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Zero Excess PMI Is It Worth Paying a Higher Premium

As a broking firm that has helped arrange over 1,000,000 policies of various kinds, WeCovr understands the nuances of private medical insurance in the UK. Choosing a strong fit for your needs involves balancing cost and coverage, and a key decision is whether to opt for a zero-excess plan, which can significantly affect your premiums.

Last updated Oct 7, 2026

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Zero Excess PMI Is It Worth Paying a Higher Premium 2026

TL;DR

As a broking firm that has helped arrange over 1,000,000 policies of various kinds, WeCovr understands the nuances of private medical insurance in the UK. Choosing a strong fit for your needs involves balancing cost and coverage, and a key decision is whether to opt for a zero-excess plan, which can significantly affect your premiums.

Key takeaways

  • Policy A (Zero-Excess) (illustrative): 85/month premium.
  • Policy B (500 Excess, per claim) (illustrative): 60/month premium.
  • A zero-excess policy offers the ultimate peace of mind, but it comes at a higher monthly price.
  • We'll explore who it's best for, how it simplifies the claims process, and whether it makes financial sense in the long run.
  • By the end, you'll have the clarity to decide if paying a higher premium for zero excess is the right move for your health and your wallet.

As a broking firm that has helped arrange over 1,000,000 policies of various kinds, WeCovr understands the nuances of private medical insurance in the UK. Choosing a strong fit for your needs involves balancing cost and coverage, and a key decision is whether to opt for a zero-excess plan, which can significantly affect your premiums.

When to choose zero-excess, impact on claims and long-term costs

Choosing a private medical insurance (PMI) policy is a significant decision. One of the most critical choices you'll make is the level of "excess" you're willing to pay. A zero-excess policy offers the ultimate peace of mind, but it comes at a higher monthly price.

This article breaks down everything you need to know about zero-excess PMI. We'll explore who it's best for, how it simplifies the claims process, and whether it makes financial sense in the long run. By the end, you'll have the clarity to decide if paying a higher premium for zero excess is the right move for your health and your wallet.

Understanding PMI Excess: The Basics Explained

Before we dive into the pros and cons of a zero-excess policy, it’s essential to understand what an excess is.

Think of it like the excess on your car or home insurance. An excess is a fixed amount of money you agree to pay towards the cost of your treatment when you make a claim. The insurer then pays the remaining balance, up to your policy limits.

For example, if you have a policy with a £250 excess and your eligible treatment costs £3,000, you would pay the first £250, and your insurer would cover the remaining £2,750.

A zero-excess policy is exactly what it sounds like: you pay nothing towards your eligible treatment costs. Your insurer covers 100% of the bill from the very first pound.

Types of Excess in the UK PMI Market

Insurers in the UK typically structure their excess in one of two ways. It's vital to know which one your policy uses.

Excess TypeHow It WorksGood For...
Per Claim / Per ConditionYou pay the excess for each separate medical claim you make. If you need treatment for a knee injury and later for cataracts in the same year, you would pay the excess twice.People who expect to make infrequent claims.
Per Policy YearYou pay the excess only once per policy year, regardless of how many claims you make for different conditions. Once you've paid it, all subsequent eligible claims in that year may be covered in full.People who might need to claim for multiple, unrelated conditions in a single year.

A zero-excess policy simplifies this entirely. Whether it's per claim or per year, your contribution is always £0.

The Core Trade-Off: Zero-Excess vs. Higher Premiums

The fundamental principle of insurance is risk. By choosing a higher excess, you are agreeing to share more of the financial risk with the insurer. In return, they reward you with a lower monthly or annual premium. Conversely, with a zero-excess policy, the insurer takes on 100% of the financial risk for eligible claims, and they charge a higher premium for this comprehensive protection.

The difference in cost can be substantial. Let's look at a hypothetical example for a 40-year-old non-smoker seeking comprehensive private health cover in the UK.

Hypothetical Monthly Premiums by Excess Level

Excess LevelEstimated Monthly PremiumAnnual PremiumPotential Saving vs. £0 Excess
£0 (Zero-Excess)£85£1,020£0
£100£80£960£60 per year
£250£72£864£156 per year
£500£60£720£300 per year

These figures are for illustrative purposes only. Your actual quote will depend on your age, location, lifestyle, and chosen level of cover.

As the table shows, opting for a £500 excess could save you £300 a year on premiums compared to a zero-excess policy. The question is: is that saving worth the risk of having to find £500 if you need to make a claim? (illustrative estimate)

When is a Zero-Excess PMI Policy the Right Choice?

A zero-excess policy isn't for everyone, but for certain individuals and families, the higher premium is a price worth paying for complete financial security and simplicity. Here are some scenarios where it makes the most sense.

1. You Prioritise Absolute Budget Certainty

If you are someone who meticulously plans your finances and dislikes unexpected expenses, a zero-excess policy is ideal. Your premium is a fixed, predictable outgoing. You know that if you fall ill and need eligible treatment, there will be no surprise bills from the hospital. This peace of mind is often the primary reason people choose this option.

2. You Have Limited Disposable Savings

While a £250 or £500 excess might sound manageable, finding that sum at short notice can be a real struggle for many households. If an unexpected bill of that size would cause you significant financial stress or force you to dip into long-term savings, paying a slightly higher monthly premium for a zero-excess plan acts as a valuable safety net. (illustrative estimate)

3. You Anticipate a Higher Likelihood of Needing to Claim

If you lead a very active lifestyle, play contact sports, or have a family history that suggests a predisposition to certain acute conditions (that are not pre-existing for you), you might reasonably expect to use your policy more often. In this case, the breakeven point between a higher premium and paying multiple excesses could tip in favour of a zero-excess plan.

4. You Want the Simplest Claims Experience Possible

Making an insurance claim can feel stressful, especially when you're unwell. A zero-excess policy offers the most straightforward and seamless claims journey.

  • With an excess: You get a GP referral, the insurer approves the claim, you receive treatment, and then you have to deal with an invoice from the hospital for your excess.
  • With zero excess: You get a GP referral, the insurer approves the claim, you receive treatment, and that's it. The insurer settles the bill directly with the hospital in full. There's no financial admin for you to worry about.

A PMI specialist at WeCovr or one of our broker partners can help you analyse your personal circumstances and risk profile to determine if the benefits of a zero-excess policy align with your needs.

Analysing the Long-Term Costs: A Numbers-Based Approach

Is a zero-excess policy a good financial decision over the long term? The answer depends entirely on how often you claim. Let's run the numbers over a five-year period using our hypothetical premiums.

  • Policy A (Zero-Excess) (illustrative): £85/month premium.
  • Policy B (£500 Excess, per claim) (illustrative): £60/month premium.

5-Year Cost Comparison

Number of Claims in 5 YearsTotal Cost for Policy A (Zero-Excess)Total Cost for Policy B (£500 Excess)Which Policy Was Cheaper?
0 Claims£5,100 (premiums only)£3,600 (premiums only)Policy B by £1,500
1 Claim£5,100 (premiums only)£4,100 (£3,600 + £500)Policy B by £1,000
2 Claims£5,100 (premiums only)£4,600 (£3,600 + £1,000)Policy B by £500
3 Claims£5,100 (premiums only)£5,100 (£3,600 + £1,500)Costs are Identical
4 Claims£5,100 (premiums only)£5,600 (£3,600 + £2,000)Policy A by £500

The Verdict:

In this scenario, you would need to make more than three separate claims in five years for the zero-excess policy to become the cheaper option financially. This is the gamble you take. You are paying a premium for certainty, effectively insuring yourself against the risk of needing frequent treatment.

A Critical Reminder: What UK PMI Does and Does Not Cover

It is impossible to overstate this point: standard UK private medical insurance is designed to cover acute conditions that arise after you take out your policy.

Pre-existing and Chronic Conditions are Excluded

  • Chronic Conditions: These are illnesses that are long-lasting, have no known cure, and are managed with medication or monitoring. Examples include diabetes, asthma, high blood pressure, and Crohn's disease. PMI will not cover the ongoing management of these conditions.
  • Pre-existing Conditions: This refers to any disease, illness, or injury for which you have experienced symptoms, received medication, advice, or treatment before your policy start date. These are typically excluded, often for the first two years (moratorium underwriting) or permanently (full medical underwriting).

PMI provides access to high-quality, prompt treatment for acute conditions—illnesses that are curable and short-lived, such as joint replacements, cataract removal, hernia repair, and crucially, cancer treatment. The value of PMI lies in bypassing long waiting lists for these specific, treatable problems. With NHS waiting lists in England remaining over 7.5 million in 2024, this benefit is more valuable than ever.

Beyond the Excess: Other Key Factors Affecting Your Premium

The excess level is just one piece of the puzzle. When building your private health cover policy, several other elements will heavily influence your final premium.

  1. Your Age and Location: Age is the single most significant factor. Premiums rise as you get older. Where you live also matters, with policies in central London and the South East being the most expensive due to higher hospital costs.

  2. Level of Cover: You can customise your policy to fit your budget.

    • In-patient vs. Out-patient: A basic policy might only cover treatment where you need a hospital bed overnight (in-patient). A comprehensive policy will also cover specialist consultations, diagnostic scans (like MRI and CT), and tests that don't require a hospital stay (out-patient).
    • Therapies: You can choose to add cover for services like physiotherapy, osteopathy, and chiropractic treatment.
    • Mental Health Cover: This is often an add-on, providing access to psychiatrists and therapists.
  3. Hospital List: Insurers offer different tiers of hospitals. A policy with a limited list of local hospitals will be cheaper than one that gives you access to every private hospital in the country, including the premier facilities in London.

  4. No Claims Discount (NCD): Similar to car insurance, most PMI providers offer a No Claims Discount. For every year you don't claim, your discount increases, reducing your premium at renewal. Making a claim, even if your excess covers the full cost, will typically reduce your NCD, leading to a higher premium the following year.

The WeCovr Advantage: Expert Guidance and Added Value

Navigating these options can be complex. This is where a specialist at WeCovr or one of our broker partners provides immense value. Instead of going to insurers directly, our experts can:

  • Compare the Market: We search policies from a wide panel of the main PMI providers in the UK to find the right fit for your needs and budget.
  • Offer Regulated Advice: We work for you, not the insurer. We can explain the pros and cons of a zero-excess policy versus a higher excess, and help you understand the long-term cost implications.
  • Unlock Extra Benefits: When you arrange your health insurance through us, you get complimentary access to CalorieHero, our AI-powered calorie and nutrition tracking app. Furthermore, our clients often receive discounts on other insurance products, such as life or income protection insurance. Our high customer satisfaction ratings reflect our commitment to finding good outcomes for our clients.

Health & Wellness: A Proactive Approach to Wellbeing

While insurance is a crucial safety net, one effective way to manage health costs is to invest in your own wellbeing. Taking proactive steps can reduce your risk of developing certain acute conditions.

  • Stay Active: The NHS recommends at least 150 minutes of moderate-intensity activity or 75 minutes of vigorous-intensity activity a week. Data from Sport England's 2022-23 survey shows that only 63% of adults in England meet this guideline. A brisk walk, a cycle ride, or a swim can make a huge difference.
  • Nourish Your Body: Following the principles of the NHS Eatwell Guide, which emphasises a balanced intake of fruits, vegetables, lean proteins, and whole grains, can help maintain a healthy weight and reduce the risk of numerous health problems.
  • Prioritise Sleep: Most adults need 7-9 hours of quality sleep per night. Poor sleep is linked to a weakened immune system and a higher risk of developing health issues.
  • Manage Stress: Chronic stress can have a physical impact on your body. Techniques like mindfulness, meditation, yoga, or simply spending time in nature can help manage stress levels effectively.

Final Verdict: Is Zero-Excess PMI Worth It?

A zero-excess private medical insurance policy is worth the higher premium if you value absolute financial certainty and simplicity above all else.

Choose a zero-excess policy if:

  • You want to eliminate the risk of any unexpected medical bills.
  • Illustrative estimate: You would struggle to pay an excess of £250-£500 at short notice.
  • You want the most seamless and stress-free claims process possible.

Consider a policy with an excess if:

  • You are comfortable with a degree of financial risk to achieve lower monthly premiums.
  • You have savings you can use to cover an excess if needed.
  • You are in good health and believe you are unlikely to make frequent claims.

Ultimately, the right choice is a personal one. It requires a careful assessment of your financial situation, your attitude to risk, and your healthcare priorities.



Ready to explore your options? a WeCovr specialist or trusted broker partner is here to provide a free, no-obligation comparison of private medical insurance UK policies. Let us help you find the perfect balance of cover, cost, and excess for your peace of mind. Get your personalised quote today.


What happens if my treatment cost is less than my PMI excess?

If the cost of your eligible private treatment is less than your policy excess, you will be responsible for paying the entire bill yourself. The insurer pays nothing. In most cases, because the insurer hasn't made a payment, this will not be counted as a formal claim and should not affect your No Claims Discount (NCD) at renewal, but you should always check your specific policy wording.

Can I change my excess level during my policy term?

Generally, you can only change your excess level at your annual policy renewal. Increasing your excess is usually a straightforward way to lower your renewal premium. Decreasing your excess (for example, from £500 to £0) makes the policy riskier for the insurer, so they may require you to answer new medical questions or go through a process called underwriting before they agree to the change.

Does a zero-excess policy mean every single medical cost may be covered?

No, this is a common misconception. "Zero-excess" means you pay £0 towards the cost of *eligible claims*. It does not override the fundamental terms and exclusions of your policy. Your private health cover will still have annual financial limits, specific exclusions (like routine GP visits, A&E, cosmetic surgery), and, most importantly, it will not cover pre-existing or chronic conditions. Always read your policy documents carefully to understand what is and isn't covered.

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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