What is individual health insurance?

Individual health insurance, also known as private medical insurance (PMI), can ensure you get the treatment you need without being stuck on an NHS waiting list. It helps you access private healthcare more quickly, so you can focus on your recovery.

You’ll pay a monthly premium, and if you need medical care for a short-term condition, your policy covers eligible private healthcare costs. Whether it’s diagnostic tests, specialist consultations or treatment, you can get back to living your best life.

From avoiding the stress of waiting months for a scan, to getting quick access to physiotherapy after an injury, individual health insurance puts you in more control of your healthcare.

Why choose individual health insurance?

Private health insurance gives you more control over your healthcare, potentially ensuring you don’t have to wait months for treatment. Whether it’s a scan, surgery, or specialist consultation, you can often access high-quality care when you need it.

Policies may also cover treatments that may not yet be available on the NHS, such as innovative cancer therapies. This means you can explore advanced treatment options that could make a real difference to your recovery.

If you value speed, convenience and choice in your healthcare, an individual health insurance plan can be a smart investment. Depending on your policy, you can even add extras like dental care, mental health support and alternative therapies.

It can give you some welcome peace of mind about your health, potentially with several important benefits:

  • Quicker access to consultations, diagnostic tests and treatments.

  • Coverage for inpatient and outpatient care, including hospital stays.

  • Options for mental health support, physiotherapy and private GP access.

  • Flexibility to tailor your policy with optional extras.

  • Access to a choice of private hospitals, with top consultants and potentially cutting-edge treatments.

We’ve done our best to ensure the information on this page is accurate and up to date. However, insurers can change their terms, pricing and cover at any time, so you should check the full policy documents before making a decision.

Can I add other people to my plan in the future?

Individual health insurance plans typically cover one person, and whilst this might be all you need now, you might want to add a partner or children to your policy one day. The good news is that adding them to your policy could see you paying less overall than if you each have your own individual policies.

This is because many insurers offer discounts when you insure multiple people under one policy. Some even only charge for one child, no matter how many little ones you have running around.

Another perk to adding family members to your policy is that it's less hassle. Continuing to manage one policy is easier than keeping tabs on separate ones for each family member. This way, you’ll only have one application to make and one renewal date to remember. See our family health insurance page for more information.

What does individual health insurance cover?

Your exact cover will depend on the insurer, the type of policy you choose and the level of cover you select. To give you an idea, here’s what might be included as standard or available as optional extras:

  • Inpatient care: Most plans cover the cost of treatment, surgery and overnight stays in private hospitals, helping you access care quickly and avoid NHS waiting lists.

  • Outpatient care: This usually covers scans, tests, X-rays and hospital appointments where you’re not admitted as an inpatient.

  • Private consultations: You can see a specialist without long delays, giving you faster diagnosis and treatment planning.

  • Digital healthcare access: Many insurers provide video or phone GP consultations, ideal if you need advice quickly or can’t get to a surgery. Some plans also provide 24/7 phone support from nurses or medical advisers for advice around the clock.

  • Physiotherapy and musculoskeletal care: Cover often includes treatment for muscle, bone and joint conditions, such as sessions with a physiotherapist.

  • Cancer treatment: Certain policies include advanced cancer treatments – sometimes even options not available on the NHS – plus home chemotherapy in some cases.

  • Parent accommodation: If you are arranging cover for a child, it may include the cost for one parent to stay overnight if they need hospital treatment.

  • Private ambulance transport: Some plans cover private ambulance journeys if medically necessary for admission to a private hospital, often up to a set limit per trip.

  • Dental cover: You may be able to add regular dental check-ups to your policy.

  • Mental health support: Options for talking therapies, counselling or even inpatient treatment when you need extra support.

What isn’t covered?

While individual health insurance offers plenty of benefits, it doesn’t cover everything. For instance, ongoing or chronic conditions such as asthma or diabetes are not typically covered by private health insurance. If they did, the costs of premiums and excesses would skyrocket for everyone. That’s partly why health insurance sits alongside the NHS rather than tries to replace it altogether.

Regardless of which individual health insurance provider or plan you choose, your policy typically won’t include:

  • Pre-existing conditions (although some might be covered after a symptom-free period).

  • Long-term conditions like asthma or diabetes.

  • Emergency care.

  • Allergies and food intolerances.

  • Pregnancy and childbirth (although some providers offer cover for complications of pregnancy).

  • Cosmetic treatments, gender reassignment and injuries from professional sports.

  • Routine dental or optician visits (unless you’ve added that coverage to your plan).

If you’re unsure whether a condition is covered, always check with your insurer or refer to your policy documentation.

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