What Is Private Medical Insurance?
Private medical insurance (PMI) is a type of policy that helps cover the cost of private healthcare. While the NHS remains free at the point of use, PMI works alongside it to give you faster access to treatments, reduced wait times, and greater choice when it comes to hospitals, specialists, and care options.
With PMI, you pay a monthly or annual premium, and the insurer will cover eligible medical expenses—in line with your policy terms—such as consultations, medical tests, and surgery. It’s not a replacement for the NHS but an additional safeguard to ensure quicker, more personalized care when you need it most.
Key Benefits of Private Health Insurance:
- Faster Access to Care: Skip NHS queues and see specialists sooner.
- Choice of Experts: Select hospitals and physicians suited to your preferences.
- Innovative Treatments: Access specific drugs and therapies not offered on the NHS.
- Comfortable Experience: Stay in private hospital rooms and enjoy more tailored care.
Note: We act as intermediaries introducing you to insurance brokers who are regulated by the Financial Conduct Authority (FCA). We are not FCA-regulated providers of insurance services ourselves..
What Does Private Medical Insurance Covers?
Private health insurance mainly covers non-routine treatments for acute conditions—those that arise suddenly, are short-term in nature, and are curable. Policies vary widely, so always review the specifics of your chosen plan carefully.
Common Areas Covered:
- Hospital Stays (Inpatient Services) : Includes surgery costs, recovery expenses, and nursing care during your admission.
- Outpatient Services : Specialist consultations, diagnostic tests, scans, or minor treatments that don’t require an overnight stay.
- Advanced Drug Access : Some policies provide access to drugs unavailable on the NHS.
- Specialist Therapies : These often include mental health services, physiotherapy, or rehabilitation, subject to the policy.
Typically Excluded Areas:
- Pre-existing Conditions : Conditions diagnosed before the start of your policy are usually excluded. Some insurers offer coverage for specific conditions under certain terms.
- Chronic Conditions : On-going treatments for illnesses like arthritis, diabetes, or asthma are generally excluded, but policies may still cover initial diagnosis.
- Routine and Preventative Care : Regular check-ups, cosmetic treatments, dental care, or vaccinations are often outside the scope unless specifically added.
When comparing plans, think about your own health priorities to ensure you choose a policy that is practical, valuable, and suits your lifestyle.
How Much Does Private Medical Insurance Cost?
The cost of private health insurance depends on several factors, including age, lifestyle, location, health history, and the coverage level you choose. Policies range from basic to comprehensive options, so it’s important to pick one that balances affordability with the features you need.
Cost Example by Age and Coverage Level:
| Provider | 35-Year-Old (Basic) |
70-Year-Old (Basic) |
35-Year-Old (Comprehensive) |
70-Year-Old (Comprehensive) |
|---|---|---|---|---|
| Example Insurer A | £14/month | £68/month | £70/month | £215/month |
Tips to Save on Costs :
Opt for Annual Payments
Some brokers or insurers offer discounts when you pay annually rather than monthly.
Select Relevant Add-ons
Avoid paying for coverage you don’t need, like maternity care, if it’s not relevant.
Excess Flexibility
Choosing a higher excess can lower your premiums, but remember this affects out-of-pocket costs for claims.
Compare the UK’s Top FCA-Approved Private Health Insurance Brokers
01
WPA (Flexible Private Cover)
Why Choose WPA?
- Customizable plans with flexible coverage.
- Freedom to use any specialist registered with them.
- High customer satisfaction ratings.
Considerations :
- Product choices might require guidance.
- No pre-built consultant referral networks.
02
The Exeter (Personalized Health Cover)
Why Choose The Exeter?
- Lenient no-claims discount structure.
- Annual health assessments included.
- Free virtual GP consultations and prescriptions.
Considerations :
- No routine dental or optical coverage.
- Does not include international travel insurance.
03
Bupa (Focus on Mental Health)
Why Choose Bupa?
- Direct Access services bypass NHS GP referrals for quick care.
- Comprehensive mental health support available.
- Cover provided for a wide age range, including seniors.
Considerations :
- Significant claims may lower your no-claims discount.
How to Choose the Right Medical Insurance for You
Finding the right private health insurance can feel overwhelming, but breaking it down into steps makes the process easier.
01
Evaluate Your Needs
Think about the level of care you anticipate needing. For example, is mental health support a priority, or do you want coverage primarily for potential emergencies?
02
Set a Budget
Decide what you can afford each month or year, and compare plans that offer quality coverage within those limits.
03
Compare Policies
Use comparison tools or professional advice to assess the pros and cons of different brokers and their offerings.
Frequently Asked Questions (FAQs)
Is private health insurance worth it in the UK?
It depends on personal priorities. If you want quicker access to care, flexibility, and more treatment options (compared to the NHS), PMI could be invaluable.
Does PMI cover pre-existing conditions?
Most policies exclude pre-existing conditions unless otherwise stated. Some providers may assess conditions after a waiting period and offer coverage at a higher premium.
Can I add my family to my plan?
Yes, many brokers offer family-friendly policies that allow you to include dependents, such as children and partners, under a single policy.
If you’re unsure, our broker partners can provide tailored advice. Reach out for further assistance.
Get a Free Quote on Your Health Insurance
We are intermediaries who work with FCA-regulated brokers to connect you with the leading private health insurance providers. Take the first step today and explore affordable coverage options designed for your needs.