Private Medical Insurance UK – Why More People Are Choosing It and How It Works
- Alexander Pollard
- Aug 14
- 4 min read
If you have ever sat in an NHS waiting room wondering if you will be seen before your next birthday, you are not alone.
Private Medical Insurance (PMI)Â is becoming increasingly popular in the UK. This is not because people do not value the NHS, but because they want faster access to healthcare, more choice, and a higher level of comfort.
In this guide, we explain what Private Medical Insurance is, how it works, and how leading providers such as Aviva, AXA Health, and Bupa compare. We also share real-life examples that show the difference PMI can make.
What is Private Medical Insurance?
Private Medical Insurance is a type of health cover that pays for private healthcare. Depending on the policy you choose, it may include:
Consultations with specialists
Diagnostic tests and scans (MRI, CT, X-ray)
Surgery and treatment
Cancer care and ongoing monitoring
Optional extras such as dental, optical, and mental health support
PMI allows you to avoid long NHS waiting lists and often receive treatment in days or weeks. In many cases, treatment is carried out in private hospitals with your own room, TV, and better catering.
Why More People Are Choosing Private Health Insurance in the UK.
The NHS is still free at the point of use, but waiting times have been rising steadily. For example:
Hip replacement: Over six months’ average NHS wait in many areas
MRI scan:Â Four to twelve weeks on the NHS, compared to next-day availability privately
This can be a long time to wait when you are in pain or need answers quickly.
Real-World Examples of Private Medical Insurance in Action
1. Back on the Golf Course Sooner
Steve, 58, from Sheffield, developed a knee problem. The NHS wait for surgery was around seven months. With an AXA Health policy, he saw a specialist within a week, had scans in 48 hours, and returned to the golf course in less than six weeks.
2. A Swift Cancer Diagnosis
Emma, 42, found a lump and was referred for an NHS scan, with a five-week wait. Using her Bupa By You policy, she saw a consultant the next day, had a biopsy within 72 hours, and received a confirmed diagnosis and treatment plan before the NHS appointment date.
3. Family Cover for Peace of Mind
The Patel family of four chose Aviva Healthier Solutions with outpatient cover and a £200 excess. When their eight-year-old broke an arm, they were seen in a private hospital the same day, avoiding a six-hour A&E wait.
Private Health Insurance UK – Aviva vs AXA Health vs Bupa:
Feature | Aviva (Healthier Solutions) | AXA Health | Bupa (By You) |
Core cover | Inpatient and day-patient treatment | Inpatient and day-patient treatment | Inpatient and day-patient treatment |
Outpatient options | Full, limited (£500/£1000), or none | Full or limited cover | Full or limited cover |
Excess options | £0–£500 | £0–£500 | £0–£500 |
Specialist network | Guided consultant network | Fast Track Appointments | Open referral or choose your own |
Added extras | Digital GP, mental health cover | Nurse helpline | Cancer Direct Access, Dental 20 |
Best for | Flexibility and value | Fast consultant access | Cancer care and hospital choice |
How Private Medical Insurance Policies Are Structured
Most PMI plans are modular, which means you can choose the elements you want. Common options include:
Core Cover – pays for hospital stays, surgery, and essential treatment
Outpatient Cover – consultations, diagnostic tests, scans
Therapies – physiotherapy, osteopathy, chiropractic
Mental Health Cover – inpatient and outpatient support
Dental and Optical – check-ups, fillings, glasses
Enhanced Cancer Cover – higher drug allowances, ongoing monitoring
This flexibility means you only pay for what you need but can still build a comprehensive package if you prefer full protection.
Private Medical Insurance for Small Businesses (SME PMI)
Small business owners can also offer PMI to their employees. This is a valued staff benefit that can help retain talent and reduce sickness absence.
For example, a five-person marketing agency in Leeds took out an AXA Health SME plan. When one employee required back surgery, they were treated and back at work in three weeks instead of waiting four months via the NHS.
Key Points to Know Before Taking Out Private Medical Insurance
Pre-existing conditions are usually excluded unless symptom-free for two to five years
You can sometimes switch providers without losing cover for existing conditions
Premiums vary by age, location, and level of cover
Adding an excess can lower monthly premiums
Family cover is often cheaper than buying separate individual policies
Final Thoughts – Is Private Medical Insurance Worth It?
Private Medical Insurance is not about replacing the NHS. It is about having an additional safety net that offers faster treatment, more choice, and greater comfort.
Whether you prefer Bupa’s rapid cancer pathway, AXA Health’s fast-track consultant access, or Aviva’s flexible modular cover, there is a plan to suit most needs and budgets.
If you are ready to compare Private Medical Insurance quotes, we can search the whole market and help you choose a policy that fits your lifestyle.