
Choosing the right private medical insurance in the UK can feel overwhelming, especially when navigating beyond the big household names. At WeCovr, an FCA-authorised broker that has helped arrange over 900,000 policies, we believe in empowering you with clear, expert insights. This guide dives deep into two of the market’s most respected specialist insurers: The Exeter and WPA.
In the world of UK private health insurance (PMI), The Exeter and WPA have carved out stellar reputations by focusing on what truly matters: quality of cover and exceptional customer service. Unlike some larger, shareholder-driven corporations, both are 'not-for-profit' organisations. This means their focus is on their members, not generating dividends.
This fundamental difference often translates into more flexible policies, a more personal claims service, and a genuine commitment to member wellbeing. But which one is the right fit for you in 2025?
This comprehensive comparison will examine:
Let's break down these two excellent providers to help you make an informed decision.
Before we compare their policies, it's helpful to understand the heritage and ethos of each insurer.
Founded in 1927, The Exeter is a friendly society. This mutual status means they are owned by their members and exist solely for their benefit. They have a long history of providing health and protection insurance, often catering to those who find it harder to get cover elsewhere, such as the self-employed or those with complex medical histories.
Western Provident Association (WPA) has been helping people access the best private healthcare for over 120 years. As a provident association, they are also a not-for-profit organisation, driven by a commitment to service rather than profit. WPA is renowned in the industry for its market-leading customer service and flexible, innovative health insurance plans.
The foundation of any PMI policy is its core cover, which primarily deals with the costs of treatment when you are admitted to a hospital. Both The Exeter and WPA offer comprehensive core products, but with subtle differences.
A critical point to understand is that standard UK private medical insurance is designed to cover acute conditions that arise after you take out your policy. It does not typically cover pre-existing conditions or long-term, chronic conditions like diabetes or asthma that require ongoing management rather than a curative treatment.
Here’s how their flagship personal policies, The Exeter's 'Health+' and WPA's 'Flexible Health', compare on standard inclusions.
| Feature | The Exeter (Health+) | WPA (Flexible Health) | Broker's Insight |
|---|---|---|---|
| In-Patient & Day-Patient | Full cover for eligible treatment costs, including specialist and anaesthetist fees. | Full cover for eligible treatment costs, including specialist and hospital fees. | Both are excellent. WPA's fee guidelines for specialists are known to be particularly generous, reducing the risk of a "shortfall" (where you pay the difference). |
| Cancer Cover | Comprehensive cancer cover as standard, including surgery, chemotherapy, and radiotherapy. | Extensive cancer cover as standard, including diagnostics, biological therapies, and monitoring. WPA often includes benefits others charge for. | WPA's cancer cover is widely regarded as one of the most comprehensive in the market as a standard feature. The Exeter's is also robust and reliable. |
| NHS Hospital Cash Benefit | Standard benefit of £150 per night if you choose to use the NHS for eligible in-patient treatment. | Optional benefit. You can add an NHS cash benefit to your policy. | The Exeter includes this as a nice-to-have from the start. With WPA, you have the flexibility to add it or leave it off to manage your premium. |
| Post-Operative Therapies | Includes post-operative physiotherapy as part of the core in-patient cover. | Covers therapies like physiotherapy following a related in-patient or day-patient procedure. | Both providers understand the importance of rehabilitation and include this crucial benefit within their core offering. |
| Digital GP Service | Unlimited access to a 24/7 remote GP service (HealthWise app). | Access to a 24/7 remote GP service and health information helpline. | A standard feature for modern PMI. Both offer excellent, convenient services for quick advice and referrals. |
Winner on Core Cover: It's a close call. WPA edges it slightly due to the renowned depth of its standard cancer cover and generous specialist fee guidelines. However, The Exeter provides a brilliantly simple and robust core product that is easy to understand.
This is where you can tailor a policy to your specific needs and budget. Both insurers offer a range of add-ons to enhance your core cover.
Out-patient cover pays for consultations, diagnostic tests (like MRI scans), and procedures that don’t require a hospital bed. This is arguably the most important optional extra.
This includes treatments like physiotherapy, osteopathy, and chiropractic care for conditions not related to a hospital stay.
Increasingly vital, this covers consultations with psychiatrists and psychologists.
Here is a summary of the key optional extras:
| Optional Benefit | The Exeter | WPA | Broker's Insight |
|---|---|---|---|
| Out-Patient Cover | Choice of financial limits (£500, £1,000, Full). | Choice of financial limits, plus innovative Shared Responsibility options. | WPA's flexibility here is a major selling point for those looking to fine-tune their premium vs. cover balance. |
| Therapies Cover | Covered under the out-patient limit you select. | Can be added as a separate benefit, protecting your main out-patient limit. | WPA's approach can be better for those who anticipate needing regular physiotherapy. |
| Mental Health | Optional add-on for in-patient and out-patient cover. | Good standard support with an optional upgrade for comprehensive cover. | Both providers have strong mental health pathways, reflecting the growing importance of this area. |
| Dental & Optical | Not typically included as a core option. | Can be added as an optional 'cash benefit' plan, providing money back for routine check-ups and treatment. | WPA's dental cash benefit is a popular and well-regarded add-on. |
Winner on Customisation: WPA. Their innovative options like Shared Responsibility and the ability to add separate pots for therapies and dental give customers more granular control over their policy design and cost.
Underwriting is how an insurer assesses your medical history to decide what they will and will not cover. This is a critical part of any PMI application.
Broker's Tip: Choosing the right underwriting is vital. If you have no recent medical history, a Moratorium is simple. If you have a complex history, FMU provides clarity. If you have a specific condition you want to try and get covered, WPA is one of the few places to explore that possibility. An expert broker like WeCovr can navigate these options with you to find the best outcome.
This is where the not-for-profit ethos of The Exeter and WPA truly shines. When you are unwell and need to use your policy, you want a smooth, empathetic, and efficient service.
Both providers operate a straightforward claims process:
Winner on Customer Experience: WPA. While The Exeter's service is excellent, WPA's reputation for customer care is legendary in the UK health insurance industry. For many, this is the single most compelling reason to choose them.
| Feature | The Exeter | WPA |
|---|---|---|
| Provider Type | Friendly Society (not-for-profit) | Provident Association (not-for-profit) |
| Core In-Patient Cover | ✅ Comprehensive | ✅ Comprehensive & Generous |
| Standard Cancer Cover | ✅ Robust & Comprehensive | ✅ Market-Leading & Extensive |
| Out-Patient Options | Good (Choice of financial limits) | Excellent (Financial limits & Shared Responsibility) |
| Mental Health Pathway | Good (Optional add-on) | Excellent (Optional comprehensive upgrade) |
| Excess Options | Standard range (£0 - £1,000+) | Standard range (£0 - £1,500+) |
| No Claims Discount | Yes, up to a high percentage. | Yes, a protected NCD is often available. |
| Unique Selling Point | Simple, clear policies & fair underwriting. | Unrivalled customer service & policy flexibility. |
| Best Suited For... | The self-employed, those with some medical history, and people wanting a simple, high-quality policy. | Individuals and families prioritising service, flexibility, and the deepest cover available. |
Navigating the nuances between two excellent specialist insurers like The Exeter and WPA is exactly where an independent broker adds immense value. At WeCovr, our service is free to you, and our expert advisers can:
There is no single "better" insurer. The best provider is the one that best matches your personal priorities.
Choose The Exeter if: You value a straightforward, high-quality policy from a trusted mutual, especially if you are self-employed or have a medical history that requires a fair and pragmatic assessment.
Choose WPA if: Your absolute top priority is best-in-class customer service, policy flexibility, and some of the most comprehensive cancer cover on the market.
The most effective way to decide is to see personalised quotes for both.
Contact a WeCovr adviser today for a free, no-obligation comparison of The Exeter, WPA, and the wider market. We'll help you secure the perfect private health cover for your peace of mind.






