As an FCA-authorised broker that has helped arrange over 900,000 policies, WeCovr is a leading expert in the UK market. This guide explains how family private medical insurance works, helping you decide if it’s the right choice to protect your loved ones and gain peace of mind.
Features, pros and cons, and savings of combining several family members on one plan
Choosing private medical insurance (PMI) is a significant decision for any individual. When you’re considering cover for your entire family, the complexity can feel overwhelming. Should you buy separate policies or combine everyone onto a single family plan?
This comprehensive guide breaks down everything you need to know about multi-member family PMI policies in the UK. We will explore how these policies are structured, their key features, the considerable benefits, and the potential drawbacks to help you make an informed choice for your family's health and wellbeing.
What Exactly is Family Private Medical Insurance?
Family private medical insurance is a single health insurance policy that covers two or more members of the same family. Instead of juggling multiple policies, renewal dates, and payments, you manage everything under one umbrella.
A "family" can typically include:
- You and your partner (married, cohabiting, or in a civil partnership)
- Your children (usually up to age 21, or 25 if they are in full-time education)
The core purpose of family PMI is the same as individual PMI: to cover the costs of diagnosis and treatment for acute medical conditions that arise after you've taken out the policy. It provides a valuable alternative to potentially long NHS waiting times, giving you more choice and control over your family's healthcare.
According to NHS England data, the waiting list for consultant-led elective care stood at around 7.54 million in early 2024. For many families, this figure is a powerful motivator to explore the speed and convenience offered by the private sector.
A Critical Point: What UK PMI Does Not Cover
It is absolutely vital to understand a fundamental principle of the UK private medical insurance market. Standard PMI policies are designed to cover acute conditions, not chronic or pre-existing ones.
- Acute Condition: A disease, illness, or injury that is likely to respond quickly to treatment and lead to a full recovery. Examples include joint replacements, cataract surgery, or hernia repairs.
- Chronic Condition: A condition that is long-lasting and requires ongoing management, such as diabetes, asthma, arthritis, or high blood pressure. PMI will not cover the routine management of these conditions.
- Pre-existing Condition: Any illness, disease, or injury for which you have had symptoms, medication, advice, or treatment before your policy start date. These are typically excluded for a set period, or sometimes permanently.
Think of PMI as a plan for new, unexpected health problems, rather than for managing long-term health issues.
How Do Family PMI Policies Actually Work?
A family health insurance policy streamlines administration and often provides cost benefits. Here’s a simple breakdown of the mechanics:
- One Application: You complete a single application form for the whole family. You will need to provide details for each person to be covered.
- One Policy Document: You receive one set of policy documents outlining the terms, conditions, and levels of cover for everyone.
- One Premium: You pay a single, consolidated premium, usually monthly or annually. This premium is calculated based on the collective risk of all members on the policy.
- One Renewal Date: The policy for the entire family renews on the same date each year, making it easy to remember and review.
While it's a single policy, the cover can often be tailored. For example, parents might opt for comprehensive cover including out-patient consultations, while adding their healthy, young children on a more basic, cost-effective plan.
The Key Benefits of a Combined Family Health Insurance Policy
Combining your family onto one policy offers several compelling advantages over purchasing individual plans.
1. Significant Cost Savings
This is often the primary driver for choosing a family policy. Insurers typically offer discounts for adding more people to a single plan.
- Multi-person Discounts: Many providers offer a reduction of around 5-15% for joint policies compared to the cost of two separate individual ones.
- Free Cover for Children: Some insurers have attractive introductory offers where the first child, or sometimes all children under a certain age, can be added for free for the first year, provided the parents are also on the plan. This can lead to substantial savings for young families.
2. Administrative Simplicity
Managing one policy is far easier than juggling several.
- Less Paperwork: One application, one set of terms, and one renewal notice.
- Single Point of Contact: You only need to speak to one provider for any queries or claims for any family member.
- Easier Budgeting: A single, predictable monthly or annual payment makes financial planning simpler.
3. Shared Benefits and Consistent Cover
With a single policy, you can ensure that every family member has access to the same high-quality level of care. You avoid a situation where one parent has comprehensive cover while the other has a basic plan, leading to difficult choices if both need treatment simultaneously.
4. Shared No-Claims Discount (NCD)
Most PMI policies feature a No-Claims Discount, which rewards you with lower premiums for every year you don't make a claim. On a family policy, the NCD is usually shared. This can be a double-edged sword (more on that below), but if your family remains healthy, you can build up a significant discount together, reducing your premiums over time.
| Benefit | How It Helps Your Family |
|---|
| Cost Savings | Lower overall premiums through multi-person discounts and child-friendly offers. |
| Simplicity | One payment, one renewal date, and less administrative hassle. |
| Consistent Cover | Ensures all family members have access to the same level of healthcare. |
| Shared NCD | The potential to build a large premium discount as a family unit. |
Potential Downsides and Considerations of Family PMI
While the benefits are clear, a combined family policy isn't the perfect solution for everyone. It's important to be aware of the potential drawbacks.
1. The Shared No-Claims Discount Risk
The shared NCD can also be a major disadvantage. If one family member makes a claim, the NCD for the entire policy is typically reduced or lost.
Real-Life Example:
The Jones family (two adults, two children) has a family policy with a 60% No-Claims Discount. Their teenager needs physiotherapy for a sports injury. They make a claim. At renewal, their NCD drops to 40%, increasing the premium for everyone, not just for the teenager. If they had separate policies, only the teenager's premium would be affected.
2. Different Needs and Health Histories
A one-size-fits-all approach may not be optimal if family members have very different health needs or risk profiles.
- High-Risk Members: If one family member has a history of making claims or is considered higher risk due to age or lifestyle (e.g., a smoker), their inclusion could significantly increase the premium for everyone else. It might be cheaper to put them on a separate policy.
- Varying Cover Requirements: You might want comprehensive cancer cover and extensive therapies, but your 20-year-old student child may only need basic in-patient cover. While some policies allow tailoring, it can sometimes be more straightforward to get them a separate, cheaper policy designed for young adults.
3. Complexity at Renewal
If a child reaches the age limit of the policy (e.g., turns 21), or if there's a separation or divorce, splitting the policy can be administratively complex. The person leaving the policy will need to start a new one, potentially losing their accumulated NCD and having to go through medical underwriting again.
Pros vs. Cons of a Combined Family Policy
| Pros | Cons |
|---|
| ✅ Potential for significant cost savings | ❌ A claim by one member affects everyone's premium |
| ✅ Simple to manage: one policy, one payment | ❌ May not be cost-effective if one member is high-risk |
| ✅ Ensures consistent cover for all members | ❌ Less flexibility if needs differ greatly |
| ✅ Easier to budget and keep track of | ❌ Can be complicated to split the policy later |
An expert PMI broker like WeCovr can run a detailed comparison to see whether a combined policy or separate plans would be more cost-effective and suitable for your family's unique circumstances.
Customising Your Family's Health Cover
Modern family PMI policies are not rigid. They are built on a modular system, allowing you to create a plan that fits your family’s needs and budget.
Core Cover: The Foundation of Your Policy
Almost all UK PMI policies start with a core foundation that typically includes:
- In-patient and Day-patient Treatment: This covers costs when a member of your family is admitted to hospital for a procedure and needs a bed overnight (in-patient) or for the day (day-patient). This includes surgery fees, anaesthetist fees, and hospital accommodation.
- Comprehensive Cancer Cover: This is a cornerstone of PMI. Most policies offer extensive cover for the diagnosis and treatment of cancer, including chemotherapy, radiotherapy, and surgical procedures. The level of cover can vary, so it's crucial to check the details.
You can then add a range of optional benefits to enhance your cover.
| Optional Extra | What It Covers | Who Is It Good For? |
|---|
| Out-patient Cover | Consultations, diagnostic tests, and scans that don't require a hospital bed. | Families who want fast access to specialists without waiting for an NHS referral. Essential for quick diagnosis. |
| Therapies Cover | Physiotherapy, osteopathy, chiropractic treatment, and sometimes acupuncture. | Active families, those with children who play sports, or individuals with musculoskeletal issues. |
| Mental Health Cover | Access to psychiatrists, psychologists, and therapists for conditions like anxiety and depression. | Essential for holistic family wellbeing, especially given the growing awareness of mental health challenges. |
| Dental and Optical | Routine check-ups, treatments, glasses, and contact lenses. | Families who want to bundle all their health costs into one predictable payment. |
| Travel Cover | Medical emergencies when you are abroad. | Families who travel frequently, though it's important to compare this with standalone travel insurance. |
By using a mix-and-match approach, you can create a policy that works. For example, parents might have full out-patient and therapies cover, while adding their children on a core-only plan to keep costs down.
How Much Does Family Private Medical Insurance Cost in the UK?
The cost of family PMI varies widely based on a combination of factors. There is no single "average price."
Key Factors Influencing Your Premium:
- Age: The older the family members, the higher the premium, as the statistical risk of needing treatment increases.
- Location: Premiums are often higher in London and the South East due to the higher cost of private medical care in these areas.
- Level of Cover: A basic, in-patient-only plan will be far cheaper than a comprehensive policy with full out-patient, therapies, and mental health cover.
- Excess: This is the amount you agree to pay towards any claim. A higher excess (e.g., £500) will significantly lower your premium compared to a £0 or £100 excess.
- Hospital List: Insurers have different lists of hospitals you can use. A policy with a limited list of local hospitals will be cheaper than one offering access to premium central London facilities.
- Underwriting: The method the insurer uses to assess your medical history. The two main types are:
- Moratorium Underwriting: Simpler and quicker. The insurer excludes treatment for any condition you've had in the last 5 years. This exclusion can be lifted if you go 2 full years on the policy without any symptoms, treatment, or advice for that condition.
- Full Medical Underwriting (FMU): You provide a full medical history. The insurer then decides what to exclude permanently. It's more complex upfront but provides certainty about what is and isn't covered from day one.
Example Cost Scenarios (2025 Estimates)
The table below provides illustrative monthly premiums for different family types. These are estimates for a mid-range policy with a £250 excess, outside of London.
| Family Profile | Estimated Monthly Premium | Key Assumptions |
|---|
| Young Couple (Ages 30 & 32) | £90 - £140 | Core cover + mid-level out-patient. |
| Young Family (Ages 35 & 37, children 4 & 6) | £150 - £220 | Comprehensive cover for adults, basic for children. |
| Family with Teenagers (Ages 45 & 46, children 14 & 16) | £250 - £350 | Comprehensive cover for all, including therapies for sports. |
Disclaimer: These are purely illustrative costs. Your actual premium will depend on your specific circumstances and choices. The best way to get an accurate figure is to get a personalised quote.
Tips for Saving Money on Your Family's PMI
Protecting your family’s health is a priority, but it needs to be affordable. Here are some practical ways to manage the cost of your premium:
- Increase Your Excess: This is one of the most effective ways to reduce your premium. Choosing a £500 excess instead of £100 could save you 20-30%.
- Review Your Hospital List: Do you really need access to every hospital in the country, including the most expensive ones in central London? Opting for a list that covers quality local hospitals can lead to big savings.
- Choose a 6-Week Wait Option: Some policies offer a reduced premium if you agree to use the NHS if the waiting list for your treatment is less than six weeks. If it's longer, your private cover kicks in. This can be a great compromise between cost and access.
- Tailor Cover for Each Member: As mentioned, don't pay for comprehensive cover for children who may not need it. Add them on a core or essentials-only basis.
- Pay Annually: Most insurers offer a small discount (around 5%) if you pay for the full year upfront, as it reduces their administration costs.
- Maintain a Healthy Lifestyle: Some providers, like Vitality, actively reward healthy behaviour with premium discounts, coffee vouchers, and other perks. Even without a specific rewards programme, staying healthy reduces your chances of claiming and helps you build your No-Claims Discount.
- Speak to a Broker: This is arguably the most important tip. An independent private health cover broker like WeCovr can compare the entire market for you. They have access to deals and policies not always available directly and can provide expert advice on how to structure your policy for the best value, all at no cost to you.
Beyond Insurance: Wellness Benefits and Added Value
Leading PMI providers are no longer just about paying claims. They are increasingly positioning themselves as health and wellbeing partners, offering a suite of value-added services designed to keep your family healthy.
When comparing policies, look beyond the core cover and see what else is included:
- Digital GP Services: 24/7 access to a virtual GP via phone or video call. This is incredibly useful for families with young children, providing quick advice and prescriptions without leaving home.
- Mental Health Support Lines: Confidential helplines offering support for stress, anxiety, and other mental health concerns, often available to the whole family.
- Wellness Programmes: Many insurers offer apps and online portals with health advice, fitness tracking, and lifestyle coaching.
- Discounts and Rewards: This can include discounted gym memberships, health screenings, cinema tickets, or healthy food delivery services.
As a WeCovr client, you also get complimentary access to our AI-powered calorie and nutrition tracking app, CalorieHero, to help your family build and maintain healthy eating habits. Furthermore, customers who purchase PMI or Life Insurance through WeCovr may be eligible for discounts on other types of insurance, providing even greater value.
The Role of an Expert PMI Broker
The UK's private medical insurance market is complex, with dozens of providers and hundreds of policy combinations. Trying to navigate this alone can be time-consuming and you might end up with a policy that isn’t right for your family.
This is where an independent broker shines.
- Whole-of-Market Comparison: A broker like WeCovr isn't tied to any single insurer. We compare policies from across the market to find the best fit for your specific needs and budget.
- Expert Advice: We understand the jargon and the fine print. We can explain the differences between underwriting types, hospital lists, and cancer cover options in plain English. Our high customer satisfaction ratings reflect our commitment to clear, helpful guidance.
- Tailored Solutions: We can help you decide whether a single family policy or separate plans would be better, and help you customise the cover for each family member to maximise value.
- 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, so you don't pay more for our expert help.
Can I add a newborn baby to my family PMI policy?
Yes, most insurers allow you to add a newborn baby to your policy, often without any further medical underwriting. You typically need to inform your insurer within a specific timeframe after the birth (e.g., 30-90 days). Some insurers even have special offers for new additions, such as a period of free cover. Complications during childbirth are not usually covered by PMI, as pregnancy is not considered an acute condition.
What happens when my child gets too old for the family policy?
When a child reaches the age limit of your family policy (usually 21, or 25 if in full-time education), they will need their own separate policy. Most insurers offer a 'continuation' or 'personal' policy for them. This is important because it allows them to start their own plan without new medical underwriting, meaning any conditions already covered by the family policy will continue to be covered on their new individual plan. They will also often be able to carry over the No-Claims Discount from the family policy.
Do we all have to have the same level of cover on a family policy?
Not necessarily. While it's one policy, many modern UK insurers offer flexibility. For instance, parents might opt for a comprehensive plan that includes full out-patient cover and therapies, while placing their children on a more basic 'core' plan that only covers in-patient treatment. This can be a very effective way to manage the overall cost while ensuring everyone has a foundational level of private health cover. An expert broker can help you find providers that offer this flexibility.
If my partner has a pre-existing condition, can the rest of the family still get cover?
Yes. The pre-existing condition would be excluded for your partner, but it would not prevent the rest of the family from being covered for new, acute conditions. In some situations, if one person has a complex medical history, it might be more cost-effective to arrange a separate policy for them and a joint policy for the remaining family members. A broker can run the numbers to find the most sensible and affordable structure for your family.
Choosing the right protection for your family is one of the most important decisions you can make. A family private medical insurance policy offers a streamlined, often cost-effective way to secure fast access to high-quality healthcare for your loved ones.
By understanding the features, benefits, and potential drawbacks, you can make a choice that brings both financial sense and invaluable peace of mind.
Ready to explore the best private medical insurance UK options for your family?
Our friendly, expert advisors at WeCovr are here to help. We'll compare the market for you, answer all your questions, and provide a free, no-obligation quote tailored to your family's unique needs.