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Types of UK Private Medical Insurance Policies

Private health cover in the UK is not a one-size-fits-all product. Insurers structure their policies into tiers, typically categorised as 'basic', 'intermediate' (or mid-range), and 'comprehensive'.

Last updated Oct 7, 2026

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TL;DR

Private health cover in the UK is not a one-size-fits-all product. Insurers structure their policies into tiers, typically categorised as 'basic', 'intermediate' (or mid-range), and 'comprehensive'. Each tier offers a different level of protection, directly influencing the price you pay.

Key takeaways

  • Choose Your Hospital List: Insurers offer different lists of hospitals. A 'local' or 'regional' list will be cheaper than a 'national' list that includes expensive central London hospitals. If you're happy to be treated locally, this is an easy way to manage costs.
  • Set Your Excess Level: Premiums are very sensitive to the excess. Increasing your excess from 100 to 500 can significantly reduce your monthly cost. Consider what you could comfortably afford to pay in the event of a claim.
  • The 'Six-Week Wait' Option: This is a popular cost-saving feature. If you add this to your policy, your insurer will only pay for inpatient treatment if the NHS waiting list for that procedure is longer than six weeks. If the NHS can treat you within six weeks, you would use the NHS. Because this reduces the risk for the insurer, they reduce your premium. Data from NHS England regularly shows referral-to-treatment waiting times exceeding this, making it a calculated option for many. In mid-2024, the median wait was over 15 weeks, highlighting the potential value of this option.
  • Dental and Optical Cover: For routine check-ups, glasses, and dental treatment.

Navigating the world of private medical insurance (PMI) in the UK can feel complex, but understanding the different policy types is the first step towards securing the right cover for you and your family. As an insurance broker that has arranged over 1,000,000 policies, A WeCovr specialist or trusted broker partner can simplify things.

Types of UK Private Medical Insurance Policies

Private health cover in the UK is not a one-size-fits-all product. Insurers structure their policies into tiers, typically categorised as 'basic', 'intermediate' (or mid-range), and 'comprehensive'. Each tier offers a different level of protection, directly influencing the price you pay.

Think of it like choosing a car model: the basic version gets you safely from A to B, the mid-range adds comfort and useful features, and the top-tier model includes every possible luxury and advanced technology. Your choice depends on your needs, your budget, and how much peace of mind you're looking for.

Let's break down each tier in detail.

1. Basic or 'Core' Private Health Insurance Policies

A basic policy is the entry point into private healthcare. Its primary purpose is to cover the most expensive part of medical treatment: a stay in a private hospital.

What's Typically Covered?

  • Inpatient Treatment: This is the core of any PMI policy. It covers costs when you are admitted to a hospital and require an overnight bed. This includes surgery, accommodation, nursing care, and specialist fees.
  • Day-patient Treatment: Similar to inpatient care, but you are admitted to a hospital for a procedure and discharged the same day without needing an overnight stay.
  • Comprehensive Cancer Cover: Most basic policies, even at the entry-level, offer extensive cancer cover. This often includes surgery, chemotherapy, and radiotherapy. It's a significant selling point of UK PMI.
  • Virtual GP Services: As of 2025, nearly all policies include 24/7 access to a digital GP, allowing for quick consultations via phone or video call.

What's Typically Excluded or Limited?

  • Outpatient Treatment: This is the most significant limitation. Basic policies usually provide little to no cover for outpatient services. This means consultations with specialists, diagnostic tests (like MRI or CT scans), and therapies (like physiotherapy) that do not require a hospital admission are not covered. You would need to use the NHS for these initial diagnostic stages.
  • Mental Health Cover: Cover for mental health is often very limited or excluded entirely from basic plans.
  • Optional Extras: Dental, optical, and travel cover are almost never included as standard.

Who is a Basic Policy Best For?

  • The Budget-Conscious: If you want the peace of mind of knowing major hospital bills may be covered but need to keep your monthly premiums low, a basic policy is an excellent starting point.
  • Those Happy to Use the NHS for Diagnostics: If you don't mind using the NHS for initial consultations and tests but want to reduce waiting times (subject to policy terms) for surgery, this tier works well.
  • Young and Healthy Individuals: Younger people with fewer health concerns may find a basic policy provides sufficient security against unexpected, serious conditions.

Real 2025 Insurer Example: Basic Tier

FeatureBupa 'Fundamental' (Illustrative 2025 Example)
Inpatient & Day-patient CareFull Cover
Cancer CoverFull Cover for eligible treatment
Outpatient Cover£0 (Diagnostics must be via NHS)
Mental Health CoverExcluded
Hospital ListChoice of specified local hospital networks
Key BenefitLow-cost access to private surgery and cancer care.
Best ForIndividuals prioritising affordability and cover for major procedures.

2. Intermediate or 'Mid-Range' Private Health Insurance Policies

Intermediate policies are the most popular choice in the UK, offering a balanced blend of coverage and cost. They build upon the core inpatient cover of a basic plan by adding a sensible amount of outpatient protection.

What's Typically Covered?

  • Everything in a Basic Policy: Full inpatient, day-patient, and comprehensive cancer cover are standard.
  • Limited Outpatient Cover: This is the key upgrade. Mid-range policies typically offer a set financial limit for outpatient services, for example, £500, £1,000, or £1,500 per policy year. This can be used for specialist consultations and diagnostic tests, speeding up the entire treatment journey.
  • Some Therapies: Often, a limited number of sessions for therapies like physiotherapy may be included, especially if they are linked to post-operative recovery.
  • Basic Mental Health Support: Many mid-range plans now include some level of cover for mental health, such as a limited number of therapy sessions.

What's Typically Excluded or Limited?

  • Full Outpatient Cover: The outpatient limit is finite. If your diagnostic costs exceed the limit (e.g., £1,000), you will need to pay the remainder yourself or use the NHS.
  • Advanced Mental Health Treatment: While some support is offered, extensive psychiatric treatment or long-term therapy is usually not covered.
  • Optional Extras: Dental and optical cover are still usually add-ons that you must pay extra for.

Who is a Mid-Range Policy Best For?

  • Most Families and Individuals: This tier provides a fantastic balance. It significantly speeds up the diagnostic process compared to a basic plan without the high cost of a comprehensive policy.
  • Those Wanting Faster Diagnosis: If your main concern is bypassing NHS waiting times not just for surgery, but also for the initial specialist appointments and scans, a mid-range policy is ideal.
  • People Seeking Value for Money: It offers the most significant benefits over the NHS experience for a moderate premium.

Real 2025 Insurer Example: Intermediate Tier

FeatureAXA Health 'Personal Health' (Illustrative 2025 Example)
Inpatient & Day-patient CareFull Cover
Cancer CoverComprehensive Cancer Cover as standard
Outpatient CoverChoice of limits, e.g., £1,000 per year
Mental Health CoverIncluded as standard, with limits on sessions
Hospital ListChoice of 'Guided' or standard hospital lists
Key BenefitBalanced cover for diagnosis and treatment.
Best ForThe majority of UK consumers seeking a good blend of speed, cover, and cost.

3. Comprehensive Private Health Insurance Policies

As the name suggests, comprehensive policies offer the highest level of private medical cover available. They aim to cover almost every aspect of your private healthcare journey, from the first consultation to post-treatment therapies, with very high or even unlimited financial limits.

What's Typically Covered?

  • Everything in a Mid-Range Policy: With higher or unlimited financial caps.
  • Full Outpatient Cover: This is the hallmark of a comprehensive plan. There are generally no financial limits on the costs of eligible specialist consultations and diagnostic tests.
  • Extensive Mental Health Cover: These policies provide the best mental health support, often covering more therapy sessions and sometimes even inpatient psychiatric treatment.
  • Full Cover for Therapies: Physiotherapy, osteopathy, and chiropractic treatments are often covered in full (subject to a specialist's referral).
  • Optional Extras Often Included or Enhanced: Some premium plans may include elements of dental, optical, or even worldwide travel cover as part of the package.
  • Greater Choice: Usually includes access to a nationwide list of hospitals, including premier central London facilities.

What's Typically Excluded?

Even on a comprehensive plan, some things are never covered.

  • Pre-existing Conditions: Any medical condition you had before taking out the policy.
  • Chronic Conditions: Long-term conditions that cannot be cured, only managed (e.g., diabetes, asthma, high blood pressure). PMI is for acute conditions that are curable.
  • Specific Exclusions: Things like cosmetic surgery, fertility treatment, and experimental treatments are standard exclusions.

Who is a Comprehensive Policy Best For?

  • Those Wanting Maximum Peace of Mind: If you want to know that virtually every eligible medical cost will be covered without worrying about financial limits, this is the tier for you.
  • Senior Executives and Business Owners: Often chosen by those with demanding jobs who cannot afford any health-related delays.
  • Individuals with High-Value Employee Benefits: Many corporate PMI schemes are comprehensive, setting a high standard of care for employees.

Real 2025 Insurer Example: Comprehensive Tier

FeatureVitality 'Personal Healthcare' (Illustrative 2025 Example)
Inpatient & Day-patient CareFull Cover
Cancer CoverAdvanced Cancer Cover (includes access to newer drugs)
Outpatient CoverFull Cover (unlimited)
Mental Health CoverExtensive cover for talking therapies and more
Hospital ListCountrywide access, including London hospitals
Key Benefit'Rolls-Royce' cover with wellness rewards programme.
Best ForThose seeking the highest level of cover with no financial limits on diagnostics.

Understanding Key PMI Terminology

To make an informed choice, you need to understand the language insurers use. It's simpler than it sounds.

  • Acute Condition: A disease, illness, or injury that is likely to respond quickly to treatment and lead to a full recovery. PMI only covers acute conditions.
  • Chronic Condition: A disease, illness, or injury that has one or more of the following characteristics: it needs long-term monitoring, is incurable, is recurrent, or requires ongoing management. PMI does not cover chronic conditions.
  • Inpatient vs. Outpatient:
    • Inpatient: You are admitted to a hospital and stay overnight.
    • Day-patient: You are admitted for a procedure but go home the same day where available.
    • Outpatient: You visit a hospital or clinic for a consultation or test but are not admitted.
  • Excess: This is a fixed amount you agree to pay towards a claim. For example, if you have a £250 excess and your treatment costs £3,000, you pay the first £250, and the insurer pays the remaining £2,750. Choosing a higher excess will lower your monthly premium.
  • Underwriting: This is how an insurer assesses your medical history to decide what they will and won't cover. The two main types are:
    • Moratorium Underwriting: A quick and simple option where the insurer automatically excludes any condition you've had symptoms, treatment, or advice for in the past 5 years. If you then go 2 continuous years on the policy without any issues relating to that condition, it may become eligible for cover.
    • Full Medical Underwriting (FMU): You provide a full declaration of your medical history upfront. The insurer then tells you precisely what is excluded from day one. This provides more certainty but takes longer.

How to Customise Your Private Health Cover

Beyond choosing a tier, you can tailor your policy to fit your budget and needs. This is where speaking to a WeCovr specialist or one of our broker partners can be invaluable, as they can help you find the perfect balance of cover and cost.

  1. Choose Your Hospital List: Insurers offer different lists of hospitals. A 'local' or 'regional' list will be cheaper than a 'national' list that includes expensive central London hospitals. If you're happy to be treated locally, this is an easy way to manage costs.

  2. Set Your Excess Level: Premiums are very sensitive to the excess. Increasing your excess from £100 to £500 can significantly reduce your monthly cost. Consider what you could comfortably afford to pay in the event of a claim.

  3. The 'Six-Week Wait' Option: This is a popular cost-saving feature. If you add this to your policy, your insurer will only pay for inpatient treatment if the NHS waiting list for that procedure is longer than six weeks. If the NHS can treat you within six weeks, you would use the NHS. Because this reduces the risk for the insurer, they reduce your premium. Data from NHS England regularly shows referral-to-treatment waiting times exceeding this, making it a calculated option for many. In mid-2024, the median wait was over 15 weeks, highlighting the potential value of this option.

  4. Add Optional Extras: Most insurers allow you to bolt on additional benefits for an extra cost:

    • Dental and Optical Cover: For routine check-ups, glasses, and dental treatment.
    • Enhanced Mental Health Cover: To go beyond the standard limits.
    • Travel Insurance: To cover medical emergencies when you're abroad.

Comparing Policy Tiers: A Side-by-Side Look

Here is a summary table to help you compare the three main tiers of private medical insurance UK policies at a glance.

FeatureBasic / Core CoverIntermediate / Mid-Range CoverComprehensive Cover
Main PurposeCover for expensive inpatient/day-patient treatment (e.g., surgery).A balance of cover for diagnosis and treatment.Maximum cover for almost all aspects of private care.
Inpatient Care✅ Full Cover✅ Full Cover✅ Full Cover
Outpatient Cover❌ None or very minimal (e.g., post-op scans only)🟡 Limited (e.g., £500-£1,500 annual limit)✅ Full Cover (or very high limits)
Cancer Cover✅ Comprehensive✅ Comprehensive✅ Advanced options often available
Mental Health❌ Usually Excluded🟡 Limited cover (e.g., a set number of therapy sessions)✅ Extensive cover available
Therapies❌ Usually Excluded🟡 Limited cover (e.g., for post-op physio)✅ Often covered in full (subject to referral)
Monthly Premium££££££
Best ForBudget-conscious individuals, protection against large surgical bills.Most people, families, those wanting faster diagnosis.Those seeking maximum peace of mind, senior executives.

The Critical Point: Pre-existing and Chronic Conditions

It is absolutely vital to understand this core principle of private medical insurance in the UK: standard policies are designed to cover new, acute medical conditions that arise after you join.

  • Pre-existing Conditions: Insurers will not cover you for any medical condition for which you have sought advice, experienced symptoms, or received treatment before your policy started. The look-back period for this is typically five years.
  • Chronic Conditions: PMI does not cover the long-term management of chronic illnesses like diabetes, asthma, arthritis, or high blood pressure. These conditions require ongoing care rather than a short-term 'cure', and fall under the remit of the NHS.

The Financial Conduct Authority (FCA) regulates the sale of insurance products to ensure this is communicated clearly. The purpose of PMI is to complement, not replace, the services of the NHS, which provides excellent care for emergencies and chronic conditions.

Integrating Wellness into Your PMI Policy

A modern trend in the UK PMI market is the integration of wellness and healthy living rewards. Insurers are increasingly recognising that a healthy customer is less likely to claim, and they are passing these savings on.

  • Provider Example: Vitality is the market leader in this area. Their programme encourages members to track their activity, eat well, and have regular health checks. In return for engaging with the programme, members can earn points that unlock rewards like discounted gym memberships, free cinema tickets, and even lower renewal premiums.
  • WeCovr's Added Value: WeCovr believes in promoting a healthy lifestyle alongside financial protection. That's why all our clients who purchase a PMI or Life Insurance policy gain complimentary access to CalorieHero, our AI-powered calorie and nutrition tracking app. Furthermore, our clients can benefit from discounts on other types of insurance we arrange, helping them manage costs across their entire portfolio of protection. Our commitment to client value is reflected in the high satisfaction ratings we consistently receive on independent review platforms.

Maintaining a healthy lifestyle is the best insurance of all. Simple habits can make a huge difference:

  • Diet: Aim for a balanced diet rich in fruits, vegetables, and whole grains.
  • Exercise: The NHS recommends at least 150 minutes of moderate-intensity activity a week.
  • Sleep: Prioritise 7-9 hours of quality sleep per night for mental and physical recovery.

How WeCovr Specialists or broker partners Help You Choose a strong fit for your needs Tier

With so many providers, tiers, and customisation options, choosing a strong fit for your needs can be overwhelming. This is where an expert, regulated broker makes all the difference.

WeCovr is an insurance broker with years of experience in the private medical insurance UK market. Our service is provided at no cost to you.

  • Expert Guidance: We take the time to understand your unique needs, health concerns, and budget.
  • Market Comparison: We compare policies from our panel, including major providers like Aviva, AXA, Bupa, and Vitality, to find the right fit.
  • Plain English: We cut through the jargon and explain your options clearly, ensuring you are confident in your choice.
  • Ongoing Support: A WeCovr specialist or trusted broker partner can help you at renewal or if you need to make a claim.

Choosing the right tier is a crucial decision. Let our experts guide you to the policy that gives you the right level of cover at a competitive price.

Will my private medical insurance premium go up every year?

Generally, yes. Premiums tend to increase each year for two main reasons. The first is age, as the statistical risk of needing medical treatment increases as we get older. The second is medical inflation – the rising cost of new medical technology, drugs, and hospital fees – which typically runs higher than general inflation. However, you can review your policy annually with a WeCovr specialist or one of our broker partners to ensure it still offers good value.

Can I get private health cover if I have a pre-existing condition?

You can still get a private health cover policy, but it will not cover the pre-existing condition itself or any related conditions. UK Private Medical Insurance is designed for new, acute conditions that arise after your policy begins. When you apply, the insurer will use underwriting (either a moratorium or full medical underwriting) to exclude any conditions you have had in the past, usually within the last five years.

What is the difference between an 'inpatient' and 'outpatient'?

It's a simple but important distinction. You are an 'inpatient' if you are admitted to a hospital and need to stay overnight for treatment. A 'day-patient' is admitted for a scheduled procedure but goes home the same day where available. An 'outpatient' is someone who visits a hospital or clinic for a consultation, diagnostic test, or therapy but is not formally admitted. The level of outpatient cover is one of the main differences between basic, mid-range, and comprehensive policies.

Is cancer treatment always included in UK PMI?

Comprehensive cancer cover is a core feature of almost all UK private medical insurance policies, even basic ones. This typically includes the costs of surgery, chemotherapy, and radiotherapy for eligible cancer treatment. Some more comprehensive policies may offer 'advanced' cancer cover, which can include access to newer, more experimental drugs not yet available on the NHS. However, it's always crucial to check the specific cancer cover details in your policy documents.

Ready to find the right level of private health cover for your needs?

[Get a free, no-obligation PMI quote from WeCovr today and let our experts find a strong fit for your needs for you.]

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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