Private Medical Insurance for Company Directors: Your Guide from WeCovr
Introduction
At WeCovr, we understand the unique challenges faced by company directors and business owners. Your success heavily relies on your ability to remain in good health and work efficiently. That's why we're dedicated to providing comprehensive private medical insurance (PMI) solutions tailored to your specific needs.
As an insurance broking firm, our goal is to assist you in navigating the complexities of PMI and finding the best policy that suits your personal and professional circumstances. In this guide, we'll explore the benefits of PMI for company directors, how it works, the different types of coverage available, and the factors that influence the cost of your policy.
The Benefits of Private Medical Insurance for Company Directors
Avoiding NHS Waiting Times
One of the primary advantages of PMI is the ability to bypass long NHS waiting lists for non-emergency treatments. As a company director, time is of the essence, and any prolonged absence due to illness or injury can negatively impact your business operations. With PMI, you can access private healthcare facilities and receive treatment promptly, minimising the disruption to your professional commitments.
Flexibility and Choice
PMI provides you with greater flexibility and choice when it comes to your medical care. You'll have the option to select the hospital, specialist, and treatment dates that best suit your schedule. Additionally, many policies offer private en-suite rooms during your hospital stay, providing a more comfortable and relaxing environment for your recovery.
24/7 Access to Virtual GPs
Most PMI policies include access to a 24/7 virtual GP service, allowing you to seek medical advice and consultations at your convenience. This feature is particularly beneficial for busy company directors who may find it challenging to schedule appointments during regular business hours. With virtual GPs, you can address minor health concerns promptly and receive referrals for further treatment if necessary.
Preventative Care and Well-being Support
Many PMI providers recognise the importance of preventative care and offer well-being services as part of their policies. These services may include health screenings, fitness programmes, and mental health support. By prioritising your overall well-being, you can potentially reduce the risk of developing more serious health conditions and maintain optimal productivity.
How Does Private Medical Insurance for Company Directors Work?
PMI for company directors functions similarly to individual PMI policies, with a few key differences. Here's how it typically works:
Choosing a Policy: As a company director, you have the option to purchase PMI either personally (individual policy) or through your business (group policy). Our brokers at WeCovr can guide you through the process of selecting the most suitable option based on your specific circumstances.
Tailoring Your Coverage: PMI policies offer a range of coverage options, allowing you to tailor your plan to meet your needs and budget. You can choose from various levels of in-patient, out-patient, and additional benefits such as dental, optical, and mental health coverage.
Claiming and Accessing Treatment: Once you have your PMI policy in place, you can easily claim for eligible treatments and medical expenses. Most insurers provide online portals, mobile apps, or dedicated claims hotlines to streamline the process.
Receiving Treatment: After your claim is approved, you'll have access to a network of private healthcare facilities, where you can receive prompt treatment from experienced medical professionals. Many policies allow you to choose your preferred hospital and specialist, providing you with greater control over your care.
Types of Private Medical Insurance for Company Directors
As a company director, you have several options when it comes to PMI coverage. At WeCovr, we'll guide you through the following choices:
1. Individual Private Medical Insurance
If you're a sole director or want to provide coverage solely for yourself and your family, an individual PMI policy may be the most suitable option. These policies are tailored to your specific needs and allow for greater flexibility in terms of coverage levels and additional benefits.
2. Small and Medium Enterprise (SME) Health Insurance
For businesses with 3 to 249 employees, an SME health insurance policy is typically recommended. These group policies provide coverage for all eligible employees, including company directors. You'll have the ability to determine the level of coverage offered to different employee groups based on seniority or job roles.
3. Corporate Group Schemes
If your business has more than 250 employees, a corporate group scheme may be the most appropriate choice. These comprehensive policies are often arranged by the human resources team to provide coverage for all employees, including directors.
4. Health Insurance Allowance
Some businesses opt for a different approach by providing employees, including company directors, with a personal health insurance allowance. This allowance is added to their pay, enabling individuals to choose the type of policy and benefits that best suit their needs while avoiding the administration of a large group scheme.
What Does Private Medical Insurance for Company Directors Cover?
PMI policies for company directors typically offer a range of coverage options, including core coverage and optional extras. Let's explore the key elements:
Core Coverage
In-patient and Day-patient Treatment
Most PMI policies cover the costs associated with in-patient and day-patient treatments at private hospitals or clinics. This includes hospital fees, specialist fees, medication, and eligible follow-up rehabilitation.
Cancer Care
Given the prevalence of cancer, most policies include comprehensive cancer care as part of their core coverage. This may involve surgery, chemotherapy, radiotherapy, and access to cutting-edge treatments or breakthrough cancer drugs not yet available through the NHS.
Mental Health Support
Running a business can be stressful, and mental health issues can significantly impact your ability to work effectively. Many PMI policies provide counselling or cognitive behavioural therapy (CBT) sessions as part of their core coverage, without the need for a GP referral, allowing you to access support promptly.
Limited Out-patient Coverage
While comprehensive out-patient treatment is typically an optional extra, many insurers offer limited out-patient coverage as part of their core policies. This may include procedures such as cataract surgery or a fixed sum for an initial consultant appointment and diagnostic tests.
Virtual GP Access
As mentioned earlier, most PMI policies provide 24/7 access to virtual GP services, allowing you to book video or telephone consultations at your convenience. Virtual GPs can provide medical advice, issue private prescriptions, and refer you for further treatment if necessary.
Health Advice Services and Resources
PMI providers often include access to health advice helplines staffed by nurses, pharmacists, physiotherapists, or mental health specialists. Additionally, many insurers offer self-help resources and educational materials to support your well-being.
Optional Extras
While core coverage provides a solid foundation, you may want to enhance your policy with optional extras to suit your specific needs and budget. Here are some common options:
Full Out-patient Coverage
Adding full out-patient coverage to your policy grants you access to a broader range of treatments, including consultant appointments, diagnostic tests, and various out-patient procedures.
Therapies Cover
Many PMI policies offer separate therapies cover, allowing you to tailor your coverage to include treatments such as physiotherapy, osteopathy, chiropractic care, and alternative therapies like acupuncture or homeopathy.
Enhanced Mental Health Treatment
While basic mental health coverage provides access to a limited number of counselling or CBT sessions, you may opt for enhanced mental health treatment to ensure access to a wider range of out-patient and in-patient therapies.
Optical and Dental Cover
If you already pay for private dental care and eye tests, adding optical and dental coverage to your PMI policy can be a cost-effective way to access treatments and reduce expenses. These benefits typically cover regular check-ups, glasses, contact lenses, and dental treatments.
Extended Hospital List
Standard PMI policies often come with a hospital list that excludes facilities in locations with higher treatment costs, such as central London. Adding an extended hospital list can give you access to a broader range of private hospitals, including those in major cities, ensuring you can receive treatment closer to your home or office.
Additional Services for Group Policies
If you opt for a group policy, your insurer may provide additional services to help you manage your policy and your employees' health needs. These services can include educational materials, health and well-being programmes, and support for managing absences and return-to-work strategies.
What Doesn't Private Medical Insurance for Company Directors Cover?
While PMI policies offer comprehensive coverage, it's important to understand the limitations and exclusions. Here are some common exclusions:
Chronic Conditions: PMI policies typically do not cover the treatment of chronic conditions that require long-term monitoring and management, such as asthma, diabetes, or high blood pressure.
Pre-existing Conditions: If you have sought medical advice or treatment for a condition within a specific period (usually five years) before purchasing the policy, it may be considered a pre-existing condition and excluded from coverage for the first two years. After remaining symptom-free for a specified period, your insurer may add the condition to your coverage.
Cosmetic and Weight Loss Treatments: Cosmetic procedures and treatments primarily aimed at weight loss are generally excluded from PMI policies.
Addiction Treatment: Most PMI policies do not cover treatments related to addiction or substance abuse.
Self-inflicted Injuries: Injuries resulting from intentional self-harm or attempted suicide are typically excluded from coverage.
Accident and Emergency Treatment: While PMI policies cover planned treatments, they generally do not cover emergency or accident-related treatments, which should be handled through the NHS.
Pregnancy and Childbirth: Routine pregnancy and childbirth are often excluded from standard PMI policies, although some insurers may offer additional maternity cover as an optional extra.
Intensive Care: Some policies may exclude or limit coverage for intensive care treatments or impose specific criteria for eligibility.
Learning Difficulties, Behavioural, or Developmental Conditions: Treatments related to conditions such as autism, ADHD, or dyslexia are usually not covered under standard PMI policies.
It's essential to carefully review the policy documentation and discuss any specific exclusions or limitations with your WeCovr broker to ensure you understand the scope of your coverage fully.
How Much Does Private Medical Insurance for Company Directors Cost?
The cost of PMI for company directors varies depending on several factors, and it's crucial to obtain multiple quotes to find the most suitable option. Here are some key determinants that insurers consider when calculating premiums:
Individual Policy Factors
- Age: Premiums typically increase with age due to the higher risk of developing health conditions.
- Location: Areas with higher healthcare costs, such as major cities, may result in higher premiums.
- Smoking and Lifestyle Factors: Smokers and individuals engaged in high-risk activities or occupations may face higher premiums.
- Level of Coverage: The extent of coverage you choose, including optional extras, will influence the overall cost.
- Underwriting Method: Full medical underwriting, where you provide detailed medical history, can sometimes result in slightly lower premiums compared to moratorium underwriting.
Group Policy Factors
- Number of Employees: While covering more employees may increase the overall cost, it often reduces the cost per individual due to risk-pooling.
- Age and Health Profile of the Workforce: The average age and overall health status of your employees can impact the premiums.
- Industry and Occupation Risks: Businesses with higher-risk occupations or activities may face elevated premiums due to the increased likelihood of claims.
- Underwriting Method: For larger groups (typically over 15-20 employees), insurers may offer medical history disregarded underwriting, which covers pre-existing conditions but is generally more expensive.
Tax Implications and Professional Advice
It's essential to consider the tax implications when your limited company pays for your PMI policy. While the premiums are an allowable business expense and can be claimed against corporation tax, HMRC treats health coverage as a benefit in kind, meaning you'll need to report it and pay income tax on the value of the benefit. Additionally, you may be liable for class 1a national insurance contributions if you provide employee coverage.
To ensure you make an informed decision and understand the net cost to your business, we strongly recommend seeking professional advice from an accountant or financial advisor. They can guide you on the most tax-efficient way to pay for your PMI, considering factors such as your tax bracket, dividend income, salary structure, and whether you plan to add family members to the policy.
Getting Professional Advice from WeCovr
At WeCovr, we understand that choosing the right PMI policy for your business and personal needs can be a complex process. Our team of experienced brokers is dedicated to providing tailored guidance and helping you navigate the intricacies of PMI coverage.
We'll work closely with you to understand your unique circumstances, assess your requirements, and compare policies from leading insurers to find the best solution that meets your needs and budget. Our brokers don't charge any fees for their services, and you'll receive the same pricing as going directly to an insurer.
Contact us today to schedule a consultation and take the first step towards securing comprehensive private medical insurance for you and your business. Our expert advice will ensure you make an informed decision and enjoy the peace of mind that comes with having access to prompt, high-quality private healthcare.
Disclaimer: The information provided in this guide is general in nature and should not be considered as a substitute for professional advice. What is best for you will depend on your personal and business circumstances. We strongly recommend speaking with a financial advisor or conducting your own research before making a decision regarding private medical insurance.