Private health insurance

Get treatment sooner with private health insurance.
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    Avoid NHS waiting lists and get private treatment
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    Medical appointments at times that work for you
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    Find the best health insurance for the best price
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Table of Contents

Who is this guide for?

Individuals, couples and families who are considering taking out private health insurance and want to understand how it works and how it can benefit them.

If you're a company looking for your employees, read our business health insurance guide.

What is private health insurance?

Private health insurance is a way to pay for and access private healthcare services in the UK. You pay a monthly or annual premium; in return, your insurance provider will cover the cost if you need private treatment for specific conditions.

Private medical insurance doesn't replace the NHS, and infact works alongside it. The benefit of private healthcare is that waiting times are usually much shorter, so you can get back on your feet as soon as possible.

Health insurance usually covers medical conditions that develop after the start of the policy. Some policies also cover out-patient diagnostic consultations and testing, physiotherapy, alternative therapies, mental health and even treatments you may not be able to get via the NHS.

Different policies and providers offer different cover levels; you can choose what they cover. Prices can vary significantly and usually increase as you get older, or if you claim, so it's essential you understand how it work

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Watch: How private health insurance works

Here's a short video explaining how private health insurance works:

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What does private medical insurance cover?

What your private medical insurance covers will come down to the policy you choose and the cover options you want to include. Medical insurance policies vary between providers, and that's before you start tailoring it.

Standard cover

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    Treatment where you're admitted to a private hospital for a day or overnight
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    Cancer cover, from treatment to recovery, often including access to breakthrough drugs
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    Out-patient surgery for minor conditions where a stay in hospital isn't required
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    24/7 digital GP service lets you speak to a doctor on the phone or via video around the clock
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    Complex scans, such as MRI, CT and PET scans
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    Mental health support, often helplines and sometimes talking

Comprehensive cover

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    Out-patient consultations, tests and scans to reach a diagnosis before hospital treatment
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    Out-patient mental health care, including access to psychiatrists, psychologists and other professionals
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    Cover for alternative therapies such as chiropractic treatment and osteopathy
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    Cashback on routine dental and optical appointments

Cover usually exclude:

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    Pre-existing medical conditions
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    Routine pregnancy and childbirth
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    Chronic medical conditions (like asthma or diabetes)
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    Emergency treatment
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    Cosmetic surgery

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What are the benefits of private health insurance?

Private medical cover in the UK is optional, so it's worth considering whether the monthly cost is worth it to you. Here are some of the benefits health insurance can offer:

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What are the potential disadvantages of private health insurance?

  • It can be expensive, especially if you're older or you make several claims while having a policy
  • You may have to pay an excess when you need treatment, but you can decide how much when taking out the plan
  • Pre-existing conditions aren't usually covered, although some insurers exclude less than others
  • Chronic illnesses aren't usually covered, so you'll still need the NHS for those
  • Private healthcare isn't necessarily better than the NHS, but it can be faster
  • Some policies will restrict which hospitals and consultants you can use
  • Changing insurance providers isn't always easy
  • It can be complicated, making it difficult for people to understand what's covered

Start with why you need health insurance

Health insurance policies vary in price and the cover level they provide. The best private medical insurance plan for you will likely be different to someone else, so it's essential to work out why you want a plan and what you need from it.

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What types of health insurance plans are available?

You can choose between several types of health insurance plans, primarily based on who you'd like to cover.

  • Individual health insurance – covers one person, giving fast access to private medical treatment and plenty more benefits.
  • Joint health insurance - covers two people and is usually cheaper than two separate plans.
  • Family health insurance - covers your immediate family under the same plan, which usually gives you lower premiums than if you bought individual plans.
  • Child health insurance – protect your children and ensure they get the treatment they need if they become unwell or are injured.
  • Employee health insurance - many businesses now offer private medical insurance to their teams as it benefits both the employee and the employer.

Want to find out which health insurance type would be best for you?

Simply answer our short questionnaire, and we will match you with the right health insurance broker for your needs. The broker will provide you with all the information you need to compare your options and make a decision with confidence.

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UK health insurance needs to knows

If you think that private health insurance could be right for you, here are our seven key things you need to know before getting a policy:

Why you might need health insurance in the UK

There are many reasons why private medical insurance might be a good option for you, especially as things in the NHS aren't too great at the moment. Here are a few reasons why you should consider taking out a policy:

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Private vs NHS waiting times

Waiting times in the private healthcare sector are usually much shorter than in the NHS. How long the waits are will depend on the treatment you need and where you live, but, it'll usually be no more than a few weeks, compared to many months in the NHS.

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Fast access to qualified GPs

It's frustrating and worrying if you have symptoms or a health concern and you can't get into your GP or spend hours in a queue trying to. Most private medical insurance policies give you 24/7 access to a digital GP to speak to a doctor and get advice around the clock.

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Peace of mind

All insurance is to give you peace of mind. It's there if something bad happens to help you get back on your feet. We all hope never to need or use insurance, but it's good to know it's there should you need it.

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What our expert says:

"The great thing with private health insurance is that as it is renewed yearly, you don't nessiarily have to keep it forever. 

If, for example, things in the NHS improve in the next few years, you may decide you don't need it any longer. Of course, that's a personal choice, but the point is you're not committing to a 20-year policy."
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Chris Steele - Editor and private health insurance expert

How much does it private health insurance cost?

It's difficult to say precisely how much a typical private medical plan costs, as many factors will influence the price. Your age, cover level, where you live, policy add-ons and more will play a role in setting your premiums.

That said, we regularly get prices from the leading providers to help people understand roughly what they can expect to

Bar chart showing the typical cost of private health insurance in 2024Chart showing the average cost of private health insurance with and without out-patient cover based on myTribe's 2024 pricing research

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Alternative options if you want to go private for medical treatment

Health insurance is a way to pay for private medical treatment, but it's not the only way. Much like your car and car insurance, you could claim on your policy or pay for a garage out of your own pocket if something goes wrong.

Private medical treatment costs tend to go up with the complexity of the treatment required. So, for example, our 2024 research into private surgery costs found that cataract surgery costs, on average, £2,935, where as a hip replacement costs over £14,400.

It's not inexpensive, but compared to the cost of a new phone, a holiday abroad or buying a car, it's not obscene. Some private treatments, however, such as for cancer, can be very costly.

How much does private cancer treatment cost?

If you develop cancer, which, according to Cancer Research, at least 1 in 2 of us will in our lifetimes, and you don't have health insurance but want private treatment, the costs can be eye-watering. Last year, we asked the insurer Freedom, what the average claim amounts were for several cancer treatments; here's what they told us:

Type of cancer (average claim size):
  • Prostate cancer £50,156
  • Lung cancer £56,570
  • Bowel cancer £27,874
  • Breast cancer £133,253

Health insurance comes into its own with cancer treatment

A recent report from Lord Darzi detailed the issues in the health service and said that 'cancer care in the UK still lags behind other countries, and no progress has been made in diagnosing cancer at stage 1 and 2 between 2013-2023'. It's a reminder of the issues facing the NHS, and given the cost of private cancer treatment, it's unsurprising that many people take out private health insurance to ensure that if they develop cancer, they can get treatment quickly.

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Medical underwriting explained

When you get a health insurance policy, you'll go through underwriting, and for new policies, there are two types:

How do I get a private health insurance quote?

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Answer a few simple questions

Tell us a bit about what you would like, share your age and contact details and our partners will start searching for the best policy for you.

2

Compare health insurance plans

Our partners work with the whole UK private health insurance market, so they compare all the options and help you find the best plan.

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Get covered and know you're protected

As soon as you take out your private medical insurance policy, you're covered, and you can relax knowing that should something happen, you can claim treatment.

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What should I look for when comparing private health insurance?

The right policy for you will be different from the next person, but there are several key things to look out for when comparing:

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Who are the top three health insurance providers in the UK?

Our team of private healthcare experts is constantly assessing the market, and the three best providers, in our opinion, in 2025 are:

1. Bupa

  • Excellent policy benefits
  • Mental health cover as standard
  • Free dental allowance
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2. WPA

  • Outstanding customer reviews
  • Truly flexible cover
  • Good hospital list as standard
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3. The Exeter

  • Market-leading no claims discount
  • More precise with exclusions
  • App packed with value
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To see why we've picked these three and how we rate other leading insurance providers, read this guide: myTribe's impartial reviews of the best private medical insurance providers in the UK.

How private health insurance claims work:

  1. Get a referral from a GP

    Most claims start with you seeing or speaking with a GP, which could be your NHS one or the Digital GP with your insurance policy. If needed, they'll give you a referral to see a specialist.

  2. Start a new claim with your insurer

    Now's the time to tell your insurer that you need to claim, and you can do that through a mobile app, or by calling or emailing them.

  3. Get pre-authorisation and find a consultant

    If your policy covers your claim, your insurer will give you pre-authorisation and advise which hospitals and medical consultants you can use.

  4. Have your initial consultation

    You'll see your chosen consultant for an initial assessment, and if needed they'll refer you on for further tests and scans. Your insurer will also likely ask for a report from your consultant afterwards.

  5. Keep your insurer updated and continue treatment

    After each appointment, update your insurer to ensure they approve future tests, scans and treatments. Also, remember to pay your excess if you have one on your policy.

  6. Focus on getting better

    Your insurer will have helped thousands of people going through similar situations, so lean on them, ask them questions and ultimately focus on getting better.

To learn more, please read this guide to private health insurance claims.

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