PMI cost guide

How much is private health insurance in the UK?

A plain-English guide to what drives the price of private medical insurance, why your premium rises at renewal, and how to bring the cost down without gutting your cover.

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Why your private health insurance premium rises at renewal, and why nobody shops it. If you already have cover, the real question behind how much is private health insurance is often this: why has my renewal gone up again? Premiums are reviewed every year, and the main drivers are medical inflation, rising claims, the cost of private healthcare providers and the simple fact that you are a year older. Insurers also reprice policies for the whole book of members, not just you, so a rise does not always mean you personally did anything wrong.

The part many people never see is what happens next. Plenty of policies, particularly company schemes, are simply rolled over each year by a broker who never takes the cover back to market. One company that had been with Bupa for years had a previous broker who never shopped it; once Montgomery Financial took it to market, they saved around £700 a month. Another company client saved 26% on their company health insurance renewal. Results depend on the business and the cover, and we cannot promise the same, but a renewal is the best moment to check that you are not overpaying.

How much does private health insurance cost in the UK?

There is no single price, which is why the average cost of private health insurance is a slippery number. Cost depends on who is covered, where they live and how much of the policy they want. Illustrative only: a younger, healthy adult choosing a basic plan with a higher excess might pay a modest monthly amount, while an older person wanting comprehensive health cover with full outpatient benefits can pay several times as much. Family policies sit somewhere in between and rise with every extra person.

Be wary of any page quoting a firm figure without asking about you. A genuine health insurance quote is built from your age, postcode, smoking status, chosen hospital list and the level of cover you pick. That is why the average monthly figure online is only a starting point, and why two neighbours can pay very different amounts for similar-sounding policies. The sections below explain each lever so you can see what you are paying for.

  • Younger adults with a basic plan: typically the lowest premiums (illustrative only).
  • Older adults with comprehensive cover: typically the highest premiums (illustrative only).
  • Families: the price builds with each person added to the policy.

How age changes the monthly cost

Age is the single biggest factor in the price of private medical insurance. Insurers price largely by age, and each birthday usually brings a higher premium at renewal, even if you have never made a claim. That is not a penalty; older people are statistically more likely to need treatment, and private hospital stays, surgery and cancer care are expensive. The practical point is that the cost of private health insurance tends to climb steadily through your forties, fifties and sixties, so it pays to review the cover each year rather than letting it roll on unchecked.

Single, couple and family policies

A single policy is priced on one person. Adding a partner roughly reflects their own age and postcode, so a couple policy is close to two individual premiums, sometimes with a small multi-person saving. Children are usually cheaper to add than adults, although how much each child adds varies from insurer to insurer. Putting everyone on one plan keeps a single renewal date and one excess structure, which makes the yearly review simpler.

Personal cover versus a company scheme

If your employer offers a health insurance scheme, the premium is paid by the business and pooled across the group, which is usually cheaper per person than buying individually. It is normally a taxable benefit in kind for the employee, so it is not entirely free. When people leave an employer they can often move onto an individual policy on continued terms if they act within the insurer's time limit, and we can check whether that continuation option is the best value or whether the open market is better.

What to have ready for an accurate quote

To get a real figure rather than a guess, have a few details to hand: the date of birth and postcode of everyone you want covered, whether anyone smokes, any existing policy and its renewal date, and a rough idea of the excess you would be comfortable paying. It also helps to know whether you want outpatient cover, mental health support and therapies, or just hospital treatment and cancer care. If you already hold a policy, send us the renewal letter, because it shows the current premium, the underwriting basis and any exclusions. With that information we can compare like for like across the market and show you plainly where the money goes.

What affects the cost of private health insurance?

Seven main things shape the cost of private health insurance, and each one is a lever you can understand before you buy. Age matters most, because claims become more likely and more expensive as we get older. Your postcode matters because private hospital and consultant fees are higher in some parts of the country, particularly central London. The excess, the hospital list, the underwriting type, the level of cover and any no-claims discount complete the picture.

Insurers also look at whether you smoke and who else is on the policy. None of these is a trick; they are how health insurers price risk. The useful thing is that several of them are choices rather than facts about you. You can pick a different hospital list, a higher excess or a lighter level of cover, and the price changes accordingly. The cards below summarise the big four.

1

Age

Premiums step up as you get older, so locking in sensible cover earlier usually keeps the overall cost of private health insurance more manageable.

2

Postcode

Treatment costs vary by area, so the same policy can cost more in central London than in the Midlands or the North.

3

Excess

The amount you pay towards a claim yourself. A higher excess generally brings the monthly premium down.

4

Hospital list

A wider list of private hospital options costs more than a restricted or guided list of hospitals.

How can I reduce the cost of private health insurance?

You can reduce the cost legitimately without leaving yourself exposed, as long as you trade the right things. The common levers are a higher excess, the six-week option, a guided or network hospital list, and moratorium underwriting. Each one removes some cost for the insurer, so your premium falls. None of them is a loophole; they are standard options on most private medical insurance policies.

The trick is choosing what you are comfortable giving up. A higher excess means you pay more if you claim, so only raise it to an amount you could comfortably find. Dropping optional extras, such as dental or full outpatient limits, is another honest way to cut the price. We would always rather you keep the cover that matters, such as cancer care, than strip out the important parts just to hit a lower number.

  • Raise the excess to a level you could comfortably afford.
  • Add the six-week option so the NHS covers shorter waits.
  • Choose a guided hospital list instead of a full national list.
  • Review optional extras and outpatient limits.

Does a higher excess or the six-week option lower your health insurance premiums?

Yes, in general both do. With a higher excess you agree to pay the first part of each claim, so the insurer takes on less risk and charges less. With the six-week option, the policy only pays out if the NHS cannot treat you within six weeks of when you need it. If the NHS can see you inside that window, you use the NHS; if not, your private cover steps in. Because the insurer pays out less often, health insurance premiums are lower.

It is a sensible compromise for people who want a safety net against long waits, not a replacement for the NHS. It is worth knowing that the NHS waiting lists vary by treatment and area, so the option protects you most when the wait for something is long. We explain how it works on a quick call so you can decide whether the saving is worth the trade-off.

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Guided hospital lists, moratorium underwriting and the level of cover you choose

A guided option means the insurer helps steer you to a consultant and a choice of private hospital from a shortlist, rather than letting you pick any private hospital in the UK. That tighter list can lower the price. The level of cover you choose matters just as much: comprehensive cover with full outpatient care, mental health support and therapies costs more than a core plan covering inpatient and day-patient treatment and cancer care.

Underwriting also moves the price and your claims. Moratorium underwriting means you skip the long health questionnaire at the start, but anything you had symptoms, treatment or advice for in the recent past is excluded until you have been clear of it for a set period, usually two years. Full medical underwriting asks you to complete a health questionnaire up front so exclusions are agreed in advance. Neither is better in every case, and it depends on your history.

Is it worth paying for private healthcare in the UK?

For many people the value is in speed and choice. Private medical insurance gives you access to private healthcare providers, faster diagnostics, a private gp in some plans and a private hospital room, often without the NHS waiting lists. Cover for cancer care and mental health support is also a common reason people buy. It does not replace the National Health Service, and emergencies still go through A&E.

Whether it is worth it depends on your budget, your family and how much you value control over when you are seen. With the cost of living up, we meet plenty of people who want to know that they are not paying more than they need to. Remember too that cover generally does not pay for conditions you already had, or for chronic conditions that need long-term management, so read what is excluded before you buy.

What does private health insurance cover, and what is excluded?

A typical policy covers the cost of private medical treatment for new, acute conditions: consultations, tests and scans, surgery, hospital stays and often cancer care. Optional extras can add outpatient benefits, therapies like physiotherapy, mental health cover, dental and optical. The more you add, the more health insurance premiums rise.

Exclusions matter as much as inclusions. Pre-existing conditions are normally excluded or limited, chronic conditions are usually not covered for ongoing care, and emergencies, normal pregnancy and cosmetic work are standard exclusions. Always check how private prescriptions, cancer drugs and follow-up care are treated, because wording differs between insurers and plans.

Why using an insurance broker costs nothing extra

People often assume that going through an insurance broker adds to the bill. In general it does not. The insurer builds commission into the premium whether you buy direct or through a broker, so you pay the same for the same policy, and you get a person who does the comparing for you. If anything, a broker can often find a better price, because the whole market is checked rather than a single insurer.

Montgomery Financial looks across the market to match the cover to your needs and your budget, then comes back at every renewal to make sure the price is still competitive. That is where most of the value sits, because an unshopped policy simply drifts up each year. If you would like to see how much is private health insurance for your age and postcode, a call is free.

How do I go private instead of using the NHS?

There are two routes. You can pay for each appointment and test yourself, which is called self-pay and can be costly if something serious is found, or you can buy private health insurance and let the policy pay the bills. Many people with cover start with a GP referral, then use their insurer to authorise a private consultant, scan or treatment.

If you only want a safety net against long waits, the six-week option above is a cheaper way in. If you want full access to private care from day one, choose a standard plan. Either way, check the details of how claims are authorised and make sure you understand your excess before you rely on the cover.

Going direct versus using a broker

Going direct to one insurer

  • You only see one insurer at a time
  • Renewal price is usually yours to chase
  • No one checks the market for you
  • The same commission is already in your premium

Using Montgomery Financial

  • We compare the market for you
  • We review your cover again at renewal
  • You pay the same premium, not more
  • A person to call when you claim

Frequently asked questions

How much is private health insurance per month?

It depends on age, postcode, excess, hospital list and level of cover. Illustrative only: a basic plan for a younger person can be modest, while comprehensive cover for an older person can be several times higher. A personal quote is the only reliable answer.

Why has my private health insurance renewal gone up?

Medical inflation, rising claims, your age and insurer repricing all play a part. A renewal is also the best time to check the market, because an unshopped policy tends to keep drifting upward.

Does using a broker cost more?

In general no. Commission is already built into the premium, so you typically pay the same as going direct, and you get the market compared for you.

Does making a claim affect my premium?

It can. Many insurers use a no-claims discount, so claiming may reduce the discount at your next renewal. Check the scheme details for your policy.

What is the cheapest health insurance policy?

There is no one policy that suits everyone. The lowest price usually comes from a higher excess, the six-week option, a guided hospital list and moratorium underwriting, but cheaper cover also means more you may pay for yourself.

Does private health insurance cover pre-existing conditions?

Usually not. Pre-existing conditions are normally excluded or limited, depending on whether you choose moratorium or full medical underwriting.

Can I switch provider at renewal?

Yes, you can usually move at renewal, but underwriting terms may change, so check what happens to existing exclusions before you switch.

Find out how much private health insurance would cost you

Tell us your age, postcode and what matters to you, and we will compare the market and explain the options in plain English. There is no charge and no obligation.

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This page is general information, not a personal recommendation. Illustrative figures only.