a replacement for it. The NHS provides excellent care for chronic conditions and emergencies. PMI gives you choice and speed for new, eligible acute conditions.
Reducing your private medical insurance premium is entirely achievable with the right knowledge and expert guidance. By making smart adjustments to your policy and embracing a healthier lifestyle, you can secure significant savings without compromising on the quality of your health cover.
The best way to start is with a full market review.
Contact the friendly, expert team at WeCovr today for a free, no-obligation quote. We'll compare policies from all the leading UK insurers to find the perfect balance of cover and cost for you.






