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Private Medical Insurance FAQ

What is private medical insurance?

Private medical insurance, also referred to as health insurance, is designed to pay for the expenses of medical treatment in the private sector. Private medical insurance is specifically aimed at paying for the treatment of what is referred to as "acute" medical conditions. Acute medical conditions are illnesses, injuries or diseases that are likely to be able to be treated quickly and are seen as curable. This means that chronic conditions are not normally covered and people with these form of medical conditions will have to receive their treatment on the NHS.

Why do people choose private medical insurance?

It is important to note that private medical insurance is definitely a luxury, unlike other forms of insurance such as car insurance. This is because we are lucky enough to live in a country that has an extensive National Health Service that will cover most forms of treatment for free. There are three main things that normally cause people to take out private medical insurance plans.

The first of these three reasons is the higher level of choice that private medical insurance can offer its policy holders. This choice can range from being a choice of your preferred hospital to a choice of your favoured doctor. This means that people with private medical insurance are more likely to be able to feel comfortable in their environment and medical personnel than those who are on the NHS.

The second reason that people often have for opting for private medical insurance is the speed with which it enables you to receive your treatment. This because most private hospitals have much shorter waiting lists than NHS hospitals, if they have a waiting list at all. This means that you are sure to receive your treatment as quickly as possible and it therefore often means that the treatment can be more effective.

The third reason that so many people choose to take out private medical insurance, is the fact that the quality of your care can often be much higher in private facilities than in hospitals run by the National Health Service. This is not to say that you will receive poor medical care from the NHS but simply that the less stretched budgets of private companies allow for a higher standard of hospital. What's more is that you will probably receive a private room if you receive treatment privately, this is often seen as one of the biggest plus points of being treated privately.

What conditions are treated on private medical insurance plans?

Health insurance plans are typically designed to provide cover for the treatment of what are referred to as acute medical conditions. Acute medical conditions are normally defined as short term illnesses, curable diseases or injuries. This means that if you have what is known as a "chronic condition", it is more than likely that it will not be covered by your health insurance plan. However it is still possible to take out health insurance plans if you have a chronic condition, the condition itself will simply be excluded from your plan. This means that if you suffer any other conditions that are deemed to be treatable and acute, you will still be covered for anything that is not linked to your pre-existing condition.

It is of the utmost importance that you check with your health insurance plan provider directly, before you decide to sign up to any form of agreement with them. This is because the illnesses covered by such plans are normally different from company to company.

Here are some general things that are normally covered by health insurance plans:

Tests and Surgery

Most health insurance policies will cover you for tests and surgery if you are a day patient or an inpatient. Day patients are individuals who have to go in to hospital but do not require an overnight stay, inpatients on the other hand are individuals who require treatment and then stay in the hospital for at least one night.

Accommodation in Hospital

Another thing that most health insurance policies will cover you for is the cost of your stay in hospital, in other words any accommodation fees that you may incur. This will almost always include the cost of any nursing care that you require whilst in hospital.

Acute Stages of Chronic Conditions

Even though the vast majority of private medical insurers will not cover chronic conditions, lots of companies will still cover the acute stages of these conditions. What this means is that insurers will normally cover the costs associated with diagnosing a condition and will also cover the initial steps to try and cure it. If these attempts to cure the condition fail, the treatment will then become more focused on trying to maintain it as opposed to removing the condition entirely. Once treatments move to this stage, they will then no longer be covered by insurance. However if any new treatment options are developed that offer a renewed chance of a cure, the insurance company is likely to fund these procedures until it becomes clear whether or not they will be successful.

Outpatient therapy, consultations and tests

Many insurance plans will not include these aspects as standard but there are some that will offer these as an optional add on to your policy. This will cover things such as physiotherapy or other forms of outside treatment. This can be particularly helpful as these types of treatment are not normally found on the NHS. For this reason opting to choose this additional cover might be a good idea if you are somebody who takes part in sporting activities or other forms of physical pastimes on a regular basis.

How can I reduce the cost of my health insurance?

Health insurance plans come in many different shapes and sizes and they also come at a varying range of costs. This means that if you want the most extensive level of cover, you are going to have to pay a little bit more for the privilege. However, having said that, there are quite a few simple steps that you can take in order to reduce the costs of your premiums.

One of the most straightforward ways in which you can cut the costs of your health insurance plan is by raising the level of excess that you pay for your policy. The amount of excess that you have on your plan essentially means that if you take out a claim on your health insurance policy, you will pay a predetermined amount before your insurance company starts to help out. This means that if you had an excess of £400 and you had a claim worth £500, you would be required to pay the first £400 and then your insurance company would pay the final £100.

Another way in which you can lower the cost of your plan is by opting to limit your choice of hospitals. This means that you would reduce the amount of options that you can choose from in the event that you make a claim. By doing this you free up the insurance companies resources as it allows them to have more flexibility in terms of where they send you, they then pass these savings onto you in the form of lower monthly payments. However if you are a Londoner, you could stand to lose out because insurance companies often ask you to upgrade in order to receive care from the biggest London hospitals.

Health insurance, like most forms of insurance, will offer discounts for people who have claimed less on their plans than others. This means that if you opt for NHS treatment instead of claiming on your insurance for more minor treatments, you are likely to pay less for your insurance in the future. However it is worth remembering that if you're not going to claim on your health insurance purely to keep the cost down, you're not actually going to get anything back from the amount that you are paying.

One of the biggest things that people do not consider doing with regards to health insurance is self insuring. This normally only recommended as an option for people who are fit and in good health, who do not smoke. Self insuring means that you can cover yourself for private healthcare without having to spend all your money on an expensive health insurance plan. It essentially entails putting your money aside into a high interest savings account and keep it there for when you need it. This means that you will be able to afford any small treatments or consultations if you so need them. The benefit of this option is that you don't lose out on the money you save if you don't need to claim.

One thing that you should definitely do before you decide upon any single health insurance plan, is compare the different options available to you. Money Expert offers a free and impartial price comparison service that allows you to instantly compare a huge amount of different health insurance plans from a range of different private medical insurance providers. In just minutes you'll be able to see a wide range of policies listed by price and their level of cover. This price comparison tool allows you to make an informed decision about which health insurance company you choose, so you at least know what else is out there.

Why do I need Private Health Insurance?

Private Medical Insurance is designed to cover an individual or family from long or short term illness and allow prompt access to treatment.

  • Skip the Queues
    Avoid lengthy NHS waiting times and guarantee yourself prompt and thorough treatment.
  • Increased Choice
    More choice over the doctor and the hospital when you come to need treatment.
  • Dedicated Care
    Benefit from dedicated, efficient and specialised treatment, often at some of the most advanced medical facilites avaiable.

General Advice

Private medical insurance, or health insurance, can be a great help if you want quick and comfortable service when you fall ill.

Have a look through our guides to make sure that you get the level of cover you need at a reasonable price.

Policy Types and Options

Private medical insurance, or health insurance, can be a great help if you want quick and comfortable service when you fall ill.

Have a look through our guides to make sure that you get the level of cover you need at a reasonable price.