Frequently Asked Questions

Individual Health Insurance

Can I still use the NHS?

Yes. Private health insurance works alongside the NHS rather than replacing it. You’ll still use your NHS GP in most cases, and A&E and emergency care remain with the NHS. Your policy gives you an additional route to private treatment for eligible conditions, with more choice about how your care is arranged.

Do I need a GP referral, and how do I arrange treatment?

You’ll usually need a GP referral before you claim. Contact your insurer before any tests or treatment start, so they can confirm whether your claim is eligible and what they’ll pay for.

When a claim is accepted, you may have more say over where and when you’re treated, and which specialist you see, within the terms and limits of your plan.

What affects the cost of individual health insurance?

The main choices are your excess, your hospital list and your benefit levels. Depending on the plan, your excess may apply per claim or per policy year.

Your age, where you live and your medical history also affect the price, and premiums are usually reviewed each year at renewal.

What outpatient benefits and optional extras can I choose?

Outpatient cover helps with specialist consultations, tests and scans that don’t need a hospital bed. Some plans cover these in full; others set a yearly limit or leave them out.

Therapies such as physiotherapy, osteopathy or chiropractic care usually come with a set number of sessions or a financial limit. Mental health support ranges from limited outpatient help to wider cover, and is often an optional add-on. What’s available depends on the insurer and plan.

Can existing medical conditions be covered?

Conditions you’ve had symptoms of, or treatment or advice for, before your cover starts are usually excluded. Depending on how your policy is underwritten, some may become eligible later.

The long-term management of chronic conditions isn’t normally covered, although some policies may help with an initial diagnosis or a short-term flare-up. Routine maternity is generally excluded too, though some policies may cover certain complications.

What is medical underwriting?

Underwriting is how an insurer takes your medical history into account when you apply. You may share your full medical history up front, or take a policy that excludes recent conditions automatically, with some becoming eligible later if you remain symptom- and treatment-free. We’ll explain which approach may suit you.

Can I switch from my current insurer?

It may be possible, but switching isn’t always the right move. Before any change, we’ll check your eligibility and whether your existing cover can carry over, so you understand whether conditions you’ve claimed for or had symptoms of could be affected.

Family Health Insurance

Which family members can be included?

Family policies usually cover you, your partner and your dependent children. Exactly who can be included, and any age limits, depends on each insurer’s eligibility rules.

Can children be added to a policy?

Children can often be added when the policy starts or later, for example at renewal. Each child is subject to the insurer’s eligibility rules and underwriting, and adding someone will normally change the premium.

Can a newborn be added?

Insurers have their own rules for adding a newborn, including any time limit after the birth and how health conditions are treated. It’s worth checking these rules with us before your baby arrives.

What happens when a child reaches the dependent age limit?

Each insurer sets its own upper age limit for children covered as dependants, and some take full-time education into account. When a child reaches that limit, they may need their own policy. Some insurers offer ways to continue cover, so it’s worth asking what options are available.

Can we still use the NHS?

Yes. Private health insurance works alongside the NHS rather than replacing it. Your family will still use NHS services, including your GP in most cases and A&E for emergencies. The policy adds a route to private treatment for eligible conditions.

How are existing medical conditions considered?

Conditions that anyone on the policy has had symptoms of, or treatment or advice for, before cover starts are usually excluded, at least for a period. How this works depends on the underwriting.

You may share each person’s full medical history up front, or take a policy that excludes recent conditions automatically, with some becoming eligible later if they stay symptom- and treatment-free. We’ll explain which approach may suit your family.

Can we switch an existing family policy?

It may be possible, but switching isn’t always the right move. Before any change, we’ll check each person’s eligibility and whether existing cover can carry over, so you understand whether conditions anyone has claimed for or had symptoms of could be affected.

Child Only Health Insurance

Who arranges a child only policy?

A parent or legal guardian takes out and pays for the policy on the child’s behalf. The adult arranging it doesn’t need to be insured themselves.

What ages can be covered?

Age limits vary between insurers, including the youngest age a policy can start and the age at which a child stops being eligible. We’ll check the rules for each option we discuss with you.

Can more than one child be covered?

Depending on the insurer, you may be able to cover more than one child. Just enter each child’s age in the quote form and we’ll explain the options available.

Is a child policy better than family cover?

Neither is better in every situation. A child only policy can suit parents who already have their own cover, while family cover keeps everyone on one plan. We’ll help you weigh up the options for your family.

Can my child still use the NHS?

Yes. Private health insurance works alongside the NHS rather than replacing it. Your child will still use their NHS GP in most cases, and A&E for emergencies.

How are existing medical conditions considered?

Conditions your child has had symptoms of, or treatment or advice for, before cover starts are usually excluded, at least for a period. You may share their full medical history up front, or take a policy that excludes recent conditions automatically, with some becoming eligible later if they stay symptom- and treatment-free. We’ll explain which approach may suit.

What happens as my child gets older?

Premiums are usually reviewed each year at renewal. When a child reaches an insurer’s upper age limit, they may need a policy of their own. Some insurers offer ways to continue cover, so it’s worth asking what’s available.

Business Health Insurance

Can a small business set up a scheme?

Schemes are available for businesses of different sizes, but each insurer has its own eligibility rules. Tell us how many people you’d like to cover and we’ll explain the options available.

Can employees add their families?

Many schemes allow employees to add a partner or children, sometimes at their own cost. Whether this is available, and who pays, depends on the insurer and how the scheme is set up.

How are existing medical conditions treated?

It depends on the underwriting. Different approaches may be available depending on the insurer and the size of the scheme, and they affect whether conditions people had before joining are covered. We’ll explain the options before you decide.

Can we review our existing scheme?

Yes. We can review your current scheme ahead of renewal and compare suitable alternatives. Before any change, we’ll check how existing cover and conditions would be affected.

Are there tax implications?

Workplace health insurance can have tax implications for both employers and employees. We recommend checking the details with your accountant or tax adviser.

Can employees still use the NHS?

Yes. Private health insurance works alongside the NHS. Employees keep their NHS GP in most cases, and A&E remains the place for emergencies.

What happens when an employee leaves?

Their workplace cover usually ends when they leave the scheme. Some insurers offer ways to continue cover personally, with rules that vary. See leaving your employer’s health scheme for more.

Life Insurance

How much life insurance do I need?

It depends on what you’d want the payout to cover, such as your mortgage, debts and your family’s living costs, minus any savings or existing cover. We can help you work it through.

Will a decreasing policy pay off my mortgage exactly?

Not necessarily. The cover reduces in a set way that may not match your mortgage balance exactly, for example if interest rates or repayments change. It’s worth reviewing your cover if your mortgage changes.

What happens with a joint policy?

A typical joint first-death policy pays out once, when the first person dies, and then ends. The surviving partner would need to arrange new cover if they wanted it.

Is terminal illness the same as critical illness cover?

No. Terminal illness benefit may pay your life cover early if you’re diagnosed with a terminal illness that meets the policy definition. Critical illness cover is a separate or added benefit for specified serious illnesses.

What if I stop paying my premiums?

Your cover usually ends, and term life insurance has no cash value, so you wouldn’t normally get anything back.

Should my policy be written in trust?

Writing a policy in trust can help the payout reach the right people and may help it be paid more quickly. Whether it’s right for you depends on your circumstances, and you may want legal advice.

Critical Illness Cover

Which illnesses are covered?

Each policy lists the conditions it covers and defines each one. Lists and definitions differ between insurers, so it’s worth comparing them rather than just the number of conditions.

Will any cancer, heart attack or stroke qualify?

Not always. A diagnosis must meet the policy’s definition, which may include severity requirements. Some policies pay a smaller amount for certain less severe conditions.

What is a survival period?

Some policies only pay if you survive for a set period after diagnosis. Whether this applies, and how long it is, depends on the policy.

What happens to life cover after a claim on a combined policy?

It depends on the arrangement. With some combined policies, a critical illness payout reduces or ends the remaining life cover. We’ll explain how any policy we discuss works.

Do I need it if I have health insurance?

They do different jobs. Health insurance helps pay for eligible treatment, while critical illness cover pays a lump sum you can use as you choose. Some people have both.

How is it different from income protection?

Critical illness cover usually pays one lump sum for a qualifying diagnosis. Income protection pays regular amounts if illness or injury stops you working, subject to the policy terms.

Income Protection

How much could income protection pay?

Insurers limit the benefit to a proportion of your earnings, and the limit varies. Other income you receive while unable to work may also be taken into account.

What is a deferred period?

It’s the time you must be unable to work before payments begin. You choose it when you take out the policy, and a longer period usually means a lower premium.

Does income protection cover redundancy?

Ordinary income protection generally doesn’t cover redundancy or unemployment. It’s designed for when illness or injury stops you working.

Can I get it if I’m self-employed?

Yes, many insurers offer income protection to self-employed people. How your earnings are assessed can differ, so we’ll explain what each insurer needs.

What’s the difference between limited and longer-term cover?

Limited cover pays for a set maximum period for each claim. Longer-term cover can keep paying until you return to work or the policy ends. Limited cover usually costs less.

How is it different from critical illness cover?

Income protection pays regular amounts while you can’t work. Critical illness cover usually pays one lump sum for a qualifying diagnosis.

Over 50’s Life Insurance

Who can apply?

Each insurer sets its own age range and residency rules. We’ll check eligibility for any plan we discuss.

Will I have to answer medical questions?

Many over 50’s plans offer guaranteed acceptance for eligible applicants without medical questions. This isn’t the case for every plan.

What is a qualifying period?

It’s an initial period after your policy starts. If you die from natural causes during it, many plans pay back premiums or a reduced amount instead of the full payout. Length and terms vary between insurers.

Will the payout cover the whole funeral?

Not necessarily. The payout is a fixed sum that could help towards funeral costs, but it may not cover the full cost, especially as prices rise over time.

Could I pay in more than the payout?

Yes. Depending on how long you live and how long premiums are payable, the total you pay could be more than the amount paid out.

What if I stop paying?

Depending on the policy, your cover may end and you may get nothing back, as these plans usually have no cash value.

Business Life Insurance

How is this different from personal life insurance?

Business policies are arranged for the business or its employees, while personal life insurance supports your own family. Many business owners need both.

How is group life different from key man insurance?

Group life pays a benefit for an insured employee’s loved ones, while key man insurance pays the business to help it cope with losing someone essential. Read about group life insurance.

Who could count as a key person?

Anyone whose death or serious illness would cause the business a real financial loss, such as a founder, director, top salesperson or specialist. Read about key man insurance.

Do we need an agreement for shareholder protection?

Shareholder protection normally works alongside an agreement between the owners that sets out how shares will be bought. A solicitor can help put this in place. Read about shareholder protection.

How much cover does a business need?

There’s no single formula. It depends on what you’re protecting, such as profits, the value of shares or the benefits you’d like to provide for employees. We can help you work through it.

Can critical illness cover be included?

Many policies offer it as an option. It only pays for specified conditions that meet the policy’s definitions, and it increases the cost of cover.

Are the premiums tax-deductible?

It depends on the type of policy, how it’s arranged and your business’s circumstances. Your accountant can advise on the tax treatment of premiums and any payout.

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