TL;DR
Before diving into policy details, its helpful to understand the philosophy behind each insurer. Their history and ethos shape the products they offer and the service you receive.
Key takeaways
- Shared Responsibility: WPA can offer a co-payment option where you pay 25% of eligible claims up to a chosen annual cap, which can help lower premiums.
- Core Out-patient Cover: WPA Complete Health includes specialist consultations up to £250 per year as standard, with full cover for MRI, CT, and PET scans.
- Remote GP Services: Like most top insurers, WPA provides access to a 24/7 remote GP service. For a parent with a sick child in the middle of the night, being able to speak to a doctor within minutes is an invaluable benefit.
- Optional Dental and Optical Cash Benefits: WPA is famous for its cash plans. You can add a dental and optical benefit to your family policy. This provides money back towards routine costs like dental check-ups, hygienist visits, new glasses, and contact lenses expenses that every family faces.
- Free Cover for Children: WPA often has offers that allow you to add younger children to a policy for free, which can represent a significant saving.
Choosing the right private medical insurance for your family is one of the most important financial decisions you can make. At WeCovr, an FCA-authorised broker that has helped arrange over 900,000 policies across the UK, we understand the peace of mind that comes with knowing your loved ones can access fast, high-quality medical care when they need it most.
WeCovr compares two specialist insurers for family health insurance
When it comes to private health cover, many people immediately think of the big, household names. However, the UK market is home to several specialist insurers who offer exceptional value, innovative features, and a more personal touch. Two of the most respected are WPA and The Exeter.
Both are member-focused organisations with long histories, setting them apart from shareholder-driven corporations. But their approaches to family health insurance are quite different. In this comprehensive guide, we'll break down everything you need to know about WPA vs The Exeter, helping you decide which might be the best fit for your family's unique needs.
Who are WPA and The Exeter? A Brief Overview
Before diving into policy details, it’s helpful to understand the philosophy behind each insurer. Their history and ethos shape the products they offer and the service you receive.
WPA (Western Provident Association)
Founded in 1901, WPA is a not-for-profit provident association based in Taunton, Somerset. This means they don't have shareholders; any surplus is reinvested into the business to benefit members through better products and services.
- Ethos: WPA's core philosophy is built on transparency and customer empowerment. They are known for pioneering innovative features, such as cash benefit plans and a unique co-payment model designed to keep premiums affordable.
- Market Position: WPA is a highly-regarded specialist insurer, particularly popular with families and self-employed individuals. They consistently receive praise for their UK-based customer service and flexible policy options.
The Exeter
The Exeter is a Friendly Society, with roots tracing back to 1888. Based in the historic city of Exeter, their entire structure is designed around their members. Like WPA, they have no shareholders to answer to.
- Ethos: The Exeter prides itself on being straightforward and dependable. Their goal is to provide clear, easy-to-understand insurance products that deliver real value when members need to make a claim.
- Market Position: As a specialist in health and protection insurance, The Exeter has carved out a strong reputation for its comprehensive cover and excellent member support services, including their popular Healthwise app.
The Crucial Rule of Private Medical Insurance: Acute vs. Chronic Conditions
Before we compare policies, it's vital to understand a fundamental principle of all standard private medical insurance in the UK. PMI is designed to cover acute conditions that arise after your policy has started.
- An Acute Condition is 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, hernia repairs, or treatment for an infection.
- A Chronic Condition is a long-term illness that cannot be cured, only managed. Examples include diabetes, asthma, high blood pressure, and arthritis. The routine management, monitoring, and medication for chronic conditions are not covered by private medical insurance. This care remains with the NHS.
- Pre-existing Conditions are any health issues you had before taking out your policy. These are also typically excluded from cover, either permanently or for a set period.
Think of PMI as your 'get you better' plan for new, treatable health problems, providing fast access to specialists and private hospitals. The NHS remains your partner for ongoing, long-term care.
Core Cover Comparison: What Do WPA and The Exeter Offer Families?
The foundation of any health insurance policy is its core cover. This typically includes the most expensive types of treatment, such as hospital stays and cancer care. Let's see how WPA's current Complete Health proposition and The Exeter's 'Health+' policy stack up.
| Feature | WPA (Complete Health) | The Exeter (Health+) | WeCovr's Expert Take |
|---|---|---|---|
| In-patient & Day-patient Care | Full cover as standard. This includes hospital fees, specialist fees, and anaesthetist fees for surgery or procedures requiring a hospital bed. | Full cover as standard. Provides comprehensive cover for eligible treatment when you are admitted to a hospital. | Both insurers provide robust in-patient cover, which is the cornerstone of any PMI policy. There are few differences here. |
| Cancer Cover | Available as an optional Cancer Care benefit under Complete Health, covering diagnosis and eligible treatment from diagnosis onwards according to the selected cover. | Comprehensive cancer cover is a core component. Includes advanced treatments, palliative care, and end-of-life care. | The Exeter includes broad cancer cover as standard. WPA can be tailored with Cancer Care if you want that level of support built in. |
| Hospital Lists | Offers hospital access options, with Premium Hospitals available as an optional extra if you want certain central London facilities included. | Uses a traditional tiered hospital list (e.g., Essential, Standard, Extended). Choosing a more restricted list (excluding central London hospitals) lowers your premium. | Both let you trade breadth of hospital access against price, but WPA's Premium Hospitals option is a more specific add-on route. |
| Out-patient Cover | Includes specialist consultations up to £250 a year as standard, full MRI/CT/PET cover, and optional upgrades for more consultations, diagnostics, and therapies. | Offered as an optional extra. A key feature is the option for unlimited out-patient diagnostics (MRI, CT, PET scans), with limits on the number of consultations. | The Exeter still stands out for unlimited diagnostics on some options, while WPA's core diagnostics cover is stronger than many people expect. |
| Mental Health Cover | Structured counselling support is available via the helpline, with a fuller Mental Health Treatment option available as an extra. | Out-patient mental health support is provided through their Healthwise app. More extensive in-patient and out-patient cover is available as an optional add-on. | The Exeter is stronger digitally as standard. WPA can be built up if mental health treatment cover matters to your family. |
| Policy Excess | Excess options include £0, £100, £250, and £500, with Shared Responsibility available as an alternative cost-control option. | A wide range of excess options, typically from £0 to £1,000. A higher excess significantly reduces your monthly premium. | Both give families practical ways to lower premiums, but WPA's Shared Responsibility adds a different way to manage cost. |
Family-Specific Benefits and Features: The Details That Matter
While core cover is essential, it's often the family-focused features that make a policy stand out. Here’s where the different philosophies of WPA and The Exeter become clear.
How WPA Caters to Families
WPA’s approach is built on flexibility and shared costs, which can be very appealing for budget-conscious families.
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Shared Responsibility: WPA can offer a co-payment option where you pay 25% of each eligible claim up to a chosen annual cap. This can help reduce premiums, but it sits alongside the standard benefit structure rather than replacing core cover.
- Real-Life Example: Your child needs to see a paediatric consultant and have a scan. WPA's core policy can already include up to £250 a year for specialist consultations and full MRI, CT, and PET cover. If you have chosen Shared Responsibility as your cost-control option, you would contribute towards eligible claims until you reach your annual cap.
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Remote GP Services: Like most top insurers, WPA provides access to a 24/7 remote GP service. For a parent with a sick child in the middle of the night, being able to speak to a doctor within minutes is an invaluable benefit.
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Optional Dental and Optical Cash Benefits: WPA is famous for its cash plans. You can add a dental and optical benefit to your family policy. This provides money back towards routine costs like dental check-ups, hygienist visits, new glasses, and contact lenses – expenses that every family faces.
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Free Cover for Children: WPA often has offers that allow you to add younger children to a policy for free, which can represent a significant saving.
How The Exeter Supports Families
The Exeter focuses on simplicity and providing comprehensive support through its member benefits.
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Unlimited Out-patient Diagnostics: This is a standout feature. If you choose their out-patient option, while consultations may have a limit, the associated diagnostic tests (like MRI and CT scans) are often unlimited. With NHS waiting times for some diagnostic tests stretching for months—the median wait for 15 key tests was 8.1 weeks in March 2024 according to NHS England—this benefit provides families with rapid diagnosis and immense peace of mind.
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The Healthwise App: This is a cornerstone of The Exeter's member experience and is included with every policy. For families, it's a treasure trove of support:
- Remote GP: On-demand GP appointments for any member of the family.
- Second Medical Opinion: If a family member receives a worrying diagnosis, you can get a second opinion from a world-leading expert.
- Mental Health Support: Access to qualified therapists for talking therapies without needing a GP referral.
- Physiotherapy: Quick access to physiotherapy assessments and sessions.
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Straightforward Pricing: The Exeter's structure is very traditional. You choose your cover level and hospital list, and your price is fixed (barring annual renewal increases). There are no co-payment surprises, which many families prefer for easy budgeting.
Understanding the Underwriting: How Your Family's Health History is Assessed
When you apply for private health cover, the insurer needs to know about your medical history. This process is called underwriting.
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Moratorium (Mori) Underwriting: This is the most popular option for families as it's quick and simple. You don't need to fill out a long medical questionnaire. The insurer automatically excludes treatment for any medical conditions you've sought advice or treatment for in the 5 years before your policy started. However, if you then go for 2 continuous years on the policy without any symptoms, treatment, or advice for that condition, it may become eligible for cover.
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Full Medical Underwriting (FMU): With FMU, you complete a detailed health declaration for every family member. The insurer assesses this and provides a policy document that explicitly lists any conditions that are permanently excluded from cover. This takes longer, but it gives you absolute certainty from day one about what is and isn't covered.
A PMI broker like WeCovr can provide invaluable advice on which underwriting option is best for your family's circumstances.
Cost Comparison: What Can a Family Expect to Pay?
The cost of private medical insurance varies significantly based on age, location, cover level, and the excess you choose. The following table provides an illustrative example only to give you a general idea.
Scenario: A non-smoking family of four. Parents are aged 40 and 38, with two children aged 9 and 6. They live in a mid-cost region like Bristol and choose a £250 excess.
| Provider | Policy Type | Indicative Monthly Premium | Key Features Included in this Example |
|---|---|---|---|
| WPA | Complete Health | £160 - £210 | Full in-patient cover, core consultations up to £250, full MRI/CT/PET cover, and optional Cancer Care or Shared Responsibility depending on the chosen build. |
| The Exeter | Health+ (Mid-Tier) | £175 - £225 | Full in-patient cover, full cancer cover, unlimited out-patient diagnostics, standard hospital list, Healthwise app. |
Key Factors Influencing Your Premium:
- Age: Premiums are based on the age of the oldest adult on the policy and rise as you get older.
- Location: Living near hospitals with higher private treatment costs (especially Central London) will increase your premium.
- Cover Level: Adding comprehensive out-patient cover, therapies, or dental options will increase the price.
- Excess (illustrative): Choosing a higher excess (e.g., £500 or £1,000) is one of the most effective ways to lower your monthly premium.
- No Claims Discount (NCD): WPA uses a 16-level No Claims Discount system, and most other insurers also use NCD structures to reward claim-free years.
WeCovr's Added Value: More Than Just a Comparison
Choosing between two excellent insurers can be challenging. This is where working with an expert, independent broker like WeCovr makes all the difference. We provide impartial advice to help you find the perfect fit, at no extra cost to you.
But our support doesn't stop there. When you take out a family health insurance policy through WeCovr, you unlock exclusive benefits:
- Complimentary Access to CalorieHero: Good health starts with good habits. We provide our customers with free access to CalorieHero, our AI-powered nutrition and calorie tracking app. It's a fantastic tool to help your family learn about balanced diets and build healthy eating habits together.
- Discounts on Other Insurance: We believe in holistic protection. Our PMI clients are eligible for discounts on other essential cover, such as life insurance, income protection, and critical illness cover, helping you protect your family's finances from all angles.
- Unbiased, Expert Advice: Our team lives and breathes the private medical insurance UK market. We'll take the time to understand your family's priorities and budget, comparing not just WPA and The Exeter, but all leading providers to ensure you get the best possible cover for your money. Our high customer satisfaction ratings are a testament to our commitment to clear, honest guidance.
Beyond Insurance: Wellness Tips for a Healthy Family
While insurance provides a safety net, fostering a healthy lifestyle is the best long-term investment in your family's wellbeing.
- Eat the Rainbow: Use the NHS Eatwell Guide as a fun family project. Aim for at least five portions of varied fruit and veg a day. Involving kids in cooking and using an app like CalorieHero can make nutrition education engaging.
- Move Together: The NHS recommends that children aged 5 to 18 do at least 60 minutes of moderate to vigorous physical activity each day. This doesn't have to be structured sport. Family bike rides, long walks in a local park or woods, or even a kitchen disco are great ways to stay active together.
- Prioritise Sleep: According to the ONS, almost a quarter of UK adults report sleep problems. A consistent bedtime routine, limiting screen time before bed, and ensuring bedrooms are dark and quiet benefits everyone from toddlers to parents.
- Talk Openly: Create an environment where children feel safe to talk about their feelings. The NHS's Every Mind Matters platform has fantastic resources for supporting the mental wellbeing of young people.
Our Verdict: Is WPA or The Exeter the Best Choice for Your Family?
There is no single "best" provider; the right choice depends entirely on your family's priorities and financial comfort zone.
You might prefer WPA if:
- You want the lowest possible monthly premium and are comfortable with a co-payment system (Shared Responsibility) for out-patient care.
- You value the freedom to choose from a very wide range of consultants and hospitals.
- You want to add a comprehensive dental and optical cash benefit to your policy.
You might prefer The Exeter if:
- You prioritise budget certainty and want a straightforward policy with no co-payment surprises.
- The peace of mind that comes with unlimited out-patient diagnostics is a top priority for you.
- You would make good use of the comprehensive support services offered through the Healthwise member app.
Ultimately, the best way to make a confident decision is to see personalised quotes and have an expert talk you through the nuances.
Does family private medical insurance cover pregnancy and childbirth?
Can I add my children to my existing private health cover policy?
What is a No Claims Discount on health insurance?
Ready to Protect Your Family's Health?
Navigating the world of private health cover can feel complex, but you don't have to do it alone. The friendly, expert team at WeCovr is here to help. We'll compare WPA, The Exeter, and other leading UK insurers to find a policy that fits your family's needs and your budget—all at no cost to you.
Sources
- NHS England: Waiting times and referral-to-treatment statistics.
- Office for National Statistics (ONS): Health, mortality, and workforce data.
- NICE: Clinical guidance and technology appraisals.
- Care Quality Commission (CQC): Provider quality and inspection reports.
- UK Health Security Agency (UKHSA): Public health surveillance reports.
- Association of British Insurers (ABI): Health and protection market publications.
Disclaimer: This is general guidance only and does not constitute formal tax or financial advice. Tax treatment depends on individual circumstances, policy terms, and HMRC interpretation, which cannot be guaranteed in advance. Whenever applicable, businesses and individuals should always consult a qualified accountant or tax adviser before arranging such policies.
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