WeCovr compares a mutual provider against the UK's biggest PMI brand
Choosing the right private medical insurance in the UK can feel like navigating a maze. As an FCA-authorised broker that has helped arrange over 750,000 policies, WeCovr understands the market's complexities. This guide pits two leading names against each other: Bupa, the household name and market titan, and The Exeter, a member-owned mutual insurer with a reputation for a personal touch. We’ll dissect their offerings to help you decide which is the better fit for your individual needs.
Understanding the Players: A Tale of Two Insurers
At first glance, Bupa and The Exeter both offer a path to private healthcare, but their philosophies and structures are fundamentally different. Understanding this difference is key to choosing the right partner for your health.
Bupa: The Market Leader
- Who they are: Founded in 1947 just before the NHS, Bupa is the UK's largest and most recognised health insurance provider. It has a global presence, serving millions of customers worldwide.
- How they operate: Bupa is a company limited by guarantee, meaning it has no shareholders. Like a mutual, it reinvests profits back into the business to improve services, products, and its own healthcare facilities (like the Cromwell Hospital).
- Best known for: Its vast network of hospitals and consultants, comprehensive cover options, and strong brand trust. Bupa is often seen as the "default" choice for private health cover.
The Exeter: The Member-Owned Mutual
- Who they are: The Exeter has a long history, founded in 1927. It is a friendly society, which means it's a mutual organisation.
- How they operate: As a mutual, The Exeter is owned by its members—the policyholders. There are no external shareholders to pay dividends to. Any profits are used for the benefit of members, which can translate into better service, more competitive pricing, or enhanced policy features.
- Best known for: A more personal approach, flexibility in underwriting (especially for those with some prior health conditions), and a strong focus on member value.
This core difference—a global giant versus a member-centric society—shapes everything from their policy design to their customer service ethos.
What is Private Medical Insurance (PMI)? A Quick Refresher
Before we dive into the comparison, let's clarify what private medical insurance is and, crucially, what it is not.
PMI is an insurance policy designed to cover the costs of private medical treatment for acute conditions that arise after your policy begins.
- An acute condition is a disease, illness, or injury that is likely to respond quickly to treatment and lead to a full recovery (e.g., joint replacement, cataract surgery, hernia repair).
The Critical Point: Pre-existing and Chronic Conditions
Standard UK private medical insurance does not cover pre-existing conditions or chronic conditions.
- Pre-existing Conditions: Any illness or injury you had symptoms of, received advice for, or were treated for before taking out the policy. Most policies exclude these for a set period (e.g., two years) or entirely.
- Chronic Conditions: Illnesses that cannot be cured but can be managed, such as diabetes, asthma, or high blood pressure. These are managed by the NHS.
The primary benefit of PMI is to bypass NHS waiting lists for eligible treatments, giving you faster access to specialist care, a choice of hospitals, and often a private room for your recovery. According to NHS England statistics, the median waiting time for consultant-led elective care was 14.5 weeks in April 2024, with hundreds of thousands waiting much longer. PMI offers a direct solution to this uncertainty.
Head-to-Head: Bupa vs The Exeter Key Features
Let's put the core individual policies from Bupa and The Exeter side-by-side. We will compare Bupa's popular 'Bupa By You Comprehensive' plan with The Exeter's 'Health+'.
Feature | Bupa By You (Comprehensive) | The Exeter (Health+) |
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Core Cover | In-patient & day-patient treatment, comprehensive cancer cover, some outpatient consultations/therapies post-surgery. | In-patient & day-patient treatment, cancer cover (with upgrade options), post-op consultations & therapies. |
Hospital Network | Three tiers: Essential, Extended, and Extended with London. Huge network of private & NHS hospitals. | A single, comprehensive list of private hospitals across the UK. Generally very good, but smaller than Bupa's top tier. |
Outpatient Cover | Optional add-on. Can choose from no cover, a monetary limit (e.g., £500, £750, £1000), or full cover. | Optional add-on. Can choose a monetary limit (e.g., £500, £1000) or full cover. |
Cancer Cover | Very comprehensive as standard. Often covers drugs not available on the NHS. Includes diagnostics, surgery, chemotherapy, radiotherapy, and aftercare. | Full cancer cover is an optional extra, but it is very robust when added. Includes diagnostics, therapies, and monitoring. |
Mental Health | Covers in-patient and day-patient care as standard. Outpatient mental health is an optional extra. | Strong focus. Covers in-patient and day-patient care. Unlimited remote diagnostics and up to 8 sessions of talking therapies included in their Healthwise app as standard. |
Excess Options | Per person, per policy year. Ranges from £0 to £1,000. You pay it once per year, no matter how many claims you make. | Per person, per policy year. Ranges from £0 to £5,000. It is a fixed excess, which can be simpler to manage. |
No Claims Discount | A 13-level NCD scale. You move up for not claiming, but multiple claims in a year can see you drop several levels. | A more straightforward 8-level scale called "Protected No Claims." You only ever move one level up or down each year, regardless of the number of claims. |
Added Benefits | Babylon Digital GP, Anytime HealthLine (24/7), Bupa Direct Access for certain conditions, member offers. | Healthwise App (Remote GP, Second Opinion, Physio, Mental Health Support), member-owned ethos. |
This table shows that while both providers cover the essentials, their approach to options, networks, and member benefits differs significantly.
A Deeper Look at Bupa's Health Insurance
Bupa's proposition is built on choice, scale, and comprehensive cover. Their 'Bupa By You' policy is designed to be tailored to your specific needs and budget.
Key Strengths of Bupa
- Unrivalled Hospital Network: Bupa's 'Extended' hospital list is one of the most extensive in the UK, giving you maximum choice over where you are treated. Their 'Bupa Select' network offers a slightly smaller list at a lower premium, providing a good balance of choice and cost.
- Comprehensive Cancer Care: Bupa's standard cancer cover is exceptional. They often provide access to breakthrough drugs and treatments before they are approved for widespread NHS use, which can be a life-changing benefit.
- Direct Access Pathways: For certain conditions like cancer, mental health, and musculoskeletal issues, Bupa allows you to bypass your GP and speak directly to a specialist, speeding up the diagnostic process.
- Brand Security: There is immense peace of mind that comes with being insured by a global healthcare leader. Their processes are well-established, and they have direct payment agreements with virtually every private facility in the country.
Who is Bupa Best For?
Bupa is an excellent choice for individuals who:
- Want the widest possible choice of hospitals and specialists.
- Prioritise having the most comprehensive cancer cover as standard.
- Value the security and slick processes of a large, established brand.
- Live in major cities like London where access to top-tier hospitals is a priority.
Real-life Example:
Sarah, a 52-year-old solicitor in London, chooses Bupa. She wants zero compromises on her health. The ability to choose any consultant at any major London hospital is her top priority. She also values Bupa's comprehensive cancer promise, giving her family peace of mind.
A Deeper Look at The Exeter's Health Insurance
The Exeter's 'Health+' policy is built on a foundation of fairness, clarity, and member value. Their mutual status genuinely influences their approach.
Key Strengths of The Exeter
- Member-First Ethos: As they are owned by policyholders, their decisions are made for the benefit of members, not shareholders. This often translates to excellent customer service and a more empathetic claims process.
- Flexible Underwriting: The Exeter has a reputation for being more flexible and considering applicants who may have been declined elsewhere. They are more likely to apply a specific exclusion for a pre-existing condition rather than a blanket decline, which can be a lifeline for many.
- Simpler No Claims Discount: Their "Protected No Claims" system is much easier to understand than many competitors'. You move up or down one level per year, providing more predictable premium changes.
- Excellent 'Added Value' Services: The included Healthwise app is a standout feature, offering remote GP access, physiotherapy triage, and mental health support without needing to claim on your main policy or pay an excess.
Who is The Exeter Best For?
The Exeter is a fantastic option for individuals who:
- Have a minor or historic health condition and are looking for a provider with flexible underwriting.
- Value a straightforward, transparent policy structure and NCD.
- Appreciate a customer-centric approach and the principles of a mutual society.
- Want strong, accessible mental health and physiotherapy support built-in.
Real-life Example:
David, a 40-year-old self-employed builder from Bristol, had knee trouble five years ago. Other insurers were hesitant, but The Exeter offered him cover with an exclusion for his right knee, which he was happy with. He likes their clear pricing and the fact he can use the Healthwise app for a quick physio assessment without affecting his no-claims discount.
Cost Comparison: What Can You Expect to Pay?
The cost of private medical insurance UK varies widely based on several factors:
- Age: Premiums increase as you get older.
- Location: Treatment costs are higher in major cities, so postcodes in London or Manchester will attract higher premiums.
- Level of Cover: Adding full outpatient cover or therapy options will increase the cost.
- Excess: Choosing a higher excess (the amount you pay towards a claim) will lower your monthly premium.
- Hospital List: A more restricted hospital list costs less than a comprehensive one.
Below are illustrative examples to give you a general idea. Your actual quote will depend on your personal circumstances.
Illustrative Monthly Premiums (2025)
Profile | Bupa By You (Comprehensive, £250 Excess) | The Exeter Health+ (£250 Excess) |
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30-year-old, non-smoker, Leeds | £55 - £65 | £50 - £60 |
45-year-old, non-smoker, London | £90 - £110 | £85 - £100 |
60-year-old, non-smoker, Cardiff | £150 - £180 | £140 - £170 |
Note: These are estimates for policies with mid-range outpatient cover. The best way to get an accurate price is to get a tailored quote. A broker like WeCovr can provide this, comparing both providers and others on the market to find the optimal balance of cost and cover for you.
Beyond the Policy: Wellness, Health, and Added Perks
Both Bupa and The Exeter understand that health insurance is about more than just claims. It's about staying well.
Healthy Living Tips:
Regardless of your insurer, focusing on preventative health is the best investment you can make.
- Diet: Aim for a balanced diet rich in whole foods. The NHS 'Eatwell Guide' is an excellent resource.
- Activity: The NHS recommends at least 150 minutes of moderate-intensity activity a week. This could be brisk walking, cycling, or swimming.
- Sleep: Prioritise 7-9 hours of quality sleep per night. It's vital for mental and physical recovery.
- Stress Management: Techniques like mindfulness, yoga, or simply spending time in nature can significantly lower stress levels, which has a direct impact on your physical health.
Provider Perks:
- Bupa offers a wealth of online resources, health assessments at a discount, and the Bupa Live Well programme with offers on gym memberships and fitness trackers.
- The Exeter's Healthwise app is its crown jewel, providing practical, immediate health support that can prevent small issues from becoming big problems.
The WeCovr Advantage:
When you arrange your policy through WeCovr, we add even more value. All our health and life insurance clients receive complimentary access to CalorieHero, our AI-powered calorie and nutrition tracking app, to support your health goals. You'll also be eligible for discounts on other insurance products, such as travel or home insurance, helping you save money across the board.
Why Use an Independent PMI Broker?
You could go directly to Bupa or The Exeter, but you would only hear one side of the story. Using an expert broker like WeCovr offers several key advantages at no extra cost to you.
- Impartial Advice: We are not tied to any single insurer. Our goal is to find the best PMI provider for your specific needs and budget, whether that's Bupa, The Exeter, or another leading name like Aviva or Vitality.
- Market Expertise: We live and breathe the private medical insurance UK market. We understand the fine print, the nuances of different No Claims Discounts, and which insurers are best for certain medical histories.
- Simplified Process: We handle the paperwork and application process for you, ensuring it's completed correctly to avoid any issues at the point of a claim.
- It's Free: Our service is paid for by the insurer you choose, so you get expert, tailored advice without paying a penny extra.
Our high customer satisfaction ratings reflect our commitment to finding the right cover for every client.
Final Verdict: Bupa or The Exeter?
So, which is it to be?
Choose Bupa if: Your priority is maximum choice. You want the largest hospital network, the security of a global brand, and gold-standard cancer cover included as standard. You are comfortable with a more traditional corporate insurer and value its established, direct-access pathways.
Choose The Exeter if: You value a personal, member-focused service. You want a policy that is straightforward, fair, and comes with excellent built-in digital health support. You may have a minor health condition and are looking for an insurer known for its flexible and human approach to underwriting.
Ultimately, the best private health cover is the one that aligns with your personal health needs, your budget, and your values. Both Bupa and The Exeter are excellent providers offering high-quality cover, but they serve different needs. By understanding their unique strengths, you can make an informed choice that gives you true peace of mind.
Does UK private health insurance cover pre-existing conditions?
Generally, no. Standard private medical insurance in the UK is designed to cover acute conditions that arise after your policy starts. Pre-existing conditions—any health issue you've had symptoms, treatment, or advice for before joining—are typically excluded. Some insurers, like The Exeter, may be more flexible in how they apply these exclusions, but routine management of long-term or chronic illnesses remains the responsibility of the NHS.
What is the difference between a mutual insurer and a standard one?
A standard insurance company is typically owned by shareholders, and its primary duty is to generate profit for them. A mutual insurer, like The Exeter, is owned by its members (the policyholders). It has no shareholders to pay. Any profits are reinvested into the business to benefit members, potentially through better service, lower premiums, or enhanced benefits. Bupa is a unique case; it's a private company limited by guarantee, so it also has no shareholders and reinvests profits. However, its sheer scale and corporate structure give it a different feel to a smaller, member-centric mutual.
Can I switch my private medical insurance provider easily?
Yes, you can switch providers, and it can be a great way to ensure you have the best cover for your needs at a competitive price. An expert PMI broker can manage this for you. They will help you switch on a 'Continued Medical Exclusions' (CME) basis, which means any conditions already covered by your old policy will continue to be covered by your new one, without the need for new medical underwriting. This ensures continuous, uninterrupted cover.
Ready to find the perfect health insurance policy for you?
Let WeCovr do the hard work. Get a free, no-obligation quote today and our expert advisors will compare Bupa, The Exeter, and other leading UK providers to find a policy that fits you perfectly.