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Health Care Insurance Calculator UK for SMEs

Health Care Insurance Calculator UK for SMEs 2026

As an FCA-authorised broker that has helped arrange over 900,000 policies, WeCovr is a leading expert in UK private medical insurance. This guide is designed to help small and medium-sized enterprises (SMEs) understand the costs of group health cover and make informed decisions for their teams.

Roughly price group health insurance for teams of 2–50 employees

Trying to budget for group health insurance can feel like navigating a maze. You know it’s a valuable benefit for attracting and retaining top talent, but the potential cost is a significant question mark. How much should a small business in the UK expect to pay for private medical insurance (PMI)?

While a precise figure requires a personalised quote, this guide acts as your health care insurance calculator. We will break down all the contributing factors, provide estimated cost tables, and empower you to understand the market. Our goal is to demystify the pricing of private health cover for teams of 2 to 50 employees, so you can plan with confidence.

What is a Group Health Insurance Calculator?

A group health insurance calculator is a tool that provides an estimated cost for a private medical insurance policy for your employees. It's not a final quote, but rather a sophisticated estimate based on key data points you provide about your business and your team.

Think of it as a financial forecast. It uses industry-wide data and known pricing factors to give you a realistic ballpark figure. This helps you:

  • Budget effectively: Understand the potential financial commitment before you start the formal quotation process.
  • Compare options: Get a feel for how different levels of cover or policy features might impact your premium.
  • Build a business case: Present a tangible cost-benefit analysis to partners or decision-makers within your organisation.

A simple online form can only provide a rough guess. A true calculation, like the one a specialist adviser at WeCovr provides, considers the unique DNA of your company to deliver a much more accurate projection.

Key Factors That Influence Your SME's Health Insurance Premiums

The price of your group PMI policy isn't a single, fixed number. It's a dynamic figure calculated from several key variables. Understanding these levers is the first step to controlling your costs.

1. Average Age of Your Team

This is one of the most significant factors. Insurers view age as a primary indicator of health risk. Statistically, older individuals are more likely to require medical treatment.

  • Younger Teams (Average Age 25-35): Businesses with a younger workforce will typically benefit from lower premiums.
  • Older Teams (Average Age 45-55): Premiums will be higher to reflect the increased likelihood of claims.

Insurers don't look at individuals but at the average age of the group. This "pooling" of risk is a key benefit of a group scheme, as it smooths out the cost compared to individual policies, especially for older employees.

2. Location of Your Business

Where your business is based matters. Medical treatment costs vary significantly across the UK, with private hospitals in Central London being the most expensive.

Region TierExample LocationsPremium Impact
Tier 1 (Highest)Central London (e.g., Harley Street)Highest Premiums
Tier 2Greater London, Major Cities (e.g., Manchester, Birmingham)High Premiums
Tier 3Rest of England & WalesStandard Premiums
Tier 4 (Lowest)Scotland, Northern Ireland, Remote AreasLower Premiums

Insurers use "hospital lists" to manage this. A policy with a nationwide list including expensive London hospitals will cost more than one limited to local or regional hospital networks.

3. Level of Cover

You can tailor your policy to fit your budget and your team's needs. Cover is typically tiered.

  • Basic Cover: This usually covers inpatient and day-patient treatment. This means costs for surgery, hospital beds, and specialist fees are included when a member is admitted to hospital. It's the most budget-friendly option.
  • Mid-Level Cover: This includes everything in a basic policy, plus a limited amount of outpatient cover. This could be, for example, up to £1,000 for specialist consultations, diagnostic tests, and scans that don't require a hospital stay.
  • Comprehensive Cover: This offers extensive inpatient and outpatient cover, often with no yearly limit on diagnostics. It may also include additional therapies like physiotherapy and mental health support as standard. This is the most expensive but provides the most peace of mind.

4. Underwriting Options

Underwriting is how an insurer assesses risk before offering a policy. For SMEs, there are three main types.

  1. Moratorium (MHD): This is the most common type for small groups. Pre-existing conditions from the last 5 years are automatically excluded for a set period (usually 24 months). If a member remains symptom-and-advice-free for that condition during this period, it may become eligible for cover. It's simple and requires no medical forms upfront.
  2. Full Medical Underwriting (FMU): Each employee completes a detailed medical questionnaire. The insurer then assesses this and explicitly lists any conditions that will be permanently excluded. This provides certainty from day one but is more admin-intensive. It can sometimes result in lower premiums if the team is very healthy.
  3. Continued Personal Medical Exclusions (CPME): This is only for groups who are switching from another provider. It allows employees to carry over the underwriting terms from their previous policy, ensuring continuity of cover.

5. Policy Excess

An excess is the amount an employee pays towards their claim before the insurer covers the rest. A higher excess leads to a lower premium.

  • No Excess (£0): Highest premium, but employees pay nothing when they claim.
  • Low Excess (£100 - £250): A popular choice, balancing premium savings with a manageable employee contribution.
  • High Excess (£500+): Results in significant premium reduction but requires employees to contribute more.

You can set a single excess level for the whole group or offer a choice of options to your employees.

6. Optional Extras

Most insurers offer a menu of add-ons that allow you to enhance your policy. Common options include:

  • Dental and Optical Cover: For routine check-ups, glasses, and dental treatment.
  • Mental Health Cover: Enhanced support for psychiatric care, therapy, and counselling. This is an increasingly popular benefit.
  • Travel Cover: Adding international medical cover for business or leisure trips.
  • Therapies: Extended cover for physiotherapy, osteopathy, and chiropractic treatment.

Each addition will increase the premium, but can significantly boost the value of the benefits package.

Example Cost Calculations for UK SMEs (2025 Estimates)

To give you a clearer idea, here are some estimated monthly costs per employee for group private medical insurance in 2025.

Important: These are illustrative figures for a team with an average age of 38. They assume a £250 excess and Moratorium underwriting. Your actual quote will vary.

Table 1: Estimated Monthly Premiums by Cover Level & Location

Location of BusinessBasic Cover (Inpatient Only)Mid-Level Cover (+ £1,000 Outpatient)Comprehensive Cover
Manchester£35 - £50£55 - £75£80 - £110
Bristol£32 - £48£50 - £70£75 - £105
Central London£50 - £70£75 - £100£110 - £150
Edinburgh£30 - £45£48 - £65£70 - £95

Table 2: Impact of Average Age on a Mid-Level Policy (Manchester)

Average Age of TeamEstimated Monthly Premium per Employee
28£40 - £55
38£55 - £75
48£75 - £100

As you can see, a decade's difference in average age can increase the premium by 30-40%.

A Note on These Figures

These estimates are based on current market trends and are intended for guidance only. The private medical insurance UK market is competitive, and prices can differ between leading providers like Bupa, Aviva, AXA Health, and Vitality. Working with a specialist PMI broker ensures you get a whole-of-market comparison to find the best value.

The Hidden Value: Beyond the Premium Price Tag

Focusing solely on the monthly premium misses the bigger picture. Group health insurance is an investment with a tangible return for your SME.

  • Reduced Sickness Absence: The average UK worker took 7.8 days off sick in 2022, the highest rate since 2008, according to the Office for National Statistics (ONS). PMI provides fast access to diagnosis and treatment, bypassing long NHS waiting lists. The NHS performance statistics for England regularly show millions of patients waiting for consultant-led elective care. Faster treatment means your employees are back at work, healthy and productive, sooner.
  • Talent Attraction & Retention: In a competitive job market, a strong benefits package is a key differentiator. A Glassdoor survey found that health insurance is one of the most highly-valued employee benefits. Offering PMI shows you care about your team's wellbeing, which can be decisive for a candidate choosing between your SME and a larger corporation.
  • Improved Morale and Productivity: Knowing they have support when they need it reduces stress and financial worry for employees. This "presenteeism"—where employees are physically at work but mentally distracted by health concerns—can be just as costly as absenteeism.

Critical Information: Pre-existing and Chronic Conditions

This is one of the most important aspects to understand about private medical insurance in the UK.

Standard UK PMI policies are designed to cover acute conditions that arise after you join the policy.

  • Acute Condition: 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).
  • Chronic Condition: A disease, illness, or injury that has one or more of the following characteristics: it needs long-term monitoring, has no known cure, requires ongoing management, or is likely to recur (e.g., diabetes, asthma, high blood pressure, arthritis).

PMI does not cover the routine management of chronic conditions. For instance, it wouldn't cover the ongoing costs of insulin for diabetes. However, if a new, acute condition arises as a complication of that chronic illness, it may be covered, depending on your policy terms.

Pre-existing conditions are any health issues you had before the policy start date. Under a Moratorium (MHD) policy, these are typically excluded for the first two years. With Full Medical Underwriting (FMU), they are usually excluded permanently.

Integrating Employee Wellness into Your PMI Strategy

Modern private health cover is about more than just reacting to illness; it's about promoting wellness. Many insurers now include a wealth of proactive health benefits as standard.

  • Digital GP Services: 24/7 access to a GP via phone or video call, often with the ability to get prescriptions delivered.
  • Mental Health Support Lines: Confidential access to counsellors and mental health nurses.
  • Gym Discounts & Fitness Trackers: Incentives to stay active, with rewards for hitting fitness goals.
  • Nutrition & Diet Advice: Access to registered dietitians and healthy eating programmes.

As a WeCovr client, your team also gets complimentary access to CalorieHero, our AI-powered calorie and nutrition tracking app. This simple tool helps employees make healthier choices every day, fostering a culture of wellness that can lead to fewer health issues in the long run.

Simple Wellness Tips for Your Team

Encourage small, sustainable habits within your organisation:

  1. Stay Hydrated: Place water coolers in accessible locations. Proper hydration boosts concentration and energy.
  2. Encourage Movement: Suggest walking meetings or simply taking short breaks to stretch. Desk-based work contributes to a sedentary lifestyle.
  3. Promote Mindful Breaks: Introduce the idea of 5-minute mindfulness or breathing exercises to de-stress during a busy day.
  4. Healthy Snacks: If you provide snacks, opt for fruit, nuts, and yoghurt over sugary treats.

Why Use a Specialist PMI Broker like WeCovr?

While you can go directly to an insurer, partnering with an independent, FCA-authorised broker like WeCovr offers distinct advantages, especially for an SME.

  1. Whole-of-Market Access: We are not tied to any single provider. We compare policies from all the leading UK insurers to find the optimal balance of price and benefits for your specific needs.
  2. Expert, Unbiased Advice: The PMI market is complex. Our advisers are experts who can explain the nuances of hospital lists, underwriting, and policy wording in plain English. We work for you, not the insurer.
  3. No Cost to You: Our service is free. We receive a commission from the insurer you choose, which is already built into the premium. You get expert guidance without paying a penny extra.
  4. Time-Saving: We handle the legwork of gathering quotes and comparing policies, presenting you with a clear, easy-to-understand summary.
  5. Ongoing Support: Our relationship doesn't end once you buy the policy. We are here to help with renewals, claims queries, and any adjustments you need to make as your business grows.
  6. High Customer Satisfaction: Our focus on clear communication and client-first service has earned us high ratings on independent review platforms.
  7. Exclusive Discounts: When you arrange your PMI or Life Insurance through us, we can often provide discounts on other types of business or personal insurance you may need.

Is group health insurance cheaper than individual policies?

Yes, generally it is. Group health insurance is almost always cheaper per person than an equivalent individual policy. This is because insurers "pool" the risk across the entire team, which spreads their potential liability. Group schemes also have lower administrative costs per person, and the simplified underwriting options (like Moratorium) are more efficient for the insurer to process. This allows them to offer a more competitive premium for the group.

Does my small business have to pay for the whole premium?

No, you have flexibility. While many SMEs choose to pay 100% of the premium as a core employee benefit, you can also set up a scheme where the company pays a portion and the employee contributes the rest. Another option is a "voluntary" scheme where the company facilitates the group policy, giving employees access to lower group rates, but the employees pay the full premium themselves. An adviser can help you decide which structure is best for your business.

Is private medical insurance considered a taxable benefit in the UK?

Yes. When an employer pays for an employee's private medical insurance, it is treated as a 'benefit-in-kind' by HMRC. This means the value of the premium is subject to income tax for the employee, and the employer will need to pay Class 1A National Insurance contributions on the cost. The employer reports this on a P11D form for each employee who receives the benefit. The cost of the premiums is, however, generally considered an allowable business expense for the company, which can be offset against corporation tax.

What happens if an employee leaves my company?

When an employee leaves your company, they are removed from the group health insurance policy. Most insurers will offer them the option to continue their cover on an individual basis, without the need for new medical underwriting. This is a significant advantage, as it means any conditions that were covered under the group scheme will continue to be covered on their new personal policy. The premiums will, however, switch to individual rates, which are typically higher.

Ready to Find the Right Cover for Your Team?

Estimating costs is the first step. The next is getting a precise, tailored quote that reflects your business's unique profile.

Let our expert advisers do the hard work for you. We'll compare the market, explain your options clearly, and find a policy that protects your most valuable asset: your people.

Get Your Free, No-Obligation Group PMI Quote from WeCovr Today

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Related guides

Why private medical insurance and how does it work?

What is Private Medical Insurance?

Private medical insurance (PMI) is a type of health insurance that provides access to private healthcare services in the UK. It covers the cost of private medical treatment, allowing you to bypass NHS waiting lists and receive faster, more convenient care.

How does it work?

Private medical insurance works by paying for your private healthcare costs. When you need treatment, you can choose to go private and your insurance will cover the costs, subject to your policy terms and conditions. This can include:

• Private consultations with specialists
• Private hospital treatment and surgery
• Diagnostic tests and scans
• Physiotherapy and rehabilitation
• Mental health treatment

Your premium depends on factors like your age, health, occupation, and the level of cover you choose. Most policies offer different levels of cover, from basic to comprehensive, allowing you to tailor the policy to your needs and budget.

Questions to ask yourself regarding private medical insurance

Just ask yourself:
👉 Are you concerned about NHS waiting times for treatment?
👉 Would you prefer to choose your own consultant and hospital?
👉 Do you want faster access to diagnostic tests and scans?
👉 Would you like private hospital accommodation and better food?
👉 Do you want to avoid the stress of NHS waiting lists?

Many people don't realise that private medical insurance is more affordable than they think, especially when you consider the value of faster treatment and better facilities. A great insurance policy can provide peace of mind and ensure you receive the care you need when you need it.

Benefits offered by private medical insurance

Private medical insurance provides numerous benefits that can significantly improve your healthcare experience and outcomes:

Faster Access to Treatment
One of the biggest advantages is avoiding NHS waiting lists. While the NHS provides excellent care, waiting times can be lengthy. With private medical insurance, you can often receive treatment within days or weeks rather than months.

Choice of Consultant and Hospital
You can choose your preferred consultant and hospital, giving you more control over your healthcare journey. This is particularly important for complex treatments where you want a specific specialist.

Better Facilities and Accommodation
Private hospitals typically offer superior facilities, including private rooms, better food, and more comfortable surroundings. This can make your recovery more pleasant and potentially faster.

Advanced Treatments
Private medical insurance often covers treatments and medications not available on the NHS, giving you access to the latest medical advances and technologies.

Mental Health Support
Many policies include comprehensive mental health coverage, providing faster access to therapy and psychiatric care when needed.

Tax Benefits for Business Owners
If you're self-employed or a business owner, private medical insurance premiums can be tax-deductible, making it a cost-effective way to protect your health and your business.

Peace of Mind
Knowing you have access to private healthcare when you need it provides invaluable peace of mind, especially for those with ongoing health conditions or concerns about NHS capacity.

Private medical insurance is particularly valuable for those who want to take control of their healthcare journey and ensure they receive the best possible treatment when they need it most.

Important Fact!

There is no need to wait until the renewal of your current policy.
We can look at a more suitable option mid-term!

Why is it important to get private medical insurance early?

👉 Many people are very thankful that they had their private medical insurance cover in place before running into some serious health issues. Private medical insurance is as important as life insurance for protecting your family's finances.

👉 We insure our cars, houses, and even our phones! Yet our health is the most precious thing we have.

Easily one of the most important insurance purchases an individual or family can make in their lifetime, the decision to buy private medical insurance can be made much simpler with the help of FCA-authorised advisers. They are the specialists who do the searching and analysis helping people choose between various types of private medical insurance policies available in the market, including different levels of cover and policy types most suitable to the client's individual circumstances.

It certainly won't do any harm if you speak with one of our experienced insurance experts who are passionate about advising people on financial matters related to private medical insurance and are keen to provide you with a free consultation.

You can discuss with them in detail what affordable private medical insurance plan for the necessary peace of mind they would recommend! WeCovr works with some of the best advisers in the market.

By tapping the button below, you can book a free call with them in less than 30 seconds right now:

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Any questions?

Life Insurance and Private Medical Insurance cover you for two different purposes, so you will need to assess your needs but may wish to consider holding the two policies. Private Medical Insurance covers you if you get sick or need treatment and want or need to go privately. Life Insurance covers you in the case of death, giving a payout to family/those left behind.

Health insurance covers conditions that develop after your policy starts. Pre-existing conditions are typically not covered, and insurers may exclude related issues. Some policies may cover symptoms of pre-existing conditions under specific circumstances. Always review your policy's exclusions. Coverage for pre-existing medical conditions may be available if you currently hold a medical insurance policy or are transitioning from a company scheme. However, if you have never had medical insurance before or if your policy is not active at the moment, pre-existing conditions will not be covered. This limitation exists because health insurance is primarily intended to protect against unexpected health issues. To simplify, it's akin to getting into a car accident and then trying to obtain insurance coverage afterward to repair the vehicle — insurance companies typically do not cover such claims. Nevertheless, there is an option to gain coverage for pre-existing conditions after a two-year waiting period, subject to specific rules and conditions.

If you prefer to get straight into treatment in the private sector without the long waiting times with the NHS, or you just prefer the private sector anyway, without having to pay it all yourself, then you would need to have Private Medical Insurance to cover it. Sometimes treatments and drugs that are not covered by the NHS can be covered by Private Medical Insurance.

It's free to use WeCovr to find health insurance - we never charge you for quotes. Health or private medical insurance is an investment that can pay for itself the first time you might need medical treatment.

It depends on your personal choice and preferences. If you are prepared to limit yourself to NHS-covered treatments only and can or want to endure long waiting times to get into treatment, then yes, NHS might work for you. Your cover there is free. If you don't want to be exposed to long waiting times or if your treatment is not covered by the NHS, then you would benefit from Private Medical Insurance.

Private Medical Insurance is an important financial product that insurance companies take a lot of care and diligence so speaking to real human beings ensures that they understand your requirements fully so that you can get the right cover.

All of our partners are carefully vetted and authorised by the FCA, which means they are held to the highest standards that the FCA expects from them and treat all customers fairly!

Our revenue comes from commissions paid by the insurance providers when a policy is taken out through us. Essentially, when you choose to secure a policy from one of the providers we work with, they compensate us for facilitating the transaction. It's important to note that this commission does not impact the premium you pay. We remain committed to providing transparent and unbiased quotes to help you find the best insurance options tailored to your needs.

The cost of private health insurance depends on several factors, including your age, location, smoking status, and the type of policy you choose. Your health insurance policy is tailored to your needs, and the cost can vary based on the level of cover you require, such as the amount of excess and specific treatment allowances.

Private health insurance covers you for conditions that arise after your policy begins. You pay a monthly fee and can make claims for private healthcare covered by your policy. One of the main benefits of private healthcare is quicker access to treatment compared to the NHS, along with access to new drugs or specialist treatments.

Most health insurance covers private hospital stays and may include outpatient treatments like scans, tests, or appointments. Policies vary in coverage, and exclusions often include emergency treatment, maternity care, cosmetic surgery, and ongoing conditions present before the policy started.

Unfortunately, you cannot pay extra to have a pre-existing condition covered as part of your health insurance policy. However, you have access to support from a nurse or digital GP. If you have questions about what is covered under your policy, please contact us for clarification.

Your health insurance policy begins once you've selected your policy and set up your payment. After setup, you'll receive your cover documents detailing what is and isn't covered. It's important to review these details carefully as policies differ.

An excess is the amount you contribute towards treatment when you make a claim. Choosing a higher excess can reduce your policy's monthly cost but requires a larger contribution when claiming. WeCovr's experts will offer you flexible excess options depending on your preferences.

To reduce health insurance costs, consider choosing a higher excess, which lowers the monthly premium. However, ensure the plan still meets your needs. Other factors affecting cost include lifestyle choices like smoking and potential savings for couples or family plans.

There is no age limit for taking out health insurance, but age influences the policy's cost. The benefits of health insurance are consistent regardless of age. If you're considering health insurance, you can get a quote from WeCovr's experts regardless of your age.

Let WeCovr's experts do the legwork for you and compare health insurance plans at no cost to you to find the best fit for your needs. Consider individual, couple, or family plans and review coverage details thoroughly before choosing. WeCovr provides transparent information on coverage options for easy comparison.

Yes, you can add your partner (if you live at the same address) or dependents to your policy at any time. The cost of couple's or family health insurance depends on factors like location, age, health, and chosen excess. Contact WeCovr or your insurer for assistance in adding someone to your policy.

While WeCovr's private health insurance plans are tailored for the UK, we offer global health insurance options for those living or working abroad. For holiday coverage, travel insurance is recommended.

Comprehensive cover provides extensive benefits, including full outpatient services such as consultations, diagnostic tests, physiotherapy, and mental health therapies. Our team at WeCovr can assist in understanding the various coverage levels available.

Private health insurance typically does not cover dental treatment. However, WeCovr's experts can guide you to dental insurance policies offered by our partner insurers. Reach out to us to explore these options.

Yes, private health insurance covers cancer treatment from diagnosis through treatment. At WeCovr, we can help you navigate the cancer cover options that suit your needs.

At WeCovr, you have flexibility in adjusting your cover. Speak to our experts within 21 days of receiving your paperwork or at policy renewal to make changes.

Accessing a private GP appointment is fast and convenient with WeCovr's services, available through your digital platform provided under your chosen insurance plan.

Yes, family members on the same policy can potentially have different levels of cover tailored to their individual needs.

WeCovr works with insurers offering a range of cover levels to accommodate different budgets and needs. Our experts can discuss these options with you.

Discovering healthcare facilities and specialists is easy with WeCovr's resources. Contact us for personalised assistance by tapping one of the buttons above or below and filling in a few details for personalised assistance.

Fee-assured consultants provides transparency and no hidden costs for clients.

WeCovr prioritises mental health support with comprehensive coverage and access to specialist advice and services.

Children up to a certain age can be included in your policy, and we offer discounts for family coverage.

Like most health insurance plans, premiums may increase annually due to factors such as age and medical cost inflation.

The cost of health insurance varies based on several factors. Connect with our experts by tapping a button below and get your own personalised quote.

Private health insurance offers quicker access to consultations, treatments, and personalised care compared to the NHS.

Yes, WeCovr's experts can guide you which health insurance plans include coverage for physiotherapy treatments.

Immediate access to certain services like our digital GP app is available upon enrolment.

You can obtain a range of suitable quotes easily by tapping one of the buttons above or below and filling in a few details for personalised assistance.

Health insurance covers new conditions that arise after the policy starts. Pre-existing conditions and certain exclusions may apply.

WeCovr's experts help you arrange health insurance that simplifies access to private healthcare services, including consultations and treatments.

Outpatient cover includes consultations, physiotherapy, and mental health therapies outside hospital admissions.

Yes, you can use your health insurance cover immediately. You have access to a nurse through your helpline and can consult with a GP using the digital GP app. If you need to make a claim right away, we may require a medical report from your GP. Health insurance is designed to cover new conditions that arise after the policy has started.

No, health insurance does not cover A&E (Accident and Emergency) visits. Private hospitals do not typically have the facilities for handling A&E cases. In case of an emergency, please dial 999 or use the NHS emergency services. However, if you require follow-up treatment after an emergency situation, your private medical insurance may be able to assist.

Yes, many insurers offer rewards in leisure, wellbeing, and health. Speak to WeCovr's experts or visit your insurer's website for more details on member rewards.

You may continue your cover or get another own personal policy. If you continue your cover, existing or ongoing medical conditions might be covered depending on the level of cover you choose. Contact our friendly experts to discuss your options and find the right option for you.

You can tap one of the buttons above or below and fill in a quick form to arrange a call with us to discuss your options.

Your cover may be similar but not identical. We will help you find the right level of cover that suits your needs, and ongoing medical conditions may be covered. Contact our friendly advisers to explore all available options.

No, the price won't be the same as before since employers often contribute to the cost of employee cover. Additionally, different cover levels and medical histories may affect the price. Contact WeCovr's experts for detailed information.

You have a few weeks or months from leaving your job to decide to continue with your insurer or change to another one. Your policy may start the day after you left your work policy, and our experts can guide you through other available options.

After leaving your job, contact WeCovr's experts with your leave date to discuss available options.

Yes, ongoing treatment may be covered on your new personal policy, although it could affect the price. Contact our experts for personalised advice on your options.

Details on paying excess fees will be provided when you contact your insurer for treatment authorisation.

No, there is no excess fee for utilising these services.

Excess adjustments can be made at specific intervals during your policy term.

No claims discounts can impact renewal costs based on claims history.

Pre-existing conditions typically aren't covered but can be discussed with our healthcare specialists.

This involves health-related questions before policy enrolment to determine coverage.

Moratorium underwriting simplifies enrolment but may require health disclosures during claims.

Claims may require additional information if under moratorium underwriting.

Pre-existing conditions refer to medical issues existing before policy inception. A pre-existing condition is anything you've previously had medical treatment for, such as diabetes, heart disease, or asthma. Most insurance providers consider any condition you've had symptoms or treatment for in the past five years as pre-existing. Our experts at WeCovr can help you understand how pre-existing conditions affect your policy options.

While some insurance providers automatically renew your private healthcare cover, it's beneficial to compare policies when yours is about to end. This ensures you're still getting the best deal for the coverage you need. Our experts at WeCovr can assist you in finding the right policy for you.

Typically, you must be over 18 to take out your own policy, but minors can usually be included in a family policy. There may also be an upper age limit for private health insurance, and premiums typically increase with age. Our experts at WeCovr can provide guidance on age-related policy aspects.

Paying for health insurance annually often results in savings compared to monthly payments. However, this depends on your insurance provider. For help determining the most cost-effective option, consider consulting our experts at WeCovr.

If your employer offers private health insurance as part of your benefits package, you likely don't need additional cover. However, there may be limits on the cover you receive, and it may not extend to your entire family. Remember, any insurance you get through work only covers you while you're employed there.

If you don't have pre-existing conditions, a medical exam is usually not required. You'll just need to complete a medical history form and select your level of cover. However, if you're older, have a pre-existing condition, or lead an unhealthy lifestyle, a medical exam may be necessary. Our experts at WeCovr can clarify the requirements of different policies.

Many private health insurance providers now offer GP services, either digitally or face-to-face. This means you can often get a private GP appointment quickly, sometimes even on the same day. Our experts at WeCovr can help you find policies that offer GP services.

With private health insurance, you can often secure a GP appointment much quicker than with traditional methods, sometimes even on the same day. Our experts at WeCovr can help you find policies that offer quick GP appointment services.

Inpatient care refers to any treatment requiring a stay in a hospital or clinic for at least one night. Outpatient care refers to treatments or tests that don't require hospital admission, such as minor diagnostic tests or physiotherapy sessions. Our experts at WeCovr can help you understand the different types of care and find a policy that suits your needs.

Private health insurance covers your medical treatment if you fall ill, while critical illness cover provides additional financial help if you develop one of the critical illnesses listed in the policy, such as covering loss of income if you're unable to work. For assistance in understanding the differences and finding the right coverage, consult our experts at WeCovr.

Health insurance policies are designed for cover in the UK. For cover abroad, consider travel insurance for short trips or international health insurance for longer stays or if you have a holiday home overseas. Our experts at WeCovr can guide you in finding the appropriate coverage for your travel needs.

If your employer provides health insurance, it's considered a 'benefit in kind' and is not tax deductible. Your employer should calculate the tax you owe for your health insurance premiums and deduct it from your pay. There are some exceptions for small companies. For more information on tax implications, consider reaching out to our experts at WeCovr.

When you purchase a policy, you choose how much excess you pay, which is your contribution to the cost of treatment if you make a claim. The higher your excess, the lower your premium is likely to be. Our experts at WeCovr can help you understand how excess works and choose the right level for you.

These are two methods of underwriting a health insurance policy, relating to how insurance providers consider your pre-existing medical conditions when you take out cover. For help understanding the differences and choosing the right option for you, consult our experts at WeCovr.

Some private health insurance providers offer a no-claims discount, similar to car insurance. Every year you don't make a claim gives you an extra year of no-claims discount, potentially reducing your premium when you renew. Our experts at WeCovr can help you find policies that offer no-claims discounts.

To find the best health insurance for you, compare various policies to find one that offers the features you need at a price you can afford. Consider your personal circumstances and what you want from your policy. Our experts at WeCovr can assist you in evaluating your options and selecting the right coverage for you.

If you need treatment, a GP referral is not always necessary. However, this depends on how you plan to pay for your treatment. Most hospitals will allow you to book appointments with a consultant without a GP referral if you are paying out-of-pocket. If you have private medical insurance, you'll need to check the terms of your policy to see whether your insurer requires you to consult with a GP first (most insurers do). Some policies offer a direct booking system without a referral for certain conditions, such as counseling for mental health issues.

Yes, you can obtain financing for a loan to cover the cost of surgery. Many private healthcare companies have partnerships with finance companies to allow you to spread the cost of private treatment over time. You could also explore getting an ordinary loan from your bank if this option proves to be more cost-effective for you.

WeCovr has conducted extensive research into the cost of private health insurance in the UK. Click the link to find out more detailed information.

Yes, you can continue to receive treatment through the NHS even if you have private health insurance and have received private treatment in the past. This could be for rehabilitation after private surgery or for treatment that is not covered by your health insurance policy. For example, some cosmetic surgeries may be available through the NHS but are generally not covered by private medical insurance.

This is a difficult question to answer definitively. There are certain services that cannot be obtained privately, such as emergency treatment at an Accident and Emergency (A&E) department. Many NHS consultants also practice privately, so you could potentially see the same consultant regardless of whether you choose private or public healthcare. However, private healthcare typically offers shorter waiting times, guaranteed private rooms, and more relaxed visiting hours. Additionally, you may have access to treatments and drugs that are not routinely available through the NHS.

Yes, you can self-refer to a private specialist without the need for a GP referral. However, the British Medical Association believes that in most cases, it is best practice to start with your GP, as they are familiar with your medical history.

Yes, if you have a health concern and pay for private tests and scans but cannot afford to have private surgery, you should be able to have your test results transferred to an NHS provider for treatment.


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