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UK Private Diagnostic Fast-Track

UK Private Diagnostic Fast-Track 2025 | Top Insurance Guides

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UK Private Health Insurance The Diagnostic Fast-Track – Getting Answers & Specialist Advice Without Full Hospital Cover

In the intricate landscape of UK healthcare, navigating symptoms and seeking timely medical answers can often feel like a formidable challenge. While the NHS provides exceptional universal care, mounting pressures and ever-lengthening waiting lists, particularly for diagnostics and specialist consultations, have led many individuals to explore alternative pathways. This is where the concept of "Diagnostic Fast-Track" private health insurance comes into its own – offering a targeted solution for those who prioritise speed and access to specialist advice and testing, without necessarily incurring the cost of full inpatient hospital cover.

This comprehensive guide delves deep into the world of diagnostic-focused private medical insurance (PMI). We will explore precisely what it entails, why it's becoming an increasingly popular choice for a segment of the UK population, its myriad benefits, and crucially, its limitations. Our aim is to provide an authoritative, insightful, and practical resource, empowering you to make an informed decision about this vital aspect of your health and wellbeing.

The Urgent Need for Speed: Why Diagnostic Fast-Track Matters in the UK Today

The NHS is a bedrock of British society, but it faces unprecedented demand. The reverberations of the pandemic, coupled with an ageing population and a rising tide of chronic conditions, have stretched resources to their limits. One of the most significant impacts is on waiting times for crucial diagnostic tests and specialist appointments.

Consider these sobering statistics:

  • NHS Waiting Lists: As of April 2024, the total number of people waiting for routine hospital treatment in England stood at around 7.54 million, with 3.09 million waiting over 18 weeks. While this headline figure pertains to treatment, the diagnostic stage is often the initial bottleneck.
  • Diagnostic Delays: According to NHS England data, a significant proportion of patients are waiting more than six weeks for key diagnostic tests, such as MRI, CT scans, and endoscopies. While targets exist, they are frequently missed due to demand. Longer waits can lead to increased anxiety, worsening symptoms, and potentially delayed diagnoses for serious conditions, which can have profound implications for treatment outcomes.
  • GP Access & Referrals: Although GP access has improved since its post-pandemic low, obtaining a prompt referral to a specialist remains a hurdle. Even once referred, the wait to see a consultant and then for the subsequent diagnostic tests can add months to the journey to diagnosis.

These delays aren't just statistics; they represent real people experiencing prolonged uncertainty, pain, and distress. Imagine experiencing persistent unexplained symptoms – a new lump, chronic digestive issues, or unusual fatigue. The emotional toll of waiting weeks or even months for an initial consultation, followed by further waits for scans or tests, can be immense. For some, the early diagnosis of a serious condition, such as cancer, can be life-saving, making speed a critical factor.

This acute need for faster answers has driven the demand for private diagnostic pathways. Diagnostic fast-track health insurance offers a viable solution, bridging the gap between needing answers and getting them without the lengthy NHS queues.

Demystifying Diagnostic Fast-Track Cover: What Is It Exactly?

At its core, "Diagnostic Fast-Track" cover, often integrated within the outpatient module of a private health insurance policy, is designed to provide rapid access to specialist consultations and diagnostic tests. It empowers you to bypass NHS waiting lists for initial assessments and investigations when you develop a new, acute symptom or condition.

Key Distinction: It is not full inpatient hospital cover. This is a crucial point to understand. While a comprehensive private medical insurance policy typically covers inpatient hospital stays, major surgeries, and extensive treatments, diagnostic-only cover focuses predominantly on the initial stages of the medical journey: identifying what's wrong.

Think of it as a crucial first step:

  1. Symptom Manifests: You notice a new or worrying symptom.
  2. GP Consultation: You visit your GP (either NHS or private).
  3. Referral: Your GP refers you to a specialist for further investigation.
  4. Diagnostic Pathway: This is where your diagnostic fast-track cover kicks in – funding your rapid access to that specialist consultation, followed by any necessary scans, blood tests, or other diagnostic procedures to determine a diagnosis.

Once a diagnosis is reached, the policy's role largely concludes. Any subsequent major treatment, surgery, or inpatient care would typically fall outside the scope of this specific type of cover. You would then usually revert to the NHS for treatment, or fund the private treatment yourself.

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The Components of a Robust Diagnostic Policy: A Deep Dive

Diagnostic fast-track policies are built around providing prompt access to expertise and technology needed to identify a medical issue. While specifics vary between insurers, the following components are commonly included:

1. Specialist Consultations

This is often the cornerstone of diagnostic cover. After a GP referral, your policy will typically cover:

  • Initial Consultations: Meeting with a private specialist consultant (e.g., cardiologist, orthopaedic surgeon, gastroenterologist) to discuss your symptoms and determine the best course of action. This often happens much faster than an NHS referral.
  • Follow-up Consultations: Subsequent appointments with the same specialist to review diagnostic test results, discuss a diagnosis, and outline potential next steps.

The number of consultations covered may be unlimited or subject to a financial limit per policy year, so it's essential to check your policy wording.

2. Advanced Diagnostics & Imaging

These are the tools that provide a detailed picture of what's happening inside your body. Access to these scans and tests without delay is a major benefit. Common inclusions are:

  • MRI (Magnetic Resonance Imaging) Scans: Excellent for soft tissues, ligaments, brain, and spinal cord.
  • CT (Computed Tomography) Scans: Detailed cross-sectional images, often used for bones, organs, and blood vessels.
  • X-rays: Basic imaging for bones and certain conditions like pneumonia.
  • Ultrasound Scans: Uses sound waves to create images of internal organs, often used for abdominal issues, gynaecology, or musculoskeletal problems.
  • PET (Positron Emission Tomography) Scans: Advanced imaging often used in cancer diagnosis and staging.
  • Endoscopies/Colonoscopies (Diagnostic only): Procedures involving a flexible tube with a camera to examine internal organs, used to diagnose conditions of the digestive tract or lungs.

3. Pathology & Blood Tests

Comprehensive analysis of blood, urine, tissue, or other bodily fluids is crucial for many diagnoses. This includes:

  • Blood Tests: Covering a vast array of markers for conditions ranging from anaemia and infections to organ function and specific disease markers.
  • Biopsies: Taking a small tissue sample for microscopic examination, often critical for cancer diagnosis.
  • Laboratory Analysis: The scientific assessment of samples to provide accurate diagnostic information.

Some diagnostic policies may also cover minor outpatient procedures conducted in a clinic setting, provided they are for diagnostic purposes and don't require an inpatient stay. Examples might include:

  • Joint Injections for Diagnostic Purposes: Injections to confirm the source of pain before treatment.
  • Minor Excisions: Removal of a small skin lesion for biopsy.

It is crucial to differentiate these from therapeutic or ongoing treatment procedures. The policy's focus remains on finding out what the problem is, not fixing it through major intervention.

5. Physiotherapy & Therapies (Post-Diagnosis/Pre-Treatment)

While not strictly diagnostic, some policies might include a limited number of sessions for therapies like physiotherapy, osteopathy, or chiropractic treatment if they are part of the diagnostic pathway or directly follow a diagnosis to prevent deterioration while awaiting definitive treatment. This is less common in pure diagnostic-only policies and more likely in policies with a slightly broader outpatient module. Always check the specific limits and conditions.

Table 1: Common Inclusions in Diagnostic Fast-Track Policies

FeatureDescriptionTypical Coverage Limit
Specialist ConsultationsAccess to private consultants for initial assessment and follow-up to discuss results.Unlimited or an annual financial cap (e.g., £1,000 - £2,500)
Advanced Imaging ScansMRI, CT, X-ray, Ultrasound, PET scans to visualise internal structures.Unlimited or an annual financial cap (e.g., £1,500 - £3,000+)
Pathology & Blood TestsLaboratory analysis of blood, urine, and tissue samples for diagnostic purposes.Unlimited or an annual financial cap (e.g., £500 - £1,000)
Minor Diagnostic ProceduresOutpatient procedures like biopsies, endoscopies (diagnostic), or joint aspirations for diagnosis.Included if for diagnostic purposes, often within overall limits
GP Referral ServicesSome policies include access to private GP services for referral generation.May be limited to a few consultations per year

Who Benefits Most from Diagnostic Fast-Track? Identifying the Ideal Candidate

Diagnostic fast-track cover isn't for everyone, but it offers significant value to specific groups of people and in particular circumstances.

  • The Anxious & Proactive: Individuals who experience a worrying symptom and cannot bear the thought of waiting months for answers. They value peace of mind and want to take proactive control of their health.
  • Those with Non-Emergency, Unexplained Symptoms: If you have persistent symptoms that aren't life-threatening but are impacting your quality of life, this cover provides a pathway to understanding. Examples include persistent pain, unexplained fatigue, digestive issues, or skin changes.
  • Individuals Who Can Afford Potential Follow-on Treatment: Since diagnostic cover generally doesn't include major treatment, it's ideal for those who are prepared to use the NHS for subsequent treatment if needed, or who have the financial means to self-pay for private treatment should that be their preferred route post-diagnosis.
  • Small Business Owners & Self-Employed: Time off work for health issues can directly impact income. Rapid diagnosis means quicker understanding, and potentially a faster return to full productivity or swifter planning for necessary time off.
  • Those Seeking Cost-Effective Peace of Mind: For individuals who find comprehensive PMI too expensive, but still want a level of private care access for initial investigations, diagnostic cover offers a more affordable entry point.
  • Families with Children: Parents often worry intensely when a child has unexplained symptoms. Rapid diagnosis can alleviate stress and ensure swift appropriate action.

The Unmissable Advantages: Why Consider Diagnostic-Only Cover?

The benefits of diagnostic fast-track cover are compelling, particularly in the current healthcare climate.

  • 1. Unrivalled Speed of Diagnosis: This is the primary driver. Instead of weeks or months, you could see a specialist and undergo diagnostic tests within days. Early diagnosis is often crucial for treatment outcomes, especially for serious conditions like cancer, where every week counts.
  • 2. Access to Leading Specialists: Private health insurance allows you to choose your consultant (from the insurer's approved list or network), often granting access to highly experienced specialists who are leaders in their field.
  • 3. State-of-the-Art Facilities & Technology: Private hospitals and clinics are typically equipped with the latest diagnostic machinery, ensuring high-quality imaging and testing.
  • 4. Reduced Anxiety and Uncertainty: The emotional burden of unexplained symptoms is immense. Getting a swift diagnosis, whatever the outcome, provides clarity and allows you to plan your next steps.
  • 5. Comfort and Convenience: Private appointments are often more flexible, with shorter waiting times, comfortable waiting areas, and a more personalised experience. You can often choose appointment times that fit around your schedule.
  • 6. Informed Decision-Making: With a clear diagnosis in hand, you are empowered to make informed decisions about your treatment options, whether that's continuing with the NHS or exploring private treatment pathways.
  • 7. Cost-Effectiveness Compared to Full PMI: Diagnostic-only cover is significantly cheaper than a comprehensive PMI policy that includes inpatient and day-patient treatment. This makes private diagnostics accessible to a broader range of budgets.
  • 8. Proactive Health Management: For those who are proactive about their health, this cover allows them to quickly investigate any new concerns rather than letting them linger and potentially worsen.

Table 2: Comparison of Diagnostic Fast-Track vs. Full Private Medical Insurance (PMI)

FeatureDiagnostic Fast-Track / Outpatient Only CoverFull Private Medical Insurance (PMI)
Primary FocusRapid diagnosis: specialist consultations and diagnostic tests.Comprehensive care: diagnosis, inpatient/day-patient treatment, surgery.
Inpatient/SurgeryGenerally excluded. Designed to identify the problem, not treat it.Fully included. Covers hospital stays, surgeries, extensive treatments.
Cost (Premium)Significantly lower premiums due to limited scope.Higher premiums due to extensive coverage.
Benefit after DiagnosisPolicy typically concludes; you revert to NHS or self-pay for treatment.Continues to cover acute treatment for diagnosed conditions.
Ideal ForThose seeking fast answers and specialist advice; willing to use NHS for treatment or self-pay.Those desiring full private healthcare from diagnosis through to treatment.
Peace of MindHigh for initial clarity and swift answers.High for entire healthcare journey, including complex treatments.

While diagnostic fast-track cover offers compelling advantages, it is imperative to understand its limitations and standard exclusions to avoid disappointment or unexpected costs. This section addresses the most critical aspect: the non-coverage of pre-existing and chronic conditions.

The Non-Negotiable Rule: Pre-existing and Chronic Conditions

This is the single most important point to grasp about UK private medical insurance, regardless of whether it's full cover or diagnostic-only:

Standard UK private medical insurance policies, including diagnostic fast-track cover, DO NOT cover conditions that existed before you took out the policy (pre-existing conditions) or conditions that are long-term and ongoing (chronic conditions).

Let's break this down:

What is a Pre-existing Condition?

A pre-existing condition is, broadly speaking, any disease, illness, or injury for which you have received symptoms, medication, advice, or treatment before the start date of your private medical insurance policy.

  • Example 1: If you had persistent back pain, saw a chiropractor, and were prescribed painkillers in the six months leading up to taking out your policy, any future back pain related to that prior condition would typically be excluded.
  • Example 2: If you were diagnosed with Type 2 Diabetes five years ago, that is a pre-existing condition.
  • Example 3: If you experienced chest pains and had investigations (even if they were inconclusive) before your policy started, any future chest pains would likely be deemed pre-existing.

Insurers have different ways of assessing pre-existing conditions, primarily through "full medical underwriting" or "moratorium underwriting." Regardless of the method, the intent is the same: to cover new, acute conditions that arise after your policy begins.

What is a Chronic Condition?

A chronic condition is a disease, illness, or injury that has one or more of the following characteristics:

  • It needs ongoing, long-term management.
  • It cannot be cured.
  • It is likely to come back or get worse.
  • It is likely to require long-term monitoring.

Examples include asthma, diabetes, arthritis, epilepsy, high blood pressure, and many mental health conditions. Even if these conditions develop after your policy starts, standard PMI will not cover the ongoing management, medication, or recurrent treatment for them. PMI is designed for acute conditions – those that respond quickly to treatment and generally resolve.

Implication for Diagnostic Cover: If you have symptoms related to a pre-existing condition, or if your symptoms lead to a diagnosis of a chronic condition, your diagnostic policy will not cover the costs of those investigations. The purpose is to diagnose new, acute problems.

Other Important Limitations and Exclusions:

  • No Cover for Inpatient Treatment or Major Surgery: As repeatedly stressed, this is the core limitation. If your diagnosis requires surgery, chemotherapy, or an extended hospital stay, the diagnostic policy will not cover these costs. You would need to rely on the NHS or self-pay.
  • Emergency Care: Private health insurance is not a substitute for emergency services. In a medical emergency (e.g., heart attack, severe accident), you should always go to the nearest NHS Accident & Emergency department. Your policy will not cover emergency treatment.
  • Maternity and Fertility Treatment: These are almost always excluded from standard policies and often require specific, expensive add-ons to full PMI, if available at all. They are not part of diagnostic-only cover.
  • Cosmetic Treatment: Procedures solely for aesthetic improvement are not covered.
  • Drug and Alcohol Abuse: Treatment for conditions arising from substance abuse is typically excluded.
  • Self-Inflicted Injuries: Injuries resulting from intentional self-harm are not covered.
  • Specific Conditions: Some policies might have specific exclusions for certain rare conditions or very complex treatments. Always read the small print.
  • Geographic Limitations: Cover is typically for treatment within the UK.
  • Policy Limits: While some diagnostic elements might be "unlimited," there will usually be overall annual limits for outpatient benefits. Once this limit is reached, you will have to self-pay.

Table 3: Key Exclusions and Limitations of Diagnostic Fast-Track Policies

CategoryDescriptionImportant Note
Pre-existing ConditionsAny illness, injury, or symptom experienced or treated before policy inception.Crucial: Standard policies never cover these.
Chronic ConditionsLong-term, incurable conditions requiring ongoing management (e.g., asthma, diabetes, arthritis).Even if diagnosed after policy starts, ongoing management is not covered.
Inpatient/Day-Patient TreatmentMajor surgery, overnight hospital stays, extensive treatments post-diagnosis.The biggest distinction: Diagnostic cover is not for the cure, only the diagnosis.
Emergency CareAccidents, sudden life-threatening conditions requiring A&E or immediate intensive care.Always use the NHS for emergencies.
Maternity & FertilityPregnancy, childbirth, and any fertility treatments.Generally excluded from all standard PMI, including diagnostic.
Cosmetic ProceduresAny treatment performed solely for aesthetic enhancement.Not covered.
Drug/Alcohol AbuseConditions or treatments arising from substance misuse.Standard exclusion.
Self-Inflicted InjuriesInjuries caused by intentional self-harm.Standard exclusion.
Overseas TreatmentTreatment received outside the United Kingdom.Policies are typically UK-specific.

The Journey from Symptom to Solution: How Diagnostic Cover Works in Practice

Understanding the process is key to effectively using your diagnostic fast-track cover. It's a structured pathway designed to get you answers efficiently.

Step-by-Step Process:

  1. Develop a New Symptom: You notice a new or worsening symptom that is concerning you and is not related to a pre-existing condition.
  2. Consult Your GP (NHS or Private): Your first port of call should always be a doctor. Discuss your symptoms thoroughly.
    • Crucial: To use your private health insurance, you will almost certainly need a GP referral to a specialist. Your insurer will require this. Make sure your GP writes a detailed referral letter. Some policies even include a few private GP consultations to facilitate faster referrals.
  3. Contact Your Insurer: Once you have your GP referral, contact your private health insurer. You'll typically need to provide:
    • Your policy number.
    • Details of your symptoms.
    • The GP's diagnosis or suspected condition.
    • The specialist or type of specialist your GP has referred you to.
    • Your insurer will then assess the claim against your policy terms, ensuring it's an acute condition and not excluded.
  4. Authorisation from Insurer: If the claim is valid, your insurer will authorise the consultation and any initial diagnostic tests. They may provide you with a list of approved specialists or hospitals within their network, or if your policy allows, you can request a specific consultant.
  5. Book Your Appointment: You can then contact the specialist's private practice or the private hospital to book your consultation and any initial tests. These appointments are often available within days.
  6. Attend Consultations and Tests: Attend your specialist consultation, where the consultant will examine you, discuss your symptoms, and likely recommend diagnostic tests (e.g., MRI, blood tests, endoscopy). These tests will then be scheduled swiftly.
  7. Receive Results and Diagnosis: Once all tests are complete, you'll have a follow-up consultation with the specialist to discuss the results and receive your diagnosis. The consultant will explain what the findings mean and recommend the next steps.
  8. Next Steps Post-Diagnosis:
    • If Treatment is Needed (and Not Covered): At this point, if your diagnosis requires major treatment (like surgery) that is not covered by your diagnostic policy, you have two primary options:
      • Revert to the NHS: Your private specialist can write a detailed letter to your NHS GP, who can then refer you back into the NHS system for treatment. You will join the NHS waiting list at this point, but critically, you'll be joining it with a definitive diagnosis in hand, which can sometimes expedite the process or at least provide clarity.
      • Self-Pay for Private Treatment: If you wish to continue with private treatment, you would then be responsible for funding the costs yourself, or explore upgrading your policy if that's an option (though this would only cover new conditions, not the one just diagnosed).

The benefit here is that you've bypassed the initial, often lengthy, diagnostic pathway of the NHS. You arrive at the treatment stage with a clear understanding of your condition.

Understanding the Cost: Factors Influencing Your Premium

The premium for diagnostic fast-track cover is generally much more affordable than full private medical insurance, but several factors will influence the exact cost:

  • 1. Age: This is the most significant factor. As you age, the likelihood of developing new medical conditions increases, leading to higher premiums.
  • 2. Location: Healthcare costs vary across the UK. Policies in areas with higher costs of living or more expensive private healthcare facilities (e.g., London) will typically be more expensive.
  • 3. Level of Outpatient Cover Chosen: While this guide focuses on diagnostic-only, many policies are structured with an 'outpatient module' that can be adjusted. Choosing higher annual limits for consultations and tests, or including therapies, will increase your premium.
  • 4. Excess Amount: This is the amount you agree to pay towards a claim before your insurer pays. A higher excess means a lower premium. For example, if you choose a £250 excess, you pay the first £250 of a claim, and the insurer covers the rest (up to policy limits).
  • 5. Underwriting Method:
    • Moratorium Underwriting: Most common. You don't declare your full medical history upfront. The insurer won't cover any condition you've had symptoms, advice, or treatment for in the 5 years before your policy starts (the 'moratorium period'). After two consecutive claim-free years, some pre-existing conditions might become covered, provided you haven't had symptoms or treatment for them during that two-year period.
    • Full Medical Underwriting (FMU): You declare your full medical history upfront. The insurer will then explicitly exclude specific pre-existing conditions from your policy. While more upfront work, it offers greater clarity on what is and isn't covered.
    • FMU can sometimes result in a slightly lower premium if you have a very clear, healthy medical history, as the insurer has a more precise risk profile.
  • 6. No-Claims Discount: Similar to car insurance, some health insurance policies offer a no-claims discount, reducing your premium if you don't make a claim in a policy year.
  • 7. Insurer Choice: Different insurers have different pricing structures, networks, and benefit levels. It always pays to compare.

Table 4: Factors Influencing Diagnostic Fast-Track Premium Costs

FactorImpact on Premium (Generally)Explanation
AgeHigher as you get older.Increased likelihood of medical conditions requiring investigation.
Geographic LocationHigher in areas with higher private healthcare costs (e.g., London, South East).Reflects the cost of consultations, scans, and facilities in that region.
Excess LevelHigher excess = Lower premium.You pay more of the initial claim, reducing the insurer's risk.
Chosen Outpatient LimitsHigher annual limits for consultations/scans = Higher premium.More financial protection from the insurer if multiple investigations are needed.
Underwriting MethodFull Medical Underwriting (FMU) can sometimes offer clearer exclusions/lower premiums for healthy individuals.Moratorium is simpler to set up but less clear on immediate exclusions.
Lifestyle FactorsSmoking can increase premiums with some insurers.Reflects higher health risks associated with certain habits.
Insurer BrandVaries significantly between different providers.Each insurer has its own pricing models and competitive strategies.

Making an Informed Choice: Key Questions to Ask Your Insurer or Broker

Before committing to a policy, asking the right questions will ensure you select cover that truly meets your needs and expectations.

  1. What exactly is covered under the "outpatient" or "diagnostic" section?
    • Are consultations fully covered, or is there a limit per consultation or per year?
    • Are all major diagnostic scans (MRI, CT, PET) included, or are some excluded/limited?
    • Are blood tests and pathology covered without separate limits?
    • Are diagnostic endoscopies/colonoscopies covered?
  2. What are the overall annual limits for diagnostic tests and consultations?
    • Is there a single overall limit, or separate limits for different types of diagnostics?
    • What happens if I exceed these limits?
  3. How is a GP referral handled?
    • Do I need an NHS GP referral, or can a private GP refer me?
    • Are private GP consultations covered to facilitate referrals?
  4. Are there any specific exclusions I need to be aware of beyond the standard pre-existing and chronic conditions?
    • For example, some policies might exclude certain musculoskeletal conditions or specific types of mental health diagnostics.
  5. How does the claims process work, step by step?
    • Do I need to get pre-authorisation for every consultation or test?
    • What is the typical timeframe for authorisation?
  6. What is the network of private hospitals and clinics I can use?
    • Can I choose any consultant, or only those within the insurer's network?
    • Does choosing an 'open referral' (any consultant) vs. a 'named consultant' affect my coverage or premium?
  7. What is the excess amount, and how does it apply to diagnostic claims?
    • Is the excess per claim, per condition, or per policy year?
  8. What happens after a diagnosis is made?
    • If I need major treatment, will the policy help me transition back to the NHS?
    • Are there any options to upgrade my policy mid-term if I decide I want private treatment? (Note: This would usually only apply to new conditions arising after the upgrade, not the one just diagnosed).
  9. Are there any waiting periods before I can make a claim for diagnostics? (Usually, new policies have a short initial waiting period for new conditions).

Comparing Diagnostic Policies: The WeCovr Advantage

Navigating the nuances of private health insurance, especially when focusing on specific aspects like diagnostic cover, can be complex. The market is populated by numerous reputable insurers, each offering slightly different policy structures, benefit limits, and pricing. This is where an expert health insurance broker becomes invaluable.

At WeCovr, we specialise in helping individuals and families across the UK find the private health insurance that best fits their unique needs and budget. We understand the intricacies of each insurer's offerings, including their outpatient and diagnostic modules.

How WeCovr helps you compare policies:

  • Access to Major UK Insurers: We work with all the leading UK private medical insurance providers, giving you a comprehensive view of the market, not just a limited selection.
  • Tailored Advice: Instead of a one-size-fits-all approach, we take the time to understand your priorities. Do you value the absolute fastest access to scans above all else? Are you comfortable with a higher excess for a lower premium? Do you need access to specific types of specialists? We use this information to narrow down the best options for you.
  • Clarifying Complexities: We can explain the jargon, decode policy wordings, and clarify crucial elements like pre-existing condition handling and benefit limits, ensuring you fully understand what you're buying.
  • Cost-Effectiveness: We help you compare premiums across different insurers for similar levels of diagnostic cover, identifying the most competitive options without compromising on essential benefits.
  • Streamlined Process: We simplify the process of getting quotes, comparing benefits, and applying for cover, saving you time and effort.
  • Ongoing Support: Our relationship doesn't end once you've purchased a policy. We're here to answer questions, assist with renewals, and help if you need to make a claim.

We believe that getting answers quickly when your health is a concern is paramount. Let us help you find a diagnostic fast-track policy that offers the peace of mind and swift access to expertise you deserve.

Beyond the Diagnosis: What Happens Next?

Understanding the journey after a diagnosis is made with your diagnostic fast-track cover is crucial for managing expectations.

1. Transitioning to NHS Care

This is the most common pathway if you only have diagnostic cover. Once your private specialist has provided a definitive diagnosis and outlined a treatment plan, they can write a detailed letter to your NHS GP. Your NHS GP can then use this information to:

  • Refer you to an NHS specialist: You would then enter the NHS system at the appropriate point in the pathway, often bypassing the initial long wait for diagnosis.
  • Initiate NHS treatment: If the diagnosis is straightforward and doesn't require further specialist referral (e.g., a specific medication), your GP can start your treatment directly.

The significant advantage here is that you enter the NHS system with a clear diagnosis, potentially speeding up your access to treatment compared to going through the entire diagnostic process on the NHS.

2. Self-Paying for Private Treatment

If, after receiving your diagnosis, you decide you prefer to continue with private treatment (e.g., private surgery, ongoing private therapy), you have the option to self-fund these costs. Your private specialist can discuss the options and provide quotes for private treatment. This route offers:

  • Faster access to treatment: Bypassing NHS waiting lists entirely.
  • Choice of consultant and hospital: Maintaining control over your care providers.
  • Greater flexibility: Scheduling treatment around your personal preferences.

It's important to remember that private treatment can be very expensive, especially for complex surgeries or long-term care. Ensure you understand the full financial implications before choosing this option.

3. Considering Upgrading to Full PMI (For Future Conditions)

While your current diagnostic policy won't cover treatment for the condition you just diagnosed (as it's now a known condition), you might consider upgrading to a full private medical insurance policy for future, new acute conditions. This would provide comprehensive cover from diagnosis through to treatment.

Important Note: Any condition you've already had symptoms for or been diagnosed with would typically be excluded from the new, upgraded policy as a pre-existing condition. Upgrading is primarily about securing full cover for future, unforeseen medical issues.

The Evolution of Healthcare: The Future of Diagnostics and Private Health Insurance

The landscape of healthcare is constantly evolving, driven by technological advancements, shifting patient expectations, and the persistent challenges facing public health systems. Diagnostic fast-track cover is poised to play an increasingly significant role in this future.

  • Technological Integration:
    • AI and Machine Learning: Artificial intelligence is already enhancing diagnostic capabilities, from image analysis (e.g., X-rays, MRI scans) to predictive analytics. Future diagnostic policies may integrate AI-driven preliminary assessments or smart referral systems.
    • Telemedicine and Virtual Consultations: The shift towards virtual GP appointments and specialist consultations, accelerated by the pandemic, is likely to become a permanent feature. This enhances convenience and can further speed up initial access.
    • Wearable Technology and Remote Monitoring: As wearables become more sophisticated, they could provide valuable real-time data, potentially leading to earlier detection of subtle changes that warrant diagnostic investigation.
  • Focus on Proactive and Preventative Health: There's a growing understanding that early diagnosis and preventative measures are critical for long-term health outcomes and reducing healthcare burdens. Diagnostic policies align perfectly with this philosophy, empowering individuals to act quickly on concerns rather than waiting for conditions to escalate.
  • Personalised Medicine: Advancements in genomics and personalised medicine mean diagnoses will become even more precise. Diagnostic policies will need to adapt to cover these cutting-edge tests that tailor treatment specifically to an individual's genetic makeup.
  • Bridging the NHS Gap: As NHS waiting lists persist, the demand for private diagnostic pathways is unlikely to diminish. Diagnostic-only policies will continue to serve as a vital bridge for those who want answers fast, even if they choose to revert to the NHS for treatment. This ensures that the NHS can focus its resources on complex, high-acuity treatment once a diagnosis is confirmed.

The future of healthcare will undoubtedly see a greater emphasis on quick, accurate, and accessible diagnostics. Private health insurance, particularly the diagnostic fast-track model, is uniquely positioned to meet this growing demand, empowering individuals to take a more proactive and informed approach to their health.

Conclusion: Empowering Your Health Journey with Diagnostic Fast-Track

In an era where healthcare waiting lists can stretch into months, the ability to rapidly obtain specialist advice and critical diagnostic tests offers invaluable peace of mind. Diagnostic fast-track private health insurance is not a luxury, but a strategic investment for many in the UK today. It offers a pragmatic solution for individuals seeking swift answers to concerning symptoms, enabling early detection and informed decisions about subsequent care.

While it is crucial to remember its specific scope – focusing on diagnosis and not covering chronic or pre-existing conditions, nor major inpatient treatment – its benefits are profound. Speed, choice, access to cutting-edge technology, and a significant reduction in anxiety are compelling reasons to consider this focused form of private medical cover.

By understanding how these policies work, their benefits, and their limitations, you can effectively navigate the healthcare system and take proactive control of your wellbeing. Whether you ultimately choose to pursue NHS treatment or self-fund private care post-diagnosis, having the answers quickly can make all the difference. Explore your options, ask the right questions, and consider how a diagnostic fast-track policy could empower your health journey.


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 FCA-authorised 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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1. Complete a brief form
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Any questions?

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.

Health insurance covers conditions that develop after your policy starts. Pre-existing conditions are typically not covered, and insurers may exclude related issues. Some policies may cover symptoms of pre-existing conditions under specific circumstances. Always review your policy's exclusions. Coverage for pre-existing medical conditions may be available if you currently hold a medical insurance policy or are transitioning from a company scheme. However, if you have never had medical insurance before or if your policy is not active at the moment, pre-existing conditions will not be covered. This limitation exists because health insurance is primarily intended to protect against unexpected health issues. To simplify, it's akin to getting into a car accident and then trying to obtain insurance coverage afterward to repair the vehicle — insurance companies typically do not cover such claims. Nevertheless, there is an option to gain coverage for pre-existing conditions after a two-year waiting period, subject to specific rules and conditions.

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. Sometimes treatments and drugs that are not covered by the NHS can be covered by Private Medical Insurance.

It's free to use WeCovr to find health insurance - we never charge you for quotes. Health or private medical insurance is an investment that can pay for itself the first time you might need medical treatment.

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 would benefit from Private Medical Insurance.

Private Medical Insurance is an important financial product that insurance companies take a lot of care and diligence so speaking to real human beings ensures that they understand your requirements fully so that you can get the right cover.

All of our partners are carefully vetted and authorised by the FCA, which means they are held to the highest standards that the FCA expects from them and treat all customers fairly!

Our revenue comes from commissions paid by the insurance providers when a policy is taken out through us. Essentially, when you choose to secure a policy from one of the providers we work with, they compensate us for facilitating the transaction. It's important to note that this commission does not impact the premium you pay. We remain committed to providing transparent and unbiased quotes to help you find the best insurance options tailored to your needs.

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 you for conditions that arise after your policy begins. You pay a monthly fee and can make claims for private healthcare covered by your policy. One of the main benefits of private healthcare is quicker access to treatment compared to the NHS, along with access to new drugs or specialist treatments.

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, and ongoing conditions present before the policy started.

Unfortunately, you cannot pay extra to have a pre-existing condition covered as part of your health insurance policy. However, you have access to support from a nurse or digital GP. If you have questions about what is covered under your policy, please contact us for clarification.

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. WeCovr's experts will offer you flexible excess options depending on your preferences.

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.

There is no age limit for taking out health insurance, but age influences the policy's cost. The benefits of health insurance are consistent regardless of age. If you're considering health insurance, you can get a quote from WeCovr's experts regardless of your age.

Let WeCovr's experts do the legwork for you and compare health insurance plans at no cost to you to find the best fit for your needs. Consider individual, couple, or family plans and review coverage details thoroughly before choosing. WeCovr provides transparent information on coverage options for easy comparison.

Yes, you can add your partner (if you live at the same address) or dependents to your policy at any time. The cost of couple's or family health insurance depends on factors like location, age, health, and chosen excess. Contact WeCovr or your insurer for assistance in adding someone to your policy.

While WeCovr's private health insurance plans are tailored for the UK, we offer global health insurance options for those living or working abroad. For holiday coverage, travel insurance is recommended.

Comprehensive cover provides extensive benefits, including full outpatient services such as consultations, diagnostic tests, physiotherapy, and mental health therapies. Our team at WeCovr can assist in understanding the various coverage levels available.

Private health insurance typically does not cover dental treatment. However, WeCovr's experts can guide you to dental insurance policies offered by our partner insurers. Reach out to us to explore these options.

Yes, private health insurance covers cancer treatment from diagnosis through treatment. At WeCovr, we can help you navigate the cancer cover options that suit your needs.

At WeCovr, you have flexibility in adjusting your cover. Speak to our experts within 21 days of receiving your paperwork or at policy renewal to make changes.

Accessing a private GP appointment is fast and convenient with WeCovr's services, available through your digital platform provided under your chosen insurance plan.

Yes, family members on the same policy can potentially have different levels of cover tailored to their individual needs.

WeCovr works with insurers offering a range of cover levels to accommodate different budgets and needs. Our experts can discuss these options with you.

Discovering healthcare facilities and specialists is easy with WeCovr's resources. Contact us for personalised assistance by tapping one of the buttons above or below and filling in a few details for personalised assistance.

Fee-assured consultants provides transparency and no hidden costs for clients.

WeCovr prioritises mental health support with comprehensive coverage and access to specialist advice and services.

Children up to a certain age can be included in your policy, and we offer discounts for family coverage.

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. Connect with our experts by tapping a button below and get your own personalised quote.

Private health insurance offers quicker access to consultations, treatments, and personalised care compared to the NHS.

Yes, WeCovr's experts can guide you which health insurance plans include coverage for physiotherapy treatments.

Immediate access to certain services like our digital GP app is available upon enrolment.

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 new conditions that arise after the policy starts. Pre-existing conditions and certain exclusions may apply.

WeCovr's experts help you arrange health insurance that simplifies access to private healthcare services, including consultations and treatments.

Outpatient cover includes consultations, physiotherapy, and mental health therapies outside hospital admissions.

Yes, you can use your health insurance cover immediately. You have access to a nurse through your helpline and can consult with a GP using the digital GP app. If you need to make a claim right away, we may require a medical 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. Speak to WeCovr's experts or visit your insurer's website for more details on member rewards.

You may continue your cover or get another own personal policy. If you continue your cover, existing or ongoing medical conditions might be covered depending on the level of cover you choose. Contact our friendly experts to discuss your options and find the right option for you.

You can tap one of the buttons above or below and fill in a quick form to arrange a call with us to discuss your options.

Your cover may be similar but not identical. We will help you find the right level of cover that suits your needs, and ongoing medical conditions may be covered. Contact our friendly advisers to explore all available options.

No, the price won't be the same as before since employers often contribute to the cost of employee cover. Additionally, different cover levels and medical histories may affect the price. Contact WeCovr's experts for detailed information.

You have a few weeks or months from leaving your job to decide to continue with your insurer or change to another one. Your policy may start the day after you left your work policy, and our experts can guide you through other available options.

After leaving your job, contact WeCovr's experts with your leave date to discuss available options.

Yes, ongoing treatment may be covered on your new personal policy, although it could affect the price. Contact our experts for personalised advice on your options.

Details on paying excess fees will be provided when you contact your insurer for treatment authorisation.

No, there is no excess fee for utilising these services.

Excess adjustments can be made at specific intervals during your policy term.

No claims discounts can impact renewal costs based on claims history.

Pre-existing conditions typically aren't covered but can be discussed with our healthcare specialists.

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 refer to medical issues existing before policy inception. A pre-existing condition is anything you've previously had medical treatment for, such as diabetes, heart disease, or asthma. Most insurance providers consider any condition you've had symptoms or treatment for in the past five years as pre-existing. Our experts at WeCovr can help you understand how pre-existing conditions affect your policy options.

While some insurance providers automatically renew your private healthcare cover, it's beneficial to compare policies when yours is about to end. This ensures you're still getting the best deal for the coverage you need. Our experts at WeCovr can assist you in finding the right policy for you.

Typically, you must be over 18 to take out your own policy, but minors can usually be included in a family policy. There may also be an upper age limit for private health insurance, and premiums typically increase with age. Our experts at WeCovr can provide guidance on age-related policy aspects.

Paying for health insurance annually often results in savings compared to monthly payments. However, this depends on your insurance provider. For help determining the most cost-effective option, consider consulting our experts at WeCovr.

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.

If you don't have pre-existing conditions, a medical exam is usually not required. You'll just need to complete a medical history form and select your level of cover. However, if you're older, have a pre-existing condition, or lead an unhealthy lifestyle, a medical exam may be necessary. Our experts at WeCovr can clarify 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. Our experts at WeCovr can help you find policies that offer GP services.

With private health insurance, you can often secure a GP appointment much quicker than with traditional methods, sometimes even on the same day. Our experts at WeCovr can help you find policies that offer quick GP appointment services.

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. Our experts at WeCovr can help you understand the different types of care and find a policy that suits your needs.

Private health insurance covers your medical treatment if you fall ill, while critical illness cover provides additional financial help if you develop one of the critical illnesses listed in the policy, such as covering loss of income if you're unable to work. For assistance in understanding the differences and finding the right coverage, consult our experts at WeCovr.

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. Our experts at WeCovr can guide you in finding the appropriate coverage for your travel needs.

If your employer provides health insurance, it's considered a 'benefit in kind' and is not tax deductible. Your employer should calculate the tax you owe for your health insurance premiums and deduct it from your pay. There are some exceptions for small companies. For more information on tax implications, consider reaching out to our experts at WeCovr.

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. Our experts at WeCovr 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. For help understanding the differences and choosing the right option for you, consult our experts at WeCovr.

Some private health insurance providers offer a no-claims discount, similar to car insurance. Every year you don't make a claim gives you an extra year of no-claims discount, potentially reducing your premium when you renew. Our experts at WeCovr can help you find policies that offer no-claims discounts.

To find the best health insurance for you, compare various 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. Our experts at WeCovr can assist you in evaluating your options and selecting the right coverage for you.

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, you'll need to check the terms of your policy to see whether your insurer requires you to consult with a GP first (most insurers do). Some policies offer a direct booking system without a referral for certain conditions, such as counseling 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 conducted extensive 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 practice privately, so you could potentially see the same consultant regardless of whether you choose private or public healthcare. However, private healthcare typically offers shorter waiting times, guaranteed private rooms, and more relaxed visiting hours. Additionally, you may have 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.

Yes, if you have a health concern and pay for private tests and scans but cannot afford to have private surgery, you should be able to have your test results transferred to an NHS provider for treatment.


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Who Are WeCovr?

WeCovr is an insurance specialist for people valuing their peace of mind and a great service.

👍 WeCovr will help you get your private medical insurance, life insurance, critical illness insurance and others in no time thanks to our wonderful super-friendly experts ready to assist you every step of the way.

Just a quick and simple form and an easy conversation with one of our experts and your valuable insurance policy is in place for that needed peace of mind!

Important Information

Since 2011, WeCovr has helped thousands of individuals, families, and businesses protect what matters most. We make it easy to get quotes for life insurance, critical illness cover, private medical insurance, and a wide range of other insurance types. We also provide embedded insurance solutions tailored for business partners and platforms.

Political And Credit Risks Ltd is a registered company in England and Wales. Company Number: 07691072. Data Protection Register Number: ZA207579. Registered Office: 22-45 Old Castle Street, London, E1 7NY. WeCovr is a trading style of Political And Credit Risks Ltd. Political And Credit Risks Ltd is Authorised and Regulated by the Financial Conduct Authority and is on the Financial Services Register under number 735613.

About WeCovr

WeCovr is your trusted partner for comprehensive insurance solutions. We help families and individuals find the right protection for their needs.