
As an FCA-authorised broker that has helped arrange over 900,000 policies, we at WeCovr know that understanding your private medical insurance is key. This guide explains why premiums in the UK rise, helping you make informed decisions about your health cover and budget.
It's a familiar story for many with private medical insurance (PMI): the renewal notice arrives, and the premium has increased again, even if you haven't made a claim. This can be frustrating and confusing. The primary reason behind these annual price hikes is a powerful force known as medical inflation.
This isn't the same as the general inflation you hear about on the news (the Consumer Price Index, or CPI), which tracks the cost of a basket of everyday goods and services. Medical inflation is a separate, more potent beast, reflecting the unique and rapidly rising costs within the healthcare sector. In this guide, we'll demystify medical inflation, explore the specific factors driving it in the UK, and provide practical strategies to help you manage your PMI costs effectively.
In the simplest terms, medical inflation is the rate at which the cost of medical treatments, technologies, and services increases over time. While general inflation might mean your weekly shop costs 3% more this year, medical inflation often runs significantly higher, frequently ranging from 7% to 10% annually in the UK private sector.
Think of it like this:
This gap exists because healthcare costs are pushed up by a unique set of pressures that don't affect most other industries in the same way. Insurers must price their premiums to cover these anticipated future costs, which is why your premium tends to rise each year, just to keep pace.
| Inflation Type | What it Measures | Typical UK Annual Rate (Illustrative) |
|---|---|---|
| General Inflation (CPI) | Cost of a basket of consumer goods (food, fuel, clothing) | 2% - 4% |
| Medical Inflation | Cost of medical procedures, drugs, and technology | 7% - 10% |
Medical inflation isn't a single issue but a combination of several powerful trends converging on the healthcare market. Let's break down the main drivers in the UK.
Innovation is a double-edged sword. While it leads to incredible life-saving and life-improving treatments, it comes at a very high price.
Essentially, the "best" available treatment is constantly becoming more complex and more expensive. PMI is designed to give you access to this best-in-class care, and so premiums must reflect the rising cost of providing it.
The demographic landscape of the UK is a major factor in rising healthcare demand.
This combination of an older population and a higher incidence of certain health issues means that insurers are seeing a greater volume of claims each year, which exerts upward pressure on premiums for everyone.
The relationship between the National Health Service and the private sector is a key driver of PMI costs. When the NHS is under strain, the private sector feels the ripple effect.
Recent NHS England statistics show that the number of people on waiting lists for consultant-led elective care remains at historically high levels.
NHS England Referral to Treatment (RTT) Waiting List Trend
| Period | Total Waiting List (in millions) |
|---|---|
| Mid-2021 | ~5.6 million |
| Mid-2022 | ~6.8 million |
| Mid-2023 | ~7.6 million |
| Mid-2024 | ~7.5 million (slight plateau but still high) |
Source: NHS England, Referral to Treatment (RTT) waiting times data (illustrative trend based on published statistics).
When patients face waits of many months or even years for procedures like hip replacements or cataract surgery on the NHS, those with PMI are more likely to use their policy to get treated sooner. This surge in demand for private services allows private hospitals and consultants to increase their fees, knowing that demand is high. Insurers have to pay these higher charges, and this cost is inevitably reflected in renewal premiums.
Finally, the private healthcare sector is not immune to general economic pressures.
All these operational cost increases are bundled into the prices that hospitals charge insurers for treatments.
While medical inflation sets the background rate of increase, your individual premium is determined by a more personal set of risk factors. Insurers use these to calculate the likelihood of you making a claim.
This is why your renewal increase is often a combination of three things: Medical Inflation + Your Ageing Risk + Any Claims Impact. An expert PMI broker like WeCovr can help you navigate these factors and find the right balance between cost and cover.
It is vital to understand what private medical insurance is for. Standard UK PMI policies are designed to cover acute conditions.
Crucially, standard UK private health cover does not cover pre-existing conditions or the routine management of chronic conditions. It is designed for new, eligible medical problems that arise after you have taken out the policy.
While rising premiums can feel inevitable, you are not powerless. There are several effective strategies you can use to ensure your cover remains affordable and appropriate for your needs.
Don't just accept your insurer's auto-renewal quote. Your circumstances may have changed, and the market is competitive. An annual review is the best way to ensure you're not overpaying.
The excess is the amount you agree to pay towards the cost of a claim. By increasing your excess (e.g., from £100 to £500), you can significantly reduce your monthly or annual premium.
Illustrative Impact of Excess on Premium
| Excess Level | Example Monthly Premium | Potential Annual Saving |
|---|---|---|
| £0 | £95 | - |
| £250 | £80 | £180 |
| £500 | £70 | £300 |
Insurers offer different tiers of hospital access. If you have a "nationwide" list that includes expensive Central London hospitals but you live in Manchester, you could switch to a more local list and see a substantial saving.
This is a clever compromise. With this option, if the NHS can provide the necessary treatment within six weeks of you being referred, you use the NHS. If the wait is longer, your private policy kicks in. This can reduce your premium by 20-30% as it lowers the risk for the insurer.
Loyalty to one insurer rarely pays in the long run. Other insurers may have more competitive pricing for your specific age and risk profile. Using an independent broker like WeCovr is the most effective way to manage your costs. We can compare policies from a wide range of the best PMI providers and handle the switching process for you, ensuring you maintain continuous cover. This service comes at no cost to you.
Today's private medical insurance UK policies offer far more than just paying for hospital stays. They have evolved into holistic health and wellness packages.
These added-value benefits can make a policy feel much more worthwhile, providing day-to-day support for your wellbeing, not just a safety net for when things go wrong.
Navigating the world of private medical insurance can be complex, especially with the pressure of rising costs. But understanding the 'why' behind the price increases empowers you to take control. By regularly reviewing your cover, being smart about your policy options, and partnering with an expert advisor, you can ensure you have the right protection at the best possible price.
Ready to see if you could get better value from your health cover? The friendly, expert team at WeCovr is here to help. We'll compare the market for you, provide impartial advice, and find a policy that truly fits your needs and budget.
Get your free, no-obligation PMI quote from WeCovr today and make a smarter choice for your health.






