
Choosing the right private medical insurance in the UK can feel overwhelming. At WeCovr, an FCA-authorised broker with experience in over 800,000 policies, we provide clear, independent comparisons. This guide focuses on two specialist providers, WPA and The Exeter, to help you make an informed decision.
When you look into private health cover, you'll often hear about the "big three": Aviva, Bupa, and AXA. But beyond these giants lies a vibrant market of specialist insurers who offer unique approaches and cater to specific needs. Two of the most respected names in this space are WPA (Western Provident Association) and The Exeter.
Both are established, member-focused organisations, meaning they don't have shareholders to answer to. Instead, they reinvest their profits back into the business to benefit their policyholders. However, they operate on different models and have distinct strengths.
This independent comparison will break down:
By the end, you'll have a much clearer picture of whether WPA or The Exeter is the right fit for your health and financial wellbeing.
Before we dive into the details, here is a high-level look at how these two specialist PMI providers compare.
| Feature | WPA (Western Provident Association) | The Exeter |
|---|---|---|
| Founded | 1901 | 1888 |
| Structure | Not-for-profit Provident Association | Friendly Society (Member-owned) |
| Core Principle | "Provident" ethos, often involving cost-sharing with members. | Member-centric benefits and flexible underwriting. |
| Key Selling Point | Unique "Shared Responsibility" co-payment model to manage premiums. | No upper age limit for joining; flexible approach to underwriting. |
| Best For | Individuals & families happy to co-pay for lower premiums; SMEs. | Older applicants, self-employed, or those with some health history. |
| Digital Tools | WPA Health app for policy management and claims. | Healthwise app with remote GPs, physio, and mental health support. |
| FCA Regulated | Yes | Yes |
Before comparing providers, it's vital to understand what private medical insurance is for. It's designed to work alongside the fantastic service provided by our NHS, not replace it. Think of it as a way to gain more control and choice over your healthcare when you face a new, treatable medical issue.
The most important rule to remember is this:
Private medical insurance is for acute conditions that arise after you take out your policy.
With PMI, you gain access to faster diagnosis and treatment in private facilities, often with the choice of your specialist and a private room. This can be invaluable, especially when NHS waiting lists are long. For instance, NHS England data from 2024 showed millions of treatment pathways were subject to significant waits, highlighting the peace of mind that PMI can offer.
WPA has been a cornerstone of the UK health insurance market for over a century. Their status as a not-for-profit provident association shapes everything they do, from policy design to customer service.
Founded in 1901, WPA's mission is to help people access the very best healthcare. Being "provident" means they are run for the benefit of their members. Any surplus income is reinvested to improve services and keep premiums competitive, rather than being paid out as dividends to shareholders. This ethos often results in a strong focus on ethical practices and high levels of customer satisfaction.
WPA's approach to health insurance is quite distinct, with "Shared Responsibility" being their flagship concept.
Shared Responsibility: This is a form of co-payment. Instead of a fixed excess (e.g., you pay the first £250 of a claim), you agree to pay a percentage of each claim, typically 25%. WPA pays the remaining 75%. This has two major benefits:
Example: Your consultant recommends a knee arthroscopy costing £3,500. With a 25% Shared Responsibility, you would pay £875, and WPA would cover the remaining £2,625. While you pay more than a standard excess for a large claim, your monthly premium is consistently lower.
Flexible Health Policy: This is their main plan for individuals and families. It offers a modular approach:
Community-Rated Schemes (for businesses): For their corporate clients, WPA is famous for its community rating. This means the premium is based on the overall claims experience of the entire business scheme, not on the age of individual employees. This can be highly attractive for companies with a diverse age range.
| Pros 👍 | Cons 👎 |
|---|---|
| Lower Premiums: The Shared Responsibility model can make comprehensive cover more affordable month-to-month. | Co-payment Risk: For very large claims, your 25% share could become a substantial sum. |
| Not-for-Profit Ethos: Members often feel valued, and customer service is consistently rated highly. | Hospital Lists: Their standard hospital lists can sometimes be more limited than larger insurers. |
| Transparent Model: The co-payment structure is straightforward and easy to understand. | Less Suited for Fixed Budgets: If you need absolute certainty on out-of-pocket costs, a traditional excess may be better. |
| Pooled Risk: Helps to stabilise premium increases over time compared to purely age-based pricing. | Limited bells and whistles: Focus is on core medical cover rather than extensive wellness add-ons. |
The Exeter is another historic, member-owned organisation. As a Friendly Society, their roots go back to 1888, when communities pooled resources to protect each other from financial hardship due to illness. This principle of mutual support continues to guide them today.
The Exeter specialises in providing insurance for those who might be overlooked by mainstream insurers. They have carved out a reputation for being flexible, understanding, and human in their approach, particularly when it comes to underwriting and age. Like WPA, they have no shareholders, so their focus is entirely on their members.
The Exeter's flagship 'Health+' policy is built around flexibility and inclusivity, backed by an impressive package of day-to-day health benefits.
No Upper Age Limit for Joining: This is The Exeter's most significant differentiator. While many insurers impose an age cap of 65, 70, or 80 for new customers, The Exeter welcomes applicants of any age. This makes them a go-to provider for those seeking private medical insurance UK in later life.
Flexible Underwriting: The Exeter is known for its willingness to consider applicants with some pre-existing medical conditions. While chronic conditions are still not covered, their 'Managed Moratorium' underwriting can be a game-changer. They may be able to offer cover for a condition after a set period of it being trouble-free, which is a more proactive approach than a standard moratorium.
Healthwise App: Included as standard with all policies, the Healthwise service is a huge value-add. It provides members with:
Community-Rated Pricing at Renewal: For members who have been with them for three consecutive years, The Exeter moves them into a community-rated pool at renewal. This helps to smooth out large age-related premium increases as they get older.
| Pros 👍 | Cons 👎 |
|---|---|
| Excellent for Older Applicants: No upper age limit for joining is a market-leading feature. | Potentially Higher Premiums: Their comprehensive cover and flexible underwriting can sometimes mean higher initial premiums for the young and healthy. |
| Flexible Underwriting: More likely to offer terms to those with a complex medical history. | Focus on Individuals: While they cover families, their main strength is in individual policies rather than large corporate schemes. |
| Superb Member Benefits: The Healthwise app provides tangible, day-to-day value. | Complexity: The range of options and underwriting styles can be more complex to navigate without advice. |
| Strong Claims Reputation: Known for their supportive and efficient claims process. |
Let's put the core elements of their individual policies side-by-side. This table compares WPA's 'Flexible Health' plan with The Exeter's 'Health+' plan.
| Feature | WPA (Flexible Health) | The Exeter (Health+) |
|---|---|---|
| Underwriting | Moratorium, Full Medical Underwriting (FMU). | Moratorium, FMU, and Managed Moratorium. |
| Age Limits | No upper age limit for continuing a policy, but joining age may be restricted. | No upper age limit for joining. A key advantage. |
| Core Cover | In-patient/day-patient fees, surgeon/anaesthetist fees, comprehensive cancer cover. | In-patient/day-patient fees, surgeon/anaesthetist fees, comprehensive cancer cover, NHS cash benefit. |
| Out-patient Cover | Optional extra. Limits can be chosen from £0 up to £1,500. | Optional extra. Can be chosen with limits or a fully comprehensive 'unlimited' option. |
| Mental Health | Typically limited to an optional cash benefit for psychiatric treatment. | More robust. In-patient/day-patient cover is an option, plus therapy is accessible via the Healthwise app. |
| Pricing Model | Shared Responsibility (25% co-pay) is the default. Traditional excesses are also available. | Traditional excess model (£0, £100, £250, £500, £1,000+). |
| Value-Added Service | WPA Health app for policy admin. | Healthwise app (Remote GP, mental health, physio) included as standard. |
| Hospital Access | Choice of several hospital lists. The most comprehensive list may increase the premium. | Tiered hospital lists, including all major private hospital groups in the UK. |
You might find WPA to be the ideal private health cover provider if:
The Exeter could be the perfect fit for your private medical insurance needs if:
This is the million-dollar question, but the answer is always: it depends. The cost of a private health cover policy is unique to you. Key factors that influence your premium include:
To give you an idea, here are some illustrative examples. Please remember these are not quotes.
Example 1: 35-year-old, non-smoker in Leeds
| Provider | Policy Type | Estimated Monthly Premium |
|---|---|---|
| WPA | Flexible Health (25% Shared Responsibility, core cover + £1,000 out-patient) | £40 - £55 |
| The Exeter | Health+ (£500 excess, core cover + £1,000 out-patient) | £50 - £65 |
Example 2: 60-year-old, non-smoker in Birmingham
| Provider | Policy Type | Estimated Monthly Premium |
|---|---|---|
| WPA | Flexible Health (25% Shared Responsibility, core cover + £500 out-patient) | £95 - £115 |
| The Exeter | Health+ (£500 excess, core cover + £500 out-patient) | £110 - £130 |
Important: These figures are for guidance only. The only way to get an accurate price tailored to your circumstances is to request a formal quote. This is where an expert broker adds real value. WeCovr can run a comprehensive market comparison for you in minutes, showing you exact prices from WPA, The Exeter, and others, all at no cost to you.
Navigating the nuances of WPA's co-payment system versus The Exeter's underwriting flexibility can be tricky. A specialist private medical insurance broker like WeCovr is your expert guide.
The best way to get value from your health insurance is to stay healthy. Both WPA and The Exeter encourage this, but you can take control of your own wellbeing. Small, consistent habits can have a huge impact on your long-term health and may even help keep your insurance premiums stable.
The Verdict: WPA or The Exeter?
Both WPA and The Exeter are outstanding specialist providers that offer a real alternative to the mainstream market.
The best way to decide is to see personalised quotes for both.
Ready to find the right private health cover for you? Don't navigate the complex market alone. Get a free, no-obligation quote from WeCovr today. Our expert advisors will compare WPA, The Exeter, and many more to find the perfect policy for your needs and budget.






