Health Insurance: The Most Frequently Asked Questions


Health Insurance Insurance

Health Insurance FAQ

Read the most frequently asked questions about health insurance policies; see the answers, compare quotes and find the best deal to suit you.

What does health insurance mean?

Health insurance is frequently referred to as private medical insurance (PMI). It provides cover for the cost of private medical treatment for injuries and illnesses that are curable and short term.

You can find out more in our beginners’ guide to health insurance.

What is the sort of cover provided by health insurance?

The extent of the cover you get will depend on the type of policy you take out, together with the amount of your fee. Some things to check for inclusion are:

  • Outpatient or clinic treatment
  • In-patient, hospital treatment
  • Day-patient treatment

How does it work?

You apply for health insurance with one of the many providers in the UK. Once your application is received the insurance company asks you to get a medical and also checks residential proofs and other verification details.

Once they are through with the things, they do a risk benefits analysis test and then designs premiums for their probable policyholder. Once you purchase the policy from insurer, you are liable to pay the premiums on a monthly basis.

Now, if you suspect some signs of illness then you should go to the General Practitioner who can recommend you to a specialist if needed. After the treatment, you need to pay the expenses at the private hospital.

Following this, if you are planning to make a claim then you need to inform the insurance company. The company will pay full or partial expenses depending on the type of insurance policy you have taken.

A point that needs to be noted here is that health insurance cover will not support medical emergencies. For this, you need to depend on Accident and Emergency with the NHS. Once your health becomes stable, your insurance will cover your expenses for the private treatments.

What are the benefits of health insurance?

  • Peace of mind
  • Avoid NHS waiting lists
  • You can choose hospitals and consultants
  • It covers out-patient care, in-patient care along with surgeries
  • Hospital accommodation and nursing care
  • Covers expenses incurred for medicines, routine tests and vaccinations
  • Psychological care and treatment (this varies with the insurance providers and not all policies include this as a part of their basic cover)
  • It is a well-planned financial arrangement for the health care of the policyholder

What are the advantages of being a private patient?

The gain to you as a private patient will depend on your policy but typical inclusions are:

  • A private room for hospital stay, often with an en-suite bathroom.
  • You can be seen promptly
  • Television in your hospital room
  • Access to a wider range of treatments than the NHS might offer.

What is the cost of private medical insurance?

A number of factors may affect the cost such as:

  • Level of cover offered
  • The type of policy
  • Individual situations

What are the specific exclusions on private medical policies?

The sort of items that are most often not covered are:

  • Injuries from self-harming
  • Infertility
  • Drug abuse
  • Alcoholic abuse
  • Mobility equipment
  • Cosmetic surgery
  • Preventative treatment
  • Organ Transplant
  • Normal Pregnancy
  • kidney dialysis
  • Cosmetic Surgery to improve the look

What are the benefits of having an EHIC card?

UK holders of a European Health Insurance Card or (EHIC) are entitled to state-provided medical treatment in the European Economic Area. However, an EHIC does not cover people for repatriation to the UK, a private ambulance or medical facility, or other similar incidentals. To know more about EHIC Click Here

What factors will affect the premium and cost of my healthcare insurance policy?

Factors affecting the insurance premium includes:

  • Current health of the policy holder
  • Medical history
  • Smoking status
  • Age

Which are the major types of health insurance policies?

Health insurance is categorised into two types:

Indemnity: These policies cover you for any kind of private medical treatment, be it for a long term illness or a short term injury. The cover also offers finances for facilities like private room, surgeons and the fees of the specialist. It covers both inpatient and outpatient treatments and expenses which includes physiotherapy and diagnostic procedures.

Cash Plan: This kind of cover facilitates you with lump-sum money for situations that may not be included in Indemnity policy. It pays you 100% cost of the treatment taken. Generally, these are smaller procedures like optical treatment, dental appointment or a single day stay at the NHS hospital. For this, the customer needs to pay a monthly premium. Whenever they need treatment, they need to pay the medical bill and send the receipt to the insurer. The amount paid by you for the treatment or medial appointment would be reimbursed by the insurer.

How can I get the cheapest health insurance policy?

Compare the PMI(Private medical insurance) plans and choose the most relevant plan from top rated provider. There are many who offer discount schemes so that your policy becomes an affordable bet. Don’t worry as the discounted policy will leave your cover unaffected. You will still enjoy all the benefits.

Are my premiums subjected to any kind of change?

Yes! They may. Normally, they vary along with your increasing age and chances of making a claim. The amount of variation will depend on the insurer and the policy. So, the best way to check it is to review the policy on a yearly basis. By this you can figure out any changes in the payments. Make sure you get the insurance at lowest prices.

Can I switch provider without losing the cover?

Yes! You can change the provider and not lose the cover if you have chosen a ‘switch’ underwriting.

For answers to any further questions, do read our health insurance guides.

You can easily shop around to get the lowest premium health insurance policy with FreePriceCompare.

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