
As an FCA-authorised expert with over 800,000 policies of various kinds arranged, WeCovr understands that while private medical insurance (PMI) offers invaluable peace of mind, its cost is a key consideration for UK families. This definitive guide provides actionable strategies to help you secure the right cover at a more affordable price.
Private health cover is a significant investment in your well-being, granting you faster access to specialist consultations, diagnostic tests, and high-quality private treatment. However, premiums can feel daunting. The good news is that you have a surprising amount of control over the price you pay.
By making informed choices about key policy features, you can tailor your cover to fit your budget without sacrificing the core benefits. This article will walk you through the five most effective levers for reducing your PMI premium: your excess, outpatient limits, the NHS 6-week wait option, hospital networks, and how you pay.
Before we dive into cost-saving, it's vital to understand the fundamental purpose of private medical insurance in the UK.
PMI is designed to cover acute conditions that arise after your policy begins.
Understanding this distinction is crucial. PMI is your safety net for new, treatable health concerns, providing a swift route back to health, not a replacement for NHS services that manage long-term illnesses.
One of the most direct ways to influence your premium is by adjusting your policy excess.
An excess is a fixed amount you agree to pay towards the cost of a claim each policy year. Think of it like the excess on your car or home insurance. Once you have paid the excess, your insurer covers the rest of the eligible costs up to your policy limits.
For example, if you have a £250 excess and receive eligible private treatment costing £3,000, you would pay the first £250, and your insurer would pay the remaining £2,750.
Insurers offer lower premiums to customers who choose a higher excess. Why? Because it means you are sharing more of the initial financial risk. It also discourages small, frequent claims, which are administratively costly for the insurer.
The impact can be substantial. Increasing your excess from £0 to £500 could reduce your annual premium by 20-30% or more.
| Illustrative Excess Level | Example Annual Premium | Potential Annual Saving |
|---|---|---|
| £0 | £1,600 | - |
| £250 | £1,360 | £240 (15%) |
| £500 | £1,200 | £400 (25%) |
| £1,000 | £960 | £640 (40%) |
Note: These are illustrative figures. The exact saving depends on the insurer, your age, location, and chosen cover level.
Real-Life Example: David, a 45-year-old marketing manager in Bristol, wanted comprehensive cover but needed to manage his monthly budget. His initial quote with a £100 excess was £140 per month. By increasing his excess to £1,000, his premium dropped to £95 per month, saving him £540 a year. He decided this was a smart trade-off, as he could comfortably afford the £1,000 if a major health issue arose and was more concerned about covering the large costs of surgery than small consultation fees.
Expert Tip: Choose an excess level you are genuinely comfortable paying without financial strain. A high excess is a great way to save money if you see PMI as protection against significant medical events, rather than for day-to-day health niggles.
Outpatient treatment is a major driver of PMI costs. This includes services you receive without being admitted to a hospital bed, such as:
Full, unlimited outpatient cover is the most expensive option. By limiting it, you can achieve significant savings.
| Outpatient Option | Description | Impact on Premium | Best For... |
|---|---|---|---|
| Full Cover | No financial limits on eligible outpatient consultations and diagnostics. | Highest | Those wanting complete peace of mind and the fastest journey from GP to treatment. |
| Capped Cover | A financial limit per policy year (e.g., £1,000) for outpatient services. | Medium | A balanced approach, covering initial diagnosis while keeping costs down. |
| No Cover | You use the NHS for diagnostics; PMI only covers subsequent inpatient care. | Lowest | Those on a tight budget primarily concerned with covering the cost of surgery. |
Expert Tip: A mid-level outpatient cap of £1,000-£1,500 often represents the sweet spot for value. It provides enough cover for the crucial diagnostic phase of most conditions while delivering a significant premium reduction compared to full cover.
This clever feature, sometimes called the "NHS Six Week" or "NHS Wait" option, is one of the most powerful cost-cutting tools available.
If you choose a policy with the 6-week NHS wait option, your private medical insurance will only cover inpatient treatment if the NHS waiting list for that specific procedure is longer than six weeks.
This applies to inpatient and day-patient procedures, not the initial outpatient diagnosis phase.
According to the latest data from NHS England, the elective care waiting list remains a significant challenge, with millions of treatment pathways creating long waits for patients. In mid-2024, the list stood at over 7.5 million. While urgent cancer care and emergency services are prioritised, routine procedures like hip replacements or cataract surgery can involve waits of many months, sometimes exceeding a year.
By adding the 6-week option, you are telling your insurer that you are happy to use the excellent and readily available NHS services for procedures it can deliver quickly. This removes a huge slice of financial risk from the insurer, who in turn passes those savings directly to you, often reducing your premium by 20-25%.
Is it Right for You? This option is ideal for people who:
It may be less suitable if your absolute priority is to have private treatment for every eligible condition, regardless of the NHS waiting time.
Not all private hospitals cost the same. Insurers group hospitals into "networks" or "lists" based on their costs, with prestigious Central London facilities being the most expensive. Choosing a more restricted hospital network is a simple way to lower your premium, especially if you live outside the capital.
| Hospital Network | Typical Cost Impact | Ideal For... |
|---|---|---|
| Premium (London) | Highest premium. | Those who live or work in Central London and want access to the city's most renowned private hospitals. |
| Standard | Significant saving vs. Premium network. | Most people in the UK. Provides excellent choice without the cost of top-tier London facilities. |
| Local / Limited | Lowest premium. | Those on a tight budget who have checked the list and are happy with the local hospitals included. |
Expert Tip: Don't pay for hospitals you'll never use. If you live in Manchester, you don't need a policy that includes expensive London hospitals. An expert PMI broker like WeCovr can provide you with the exact hospital lists for your postcode, helping you see if a more limited and cheaper network provides all the local access you need.
This is the simplest tip of all. When you choose to pay for your private medical insurance monthly, insurers typically add an interest or instalment charge, which can be around 5-10%.
By paying for your policy in one annual lump sum, you avoid this charge entirely.
Simple Maths:
If you have the cash available, paying annually is a guaranteed way to save money on the exact same cover.
Beyond the "big five," several other strategies can help you manage your premium.
Some insurers now offer a "Guided" or "Expert Select" option. Instead of having free choice of any consultant, the insurer provides a curated list of 2-3 recognised specialists for your condition. Because insurers can negotiate preferential rates with these consultants, they pass the savings to you as a lower premium. This offers a good balance between choice and cost.
Most UK PMI policies feature a No-Claims Discount, which works just like it does in car insurance. For every year you don't make a claim, your discount increases, up to a maximum level (often 60-75%).
Think carefully before claiming for minor expenses that you could afford to pay yourself. A small claim for a £150 consultation could cause you to lose a significant portion of your NCD, leading to a much larger premium increase at renewal than the value of the claim itself.
Insurers are increasingly rewarding members who take proactive steps to manage their health.
At WeCovr, we support our clients' health journeys. That's why customers who purchase PMI or Life Insurance with us receive complimentary access to our AI-powered calorie and nutrition tracking app, CalorieHero, helping you build and maintain healthy habits.
Don't just let your policy auto-renew. Your circumstances change, new and more competitive products enter the market, and your renewal price from your existing insurer may not be the best available.
A quick market review with an independent broker can save you hundreds of pounds. A broker like WeCovr does the shopping around for you at no cost, comparing the best PMI providers to ensure you have the right cover at the best possible price for the year ahead. What's more, customers who buy PMI or Life Insurance from us can benefit from discounts on other types of insurance cover.
Choosing the right private medical insurance UK policy is a balancing act between comprehensive cover and an affordable premium. By understanding the levers at your disposal—excess, outpatient limits, the 6-week option, hospital lists, and payment methods—you can design a policy that gives you fast access to the best care when you need it most, without breaking the bank.
Ready to find out how much you could save? The expert team at WeCovr is here to help. We provide free, no-obligation advice and compare quotes from across the market to build the perfect, cost-effective plan for you.
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