As an FCA-authorised broker that has helped over 900,000 clients secure vital cover, WeCovr has a unique view of the UK insurance market. Today, we're seeing a significant shift in private medical insurance, driven by businesses placing employee health at the heart of their corporate strategy.
Survey data shows businesses increasing group health cover investment in response to staff wellbeing concerns
The landscape of employee benefits is changing. Recent industry surveys and market data for 2025 reveal a clear trend: UK businesses are substantially increasing their investment in group private medical insurance (PMI). This surge isn't just about offering a desirable perk; it's a strategic response to growing concerns over employee wellbeing, NHS waiting times, and the fierce competition for talent.
Organisations are recognising that a healthy, supported workforce is a productive and loyal one. In the face of unprecedented pressures on the public health system, companies are taking proactive steps to ensure their staff can access medical care quickly and efficiently. This article explores the drivers behind this trend, what group health cover entails, and how your business can benefit.
Why UK Businesses Are Turning to Private Health Cover
The decision to invest in group PMI is increasingly being driven by a combination of external pressures and internal strategic goals. For many UK companies, it has moved from a 'nice-to-have' to a business necessity.
1. Navigating NHS Waiting Times
The NHS is a cherished institution, but it is currently facing immense strain. The latest figures from NHS England paint a challenging picture:
- Record Waiting Lists: The total waiting list for consultant-led elective care stands at over 7.6 million as of early 2025. This means millions are waiting for routine procedures like hip replacements or cataract surgery.
- Extended Treatment Times: The target for patients to start treatment within 18 weeks of a referral is consistently being missed in many areas. Some patients wait much longer, impacting their quality of life and ability to work.
- Diagnostic Delays: There are also significant waits for crucial diagnostic tests like MRI and CT scans, which can delay diagnoses and subsequent treatment.
For an employer, this translates directly into lost productivity. An employee waiting months for a diagnosis or treatment is likely to be in pain, anxious, and less effective at their job. They may also require extended time off sick. Private health cover offers a solution by providing fast access to consultations, diagnostics, and treatment, often within weeks.
2. The Rise of Employee Wellbeing as a Business Priority
The post-pandemic era has cemented employee wellbeing as a top-tier corporate responsibility. Data from the Health and Safety Executive (HSE) shows that in 2023/2024, an estimated 875,000 workers suffered from work-related stress, depression, or anxiety, leading to 17.1 million lost working days.
Businesses are now more aware than ever of the costs associated with burnout, presenteeism (working while unwell), and poor mental health. Group PMI schemes are evolving to meet this need, with many now including:
- Comprehensive Mental Health Support: Access to counsellors, therapists, and psychiatrists.
- Digital GP Services: 24/7 access to a GP via phone or video call, reducing the need to take time off for appointments.
- Wellness Programmes and Apps: Resources to help staff manage stress, improve sleep, and adopt healthier lifestyles.
By providing these tools, companies send a powerful message that they genuinely care for their employees' holistic health.
3. Gaining a Competitive Edge in Recruitment and Retention
In a tight labour market, a strong benefits package is a key differentiator. Talented professionals now expect more than just a competitive salary. A comprehensive health insurance plan is consistently ranked as one of the most desired employee benefits.
- Attracting Top Talent: Offering PMI can make your job offer stand out from the competition.
- Retaining Key Staff: When employees feel valued and cared for, they are more likely to be loyal. The security of private health cover for themselves and their families is a powerful retention tool.
For a relatively modest per-employee investment, a business can significantly enhance its employer brand and be seen as an employer of choice.
4. Boosting Productivity and Reducing Absenteeism
According to the Office for National Statistics (ONS), an estimated 185.6 million working days were lost because of sickness or injury in 2022, the highest since records began.
Private medical insurance directly tackles this issue.
| How PMI Reduces Absenteeism & Boosts Productivity | Example |
|---|
| Faster Diagnosis | An employee with persistent back pain can see a specialist and get an MRI within a week, rather than waiting months. |
| Quicker Treatment | A required surgical procedure can be scheduled at a private hospital at a time that suits the employee and business. |
| Reduced Presenteeism | Access to mental health support can help an employee manage stress before it leads to burnout and reduced performance. |
| Preventative Care | Wellness checks and digital GP services empower staff to manage minor health issues before they become major problems. |
The return on investment is clear: the cost of a group PMI policy is often far less than the cost of lost productivity from a single employee on long-term sick leave.
What Does a Typical Group PMI Policy Include?
Understanding the components of a private medical insurance UK policy is the first step for any business considering this benefit. Policies are flexible and can be tailored to your budget and the needs of your workforce.
A key principle to understand is that standard PMI is designed for acute conditions — illnesses or injuries that are new, short-term, and likely to respond to treatment. It does not cover pre-existing conditions (ailments you had before joining) or chronic conditions (long-term illnesses like diabetes or asthma that require ongoing management rather than a cure).
Here’s a breakdown of what’s typically available.
Core Cover (The Essentials)
This is the foundation of every policy and almost always includes:
- In-patient and Day-patient Treatment: This covers costs when an employee is admitted to hospital for treatment that requires a hospital bed, either overnight (in-patient) or for the day (day-patient). This includes surgery, hospital accommodation, nursing care, specialist fees, and diagnostics during their stay.
- Cancer Cover: This is a vital component. Most core policies provide extensive cover for cancer diagnosis and treatment, including chemotherapy, radiotherapy, and surgery. Some policies offer access to drugs and treatments not yet available on the NHS.
Popular Optional Add-ons
You can enhance your core policy with a range of options to create a more comprehensive plan.
- Out-patient Cover: This is the most popular add-on. It covers diagnostic tests and consultations with a specialist that do not require a hospital bed. For example, seeing a cardiologist and having an ECG. Without this cover, the employee would need to get their initial diagnosis via the NHS before the PMI could cover any subsequent in-patient treatment.
- Mental Health Cover: Provides access to a range of mental health professionals, including psychiatrists and therapists. This is increasingly seen as an essential part of a modern benefits package.
- Therapies Cover: Covers treatments like physiotherapy, osteopathy, and chiropractic care, which are crucial for musculoskeletal issues – a leading cause of sickness absence.
- Dental and Optical Cover: Helps employees with the costs of routine check-ups, treatments, and new eyewear.
| Feature | Core Cover | Optional Add-on | Description |
|---|
| In-patient Surgery | ✅ | | Covers surgery requiring an overnight hospital stay. |
| Cancer Treatment | ✅ | | Includes costs for chemotherapy, radiotherapy, etc. |
| Specialist Consultations | | ✅ | Covers appointments to diagnose a condition. |
| Diagnostic Scans (MRI, CT) | | ✅ | Covers scans done on an out-patient basis. |
| Physiotherapy | | ✅ | Covers treatment for muscle and joint issues. |
| Mental Health Support | | ✅ | Provides access to counsellors and psychiatrists. |
As an expert PMI broker, WeCovr can help you build the perfect package, ensuring you only pay for the cover your team truly needs.
How Businesses Can Choose the Right Group Health Insurance
Navigating the PMI market can be complex. There are numerous providers, policy options, and pricing structures. Partnering with an experienced broker like WeCovr simplifies the process and ensures you get the best value, at no extra cost to you.
Here are the key factors your business should consider.
1. Define Your Budget
The cost of a group scheme is calculated on a per-employee, per-month basis. This cost is influenced by:
- The average age of your employees.
- Your location (e.g., London postcodes are typically more expensive).
- The level of cover chosen.
- The underwriting method.
A clear budget will help your broker narrow down the most suitable options.
2. Select the Right Level of Cover
Do you need a basic policy focused on getting staff back to work quickly, or a comprehensive package that covers a wide range of health and wellness needs? Consider your workforce demographics and what they would value most. A younger workforce might prioritise mental health and digital GP services, while an older one might be more focused on comprehensive cancer care and out-patient cover.
3. Understand Underwriting Options
This determines how the insurer treats pre-existing medical conditions. For group schemes, there are typically three main options:
- Medical History Disregarded (MHD): This is the most comprehensive option, usually available to groups of 15-20+ employees. As the name suggests, the insurer disregards previous medical history, covering eligible acute conditions regardless of whether they existed before. It is the simplest to administer and offers the most inclusive cover.
- Moratorium Underwriting: With this option, the insurer will not cover conditions that existed in the 5 years prior to the policy start date. However, if an employee goes 2 full years on the policy without any symptoms, treatment, or advice for that condition, it may become eligible for cover. It's simpler to set up as it requires no medical questionnaires upfront.
- Full Medical Underwriting (FMU): Each employee completes a full health questionnaire. The insurer then assesses this and may place specific exclusions on the policy for any pre-existing conditions. It provides certainty from day one but involves more administration.
4. Choose an Excess Level
An excess is the amount an employee pays towards a claim in a policy year. A higher excess will lower the overall premium. Common excess levels range from £0 to £500. Offering a choice of excess levels can be a good way to manage costs while still providing a valuable benefit.
5. Review the Hospital List
Insurers use tiered hospital lists to manage costs. A policy with a national list including premium central London hospitals will be more expensive than one with a more restricted local list. It’s important to choose a list that provides good geographical coverage for your employees.
The Tangible Benefits of Group Health Cover
The positive impact of a group PMI scheme is felt by both the business and its employees.
Benefits for Employers
- Reduced Sickness Absence: Faster treatment means employees return to work sooner.
- Increased Productivity: A healthier workforce is more focused, motivated, and efficient.
- Enhanced Employer Brand: Being known as a company that cares for its people is a powerful recruitment tool.
- Improved Staff Morale and Loyalty: A top-tier health benefit demonstrates a genuine investment in your team's wellbeing, fostering loyalty.
- A Healthier Company Culture: Promotes a culture where health is prioritised.
Benefits for Employees
- Peace of Mind: Knowing you and your family can access private care provides immense reassurance.
- Fast Access to Specialists: Bypass long NHS waits for consultations and diagnostics.
- Choice and Control: Choose the specialist and hospital for your treatment.
- Comfort and Privacy: Access to private rooms in comfortable hospital settings.
- Access to Added-Value Services: Most policies include valuable extras:
- 24/7 Digital GP: Speak to a doctor anytime, anywhere.
- Health and Wellness Apps: Support for fitness, nutrition, and mental health.
- Discounts and Rewards: Many providers offer discounts on gym memberships, fitness trackers, and healthy food.
With WeCovr, clients who purchase a PMI or Life Insurance policy not only get expert advice but also receive complimentary access to our AI-powered nutrition app, CalorieHero, to support their wellness journey. Furthermore, clients can benefit from discounts on other insurance products, such as home or travel cover.
Integrating PMI into a Wider Corporate Wellness Strategy
The best PMI provider and policy for your company will be one that integrates into a holistic wellness strategy. PMI is a powerful reactive tool, but a proactive approach to health reaps the greatest rewards.
Consider building a wellness programme around these pillars:
- Physical Health:
- Promote healthy eating with fresh fruit in the office.
- Encourage movement with lunchtime walking clubs or cycle-to-work schemes.
- Use PMI-linked gym discounts to incentivise fitness.
- Mental Health:
- Appoint and train Mental Health First Aiders.
- Run workshops on stress management and resilience.
- Foster an open culture where it's okay to talk about mental health.
- Sleep and Recovery:
- Educate staff on the importance of good sleep hygiene.
- Encourage employees to disconnect after work hours to prevent burnout.
- Financial Wellbeing:
- Offer access to financial advice, as money worries are a major source of stress.
A comprehensive strategy shows an authentic commitment that goes beyond simply ticking a box.
Frequently Asked Questions about Group Private Medical Insurance
Does private medical insurance cover pre-existing conditions?
Generally, no. Standard UK private medical insurance is designed to cover new, acute conditions that arise after your policy begins. Most policies exclude pre-existing conditions, which are any diseases, illnesses, or injuries for which you have had symptoms, medication, or advice in the 5 years before joining. However, for larger company schemes, a "Medical History Disregarded" underwriting option may be available, which does cover pre-existing conditions.
How much does group health insurance cost per employee?
The cost varies significantly based on several factors: the average age of the employees, the business's location, the level of cover chosen (e.g., inclusion of out-patient or mental health cover), the policy excess, and the underwriting type. A basic policy for a young workforce outside of London could start from as little as £30 per employee per month, while a comprehensive policy for an older workforce in London could be over £100. An expert broker like WeCovr can provide a precise quote based on your specific circumstances.
Is private health insurance a taxable benefit for employees?
Yes. When an employer pays for an employee's private medical insurance premium, it is considered a 'benefit-in-kind'. This means the employee will have to pay income tax on the value of the premium. The employer must report this to HMRC on a P11D form, and the cost of the premiums is also subject to Class 1A National Insurance contributions for the employer.
Can a small business with only a few employees get group health insurance?
Absolutely. Most UK insurers offer group health insurance schemes for businesses with as few as two employees. While they won't have access to Medical History Disregarded underwriting, small businesses can still benefit from the competitive pricing and simpler administration of a group scheme compared to individual policies. It's an excellent way for SMEs to compete with larger corporations for talent.
The evidence is clear: employer-driven demand is reshaping the private health cover market. As businesses continue to prioritise the health of their people, investing in a group PMI scheme is becoming a cornerstone of modern corporate strategy.
Ready to explore how private medical insurance can benefit your business and your team?
Contact WeCovr today for a free, no-obligation quote and expert advice tailored to your company's needs.