Private Medical Insurance

Navigating the Maze: A Comprehensive Guide to Private Medical Insurance in the UK

The Definitive guide to Private Medical Insurance or Health insurance in the UK. Get bespoke Private medical insurance advice from Albion Forest today.

You voluntarily choose to provide personal details to us via this website. Personal information will be treated as confidential by us and held in accordance with GDPR May 2018 requirements. You agree that such personal information may be used to provide you with details of services and products in writing, by email or by telephone. By submitting this information you have given your agreement to receive verbal contact from us or one of our trusted partners to discuss your mortgage requirements

What's in this article

Private Medical Insurance

In the UK, the National Health Service (NHS) serves as the backbone of our healthcare system. But for many, the allure of private medical insurance (PMI) holds the promise of faster access to treatment, wider treatment options, and potentially a more comfortable experience. Yet, navigating the world of PMI can be daunting. This guide aims to equip you with the knowledge you need to make informed decisions about private medical insurance in the UK.

What is Private Medical Insurance?

PMI is a financial contract with an insurance provider that covers the costs of private healthcare. You pay a monthly premium, and in return, you have access to a network of private hospitals, consultants, and specialists. The level of cover varies greatly. Basic policies covering essential hospital care and more comprehensive plans encompassing a wider range of treatments. These may include consultations, diagnostics, and even alternative therapies.

Benefits of Private Medical Insurance:

  1. Faster Access to Treatment: Perhaps the most significant advantage of PMI is the reduced waiting times for consultations, diagnostics, and procedures. This can be crucial for individuals with chronic conditions or those facing urgent medical needs.
  2. Wider Treatment Options: While the NHS excels in many areas, some treatments may not be readily available or may have longer waiting times. PMI offers access to a wider range of specialists and treatment options, including cutting-edge technologies and innovative therapies.
  3. Choice and Control: With PMI, you have more control over your healthcare journey. You can choose your consultant, hospital, and treatment plan, giving you greater peace of mind and a sense of empowerment.
  4. Enhanced Comfort and Amenities: Private hospitals often offer a more comfortable and personalised experience, with single rooms, shorter waiting times, and access to additional amenities.
private medical insurance

Finding the Right PMI Policy:

  • Compare Quotes: With numerous PMI providers in the UK, it’s crucial to compare quotes from different companies to find the best value for your money. Online comparison tools can simplify this process.
  • Seek Professional Advice: Consulting a financial advisor or an independent healthcare broker can provide valuable guidance in navigating the complexities of PMI and choosing the right plan for your needs.
  • Read the Policy Documents Thoroughly: Don’t be afraid to ask questions and thoroughly review the policy documents before signing up. Understand the exclusions, limitations, and claims process.

Things to Consider Before Taking Out PMI:

  • Cost: PMI can be expensive, with premiums varying depending on your age, health, chosen level of cover, and deductible (the amount you pay before the insurance kicks in). Carefully assess your budget and needs before committing.
  • Level of Cover: Different policies offer varying levels of cover. This ranges from basic hospital care to comprehensive coverage for all medical needs. Choose a plan that aligns with your individual and family’s health needs.
  • Pre-existing Conditions: Most PMI policies have exclusions for pre-existing conditions. This therefore means they may not cover treatment for conditions you already have. Check the policy details carefully before signing up.
  • Tax Implications: Premiums for PMI are not tax-deductible in the UK. There may be tax benefits for employers who offer PMI as part of a benefits package.

Private medical insurance and existing conditions

Navigating coverage for pre-existing health issues is a nuanced aspect of PMI. While most policies exclude coverage for existing conditions at the time of policy purchase, there are nuances to consider. Firstly, some insurers may offer plans with “moratorium periods,” where coverage for pre-existing conditions kicks in after a specific waiting period, typically two to five years. 

Additionally, for certain stable and well-managed conditions, insurers may consider offering limited or full cover after a detailed medical assessment. It’s crucial to be transparent about your medical history when applying for PMI and discuss pre-existing conditions with your chosen provider to understand what, if any, coverage might be available. Consulting a healthcare broker specialising in PMI can also be invaluable for navigating this complex area and finding a plan that best suits your needs, both present and future.

Key Worker Mortgage

Understanding the Cost of Private Health Insurance

The question of “how much does private health insurance cost?” is a loaded one, with the answer depending on a multitude of factors. It’s like asking, “how much does a car cost?” – without further details, it’s impossible to give a precise figure. However, we can break down the key elements influencing private health insurance cost:

  • Age: Age plays a significant role, with younger individuals typically paying lower premiums than older counterparts. This is because the likelihood of needing medical care increases with age.
  • Health: Your overall health and medical history significantly impact your premium. Pre-existing conditions or a family history of specific illnesses can lead to higher costs.
  • Level of Cover: Basic policies covering hospital stays and essential procedures will naturally be cheaper than comprehensive plans encompassing a wider range of treatments, consultations, and even alternative therapies.
  • Excess: Your chosen excess, the amount you pay before the insurance kicks in, also influences the premium. Opting for a higher excess can lower your monthly payments but means you’ll shoulder more of the initial costs should you need to claim.
  • Location: Premiums may vary depending on your geographical location, with urban areas often seeing higher costs compared to rural areas.

To give you a rough idea, the average monthly premium for basic private health insurance in the UK currently sits around £50, while comprehensive plans can range from £100 to £300 or even higher. Remember, these are just averages, and your individual price will be unique.

To get a more accurate estimate, utilise online comparison tools or consult a healthcare broker. They can factor in your specific details and tailor quotes to your needs, helping you find the most cost-effective private health insurance option for your circumstances.

By understanding the key factors influencing private health insurance cost, you can make informed decisions and choose a plan that fits your budget while providing the level of cover you desire.

Personal Health Insurance Broker

As a specialist personal health insurance broker, Albion Forest offers bespoke advice for people wanting to take their health cover into their own hands. Health insurance can offer a faster alternative to the National health service. Using a specialist personal health insurance broker can give you peace of mind that you are making the right choice for your health insurance. Selecting the right product for your needs is really important when considering private medical insurance.

Alternatives to Private Medical Insurance:

  • The NHS: The NHS remains a vital resource for most UK residents, offering a wide range of high-quality healthcare services. While waiting times may be longer, the NHS is committed to providing excellent care for all.
  • Health Cash Plans: These plans offer limited cover for specific healthcare services, such as dental care, physiotherapy, or alternative therapies. This therefore may be a more affordable alternative to PMI for those with specific needs.


Private medical insurance can be a valuable tool for individuals seeking faster access to a wider range of healthcare options. However, carefully consider the costs, benefits, and limitations before making a decision. By understanding your needs, comparing options, and seeking professional advice, you can navigate the world of PMI and find a solution that suits your individual circumstances.

Additional Resources:

Got a question regarding Private medical insurance we haven’t answered? Get in touch.

Scroll to Top