What is private health insurance?
Private health insurance - also called private medical insurance (PMI) - helps pay for the cost of private medical treatment if you become ill.
It works alongside the NHS, not instead of it. Most policies focus on acute conditions - illnesses or injuries that are likely to improve with treatment. This can include:
- specialist consultations
- tests and scans (such as MRI or CT)
- surgery and hospital treatment
Without insurance, private treatment can be expensive to pay for yourself. Private health insurance can help make the cost more manageable by spreading it over time.
Compare private health insurance quotes | Speak to an expert LifeSearch adviser
Why people choose private health insurance
Many people take out private health insurance to:
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get faster access to diagnosis and treatment
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have more choice of hospital or specialist
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avoid long waiting times for non‑urgent care.
The NHS remains the main provider of emergency and ongoing care. Private health insurance is about speed, choice and comfort, not replacing the NHS.
What private health insurance usually covers
What’s covered depends on the policy and insurer, but most plans include:
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in‑patient treatment (hospital stays and surgery)
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day‑patient treatment
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tests and diagnostic scans.
More comprehensive plans may also cover:
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out‑patient consultations
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physiotherapy and rehabilitation
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mental health treatment
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cancer care (subject to limits).
Higher levels of cover usually mean higher premiums.
Private health insurance does not cover everything. Most policies exclude:
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emergency treatment (covered by the NHS)
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pre‑existing conditions
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chronic or long‑term conditions (after diagnosis)
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routine pregnancy and childbirth
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cosmetic treatment.
Understanding exclusions is just as important as understanding what’s included.
Pre‑existing conditions and private health insurance
Private health insurance usually covers conditions that start after your policy begins.
If you already have a medical condition, you can still usually take out private health insurance. However, treatment for that pre‑existing condition is normally excluded from cover.
A pre‑existing condition can include any illness, injury or symptom you had before your policy started - even if it wasn’t formally diagnosed.
Some insurers may be more flexible in certain situations. For example, if the condition was minor, or if you’ve had no symptoms, treatment or medication for several years.
In these cases, an insurer may agree to cover the condition, but this varies by insurer and policy.
How pre‑existing conditions are handled depends on the type of underwriting used and the insurer’s rules. This is one of the main reasons advice can be helpful when choosing private health insurance.
Do I need private health insurance?
Private health insurance isn’t right for everyone. It may be worth considering if you:
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want faster access to tests or surgery
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are concerned about waiting times
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value choice over where and when you’re treated.
It may be less suitable if you are happy to rely fully on the NHS and are mainly concerned about emergencies or long‑term care
Some people can also access private healthcare through employer schemes, which can reduce the cost.
Types of private health insurance plans
Basic plans
Basic plans usually cover hospital treatment and surgery, and limited or no out‑patient cover. They are designed to keep costs down while covering the most expensive treatments.
More comprehensive plans
Enhanced plans may include out‑patient consultations, diagnostics, mental health support and broader cancer cover. These plans cost more but offer wider access and fewer gaps.
How much does private health insurance cost?
Private health insurance premiums are influenced by:
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your age
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where you live
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your medical history
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the level of cover you choose
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your excess (the amount you pay towards a claim)
Choosing the right balance can make a big difference to cost.
Illustrative examples
The cost of private health insurance varies based on age, location, health, cover level and excess.
Our examples below show illustrative price ranges for health insurance – with £250 excess and full cancer treatment coverage on a guided care plan*. Prices can vary considerably depending on the specific cover options you choose, as well as your age and medical history and location.
| Age | Lower range (basic plans1) | Upper range (comprehensive plans2) |
|---|---|---|
35 | From £30.97 | to 54.96 a month |
45 | From £38.74 | to £71.76 a month |
55 | From £55.21 | to £100.01 a month |
65 | From £85.25 | to £151.64 a month |
Most ‘basic’ plans don’t include ‘outpatient cover’, but some standard plans include this, up to specified limits, there are options to extend it higher, and most comprehensive plans include unlimited outpatient care/costs. LifeSearch will always recommend including an element of out-patients cover. Don’t worry, we’ll also give you the cost breakdown so that you can make an informed choice.
Private health insurance vs other protection
Private health insurance pays for treatment. It’s different from:
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critical illness cover, which pays a lump sum
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income protection, which replaces income if you can’t work.
Many people choose a mix of protection, depending on what they want to protect against.
Is private health insurance right for you?
Ask yourself:
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Would faster access to treatment make a real difference to me?
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Am I comfortable with what the policy does and doesn’t cover?
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Could I afford private treatment without insurance?
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Do I want basic cover or wider access to care?
If you’re unsure, talking it through can help you decide what’s right for you.
Why choose LifeSearch
Private health insurance can look simple, but the differences between policies are easy to miss. We’re independent, so we help you choose cover that fits how you want to access treatment.
Fee-free advice, built around your needs
We help you balance cost, cover and how you want to use private healthcare.
Access to a wide range of insurers
We compare policies across the market to find the right level of cover – for you and your budget.
Clarity on how policies work
We explain your choices, what’s covered, what’s not and how claims actually work.
Frequently asked questions
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