As an FCA-authorised expert insurance broker that has arranged over 750,000 policies of various types via embedded and direct channels, WeCovr provides a clear path to finding the right private medical insurance in the UK. This guide explains how you can secure comprehensive private health cover that is both affordable and perfectly suited to your needs.
Navigating the world of Private Medical Insurance (PMI) can feel complex. With rising NHS waiting times and a growing desire for more control over one's healthcare, many are turning to the private sector. But what does PMI actually cover? How can you find a policy that fits your budget without sacrificing quality? And who can you trust to guide you?
This definitive guide answers these questions and more. We will demystify the options, clarify the costs, and explain how an expert broker can be your most valuable asset in securing peace of mind.
Private Medical Insurance, often called private health cover, is an insurance policy designed to cover the costs of private healthcare for acute medical conditions that arise after you take out the policy. In essence, you pay a monthly or annual premium, and in return, the insurer covers the expense of eligible private treatment, from diagnosis through to surgery and aftercare.
The primary driver for considering PMI in the UK is to gain faster access to medical care, bypassing potential NHS queues.
The National Health Service (NHS) is a world-class institution, providing exceptional care to millions free at the point of use. However, it is currently facing unprecedented demand.
According to the latest data from NHS England, the number of people on waiting lists for routine hospital treatment remains significantly high. In early 2025, figures showed that millions were waiting to start consultant-led elective care, with a substantial number waiting over a year for treatment (NHS England, 2025).
This situation creates a compelling case for PMI. While the NHS remains the cornerstone of emergency and critical care, a private policy offers a parallel route for planned, non-urgent treatments.
Opting for private medical insurance UK provides several key advantages that offer comfort, convenience, and control during a stressful time.
This is the single most important concept to understand about UK private medical insurance.
Similarly, PMI does not cover pre-existing conditions—any ailment you had symptoms of, or received advice or treatment for, before your policy began. We will explore this in greater detail later.
Choosing the right PMI policy can be daunting. With dozens of providers and countless policy variations, it's easy to feel overwhelmed. This is where an independent, expert PMI broker like WeCovr becomes invaluable.
WeCovr is a leading UK insurance brokerage, authorised and regulated by the Financial Conduct Authority (FCA). Our role is simple: to act on your behalf, not on behalf of the insurance companies. We use our market expertise to find you the best possible private health cover at the most competitive price, with no fee for our service. Our advice is impartial, and our goal is to match your specific needs and budget with the right provider.
With deep experience in the UK insurance market and high customer satisfaction ratings, we provide clarity and confidence, ensuring you understand exactly what you are buying.
The belief that comprehensive private health cover is prohibitively expensive is a common misconception. The key to affordability is not to cut corners on quality but to intelligently tailor the policy to your precise requirements. At WeCovr, we specialise in this process.
Here’s how we help you build a high-quality, cost-effective policy.
As an independent broker, we are not tied to any single insurer. We have access to policies from a wide panel of the UK’s leading and most respected private health insurance providers. This allows us to run a comprehensive comparison of the entire market to identify the provider offering the best value and features for your individual circumstances.
This saves you time and, crucially, money. We can often find competitive terms that are not available to individuals going direct.
Your PMI premium is determined by a range of factors, including your age, location, and smoking status. However, the most significant control you have over the cost comes from customising the policy itself.
Here are the main levers you can adjust to manage your premium:
An excess is the amount you agree to pay towards the cost of a claim. For example, if you have a £250 excess and your treatment costs £3,000, you pay the first £250, and your insurer pays the remaining £2,750.
Excess Level | Illustrative Monthly Premium | Description |
---|---|---|
£0 | High | You pay nothing towards your claim. |
£250 | Medium-High | A popular, balanced option. |
£500 | Medium-Low | Reduces the premium noticeably. |
£1,000 | Low | Offers the greatest premium reduction. |
A WeCovr advisor can help you model the financial impact of different excess levels to find your sweet spot.
Insurers group UK private hospitals into tiers based on their costs, with Central London hospitals being the most expensive. Your choice of hospital list directly impacts your premium.
Unless you live or work in Central London and are determined to be treated there, a national or even a well-chosen local list can provide excellent care while saving you a significant amount on your premium.
PMI is typically split into two parts:
You can customise your out-patient cover to manage costs:
Out-Patient Cover Level | Description | Impact on Premium |
---|---|---|
Full Cover | No limit on the number or cost of out-patient consultations and diagnostics. | Highest Cost |
Capped Cover | A set monetary limit per policy year (e.g., £500, £1,000, or £1,500). | Medium Cost |
No Cover | You pay for out-patient consultations yourself, with PMI only kicking in for in-patient treatment. | Lowest Cost |
A popular and cost-effective strategy is to choose a capped out-patient limit of around £1,000. This is usually sufficient to cover the initial diagnostic phase for most conditions.
This is one of the most effective cost-saving features available. If you add the six-week option to your policy, it means that for in-patient or day-patient treatment, if the NHS can treat you within six weeks of when the procedure is recommended, you will use the NHS. If the NHS waiting list is longer than six weeks, your private medical insurance will kick in to provide the treatment privately.
This single clause can reduce your premium by 20-30%, as it means your policy is a safety net for when the NHS is unable to provide prompt care. Given current waiting times, this option still provides immense value while making the policy much more affordable.
Underwriting is the process an insurer uses to assess risk and decide what they will and won't cover.
A WeCovr advisor can explain the pros and cons of each method based on your personal medical history.
While every policy is different, a comprehensive private medical insurance plan sourced through WeCovr will typically include cover for a wide range of treatments and services.
For a more comprehensive policy, you can choose to include optional extras:
Understanding the exclusions is as important as understanding the benefits. It prevents surprises at the point of claim and ensures your expectations are realistic. As a core principle, UK PMI is for unforeseen, acute conditions.
This is the most fundamental exclusion. A pre-existing condition is any illness, disease, or injury for which you have experienced symptoms, received medication, or sought advice from a medical professional before your policy start date.
Under moratorium underwriting, these are automatically excluded for a set period (usually two years). If you remain symptom-free and treatment-free for that condition for two continuous years after your policy starts, it may then become eligible for cover.
As explained earlier, PMI is not designed for the long-term management of incurable conditions. If you have diabetes, for example, your policy will not cover the cost of your insulin, regular GP check-ups, or routine monitoring.
However, if you were to develop an unrelated acute condition (like a hernia), your PMI would cover that. Furthermore, if you suffer a sudden, unexpected flare-up of a chronic condition, some policies may provide cover for stabilising the acute phase.
Most policies will also exclude:
To bring the benefits to life, let's look at a couple of hypothetical examples.
Scenario 1: Sarah, a 45-year-old teacher with persistent knee pain.
Scenario 2: David, a 32-year-old graphic designer diagnosed with a rare form of cancer.
The UK market is home to several major providers, each with its own strengths and unique selling points. Trying to compare them directly can be confusing. An expert broker like WeCovr does this heavy lifting for you, translating the complex policy details into clear, comparable options.
Here are some of the key features WeCovr will help you compare:
Feature | Description | How WeCovr Helps You Compare |
---|---|---|
No Claims Discount (NCD) | A discount on your renewal premium for each year you don't make a claim, similar to car insurance. Can offer significant long-term savings. | We analyse the different NCD scales and protection options across providers to find the most favourable for you. |
Digital GP Services | 24/7 access to a virtual GP via phone or video call. Allows for quick consultations and prescriptions without leaving home. | We compare the quality and accessibility of each provider's digital GP app and service. |
Mental Health Pathway | The process for accessing mental health support. Some insurers allow self-referral, while others require a GP referral. | We identify the providers with the most streamlined and comprehensive mental health support, a key priority for many clients. |
Added Value Benefits | Perks like gym discounts, wellness rewards, and health screening offers. | We highlight these extra benefits, which can provide real financial value and help you stay healthy. |
Cancer Cover Promise | The specifics of the cancer cover, including funding for experimental treatments and aftercare support. | We perform a deep-dive comparison of each insurer's cancer pledge to ensure you have the most robust cover available. |
Our commitment to our clients extends beyond simply finding a policy. We believe in providing holistic support for your health and financial wellbeing.
Here are answers to some of the most common questions we receive about private health cover.
1. Is private medical insurance worth it in the UK? For many, the answer is yes. While the NHS provides excellent care, private medical insurance is worth considering if you value faster access to treatment for non-urgent conditions, greater choice over your specialists and hospitals, and the comfort of a private facility. It acts as a valuable complement to the NHS, offering peace of mind and control over your health journey, particularly in light of current NHS waiting times (NHS England, 2025).
2. How much does private health insurance cost per month? The cost of a private health insurance policy varies widely based on age, location, level of cover, and chosen excess. A basic policy for a young, healthy individual could start from as little as £30-£40 per month. A more comprehensive policy for someone in their 50s might be £80-£120 per month or more. The best way to get an accurate figure is to get a personalised quote, as a broker can tailor the policy elements to fit your specific budget.
3. Does private health insurance cover pre-existing conditions? No, standard private medical insurance in the UK does not cover pre-existing conditions. These are medical issues you had symptoms of or received treatment for before your policy began. Policies are designed to cover new, acute conditions that arise after you join. Some conditions may become eligible for cover in the future under moratorium underwriting if you remain symptom- and treatment-free for a continuous two-year period.
4. What is the main benefit of using a PMI broker like WeCovr? The main benefit of using a PMI broker like WeCovr is receiving impartial, expert advice across the whole market at no extra cost to you. We are not tied to any single insurer. Our advisors compare policies from all the leading UK providers to find the best cover for your specific needs and budget. This saves you time, prevents you from overpaying, and ensures you get a policy that truly protects you, with all the complex terms and conditions clearly explained.
Ready to take control of your healthcare and explore your options for affordable, comprehensive private medical insurance? The expert team at WeCovr is here to help.
Get your free, no-obligation quote today. Our specialist advisors will compare the UK's leading insurers to find the perfect cover for you, at the right price.