How much does private medical insurance cost?
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FCA Regulated
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Independent Broker
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15+ Years Experience
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UK-Based Advisers
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FCA Regulated
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Independent Broker
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15+ Years Experience
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UK-Based Advisers
What Affects Health Insurance Cost
The benefits of having private medical insurance are obvious, how much it will cost is not as straightforward as it is dependent on several variables. These variables are always different for everyone. Where you live, how old you are, your medical history and the product options you choose are the main factors that determine the cost of a health insurance policy.
Once you understand how health insurance works you will see why one size does not fit all, there are many options to choose from.
What is private medical insurance?
Private medical insurance (PMI) or health insurance is a policy that pays out for medical treatment privately when you need it. Health insurance is designed to cover you for acute conditions, with prompt treatment in a private hospital by a consultant or surgeon of your choice.
There are many benefits in having private medical insurance, but the main advantage is bypassing long NHS wait times and being able to choose who provides your treatment, and where you are treated.
Prices
The prices below are based on someone living in Warwickshire (near our headquarters), a non-smoker wanting a mid-range policy with an excess of around £200. The prices are based on an average across all the leading UK insurers and are per month.
25-year-old
£25-£30
45-year-old
£40-£45
65-year-old
£80-£85
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What factors affect the cost of private medical insurance?
The reason why it is not easy to give an accurate cost for health insurance without speaking with you and obtaining further details is because there are lots of variables.
These variables are in two categories: your personal circumstances and the level of cover you would like.
Your Personal Circumstances
Age
Insurers understand that the older you are the more likely you are to need medical advice and treatment, thus increasing the risk of a claim on the policy. As with all insurance policies, the premium is calculated on a risk ratio and will increase the older you are. Some insurers cap age-based pricing on joining after 80, so if you are 83 you will pay the same as someone who is 80 or 87 when you join.
Postcode
As hospital charges can vary significantly from region to region in the UK, where you live can be a big factor in the price quoted. London hospitals are the most expensive when it comes to hospital and consultant charges. If you do live in London and need access here, there are often options to select a reduced list of London hospitals rather than all of them, which will work out cheaper.
If you don’t live in London, you can opt for a ‘local’ hospital list which will give you the most competitive premium. AVIVA Health offer a ‘signature’ list which only includes hospitals in Scotland and Northern Ireland. If this is where you live and you do not intend to travel for treatment it can work out very competitive.
Medical history
Although most insurers do not ask for your BMI or even smoking status (some do), your previous medical history can play a part in the calculation of premiums. If you are taking out health insurance for the first time you will most likely not have to declare any medical history, therefore your premium is not based on this. If you are switching your health insurance to a new provider, you will be asked certain questions regarding your medical history and the information you provide will determine the premium quoted. When switching providers, the premium will also be driven by the underwriting method chosen. You can read more on underwriting options here.
The level of cover you choose
The exact details of what an individual health insurance plan covers varies considerably from policy to policy. Standard policies cover surgery, consultations, nursing, and hospital charges. While comprehensive policies cover much more, including out-patient appointments, psychiatric treatment, and complementary medicine.
Health insurers have designed their products with two elements: core cover, which is the base policy, and additional benefit options for you to choose from, to either reduce or enhance your cover.
There is often a great deal of flexibility in how you build your health insurance policy, and this will determine how much you will pay for private health cover. Here are some of the benefit options you can choose which will affect the premium you will pay.
Customising Your Health Insurance
Out-patient cover
Excess options
Guided option
Mental health cover
Therapies cover
Dental and optical cover
Travel cover
Indicative health insurance costs
Using these cover options, we have put together three plan examples and given indicative pricing for them. The premiums quoted are based on a 31-year-old living in Warwickshire who does not currently have health insurance.
Basic
£ 22.25 /month
- In-patient cover only
- Core cover including comprehensive cancer
- Guided option
- Moratorium underwriting
- £500 excess
Mid-Range
£ 38.73 /month
- In-patient cover
- Reduced out-patient cover
- Core cover including comprehensive cancer
- Regional hospital list including some London hospitals
- Moratorium underwriting
- £250 excess
Comprehensive
£ 94.23 /month
- In-patient cover
- Full out-patient cover
- Core cover including comprehensive cancer
- Mental health cover
- Dental and optical cover
- Therapies cover
- Extended hospital list including all London hospitals
- Moratorium underwriting
- £0 excess
Is private medical insurance worth the money?
We are often asked whether it is worth having private medical insurance and if it would be better to self-fund private treatment. While minor procedures and occasional consultations with a specialist may work out less than having an annual health insurance policy, finding the money for surgery and cancer treatment is a different matter. Not forgetting the fact that nobody can ever know what is around the corner.
Here are some examples, based on median national costs taken in February 2021:
Cataract surgery
Hip replacement
Gall bladder removal
Knee replacement
Single round of chemotherapy
It is not just the cost of self-funding that can make a health insurance policy seem more attractive, it is the access to breakthrough treatments it provides. Often insurers will pay for experimental cancer drugs and treatments not available on the NHS. You will also be able to access immediate advice and referrals at the click of a button through the digital GP services polices include.
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FAQs
The main factors affecting health insurance premiums are your age, postcode, and medical history.
It is always possible to get cheaper health insurance, even with the same level of cover you currently have. Our advisors can review your policy to check you have the right cover for you or compare the market for a cheaper option.
Some insurers offer a discount for paying annually upfront, so it is always worth asking us.
Yes. Most insurers will offer reduced premiums for covering a couple on a joint policy. This does mean that annual increases are based on overall claims on the policy rather than individual claims.

