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cover for prompt private diagnosis and treatment, alongside the NHS rather than instead of it

Cover that pays for private diagnosis and treatment of acute conditions, usually with a choice of hospital and a shorter wait. It sits alongside the NHS rather than replacing it, and the underwriting basis decides how existing conditions are treated.

  • Acute conditions, not chronic
  • Alongside the NHS
  • Underwriting decides the rest
  • FCA authorised and regulated

Quick answerPrivate health insurance pays for private diagnosis and treatment of acute conditions: the ones that respond to treatment and can be resolved. It buys speed and a choice of hospital rather than a different standard of emergency care, because accident and emergency stays with the NHS. The decision that shapes the policy most is the underwriting basis. Tell us who needs covering, and specialist UK brokers can come back with quotes.

More worried about your income? Our income protection insurance page covers that instead.

At a glance

Private Medical Cover: Six Things to Settle

Six things that decide what a private medical policy does for you.

It covers acute conditions
Ones that respond to treatment and resolve
Long-term conditions are not covered
Ongoing management stays with the NHS
Emergencies stay with the NHS
This is not an alternative to A and E
Underwriting decides your history
Moratorium or full medical underwriting
The hospital list matters
Check the ones you would actually use
Premiums rise at each renewal
Age and treatment costs both push them up

The basics

What Private Cover Is Actually Buying

Speed and choice, mostly. A private policy pays for diagnosis and treatment of conditions that can be put right, at a hospital from an agreed list, without waiting. What it does not buy is a different answer in an emergency.

Acute conditions

The whole basis of the cover.

Who is on the policy

One person, a couple or a family.

How much of the path

In-patient only, or out-patient too.

The underwriting basis

How your history is handled.

The hospital list

Where you can be treated.

The excess

What you pay towards a claim.

How it works

From the Enquiry to a Private Health Cover Price

Getting a private medical policy quoted takes a few minutes. The questions are about who is covered, how much of the treatment path you want included and which underwriting basis suits.

  1. Tell us who is being covered

    Yourself, a couple or a family.

  2. Choose the level of cover

    In-patient only, or out-patient as well.

  3. Describe the work

    Cover for yourself, a couple, a family or a group through your business.

  4. Compare what comes back

    Underwriting type, limits and hospital list.

What it covers

Where the Policy Picks Up the Bill

A private medical policy is assembled from sections rather than sold whole. Which ones you take, and how far each runs, is what separates two quotes with the same headline.

The sections a private medical policy is built from
SectionWhere it sitsWhat to know
In-patient treatmentThe core of every policySurgery and an overnight stay
Day-patient treatmentIncluded with itProcedures with no overnight stay
Diagnostic testsCheck where they sitScans and tests, in or out of hospital
Out-patient consultationsA choice, often cappedSpecialist appointments
Cancer coverVaries more than anything elseAsk how far it runs
Mental health treatmentOptional on many policiesOften with its own limits
TherapiesAn add-onPhysiotherapy and similar

Out-patient cover is the section that varies most. Consultations, scans and tests happen before any admission, so a policy with a low out-patient limit can leave you paying for the part of the process you reach first.

What it leaves out

What a Private Policy Will Not Pay For

Private medical cover is written around acute conditions that respond to treatment. These are the points where a private medical policy does not answer, and the first two account for most of the misunderstanding.

Conditions you already had

Pre-existing conditions are excluded unless underwritten in.

Long-term condition management

Cover is for acute conditions that respond to treatment.

Emergency and accident care

That remains an NHS service.

Treatment outside the hospital list

Go off the list and the policy may not pay.

Anything above the section limits

Out-patient and therapy limits run out.

Treatment you arranged without telling them

Authorisation first is close to universal.

Levels of cover

How Far the Cover Is Built to Run

Policies are layered, and the layer you stop at decides how much of the treatment path is yours to pay for.

In-patient and day-patient only

The core, and the least costly.

Diagnostics added

Scans and tests before admission.

Full out-patient cover

Consultations without a cap, or a high one.

Enhanced cancer cover

Where policies differ most of all.

Mental health cover

Usually optional, usually limited.

Therapies and extras

Physiotherapy, dental, optical.

Cover for a workforce? See business protection insurance.

Who it suits

Who Takes Out Private Medical Cover

Private cover tends to be bought at a point of frustration or a point of change, and the reasons are fairly consistent.

Families wanting faster diagnosis

The commonest reason.

Self-employed people

Where waiting means not earning.

People who have waited before

And do not want to again.

People leaving an employer scheme

Continuing cover personally.

Business owners

Cover for themselves and staff.

Older applicants

Where the value of speed rises.

Cover if you cannot work? See income protection insurance.

Moratorium or full underwriting

Moratorium vs Full Medical Underwriting

This is the decision that matters most, and it is made before any price is quoted. Neither is better in the abstract; they suit different people.

Moratorium underwriting and full medical underwriting compared
MoratoriumFull underwriting
What you do at the startNothing, no formsDeclare your medical history
What is excludedRecent conditions, automaticallyWhatever is agreed, by name
When you find outAt claim stageAt the outset
Can an exclusion liftOften, after a clear periodUsually not

Already have a policy elsewhere? Ask about switch underwriting, which carries your terms across. Our life insurance page covers a different need.

Cost

Why Private Medical Cover Costs What It Does

Age, who is covered, the level of cover, the excess and the hospital list. We do not print average premiums.

Why the premium rises every year

Two things push in the same direction: you are a year older at each renewal, and the cost of private treatment rises. That makes this quite unlike life cover, where the payment is usually fixed for the term, and it is worth expecting rather than being caught by.

Why the excess and the hospital list are levers

Both are within your control at the quote. A higher excess and a narrower list of hospitals will reduce what you pay; whether they reduce it by enough to be worth it depends on the hospitals you would actually want.

What the quote is rated on

The main factors

  • Who is coveredOne person, a couple or a familyBase
  • AgeOf everybody on the policyRate
  • Level of coverIn-patient, out-patient, extrasRate
  • ExcessAnd whether it applies per year or per conditionRate
  • Hospital listWider lists cost moreAdjust
The underwriting basis shapes what is covered rather than what it costs

Raise the excess deliberately

It is the clearest lever.

Check the hospital list first

Then narrow it if you can.

Take the sections you need

Rather than the full set.

The conditions

Four Things to Get Right Before You Claim

Private medical cover carries more day-to-day conditions than life cover does, and on a private medical policy these are the ones that decide whether a bill is met.

  1. Get authorisation before treatment

    Ring the insurer first, not afterwards.

  2. Stay on the hospital list

    Going outside it can leave you paying.

  3. Understand your underwriting basis

    Moratorium and full underwriting behave differently.

  4. Keep to the hospital list

    Treatment elsewhere may not be met.

Quote checklist

What to Have Ready Before You Compare

Have these ready and quoting a private medical policy takes minutes. The underwriting question is the one worth thinking about before you start.

Who is to be covered

Yourself, a couple, a family or a group.

Recent medical history

For whichever underwriting basis you pick.

The level of cover wanted

In-patient only, or the out-patient sections as well.

The excess you would carry

And how it applies.

Any existing policy

Switching can carry your history across.

Hospitals you would want

Lists differ between insurers.

Comparing

Two Private Health Quotes, Section by Section

Two quotes for a private medical policy can carry the same headline and cover quite different ground. These are the points that separate them.

How you are underwritten

  • Moratorium or full medical underwriting
  • Whether an existing policy can be switched across
  • How pre-existing conditions are treated

What is actually included

  • Out-patient cover and any cap on it
  • How far cancer cover runs
  • Mental health and therapies

On this cover specifically

  • Out-patient limit and what counts towards it
  • How far cancer cover runs
  • Whether the excess is yearly or per condition

Ask how the excess applies across two unrelated conditions. Per year and per condition are very different. Unfamiliar terms are explained in our plain English jargon guide.

Cutting costs

Bringing the Cost Down Without Losing the Cover

The levers are the excess, the hospital list, the sections taken and reviewing at each renewal. We publish no savings figures.

Choose a higher excess

The clearest single lever.

Take a narrower hospital list

If it still has yours on it.

Drop sections you would not use

Rather than buying the full set.

Ask about a no claims bonus

Some insurers run one.

Review at every renewal

Premiums move more here than elsewhere.

Ask about switching

Your terms can often come with you.

Glossary

Private Medical Cover in Plain English

The words that decide what is covered and what is not.

Acute condition
A condition that responds to treatment and returns you to normal health.
Chronic condition
A long-term condition needing ongoing management, generally not covered.
Pre-existing condition
Something you already had before the policy started.
Moratorium underwriting
No forms at the outset; recent conditions are excluded, sometimes temporarily.
Full medical underwriting
You declare your history up front and know where you stand.
Switch underwriting
Moving insurer while carrying your existing terms across.
In-patient and day-patient
Treatment needing a hospital bed, with or without an overnight stay.
Out-patient cover
Consultations and tests without admission, usually capped.
Hospital list
The hospitals an insurer will pay for. Going outside it can cost you.
Excess
The part of a claim you pay, applied per year or per condition.

Why MyMoneyComparison.com

Why People Compare Private Health Cover Through MyMoneyComparison.com

MyMoneyComparison.com is an FCA-authorised UK comparison service that introduces families to specialist brokers. We do not sell insurance and we do not give advice: the broker you choose arranges the policy. Using us is free.

1

One form, one enquiry

Describe what you need once, instead of repeating yourself to each broker.

0

Advice given

We are an introducer, not a broker. We do not sell policies and we do not recommend one insurer or product over another. Read our editorial policy.

FCA

Authorised and regulated

MyMoneyComparison.com Ltd appears on the FCA register under FRN 916241.

2013

Incorporated

A UK company since 2013. FCA authorisation is separate and later; the register carries its date.

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FAQs

Private Health Insurance Quote FAQs

Answers on acute and chronic conditions, underwriting, hospital lists, excesses and switching.

Does private cover replace the NHS?

No, and it is not designed to. Accident and emergency care, ambulances and long-term condition management all stay with the NHS. What a private policy changes is planned diagnosis and treatment of conditions that can be resolved.

What does acute mean here?

A condition that responds to treatment and returns you to the health you were in before. The opposite is a chronic condition, which needs ongoing management rather than a cure, and that is generally outside private cover.

Will my existing conditions be covered?

Usually not at first. On a moratorium policy, recent conditions are excluded and may come back into cover after a clear period. On full medical underwriting they are named and excluded, so you know where you stand from the start.

Which underwriting basis should I pick?

It depends on your history. Somebody with a clean recent record often finds moratorium simplest; somebody with a past condition may prefer full underwriting so there is no argument later. A broker will talk it through.

Why is out-patient cover treated separately?

Because it is where most of the money goes early on. Consultations, scans and tests all come before any admission, and a policy with a low out-patient limit leaves you meeting that part yourself.

Can I choose my hospital?

From the list your policy carries. Wider lists cost more and central London hospitals are usually the ones that lift the price. Check the hospitals you would realistically use before narrowing it.

Do I have to ring before treatment?

Almost always. Authorisation before treatment is close to universal, and arranging something privately and claiming afterwards is a reliable way to be left with the bill.

What happens when I leave an employer scheme?

You can usually continue privately, and doing it promptly matters. Some insurers will carry your existing terms across rather than treating you as a new applicant, which protects conditions that arose while you were covered.

What does private health insurance actually cover?

Acute conditions: ones that respond to treatment and can be resolved. It pays for diagnosis and treatment privately, usually with a choice of hospital and a shorter wait. It is not a replacement for the NHS and it is not designed to be.

Are pre-existing conditions covered?

Generally not, unless they are specifically underwritten in. How they are handled depends on the underwriting basis you choose, and on a moratorium policy a condition can sometimes come back into cover after a clear period.

What is the difference between moratorium and full underwriting?

Moratorium means no medical forms at the outset, with recent conditions excluded and reviewed later. Full medical underwriting means declaring your history now, so you know exactly what is covered from the start. Neither is better in the abstract.

Does it cover emergencies?

No. Accident and emergency care stays with the NHS, and a private policy is not an alternative to it. What private cover changes is planned diagnosis and treatment, not what happens in an ambulance.

Why do the premiums go up each year?

Two reasons pull together: you are a year older, and the cost of treatment rises. That is a real difference from life cover, where the premium is usually fixed, and it is worth planning for rather than being surprised by.

What is the hospital list?

The hospitals your insurer will pay for. A wider list costs more, a narrower one less, and going outside the list can leave you meeting the bill. Check the hospitals you would actually want are on it.

How does the excess work?

You pay the first part of a claim. What varies is whether it applies once a year or once per condition, which makes a considerable difference over a year with two unrelated problems. Ask which basis you are being quoted.

Can I switch insurer and keep my cover?

Frequently yes, through switch underwriting, which carries your existing terms across rather than treating you as a new applicant. It is the main reason to compare with a broker rather than simply starting again.

Ready when you are

Tell Us Who Needs Covering and Compare

Tell us who is being covered and how much of the treatment path you want. Specialist UK brokers can then come back with quotes. Free to use, with no obligation to buy.

  • Individual, couple, family and business cover
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  • FCA authorised and regulated

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About this page

This page explains UK private health insurance: what a private medical policy pays for, how the underwriting basis decides which of your conditions are covered, and where the NHS remains the answer. It is general information rather than advice. Policies differ between insurers, so read your own documents and put the questions raised here to your insurer or broker.

How we approached this page

  • Published UK private medical policy summaries
  • Underwriting bases, hospital lists, out-patient limits and excesses
  • Financial Ombudsman material on motor insurance complaints