Choosing the right private medical insurance in the UK can feel like a daunting task. At WeCovr, an FCA-authorised broker that has helped arrange over 750,000 policies, we believe in clarity. This guide cuts through the noise, focusing on two highly respected specialist insurers: General & Medical and WPA.
While many are familiar with the "big four" providers, General & Medical and WPA have carved out unique reputations for their distinct approaches to private health cover. They offer a compelling alternative for individuals, families, and businesses seeking a more tailored or values-driven service.
But which one is right for you? We'll break down their cover levels, costs, and core philosophies to help you make an informed decision.
Before we dive into the comparison, let's clarify what private medical insurance is and, crucially, what it isn't.
PMI is a type of insurance policy designed to cover the costs of private healthcare for acute conditions. An acute condition is a disease, illness, or injury that is likely to respond quickly to treatment and lead to a full recovery. Think of things like joint replacements, cataract surgery, or treatment for a hernia.
The primary benefit of PMI is speed. With NHS waiting lists in England consistently exceeding 7 million patient pathways, according to late 2024 NHS data, private health cover offers a way to bypass long waits for diagnosis and treatment. This means getting back on your feet and back to your life, faster.
A Critical Point on Exclusions
It is vital to understand that standard UK private medical insurance, including policies from General & Medical and WPA, is not designed to cover two specific categories of conditions:
These two insurers stand apart from the mainstream market, each with a rich history and a unique approach to providing health cover.
Founded in the 1980s, General & Medical is a family-run business based in Peterborough. They have built a strong reputation for offering a straightforward, no-nonsense approach to private medical insurance. They pride themselves on excellent customer service, aiming to provide a more personal touch than some of the larger, more corporate providers.
Their policies are often structured in clear tiers, making it easy for customers to understand what they are buying. They cater to individuals, families, and businesses of all sizes, with a particular strength in providing schemes for professional associations and sports clubs.
WPA has a much longer history, founded in 1901. Based in Taunton, Somerset, they are a 'provident association', meaning they operate on a not-for-profit basis. Any surplus they make is reinvested back into the company to benefit their members, rather than being paid out to shareholders.
This not-for-profit ethos is central to their identity. WPA is known for its commitment to ethical practices, transparency, and a focus on "shared responsibility," where members might co-pay for certain treatments to keep overall premiums down. They are also champions of giving patients extensive "Freedom of Choice" when it comes to selecting their specialist or hospital.
To understand the real differences, we need to look at the core components of their policies. Here’s how General & Medical and WPA stack up across key areas.
Feature | General & Medical | WPA | WeCovr's Expert Take |
---|---|---|---|
Core Philosophy | Traditional tiered insurance model. Clear, easy-to-understand cover levels. | Not-for-profit, member-focused. Emphasis on freedom of choice and shared responsibility. | G&M suits those who want a simple, "what you see is what you get" product. WPA appeals to those who value the ethical, not-for-profit structure. |
In-patient & Day-patient | Covered in full on all core policies. This includes surgery, accommodation, and nursing fees. | Covered in full on all core policies. WPA places a strong emphasis on this being the foundation of cover. | Both providers are excellent here. This is the bedrock of any credible PMI policy, and both deliver comprehensively. |
Cancer Cover | Comprehensive cover is standard, including surgery, radiotherapy, and chemotherapy. Advanced Cancer Cover can be added for access to more experimental drugs. | Very comprehensive cancer cover is standard. They often provide access to treatments not readily available on the NHS, including certain types of Proton Beam Therapy. | WPA's not-for-profit status often allows them to be very generous with their cancer pledge. G&M's add-on provides flexibility for those wanting to manage costs. |
Out-patient Cover | Offered as an optional add-on with various limits, typically from £500 to £1,500. This covers specialist consultations and diagnostic tests before hospital admission. | Offered as an optional extra. Some plans feature a unique "Shared Responsibility" model, where WPA pays 75% of the first £1,000-£2,000 of out-patient costs, encouraging cost-awareness. | WPA's shared model is unique and can be a great way to access out-patient care while keeping premiums lower. G&M's fixed limits are more traditional and predictable. |
Mental Health Cover | Available as an optional add-on. Cover levels vary, from out-patient therapies to more extensive in-patient psychiatric treatment. | A strong focus on mental health. Many policies include access to counselling and therapies, with options to upgrade to full in-patient psychiatric cover. | Both recognise the importance of mental health. The best choice depends on the level of cover you need. WPA's standard inclusion of some therapies is a valuable starting point. |
Therapies | Typically included within the out-patient limit. Covers physiotherapy, osteopathy, etc. required after surgery. | Often included as standard, even on policies without full out-patient cover. This can be for a set number of sessions (e.g., up to £350 for physio). | WPA's approach of including some therapies as standard is a significant benefit, as this is one of the most commonly claimed-for benefits on a PMI policy. |
Hospital List | A range of hospital lists are available, from local networks to extensive national lists including prime London hospitals. This directly impacts the premium. | Renowned for their "Freedom of Choice" approach. They have an extensive list of recognised hospitals and specialists, giving members more control over their care pathway. | Both offer good flexibility. WPA's "Freedom of Choice" is a major selling point for those who have a specific consultant or hospital in mind. |
Underwriting | Moratorium, Full Medical Underwriting (FMU), and Continued Personal Medical Exclusions (Switch). | Moratorium, Full Medical Underwriting (FMU), and Switch. | Both offer the standard industry options, making it easy to switch to them from another provider. An expert PMI broker like WeCovr can advise on the best underwriting for your circumstances. |
Let's explore some of those features in more detail to see what they mean for you.
Receiving a cancer diagnosis is one of life's most challenging moments. Private medical insurance can provide peace of mind that you'll have access to treatment quickly, with more choice over your care.
Most health journeys start not with a hospital admission, but with a visit to a specialist and diagnostic tests. This is what out-patient cover is for.
Awareness of mental wellbeing has never been higher, and insurers have responded.
The cost of private health cover is highly personal. It depends on your age, location, smoking status, the level of cover you choose, and your excess (the amount you agree to pay towards any claim).
To give you an idea, here is an illustrative table of potential monthly premiums for a mid-tier policy with £1,000 of out-patient cover and a £250 excess.
Please Note: These are example costs for 2025 and are for illustrative purposes only. The only way to get a precise quote is to speak with an advisor.
Profile | General & Medical (Mid-Tier) | WPA (Flexible Health Plan) | Key Considerations |
---|---|---|---|
30-year-old, non-smoker, living outside London | £45 - £60 | £40 - £55 | WPA's shared responsibility model can often lead to slightly lower starting premiums. |
45-year-old, non-smoker, living outside London | £70 - £90 | £65 - £85 | Costs increase with age, reflecting the higher likelihood of claiming. |
Family of four (40-year-old parents, two children under 10) | £160 - £200 | £150 - £190 | Both insurers offer competitive family pricing. WPA's community focus is often attractive to families. |
Working with a specialist PMI broker like WeCovr is the best way to get a true picture of the cost. We can run a full market comparison for you in minutes, ensuring you see quotes from G&M, WPA, and others, all tailored to your specific needs and budget—at no extra cost to you.
A good PMI policy is about more than just hospital treatment. Both insurers offer valuable extra services to support your day-to-day health.
The best provider for you depends entirely on your priorities.
Ultimately, both are fantastic specialist providers offering a high-quality alternative to the mainstream market. The best way to make a final decision is to compare personalised quotes.
While PMI is there for when things go wrong, proactive health management is key to a long and happy life. Here are a few evidence-based tips:
Navigating the world of private medical insurance UK can be complex, but you don't have to do it alone. The expert, friendly team at WeCovr is here to help.
We'll compare policies from General & Medical, WPA, and a wide panel of other leading UK insurers to find the perfect private health cover for your needs and budget. Our advice is completely free and impartial.
Get your free, no-obligation quote from WeCovr today and take the first step towards faster healthcare.