Key Factors to Consider When Choosing Private Medical Insurance Policies
23rd Jan 2024 Insurance & Legal
4 min read
If you’re considering private medical insurance (PMI) it’s important to do your research and to know what you want from your cover in order to find the best plan for you. It might seem overwhelming with so many options so we’ve put together a useful guide to the main factors to consider when shortlisting your PMI provider options.
What is private medical insurance?
Firstly, let’s look at exactly what PMI is. PMI, or private
healthcare insurance, covers the cost of any medical treatments that you need
following its purchase. Exactly what your policy covers depends on which one
you choose and therefore what is important to you. Exclusions apply, and
private medical insurance policies vary from basic level to fully comprehensive
so it’s important to consider who the policy needs to cover, the type of cover
you think you might need, specifics to you and your health, and your budget.
Who is the policy for?
You’ll find different types of private medical cover
depending on your stage of life, and whether you are looking for individual
cover or cover for your whole family. Let’s look at some options to consider
when looking at private medical insurance comparisons:
Individual health
insurance: If you are looking for cover for yourself, individual health
insurance is a great option as it gives you the flexibility to tailor the
policy to your personal needs and budget.
Family health
insurance: When you have a family, you might consider the option of
combining your PMI to cover everyone in your household in the event of anyone
becoming sick or injured. This generally works out cheaper than buying each
individual policy separately.
Senior and child
health insurance: It’s possible to get health insurance that is specific to
your time of life with bespoke features. Child health insurance gives you peace
of mind that should your child fall ill, they will have access to the best
treatment and medical plans available. Senior health insurance provides cover
for acute conditions at a time of life when you might need this the most.
Type of cover
Once you know who you want to cover with your PMI, you’ll
need to consider the type of policy you need. UK private medical insurance
cover can be anything from a basic cover package to fully comprehensive. A
basic level package generally covers inpatient care, some outpatient care, GP
consultations and some cancer care. You will need to cover the cost of any
diagnostic assessments prior to this if the NHS doesn't take care of it.
Having a package above the basic level allows you to consider
factors such as where you would like treatment to take place, additional
complementary therapies, as well as enhanced cancer care.
A comprehensive health insurance package gives you the
highest level of protection, covering your treatment from the diagnostic stage
to treatment and in some cases aftercare. This might include additional
benefits such as dental insurance, physiotherapy, and mental health treatment
options. With a comprehensive policy you’ll have the most choice and
flexibility but please note that exclusions may still apply and cover varies
according to the provider.
Exclusions
Every PMI comes with exclusions and these vary according to
the insurance provider, so make sure you check the small print. Chronic
conditions that are not curable and require long term monitoring and symptom
relief are not covered by PMI and unproven treatments do not fall under private
health insurance either. Common exclusions include pregnancy care, cosmetic
surgery, diabetes and emergency care.
Pre-existing conditions
If you have pre-existing medical conditions, it’s important
to declare these when taking out PMI as these may not be covered by your
policy. However, in some cases it might be possible to cover conditions you’ve
had in the past if you have been symptom free for a set amount of time.
It’s important to note that having a pre-existing condition
doesn’t stop you taking out a health insurance policy. Your policy is valid for
any medical conditions or injuries that develop after the policy has been
approved. With this in mind, buying PMI before you are ill makes good sense.
Cancer
Cancer will affect 50% of us and so it’s a factor to consider
when buying PMI. The good news is that private health insurance does cover
cancer care as long as it is not a pre-existing medical condition. Most
policies include cancer care as standard but for others it is an optional
extra. If this is something that you want included in your policy, review your
options carefully to make sure you pick an option that gives you the peace of
mind you need.
Budget
As with anything, when choosing your health insurance policy,
your budget is going to be a factor. The levels of cover allow you to adjust
your policy to your budget and with some policies you can choose to remove or
cap outpatient care to reduce your premium. Shop around to find out ways you
can reduce your premium by leaving out cover that you don’t see as a priority.
Excess payment
When you make a claim for cover, you pay an excess. The
excess you pay varies according to the policy provider, and in many cases, you
can decide what you want the excess to be. The amount of excess you pay affects
the price of your cover. You can reduce your policy premium by opting for a
higher excess payment.
Why buy PMI?
We are very fortunate to have the NHS in the UK, but it’s no
secret that our health service is stretched at times and waiting lists can be
long. PMI gives you the peace of mind that if you fall ill or injure yourself,
you have choices other than what the NHS can offer.
PMI gives you control over your treatment with reduced
waiting times and more of a say about when and where your treatment takes
place. With PMI, you can benefit from the best bespoke medical care offering
superior comfort, privacy and flexibility.
If you're looking for private medical or life insurance, visit usaycompare.co.uk and fill in a simple form for a free quote.
Read more: Choosing the right Private Medical Insurance
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