Login

UK Private Healthcare Drain

UK Private Healthcare Drain 2025 | Top Insurance Guides

By 2025, Over 1 in 5 Britons Will Pay for Urgent Private Healthcare Out-of-Pocket Due to NHS Waits, Creating a Staggering £5 Billion+ Annual Financial Burden on Families – Discover How Private Medical Insurance Provides Your Essential Shield

The backbone of British society, our National Health Service (NHS), is facing its most significant challenge to date. Unprecedented demand, a persistent backlog from the pandemic, and systemic pressures have stretched its resources to the limit. The result is a stark reality for millions: agonisingly long waiting lists for essential diagnostics, consultations, and treatments.

Faced with the prospect of waiting months, or even years, in pain and uncertainty, a growing number of Britons are making a difficult choice. They are turning to the private healthcare sector, not as a luxury, but as a necessity. Projections for 2025 paint a sobering picture: more than one in five of us will likely be forced to pay for urgent medical care directly from our own pockets.

This surge in "self-funding" is creating a new national crisis—a silent financial drain on UK families. The collective out-of-pocket spend on private healthcare is on track to exceed a staggering £5 billion per year. This is money diverted from savings, pensions, and family budgets, often leading to significant debt and financial hardship at a time when individuals are at their most vulnerable.

But what if there was a way to bypass the queues and avoid the crippling costs? What if you could secure fast access to leading specialists and state-of-the-art hospitals for a manageable monthly fee?

This is the promise of Private Medical Insurance (PMI). It is not a replacement for the NHS, but an essential shield that works alongside it, protecting both your health and your finances. This definitive guide will explore the seismic shift in UK healthcare, demystify the world of PMI, and show you how to build a robust defence for you and your family.

The Perfect Storm: Understanding the Unprecedented Strain on the NHS

The image of clapping for our carers remains a poignant memory, but the applause has faded to reveal a system under immense and sustained pressure. The current NHS waiting list crisis is not the result of a single issue, but a "perfect storm" of converging factors that have been brewing for years.

1. The Pandemic Backlog: The COVID-19 pandemic forced the NHS to postpone millions of non-urgent appointments and elective surgeries to prioritise critical care. While the service performed heroically, this created a colossal backlog that it is still struggling to clear. england.nhs.uk/statistics/statistical-work-areas/rtt-waiting-times/), the waiting list for consultant-led elective care stands at over 7.5 million, with projections suggesting this number will remain stubbornly high throughout 2025.

2. An Ageing Population: We are living longer, which is a triumph of modern medicine. However, an older population naturally has more complex health needs, requiring more frequent and intensive medical interventions. This demographic shift places a continuous and growing demand on NHS resources, from diagnostics to surgical procedures like hip and knee replacements.

3. Workforce Shortages: The NHS is grappling with significant staffing shortages across the board, from GPs to specialist consultants and nurses. The British Medical Association (BMA) has repeatedly warned of burnout and doctors leaving the profession, exacerbating the delays in treatment and care delivery. A shortage of specialists directly translates to longer waits for appointments and procedures.

4. The Human Cost of Waiting: A statistic on a page does little to convey the daily reality for those on the list. Waiting for treatment means:

  • Living with chronic pain and discomfort.
  • Increased anxiety and deteriorating mental health.
  • The inability to work, leading to loss of income.
  • The risk of a condition worsening, potentially making treatment more complex and recovery longer.

UK NHS Waiting List Snapshot (Projected 2025)

The numbers below illustrate the scale of the challenge. These are not just figures; they represent millions of individual stories of pain, worry, and lives put on hold.

MetricProjected 2025 FigureImplication for Patients
Total Waiting List (England)~7.7 MillionIncreased competition for appointment slots.
Patients Waiting > 52 Weeks~350,000+Over a year of uncertainty and potential pain.
Median Wait for Treatment~15 weeksNearly four months from referral to treatment.
Cancer 62-Day TargetOften MissedCritical delays for urgent cancer diagnosis/treatment.
Common Procedures (e.g., Hip)12-18+ Month WaitsProlonged loss of mobility and quality of life.

Sources: Projections based on trends from NHS England, Office for National Statistics (ONS), and The Health Foundation.

This environment has fundamentally changed the public's relationship with healthcare. The choice is no longer simply between the NHS and private care; for many, it's between waiting in the NHS system or finding a way—any way—to pay for faster treatment.

The Rise of the 'Self-Pay' Patient: A £5 Billion National Gamble

When faced with a 14-month wait for a knee replacement that would allow you to walk without pain, what would you do? For a growing number of people, the answer is to become a 'self-pay' or 'self-funding' patient. This means paying for a medical procedure, consultation, or scan directly out of your own pocket.

While this offers a route to faster treatment, it comes at a tremendous cost. The collective spend is creating a £5 billion+ annual financial burden on the nation's households. This isn't money from the super-rich; it's the life savings, inheritance, and even remortgaged homes of ordinary people—teachers, engineers, retirees, and small business owners.

Get Tailored Quote

The Shocking Cost of Going It Alone

Paying for private treatment is rarely a small expense. A single procedure can wipe out years of savings. The costs are not always transparent and can escalate quickly if complications arise.

Here is a realistic look at the average costs for common self-funded procedures in the UK.

Procedure / ServiceAverage Out-of-Pocket CostPotential Financial Impact
Initial Private Consultation£200 - £400The first of many potential costs.
MRI Scan£400 - £1,500A single diagnostic test can cost a month's rent.
Cataract Surgery (per eye)£2,500 - £4,000A common procedure that can deplete savings.
Hernia Repair£3,000 - £5,000A significant, often unexpected, expense.
Knee Replacement£12,000 - £16,000Equivalent to a new car or a house deposit.
Hip Replacement£13,000 - £17,000A life-changing sum for most families.
Prostate Cancer Treatment£15,000 - £30,000+Costs can spiral rapidly depending on the treatment.

Note: These are guide prices and can vary significantly based on the hospital, consultant, and specific needs of the patient. They often do not include initial consultations or follow-up care.

The Hidden Risks of Self-Funding

The price tag is only part of the story. Opting to self-pay is a gamble with several hidden risks:

  • Unexpected Complications: The initial quote is for a standard procedure. If complications occur, requiring a longer hospital stay, further surgery, or intensive care, the bill can skyrocket without warning.
  • The Full Pathway Cost: A quote for surgery may not include the initial consultant appointment, diagnostic scans (MRI, CT), blood tests, anaesthetist fees, post-operative physiotherapy, and follow-up consultations. The final bill can be thousands of pounds higher than expected.
  • Financial Stress During Recovery: The last thing you need when recovering from surgery is the immense stress of managing a huge bill, chasing invoices, and worrying about debt.

Real-Life Example: Consider Sarah, a 48-year-old graphic designer suffering from debilitating hip pain. The NHS waiting list was 18 months. She used £14,000 of her savings to pay for a private hip replacement. Unfortunately, she developed a post-operative infection requiring another week in hospital and specialist antibiotics. The final bill came to over £19,000, forcing her to take out a high-interest loan.

Sarah's story is becoming increasingly common. But there is a smarter way to prepare for the unexpected.

What is Private Medical Insurance (PMI) and How Does It Work?

Private Medical Insurance (PMI), also known as private health insurance, is a policy you take out to cover the costs of private healthcare for eligible conditions. Instead of facing an unpredictable and potentially ruinous bill, you pay a regular monthly or annual premium.

In essence, PMI is a tool for budgeting for your health. It transforms a potentially catastrophic, unknown cost into a predictable, manageable expense.

The core function of PMI is to provide you with prompt access to private medical treatment for acute conditions that arise after you've taken out your policy.

The PMI Journey: From GP to Treatment

The process is designed to be straightforward and supportive, getting you the care you need quickly.

  1. See Your GP: Your journey typically starts with your NHS GP. If you have a symptom, you consult them as usual. The NHS remains your first port of call.
  2. Get a Referral: If your GP believes you need to see a specialist, they will provide you with an open referral letter.
  3. Contact Your Insurer: You call your PMI provider's dedicated claims line. You'll explain the situation and provide your referral details.
  4. Authorisation is Granted: The insurer will check your policy coverage and authorise the claim. They will provide you with a pre-authorisation number and help you choose a specialist and hospital from their approved network.
  5. Book Your Appointment: You now have the choice and flexibility to book a consultation and any subsequent treatment at a time and place that suits you, often within days or weeks.
  6. Focus on Recovery: The insurer settles the bills directly with the hospital and specialists. You simply focus on getting better. The only cost you may have to pay is any pre-agreed excess on your policy.

This seamless process removes both the long wait and the financial anxiety, allowing you to take control of your healthcare journey.

The Crucial Distinction: Acute vs. Chronic Conditions

This is the single most important concept to understand about Private Medical Insurance in the UK. Failing to grasp this distinction is the source of most misconceptions.

UK Private Medical Insurance is designed exclusively to cover ACUTE conditions.

An acute condition is a disease, illness, or injury that is new, unexpected, likely to respond quickly to treatment, and lead to a full recovery. It has a distinct start and, with the right treatment, a foreseeable end.

Examples of acute conditions covered by PMI:

  • Joint replacements (hips, knees)
  • Hernia repair
  • Cataract surgery
  • Gallstone removal
  • Diagnosing and treating new cancers
  • Appendicitis
  • Broken bones that require surgery

PMI explicitly DOES NOT cover CHRONIC conditions.

A chronic condition is an illness that is long-lasting, often for life. It cannot be 'cured' in the traditional sense and requires ongoing management rather than a one-off treatment.

Examples of chronic conditions NOT covered by PMI:

  • Diabetes
  • Asthma
  • High blood pressure (Hypertension)
  • Crohn's disease
  • Eczema
  • Multiple Sclerosis

The NHS is, and will remain, the expert provider for the long-term management of chronic conditions. PMI is not designed to replace this vital role; it is designed to complement it by stepping in to fix acute problems quickly.

What About Pre-existing Conditions?

Similarly, PMI policies generally exclude pre-existing conditions. This refers to any illness, disease, or injury for which you have had symptoms, medication, or advice in a set period (usually 2-5 years) before your policy began.

This is a fundamental principle of insurance. Insuring a pre-existing condition would be like buying car insurance after you've had an accident.

There are two main ways insurers handle this, known as underwriting:

Underwriting TypeHow It WorksBest For
Moratorium (Mori)Simpler application with no initial medical questionnaire. The policy automatically excludes conditions you've had in the last 5 years. However, if you remain symptom-free and treatment-free for that condition for a continuous 2-year period after your policy starts, it may become eligible for cover.People with no recent medical issues who want a quick and simple application process.
Full Medical Underwriting (FMU)You complete a detailed health questionnaire at the start. The insurer reviews your medical history and explicitly lists any conditions that will be permanently excluded from your policy. You know exactly what is and isn't covered from day one.People with a more complex medical history who want absolute clarity on their cover from the outset.

Understanding these rules is key. PMI is your shield for the future, protecting you against new, curable health problems that could otherwise force you onto a long waiting list or into financial hardship.

The Tangible Benefits of PMI: Your Shield Against the Unexpected

Investing in a PMI policy unlocks a range of powerful benefits that go far beyond just "skipping the queue." It provides a comprehensive shield that protects your health, your time, your finances, and your peace of mind.

  • Rapid Access to Diagnosis and Treatment: This is the primary driver for most people. Instead of waiting months for a scan or over a year for surgery, PMI policyholders can often be seen by a specialist in days and receive treatment within weeks. This speed can reduce anxiety, prevent a condition from worsening, and lead to a quicker recovery.

  • Choice and Control: PMI puts you back in the driver's seat. You have a choice of leading specialists and consultants, allowing you to select a doctor based on their reputation and expertise. You can also choose from a nationwide network of high-quality private hospitals and schedule appointments at times that fit around your work and family life.

  • Superior Comfort and Privacy: Recovery is a vital part of treatment. Private hospitals typically offer a more comfortable environment, with private en-suite rooms, better food, and more flexible visiting hours. This privacy and comfort can significantly aid the healing process.

  • Access to Specialist Drugs and Therapies: The NHS operates under strict budgetary controls set by the National Institute for Health and Care Excellence (NICE). This can sometimes mean that the very latest drugs, treatments, or surgical techniques are not yet available. Many comprehensive PMI policies provide cover for treatments that are proven but not yet funded on the NHS, giving you access to cutting-edge medical care.

  • Enhanced Mental Health Support: Many modern PMI policies recognise the deep link between physical and mental well-being. They offer extensive mental health cover, providing fast access to therapists, psychologists, and psychiatrists, bypassing long NHS waiting lists for services like CBT (Cognitive Behavioural Therapy).

  • Peace of Mind: Perhaps the most undervalued benefit is the profound sense of security. Knowing that if you or a family member falls ill, you have a plan in place to get fast, high-quality care without devastating your finances is priceless. It removes a major source of potential life stress.

The Waiting Game: NHS vs. PMI

The difference in waiting times can be stark, directly impacting your quality of life and ability to work.

Procedure/ServiceTypical NHS Wait (from GP referral)Typical PMI Wait (from GP referral)
MRI/CT Scan4 - 10 weeks3 - 7 days
Specialist Consultation3 - 6 months1 - 2 weeks
Cataract Surgery6 - 9 months3 - 6 weeks
Hip/Knee Replacement12 - 18+ months4 - 8 weeks
Mental Health Therapy (IAPT)3 - 12+ months1 - 3 weeks

Note: NHS waits are highly variable by region and trust. PMI waits depend on the specific claim and consultant availability but are consistently faster.

Tailoring Your Policy: Understanding Your Options and Costs

A common myth is that Private Medical Insurance is prohibitively expensive. In reality, modern policies are highly flexible and can be tailored to suit a wide range of budgets. You are in control of the key levers that determine your premium.

The cost of your policy is influenced by several factors:

  • Your Age and Health: Premiums are lower for younger individuals and will increase with age. Being a smoker will also significantly increase the cost.
  • Your Location: Healthcare costs are higher in major cities, so a policy with access to central London hospitals will be more expensive than one covering hospitals elsewhere.
  • Level of Cover: This is the biggest factor you can control. You can choose from basic cover to a fully comprehensive plan.
  • Your Excess: This is the amount you agree to pay towards the cost of any claim. Choosing a higher excess (e.g., £250 or £500) will lower your monthly premium.
  • Hospital List: Insurers offer different tiers of hospitals. A policy covering a limited local network of hospitals will be cheaper than one with a full nationwide list.
  • No-Claims Discount: Similar to car insurance, you build up a discount for every year you don't make a claim, making your policy more affordable over time.

Levels of PMI Cover Explained

You can typically choose between three main tiers of cover to balance protection with your budget.

Level of CoverWhat It Typically IncludesIdeal For
Basic / In-patient OnlyCovers the major costs associated with a hospital stay: surgery, accommodation, nursing care, anaesthetist fees. Does not cover out-patient diagnostics or consultations.Those on a tight budget who want protection against the high cost of surgery and major treatments.
Mid-Range / Core CoverIncludes all in-patient cover plus a set limit for out-patient services. This covers the initial specialist consultations and diagnostic tests needed to determine if surgery is required.A good balance of comprehensive cover and affordability. The most popular choice for individuals and families.
ComprehensiveCovers in-patient and extensive out-patient care with high or unlimited financial limits. Often includes add-ons like therapies (physio, osteopathy), mental health support, and alternative medicines.Those who want the highest level of protection and peace of mind, with cover for the full patient journey from diagnosis to recovery.

You can also enhance your policy with optional add-ons, such as dental and optical cover, travel insurance, and wider mental health pathways.

How to Find the Right Policy: The Value of an Expert Broker

The UK PMI market is vast and complex. With dozens of insurers, each offering multiple policy variations, complex jargon, and different hospital lists, trying to find the right cover on your own can be overwhelming and risky.

This is where an independent, specialist health insurance broker becomes an invaluable partner.

A good broker doesn't just 'sell' you a policy. They act as your expert guide, helping you understand your needs and matching them to the most suitable product on the market.

At WeCovr, we navigate this complexity for you. Our experts compare plans from all the major UK insurers, including Bupa, AXA Health, Aviva, and Vitality, as well as specialist providers. We do the hard work of analysing the small print so you don't have to.

The benefits of using an expert broker like us include:

  • Whole-of-Market Advice: We are not tied to any single insurer, meaning our advice is completely impartial and focused on your best interests.
  • Tailored Recommendations: We take the time to understand your personal circumstances, health needs, and budget to recommend a policy that truly fits.
  • Clarity and Simplicity: We explain the options in plain English, cutting through the jargon to ensure you know exactly what you are buying.
  • No Extra Cost: Our service is free to you. We are paid a commission by the insurer you choose, which is already built into the premium. You pay the same price, or often less, than going direct.
  • Ongoing Support: Our relationship doesn't end once you buy a policy. We are here to help with claims, renewals, and any questions you have throughout the life of your policy.

We believe in proactive health, not just reactive care. That’s why, in addition to finding you the perfect policy, all our customers receive complimentary access to CalorieHero, our proprietary AI-powered nutrition app, helping you stay on top of your wellness goals. It's part of the comprehensive support we offer at WeCovr.

Real-Life Scenarios: How PMI Protects Families

The true value of PMI becomes clear when you see how it works in real-world situations.

Scenario 1: The Self-Employed Plumber Mark, 45, is a self-employed plumber. He injures his shoulder, and his GP suspects a torn rotator cuff. The NHS wait for an MRI is 8 weeks, and the potential wait for surgery is over a year. For Mark, not being able to lift his arm means no work and no income.

  • With PMI: Mark calls his insurer. He gets an MRI scan within 4 days, confirming the tear. A private surgical consultation is booked for the following week. Surgery is scheduled for two weeks later. After a course of private physiotherapy (also covered), he is back to work within three months. His PMI policy cost him £65 a month. The total cost of his treatment, paid by the insurer, was over £8,000. His business and income were protected.

Scenario 2: The Worried Parents The parents of 7-year-old Chloe are concerned about her recurring tonsillitis. Their GP refers them to an Ear, Nose, and Throat (ENT) specialist, but the NHS waiting list is 9 months long. Chloe is missing school and is frequently unwell.

  • With PMI (Family Policy): Her parents call their insurer. They see a private ENT specialist in a week. The specialist recommends a tonsillectomy. The procedure is carried out three weeks later in a private hospital with a dedicated children's ward. Chloe recovers quickly, and her parents' anxiety is relieved.

Scenario 3: The Active Retiree Brenda, 68, loves walking and gardening, but severe arthritis in her hip is making her immobile. Her quality of life is plummeting. She is told the NHS wait for a hip replacement is 16 months. She has savings but is worried about using them for surgery in case she needs them for future care costs.

  • With PMI: Brenda has had PMI for several years. Her policy covers the full cost of the £15,000 operation. She chooses a top-rated local surgeon and has the operation within six weeks. She recovers in a comfortable private room and is back in her garden in a few months, her savings untouched and her active retirement preserved.

Frequently Asked Questions (FAQ)

Q1: Is Private Medical Insurance worth the cost? For a growing number of people, yes. When you compare a manageable monthly premium (e.g., £50-£100) against a potential one-off, out-of-pocket cost of £15,000 for a major operation, PMI acts as a vital financial buffer. It's an investment in prompt treatment, which can protect your income, quality of life, and mental well-being.

Q2: If I have PMI, do I still need the NHS? Absolutely. PMI is not a replacement for the NHS. You will still rely on the NHS for A&E services, GP appointments, management of chronic conditions, and maternity care. PMI and the NHS work in partnership to provide you with comprehensive health coverage.

Q3: Can I get cover for my whole family? Yes. Insurers offer family policies that can cover you, your partner, and your children, often at a discounted rate compared to individual policies. This ensures your loved ones have the same level of protection.

Q4: What is a '6-week option'? This is a popular way to reduce your premium. A 6-week option means that if the NHS can provide the in-patient treatment you need within six weeks of when it is required, you will use the NHS. If the NHS wait is longer than six weeks, your private medical insurance policy will kick in and cover the treatment privately.

Q5: What happens if I need treatment for a condition that's excluded from my policy? If you need care for an excluded pre-existing or chronic condition, you would simply receive that care through the NHS as normal. Your PMI policy remains in place to protect you against new, eligible acute conditions.

Your Health, Your Choice, Your Shield

The landscape of UK healthcare is changing. While the NHS remains a cherished institution, the reality of long waiting lists means that relying on it solely for elective care comes with significant risks—to your health, your well-being, and your financial stability.

The rise of the self-pay patient is a testament to this pressure, pushing families into a £5 billion gamble they cannot afford to lose.

Private Medical Insurance offers a proactive, affordable, and intelligent alternative. It is the essential shield that empowers you to bypass the queues, access the best possible care quickly, and protect your family's finances from the shock of an unexpected medical bill. It's about taking control, ensuring continuity for your life and work, and securing priceless peace of mind.

Don't wait for a health scare to become a financial crisis. Take control today. Contact the expert team at WeCovr for a free, no-obligation quote and discover how affordable your peace of mind can be.


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:

Our Group Is Proud To Have Issued 800,000+ Policies!

We've established collaboration agreements with leading insurance groups to create tailored coverage
Working with leading UK insurers
Allianz Logo
Ageas Logo
Covea Logo
AIG Logo
Zurich Logo
BUPA Logo
Aviva Logo
Axa Logo
Vitality Logo
Exeter Logo
WPA Logo
National Friendly Logo
General & Medical Logo
Legal & General Logo
ARAG Logo
Scottish Widows Logo
Metlife Logo
HSBC Logo
Guardian Logo
Royal London Logo
Cigna Logo
NIG Logo
CanadaLife Logo
TMHCC Logo

How It Works

1. Complete a brief form
Complete a brief form
2. Our experts analyse your information and find you best quotes
Experts discuss your quotes
3. Enjoy your protection!
Enjoy your protection

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.


Learn more


...

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.