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UK Self Funded Healthcare Shock

As an insurance broker that has helped arrange over 1,000,000 policies, WeCovr is at the forefront of the UK private medical insurance market. This article unpacks a developing crisis in UK healthcare, revealing why millions are turning to self-funding and how PMI offers a secure alternative.

Last updated Oct 7, 2026

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TL;DR

As an insurance broker that has helped arrange over 1,000,000 policies, WeCovr is at the forefront of the UK private medical insurance market. This article unpacks a developing crisis in UK healthcare, revealing why millions are turning to self-funding and how PMI offers a secure alternative.

Key takeaways

  • The 18-Week Target: The NHS constitution sets a target that over 92% of patients should wait no more than 18 weeks from GP referral to treatment. In reality, this target has not been met since 2016. The current figure hovers around 57-60%.
  • The Longest Waits: Worse still, hundreds of thousands of people have been waiting for over a year (52 weeks) for treatment, with some waiting even longer.
  • Pre-existing Conditions: Any medical condition you have had symptoms of, or received treatment for, before taking out the policy. Some policies may cover them after a set period (usually two years) if you remain symptom-free.
  • Chronic Conditions: Long-term conditions that cannot be cured, only managed. This includes diabetes, high blood pressure, asthma, and arthritis. The NHS remains the primary provider for managing these conditions.
  • Emergency Care: A&E services are provided by the NHS.

As an insurance broker that has helped arrange over 1,000,000 policies, WeCovr is at the forefront of the UK private medical insurance market. This article unpacks a developing crisis in UK healthcare, revealing why millions are turning to self-funding and how PMI offers a secure alternative.

UK Self Funded Healthcare Shock

A seismic shift is underway in how Britons manage their health. Faced with unprecedented NHS waiting lists, a silent but significant portion of the population is making a difficult choice: wait in pain or pay out-of-pocket for private treatment. New analysis for 2025 indicates that over a third of UK adults are now forced to self-fund some form of private healthcare each year, from consultations and diagnostics to major surgery.

This trend isn't just about skipping a queue; it's creating a parallel system of healthcare funded by life savings, credit cards, and remortgaged homes. The cumulative effect is a potential lifetime financial burden exceeding £3.5 million for a typical family, a staggering figure that threatens not just health outcomes but the very foundations of financial security for generations.

This article unpacks this hidden crisis. We will explore the data, reveal the true costs of self-funding, and present Private Medical Insurance (PMI) as the strategic, affordable, and proactive solution to safeguard your health and your wealth.


The Unseen Crisis: Deconstructing the Lifetime Healthcare Burden

The headline figure of a £3.5 million+ lifetime burden may seem abstract, but it is rooted in the harsh reality of escalating private medical costs and the knock-on effects of health-related financial shocks. This isn't about a single catastrophic bill; it's about a lifetime of smaller, unplanned expenses that erode wealth, derail retirement plans, and impact your family's future. (illustrative estimate)

How does this figure accumulate? Consider a typical family's journey over several decades:

  1. Minor Procedures & Diagnostics: A diagnostic MRI scan for a persistent back problem (£500-£1,000), a consultation with a specialist for a skin condition (£250-£400), physiotherapy sessions after a sports injury (£60 per session). These "small" costs add up quickly.
  2. Common Surgeries: As we age, the need for procedures like hip replacements, knee replacements, or cataract surgery becomes more common. A single private hip replacement can cost upwards of £15,000.
  3. Lost Income: A prolonged wait for NHS treatment isn't just a health issue; it's an economic one. Being unable to work due to pain or immobility can lead to significant lost earnings, especially for the self-employed or those in physically demanding jobs.
  4. Compounded Impact: An initial £10,000 spent on a procedure is not just £10,000 lost. It's £10,000 that is no longer in your pension pot, no longer earning interest, and no longer available for your children's education or a house deposit. Over 30-40 years, the opportunity cost is immense.

Let's look at a plausible scenario for how these costs can build up over a lifetime for a family.

Table: Illustrative Lifetime Self-Funded Healthcare Costs for a Family

Age BracketPotential Health Events & Costs (Illustrative)Lost Income & Opportunity Cost (Estimated)Cumulative Total
30s-40sDiagnostics (MRIs, Scans): £2,500
Minor procedures (e.g., hernia repair): £4,000
Physiotherapy/Chiropractic: £1,500
Lost earnings during recovery: £5,000
Pension contribution loss: £10,000
£23,000
50s-60sJoint replacement (e.g., knee): £16,000
Cataract surgery (both eyes): £5,000
Cardiology consultations: £3,000
Extended time off work: £15,000
Depleted savings impact: £50,000
£112,000
70s+Second joint replacement (e.g., hip): £15,000
Spinal surgery consultation & treatment: £12,000
Ongoing private care needs: £8,000
Impact on retirement fund: £100,000+
(Funds used for care instead of growth)
£247,000+

Disclaimer: This table is for illustrative purposes only. Costs are estimates based on typical 2024/2025 private UK hospital charges. The "£3.5 Million+" figure from the headline represents a maximum potential burden when considering multiple family members over a lifetime, severe conditions, the use of high-cost cancer drugs, and the profound, compounded loss of investment growth and earnings over 40+ years.

This is the spiralling cost of reactive healthcare. Private Medical Insurance is the tool designed to turn this unpredictable, escalating burden into a manageable, predictable monthly premium.


Why Are So Many Britons Turning to Self-Funding?

The primary driver behind this healthcare exodus is the immense pressure on the NHS. While it remains a cherished institution providing excellent emergency and critical care, its capacity for elective (planned) treatments is severely strained.

According to the latest NHS England data (mid-2024), the referral to treatment (RTT) waiting list stands at a staggering 7.54 million cases. This means millions of people are waiting for consultations and procedures.

  • The 18-Week Target: The NHS constitution sets a target that over 92% of patients should wait no more than 18 weeks from GP referral to treatment. In reality, this target has not been met since 2016. The current figure hovers around 57-60%.
  • The Longest Waits: Worse still, hundreds of thousands of people have been waiting for over a year (52 weeks) for treatment, with some waiting even longer.

For someone suffering from debilitating joint pain, deteriorating vision from cataracts, or the anxiety of an undiagnosed lump, a wait of months or even years is not a viable option. It affects their ability to work, care for family, and enjoy life. This is the moment they dip into their savings and join the growing ranks of the "self-funded."


The Proactive Alternative: How Private Medical Insurance (PMI) Works

Private Medical Insurance, also known as private health cover, is an insurance policy that pays for the cost of private healthcare for acute conditions that arise after your policy begins.

Think of it like car insurance for your body. You pay a monthly or annual premium. If you develop a new medical condition that needs treatment, instead of joining a long NHS queue, you can be diagnosed and treated quickly in a private hospital.

Crucially, it is vital to understand what PMI does not cover:

  • Pre-existing Conditions: Any medical condition you have had symptoms of, or received treatment for, before taking out the policy. Some policies may cover them after a set period (usually two years) if you remain symptom-free.
  • Chronic Conditions: Long-term conditions that cannot be cured, only managed. This includes diabetes, high blood pressure, asthma, and arthritis. The NHS remains the primary provider for managing these conditions.
  • Emergency Care: A&E services are provided by the NHS.
  • Normal Pregnancy: Routine maternity care is an NHS service.

PMI is designed specifically to tackle the exact problem pushing people to self-fund: getting faster access, where available, to treatment for new, curable medical issues.

A Typical PMI Journey

  1. You feel unwell. You visit your NHS GP as normal.
  2. GP Referral. Your GP recommends you see a specialist for diagnosis or treatment.
  3. Contact Your Insurer. You call your PMI provider and give them the details of the referral.
  4. Authorisation. The insurer confirms your condition may be covered and authorises the claim.
  5. Choose Your Specialist. You get access to a network of private specialists and hospitals, often with the flexibility to choose who you see and where.
  6. Rapid Treatment. You are diagnosed and treated quickly, in a private room with en-suite facilities.
  7. Bills Are Paid. The insurer settles the bills directly with the hospital and specialists. You simply focus on getting better.

Decoding Your PMI Policy: Core Cover vs. Optional Extras

Not all private medical insurance UK policies are the same. They are built around a core offering with optional extras, allowing you to tailor the cover to your needs and budget. A specialist at WeCovr or one of our broker partners can help you navigate these options to find the perfect balance.

Coverage TypeWhat It Typically IncludesIs It Worth It?
Core Cover (Standard)In-patient and Day-patient Treatment: Costs for surgery, hospital beds, nursing care, specialist fees, and drugs when you are admitted to hospital.Essential. This is the foundation of any PMI policy and protects against the largest medical bills, such as the cost of an operation.
Optional: Out-patient CoverDiagnostics & Consultations: Specialist consultations, diagnostic tests (like MRI, CT, PET scans), and X-rays that don't require a hospital stay.Highly Recommended. This is key to getting a fast diagnosis. Without it, you may still rely on the NHS for initial tests, which can involve long waits.
Optional: TherapiesPhysiotherapy, Osteopathy, Chiropractic: A set number of sessions to aid recovery after an injury or operation.Very Useful. Especially for those with active lifestyles or jobs that are physically demanding. Speeds up recovery and return to work.
Optional: Mental Health CoverAccess to Psychiatrists & Therapists: Covers consultations and treatment for mental health conditions.Increasingly Important. Provides fast access to vital support, bypassing long waiting lists for services like CBT or counselling.
Optional: Dental & OpticalRoutine Check-ups, Treatment & Glasses: A cashback benefit towards your regular dental and optical bills.A 'Nice-to-Have'. Can be cost-effective if you have significant dental or optical needs, but less critical than core medical cover.

Beyond Treatment: The Wellness Revolution in PMI

Modern private health cover is about more than just reacting to illness; it's about proactively supporting your well-being. Many well-known insurers now include a wealth of benefits designed to help you stay healthy.

  • 24/7 Virtual GP: Speak to a GP by phone or video call anytime, anywhere. Perfect for getting quick advice, prescriptions, or referrals with potentially shorter waits for an NHS appointment.
  • Wellness Programmes: Get rewarded for being healthy. Insurers like Vitality offer discounts on gym memberships, fitness trackers, and even healthy food, incentivising an active lifestyle.
  • Mental Health Support: Access to telephone helplines, online therapy courses, and stress-management resources is often included as standard.
  • Nutrition and Health Advice: Many policies provide access to regulated guidance on diet, exercise, and healthy living.

As a WeCovr client, you also get complimentary access to our partner AI-powered calorie and nutrition tracking app, CalorieHero, to help you take control of your diet. Furthermore, clients who purchase PMI or Life Insurance through us can receive exclusive discounts on other policies, such as home or travel insurance, creating a holistic shield of protection.


The WeCovr Advantage: Your Expert PMI Broker

Choosing the right private medical insurance can feel overwhelming. With dozens of providers and countless policy options, it's hard to know where to start. This is where a regulated, specialist at WeCovr or one of our broker partners becomes your most valuable asset.

  • We Work For You, Not the Insurer: Our loyalty is to you, our client. We are FCA-authorised and committed to finding the policy that suits your needs and budget.
  • Market-Wide Comparison: We compare plans from all the UK's well-known providers, including Axa, Aviva, Bupa, The Exeter, and Vitality, saving you hours of research.
  • Expert, Jargon-Free Advice: We explain the difference between moratorium and full medical underwriting, what an excess is, and which hospital list is right for you.
  • No Separate Broker Fee: Our service has no separate broker fee. We receive a commission from the insurer you choose, so you get regulated guidance without paying a penny extra.
  • High Customer Satisfaction: Our clients consistently rate our service highly, praising our friendly, professional, and knowledgeable team.

The Ultimate Shield: Understanding LCIIP for Total Prosperity

The shock of a health crisis extends beyond medical bills. It can jeopardise your income, your home, and your family's entire financial future. The ultimate strategy for security is not just PMI, but a Lifetime Comprehensive Income & Illness Protection (LCIIP) plan.

This isn't a single product, but a strategic combination of insurances that create a safety net around your life:

  1. Private Medical Insurance (PMI): To cover the cost of treatment and get you back on your feet quickly.
  2. Income Protection: To replace a portion of your salary if you're unable to work due to any illness or injury. This pays the mortgage and bills while you recover.
  3. Critical Illness Cover: To pay out a potentially tax-efficient lump sum if you are diagnosed with a specific serious illness (like some cancers, heart attack, or stroke). This gives you financial breathing room to make life adjustments.

A specialist at WeCovr or one of our broker partners can provide regulated guidance on how to structure this protective shield, ensuring all your bases may be covered. This is the pathway from reactive, anxious self-funding to proactive, confident well-being.


Do I still need the NHS if I have private medical insurance?

Absolutely. Private medical insurance is designed to work alongside the NHS, not replace it. The NHS will still provide care for emergencies (A&E), managing chronic long-term conditions like diabetes or asthma, and routine GP services. Your PMI policy gives you a choice for planned, acute treatments, allowing you to reduce waiting times compared with NHS lists (subject to policy terms) for eligible conditions. You can learn more about how they work together at

What is moratorium underwriting and is it better?

Moratorium underwriting is one of the most common ways to get a PMI policy. With a moratorium, you do not have to declare your full medical history upfront. Instead, the insurer automatically excludes any condition you've had symptoms of, or treatment for, in the five years before your policy starts. However, if you then go two full, consecutive years on the policy without any symptoms, advice, or treatment for that condition, it may become eligible for cover. It's often quicker to set up than 'Full Medical Underwriting', which requires a detailed health questionnaire. An expert broker can advise which is best for your circumstances. For more details on consumer rights in insurance, see the FCA guidance at

How much does private health cover cost in the UK?

The cost of a private medical insurance UK policy varies significantly based on several factors: your age, your location, your smoking status, the level of cover you choose (e.g., adding out-patient or therapy cover), and the excess you agree to pay. A basic policy for a healthy 30-year-old might start from as little as £30 per month, while comprehensive cover for a 55-year-old could be £100 per month or more. One effective way to get an accurate figure is to get a personalised quote that reflects your specific needs.

Don't let the fear of NHS delays force you into a future of financial uncertainty. Take control of your health and protect your prosperity.

Contact WeCovr today for a free, no-obligation quote. Our expert advisors will compare the insurers on our UK panel to find suitable private health cover for you, securing your peace of mind.

Sources

  • NHS England: Waiting times and referral-to-treatment statistics.
  • Office for National Statistics (ONS): Health, mortality, and workforce data.
  • NICE: Clinical guidance and technology appraisals.
  • Care Quality Commission (CQC): Provider quality and inspection reports.
  • UK Health Security Agency (UKHSA): Public health surveillance reports.
  • Association of British Insurers (ABI): Health and protection market publications.

Important Information and Risks

No advice: This article is for general information only. It is not financial, legal, insurance, or tax advice, and it is not a personal recommendation. WeCovr does not assess your individual circumstances or recommend a specific product through this article.

Policy exclusions and underwriting: Insurance policies, including life insurance, private medical insurance, critical illness cover, and income protection, are subject to insurer underwriting, eligibility, acceptance criteria, terms, conditions, limits, and exclusions. Pre-existing medical conditions may be excluded, restricted, or accepted on special terms unless an insurer confirms otherwise in writing.

Tax treatment: References to tax treatment, HMRC rules, or business reliefs are based on current UK legislation and guidance, which can change. Tax treatment depends on your personal or business circumstances and may differ from examples in this article.

Before you buy: Always read the Insurance Product Information Document (IPID), policy summary, and full policy terms before buying, renewing, changing, or keeping cover. If you are unsure whether a policy is suitable for you, speak to an insurance adviser.

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Why private medical insurance and how does it work?

What is Private Medical Insurance?

Private medical insurance (PMI) is a type of health insurance that provides access to private healthcare services in the UK. It covers the cost of private medical treatment, allowing you to bypass NHS waiting lists and receive faster, more convenient care.

How does it work?

Private medical insurance works by paying for your private healthcare costs. When you need treatment, you can choose to go private and your insurance will cover the costs, subject to your policy terms and conditions. This can include:

• Private consultations with specialists
• Private hospital treatment and surgery
• Diagnostic tests and scans
• Physiotherapy and rehabilitation
• Mental health treatment

Your premium depends on factors like your age, health, occupation, and the level of cover you choose. Most policies offer different levels of cover, from basic to comprehensive, allowing you to tailor the policy to your needs and budget.

Questions to ask yourself regarding private medical insurance

Just ask yourself:
👉 Are you concerned about NHS waiting times for treatment?
👉 Would you prefer to choose your own consultant and hospital?
👉 Do you want faster access to diagnostic tests and scans?
👉 Would you like private hospital accommodation and better food?
👉 Do you want to avoid the stress of NHS waiting lists?

Many people don't realise that private medical insurance is more affordable than they think, especially when you consider the value of faster treatment and better facilities. A great insurance policy can provide peace of mind and ensure you receive the care you need when you need it.

Benefits offered by private medical insurance

Private medical insurance provides numerous benefits that can significantly improve your healthcare experience and outcomes:

Faster Access to Treatment
One of the biggest advantages is avoiding NHS waiting lists. While the NHS provides excellent care, waiting times can be lengthy. With private medical insurance, you can often receive treatment within days or weeks rather than months.

Choice of Consultant and Hospital
You can choose your preferred consultant and hospital, giving you more control over your healthcare journey. This is particularly important for complex treatments where you want a specific specialist.

Better Facilities and Accommodation
Private hospitals typically offer superior facilities, including private rooms, better food, and more comfortable surroundings. This can make your recovery more pleasant and potentially faster.

Advanced Treatments
Private medical insurance often covers treatments and medications not available on the NHS, giving you access to the latest medical advances and technologies.

Mental Health Support
Many policies include comprehensive mental health coverage, providing faster access to therapy and psychiatric care when needed.

Tax Benefits for Business Owners
If you're self-employed or a business owner, private medical insurance premiums can be tax-deductible, making it a cost-effective way to protect your health and your business.

Peace of Mind
Knowing you have access to private healthcare when you need it provides invaluable peace of mind, especially for those with ongoing health conditions or concerns about NHS capacity.

Private medical insurance is particularly valuable for those who want to take control of their healthcare journey and ensure they receive the best possible treatment when they need it most.

Important Fact!

There is no need to wait until the renewal of your current policy.
We can look at a more suitable option mid-term!

Why is it important to get private medical insurance early?

👉 Many people are very thankful that they had their private medical insurance cover in place before running into some serious health issues. Private medical insurance is as important as life insurance for protecting your family's finances.

👉 We insure our cars, houses, and even our phones! Yet our health is the most precious thing we have.

Easily one of the most important insurance purchases an individual or family can make in their lifetime, the decision to buy private medical insurance can be made much simpler with the help of experienced advisers. They are the specialists who do the searching and analysis helping people choose between various types of private medical insurance policies available in the market, including different levels of cover and policy types most suitable to the client's individual circumstances.

It certainly won't do any harm if you speak with one of our experienced insurance experts who are passionate about advising people on financial matters related to private medical insurance and are keen to provide you with a free consultation.

You can discuss with them in detail what affordable private medical insurance plan for the necessary peace of mind they would recommend! WeCovr works with some of the best advisers in the market.

By tapping the button below, you can book a free call with them in less than 30 seconds right now:

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Life Insurance and Private Medical Insurance cover you for two different purposes, so you will need to assess your needs but may wish to consider holding the two policies. Private Medical Insurance covers you if you get sick or need treatment and want or need to go privately. Life Insurance covers you in the case of death, giving a payout to family/those left behind.

Private medical insurance is designed for conditions that start after your policy begins, so pre-existing conditions are usually excluded, at least at first. With moratorium underwriting, a pre-existing condition may become eligible for cover once you have gone two continuous years on the policy without symptoms, treatment or advice for it. With full medical underwriting, the insurer tells you upfront which conditions are excluded. If you are switching from another policy or leaving a company scheme, you may be able to keep your existing underwriting terms, and some larger company schemes use Medical History Disregarded underwriting, where pre-existing conditions aren't excluded. Chronic conditions that need long-term management aren't covered by standard policies.

If you prefer to get straight into treatment in the private sector without the long waiting times with the NHS, or you just prefer the private sector anyway, without having to pay it all yourself, then you would need to have Private Medical Insurance to cover it. Some policies can also cover treatments and drugs that aren't routinely available on the NHS.

There's no fee to get quotes through WeCovr. WeCovr and its broker partners are typically paid a commission by the insurer when you take out a policy. The cost of the policy itself depends on your age, where you live, the cover you choose and your excess.

It depends on your personal choice and preferences. If you are prepared to limit yourself to NHS-covered treatments only and can or want to endure long waiting times to get into treatment, then yes, NHS might work for you. Your cover there is free. If you don't want to be exposed to long waiting times or if your treatment is not covered by the NHS, then you may benefit from Private Medical Insurance.

Private Medical Insurance is an important financial product, and policies differ in ways that matter. Speaking to a specialist at WeCovr or one of its broker partners helps make sure your requirements are understood so you can choose the right cover.

WeCovr's broker partners are firms authorised and regulated by the Financial Conduct Authority (FCA), which requires them to treat customers fairly. You can check any firm on the FCA Register.

WeCovr and its broker partners are typically paid a commission by the insurer when a policy is taken out. The premium is set by the insurer, and you don't pay a separate fee for using the service. You can ask about the commission at any time.

The cost of private health insurance depends on several factors, including your age, location, smoking status, and the type of policy you choose. Your health insurance policy is tailored to your needs, and the cost can vary based on the level of cover you require, such as the amount of excess and specific treatment allowances.

Private health insurance covers eligible conditions that arise after your policy begins. You pay a monthly or annual premium and can claim for private healthcare covered by your policy. Benefits can include quicker access to treatment than on the NHS and, on some policies, access to drugs or treatments that aren't routinely available on the NHS.

Most health insurance covers private hospital stays and may include outpatient treatments like scans, tests, or appointments. Policies vary in coverage, and exclusions often include emergency treatment, maternity care, cosmetic surgery, chronic conditions and conditions present before the policy started.

Usually not on a new personal policy: pre-existing conditions are generally excluded, whatever the premium. Depending on your underwriting, a condition may become eligible later, and if you are switching policies or leaving a company scheme you may be able to keep existing terms. If you have questions about what is covered, contact WeCovr and a specialist at WeCovr or one of its broker partners can explain the options.

Your health insurance policy begins once you've selected your policy and set up your payment. After setup, you'll receive your cover documents detailing what is and isn't covered. It's important to review these details carefully as policies differ.

An excess is the amount you contribute towards treatment when you make a claim. Choosing a higher excess can reduce your policy's monthly cost but requires a larger contribution when claiming. Depending on the insurer, it applies once per policy year or once per claim. A specialist at WeCovr or one of its broker partners can explain the excess options available.

To reduce health insurance costs, consider choosing a higher excess, which lowers the monthly premium. However, ensure the plan still meets your needs. Other factors affecting cost include lifestyle choices like smoking and potential savings for couples or family plans.

Some insurers have an upper age limit for new customers, while others don't, and age affects the price. Many insurers will renew an existing policy regardless of age. A specialist at WeCovr or one of its broker partners can help you find insurers that accept your age.

A specialist at WeCovr or one of its broker partners can compare health insurance plans from a range of insurers for you, with no fee to you. Consider individual, couple, or family plans and review coverage details thoroughly before choosing.

Usually, yes. Many insurers let you add a partner or dependent children, either at any time or at renewal, depending on the insurer. The cost depends on factors like their age, where you live and the cover you choose. Contact WeCovr or your insurer for help adding someone to your policy.

UK private medical insurance is designed for treatment in the UK, although some policies include limited cover abroad. If you live or work abroad, international health insurance may be more suitable, and WeCovr or one of its broker partners can help you compare options. For holidays, travel insurance is recommended.

Comprehensive cover usually includes more extensive benefits, such as fuller outpatient cover for consultations, diagnostic tests, physiotherapy and mental health therapies, within the policy limits. A specialist at WeCovr or one of its broker partners can explain the different levels of cover.

Private health insurance typically does not cover routine dental treatment, although some insurers offer a dental option and there are standalone dental policies. A specialist at WeCovr or one of its broker partners can help you compare policies with dental options.

Most private medical insurance policies include cover for cancer diagnosed after the policy starts, but the level of cover varies: some policies limit drugs, treatment time or cost. A specialist at WeCovr or one of its broker partners can help you compare cancer cover between policies.

You can usually change your cover at renewal, and some insurers allow changes during the year. You also have a 14-day cooling-off period after receiving your policy documents, during which you can cancel. A specialist at WeCovr or one of its broker partners can help with changes.

Many policies include a digital GP service provided by the insurer, often with same-day or next-day appointments. Check what your policy includes.

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

Yes. Insurers offer a range of cover levels to suit different budgets and needs, and a specialist at WeCovr or one of its broker partners can talk you through the options.

Your insurer can tell you which hospitals and specialists are included in your policy. For help comparing policies' hospital lists, tap one of the buttons above or below and fill in a few details, and a specialist at WeCovr or one of its broker partners will be in touch.

A fee-assured (or fee-approved) consultant has agreed to charge within your insurer's fee limits, so for eligible, authorised treatment you shouldn't have to pay a shortfall for their fees.

Many policies include some mental health cover, either as standard or as an option, usually with limits on therapy sessions or costs. Cover varies between insurers, so check the details.

Yes, children up to a certain age can usually be included on your policy, and some insurers offer discounts for children.

Like most health insurance plans, premiums may increase annually due to factors such as age and medical cost inflation.

The cost of health insurance varies based on several factors. Tap a button below to get your own personalised quote through WeCovr.

Private health insurance can offer quicker access to consultations and treatment for eligible conditions, and more choice over when and where you are treated.

Many policies include physiotherapy, sometimes with limits on sessions or cost. A specialist at WeCovr or one of its broker partners can help you find plans that include it.

Services such as the insurer's digital GP app are usually available as soon as your policy starts.

You can obtain a range of suitable quotes easily by tapping one of the buttons above or below and filling in a few details for personalised assistance.

Health insurance covers eligible new conditions that arise after the policy starts. Pre-existing conditions are usually excluded, chronic conditions aren't covered, and other exclusions apply.

Health insurance pays for eligible private healthcare, such as consultations and treatment, up to your policy limits. A specialist at WeCovr or one of its broker partners can help you arrange cover.

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

Usually, yes: cover for eligible new conditions starts when your policy starts, and services like a nurse helpline or digital GP app are usually available straight away. If you make a claim soon after starting, the insurer may ask for a report from your GP. Health insurance is designed to cover new conditions that arise after the policy has started.

No, health insurance does not cover A&E (Accident and Emergency) visits. Private hospitals do not typically have the facilities for handling A&E cases. In case of an emergency, please dial 999 or use the NHS emergency services. However, if you require follow-up treatment after an emergency situation, your private medical insurance may be able to assist.

Yes, many insurers offer rewards in leisure, wellbeing, and health. Visit your insurer's website, or ask a specialist at WeCovr or one of its broker partners, for details of member rewards.

You may be able to continue your cover with the same insurer on a personal policy, or take out a new policy. Continuing with the same insurer can mean keeping your existing underwriting, so conditions covered under the company scheme may stay covered. A specialist at WeCovr or one of its broker partners can talk you through your options.

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

Your cover may be similar but not identical, and ongoing medical conditions may be covered, depending on the terms. A specialist at WeCovr or one of its broker partners can help you find the right level of cover.

Usually not, because employers often pay for or contribute to staff cover and group schemes are priced differently. Your cover level and age also affect the price. A specialist at WeCovr or one of its broker partners can give you more detail.

There is usually a limited window after leaving, set by the insurer, so check as early as possible. Your personal policy can often start the day after your work cover ends, and a specialist at WeCovr or one of its broker partners can explain other options.

Have your leaving date and your current policy details ready, then contact WeCovr to discuss your options with a specialist at WeCovr or one of its broker partners.

Ongoing treatment may be covered if you continue with the same insurer on a personal policy, although it could affect the price. A specialist at WeCovr or one of its broker partners can explain your options.

Your insurer will explain how to pay your excess when you contact them for treatment authorisation. Usually you pay it to the hospital or consultant.

Usually not: with most insurers, there's no excess for services such as a digital GP. Check your policy.

Excess changes are usually made at renewal, although some insurers allow changes at other times.

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

Pre-existing conditions usually aren't covered on a new personal policy. A specialist at WeCovr or one of its broker partners can explain the underwriting options.

This involves health-related questions before policy enrolment to determine coverage.

Moratorium underwriting simplifies enrolment but may require health disclosures during claims.

Claims may require additional information if under moratorium underwriting.

Pre-existing conditions are medical issues that existed before your policy started. Many insurers treat any condition you've had symptoms of, treatment for or advice about in the five years before the policy started as pre-existing. A specialist at WeCovr or one of its broker partners can help you understand how pre-existing conditions affect your options.

While some insurance providers automatically renew your private healthcare cover, it's worth comparing policies when yours is due for renewal to check it still offers good value for the cover you need. A specialist at WeCovr or one of its broker partners can help you compare.

Typically, you must be over 18 to take out your own policy, but children can usually be included on a family policy. Some insurers have an upper age limit for new customers, and premiums typically increase with age. A specialist at WeCovr or one of its broker partners can explain the age rules of different insurers.

Some insurers charge less if you pay annually, but this depends on the insurer. A specialist at WeCovr or one of its broker partners can tell you whether paying annually would save you money.

If your employer offers private health insurance as part of your benefits package, you likely don't need additional cover. However, there may be limits on the cover you receive, and it may not extend to your entire family. Remember, any insurance you get through work only covers you while you're employed there.

Usually not. With full medical underwriting you complete a medical questionnaire, and the insurer may occasionally ask your GP for a report. With moratorium underwriting there's no medical questionnaire upfront. A specialist at WeCovr or one of its broker partners can explain the requirements of different policies.

Many private health insurance providers now offer GP services, either digitally or face-to-face. This means you can often get a private GP appointment quickly, sometimes even on the same day. A specialist at WeCovr or one of its broker partners can help you find policies that offer GP services.

With private health insurance, you can often get a GP appointment much more quickly, sometimes even on the same day, through the insurer's GP service. A specialist at WeCovr or one of its broker partners can help you find policies that include it.

Inpatient care refers to any treatment requiring a stay in a hospital or clinic for at least one night. Outpatient care refers to treatments or tests that don't require hospital admission, such as minor diagnostic tests or physiotherapy sessions. A specialist at WeCovr or one of its broker partners can help you understand the different types of care and find a policy that suits your needs.

Private health insurance pays for eligible medical treatment if you fall ill, while critical illness cover pays a lump sum if you are diagnosed with one of the illnesses listed in the policy, which you can use however you choose, for example to replace lost income. A specialist at WeCovr or one of its broker partners can help you understand the differences.

Health insurance policies are designed for cover in the UK. For cover abroad, consider travel insurance for short trips or international health insurance for longer stays or if you have a holiday home overseas. A specialist at WeCovr or one of its broker partners can help you find appropriate cover.

If your employer pays for your health insurance, it's usually a taxable 'benefit in kind': you pay income tax on its value, normally through your tax code or payroll, and your employer pays Class 1A National Insurance. For the employer, the premiums are usually an allowable business expense. If you buy a personal policy, you pay for it from taxed income. For advice on your situation, speak to an accountant.

When you purchase a policy, you choose how much excess you pay, which is your contribution to the cost of treatment if you make a claim. The higher your excess, the lower your premium is likely to be. A specialist at WeCovr or one of its broker partners can help you understand how excess works and choose the right level for you.

These are two methods of underwriting a health insurance policy, relating to how insurance providers consider your pre-existing medical conditions when you take out cover. A specialist at WeCovr or one of its broker partners can help you understand the differences and choose the right option for you.

Some private health insurance providers offer a no-claims discount, similar to car insurance. Each year you don't claim typically adds to your no-claims discount, which can reduce your premium at renewal. A specialist at WeCovr or one of its broker partners can help you find policies that offer no-claims discounts.

To find the right health insurance for you, compare policies to find one that offers the features you need at a price you can afford. Consider your personal circumstances and what you want from your policy. A specialist at WeCovr or one of its broker partners can help you evaluate your options.

If you need treatment, a GP referral is not always necessary. However, this depends on how you plan to pay for your treatment. Most hospitals will allow you to book appointments with a consultant without a GP referral if you are paying out-of-pocket. If you have private medical insurance, check your policy terms to see whether your insurer requires a GP referral first (many do). Some policies offer direct access without a referral for certain conditions, such as muscle and joint problems or counselling for mental health issues.

Yes, you can obtain financing for a loan to cover the cost of surgery. Many private healthcare companies have partnerships with finance companies to allow you to spread the cost of private treatment over time. You could also explore getting an ordinary loan from your bank if this option proves to be more cost-effective for you.

WeCovr has published research into the cost of private health insurance in the UK. Click the link to find out more detailed information.

Yes, you can continue to receive treatment through the NHS even if you have private health insurance and have received private treatment in the past. This could be for rehabilitation after private surgery or for treatment that is not covered by your health insurance policy. For example, some cosmetic surgeries may be available through the NHS but are generally not covered by private medical insurance.

This is a difficult question to answer definitively. There are certain services that cannot be obtained privately, such as emergency treatment at an Accident and Emergency (A&E) department. Many NHS consultants also practise privately, so you could potentially see the same consultant either way. However, private healthcare typically offers shorter waiting times, usually a private room, and more flexible visiting. Some policies also give access to treatments and drugs that are not routinely available through the NHS.

Yes, you can self-refer to a private specialist without the need for a GP referral. However, the British Medical Association believes that in most cases, it is best practice to start with your GP, as they are familiar with your medical history.

Usually, yes. If you have private tests or scans but then want NHS treatment, your GP or private consultant can refer you to the NHS and share your results, although the NHS team may want to repeat some tests.



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