If you live in the UK, you’re probably thankful for the National Health Service (NHS). It’s one of the most respected public healthcare systems in the world. But while the NHS does a fantastic job, it can’t always offer everything—especially when it comes to shorter wait times, private hospital rooms, or specialist referrals.
That’s where private health insurance comes in.
But the big question remains: Which private insurance plans actually offer value without costing a fortune? In this guide, we’ve researched and reviewed the top 5 private health insurance companies in the UK that work alongside the NHS—so you get the best of both worlds.
Let’s explore how you can complement your NHS access without breaking the bank.
Why Consider Private Health Insurance in the UK?
Before we dive into the list, here’s why many UK residents—both individuals and families—consider private cover:
- Faster access to treatment: No long NHS waiting lists
- Access to private hospitals and specialists
- More comfortable hospital stays: Private rooms and more flexibility
- Coverage for treatments not available on the NHS, like advanced cancer drugs or mental health therapy sessions
That said, private insurance is not a replacement for the NHS—it’s a complement to it. Think of it as a way to fill in the gaps and take control of how and where you receive care.
Key Factors We Considered
To help you choose the right provider, we looked at the following:
- Affordability and transparency of premiums
- Coverage options (e.g. outpatient, inpatient, mental health, cancer)
- Customer satisfaction
- Ease of claims process
- Flexibility in choosing hospitals and specialists
Let’s now dive into the top 5 private health insurance companies that balance cost and quality—making them ideal for NHS support.
1. AXA Health – Best for Customizable Plans
AXA Health (formerly AXA PPP) is one of the UK’s most established private insurers. What sets them apart is the level of customization they offer.
Why We Like It:
- Choose your hospital list based on budget and location
- Tailor your plan to include only what you need (e.g., mental health, cancer support, dental care)
- Excellent mobile app for managing claims and appointments
Affordable Add-Ons:
- 6-week option: If the NHS can treat you within six weeks, you stick with the NHS—otherwise, AXA steps in. This lowers your premium considerably.
Plans start from:
As low as £35/month for individual coverage with the 6-week option.
📌 AXA Health is ideal if you’re seeking control over what you pay for, with strong NHS integration. They also offer guided care pathways that help reduce costs while keeping quality care high.
2. Bupa UK – Best for Comprehensive Coverage
If you’re looking for robust, all-inclusive care, Bupa is hard to beat. Known for their exceptional hospital network and wide range of services, Bupa blends flexibility with comprehensive care.
Why Bupa Stands Out:
- Access to over 600 hospitals, including Bupa’s own hospitals
- 24/7 Digital GP access through Bupa Blua
- Dental, optical, and mental health add-ons available
- Cancer cover that includes advanced treatment not always offered on NHS
What’s Great:
- No GP referral required for some specialists
- Flexible family plans available
Entry-level premiums:
Start around £40–£50/month depending on age, location, and coverage options.
📌 Best for individuals or families who want comprehensive, end-to-end coverage, especially for specialist and mental health care.
3. Vitality Health – Best for Wellness and Rewards
Vitality Health is not just an insurance provider—it’s a lifestyle brand. They offer incentives for healthy living, turning wellness into a money-saving strategy.
🔗 Vitality Health Official Website
Highlights:
- Rewards program with discounts from brands like Apple, Amazon, and PureGym
- Encourages healthy habits by tracking your activity and rewarding it
- Offers shared responsibility pricing to lower premiums
Best Features:
- Comprehensive cancer care
- Coverage for mental health services
- Worldwide cover as an optional add-on
Monthly cost:
From £35/month for basic cover with wellness incentives.
📌 Vitality is best for health-conscious individuals who want long-term lifestyle benefits and don’t mind wearing a fitness tracker.
4. The Exeter – Best for Self-Employed and Freelancers
If you’re self-employed or have pre-existing conditions, The Exeter is a game-changer. It’s one of the few insurers that offers clear underwriting and specialist support for non-traditional employment paths.
What Makes The Exeter Unique:
- Focused support for freelancers, contractors, and gig workers
- Simplified application process with no unnecessary exclusions
- Choice of full outpatient or diagnostics-only cover to manage costs
Custom Options:
- Add dental, optical, or physiotherapy
- Choose from a wide range of hospital lists
Starting premiums:
From £30–£45/month, depending on how much outpatient cover you select.
📌 Best for those in the gig economy or anyone seeking flexibility around pre-existing conditions and unpredictable income.
5. WPA (Western Provident Association) – Best for Family and Corporate Plans
WPA is a non-profit health insurer with a strong reputation for ethical practices and exceptional customer service. They’re popular with both families and companies.
Top Features:
- Strong focus on customer choice and hospital flexibility
- Offers remote GP consultations, mental health therapy, and cancer care
- Customizable plans with the ability to add family members easily
Why People Love WPA:
- Transparent pricing with no pressure selling
- Access to Freedom Health Plans—flexible cover based on lifestyle needs
Average monthly premium:
From £28–£50/month, depending on family size and coverage.
📌 WPA is perfect for families or small businesses that value service, flexibility, and trust in their provider.
Private Health Insurance Comparison Table
Here’s a quick side-by-side look at how these insurers stack up:
Provider | Best For | Starting Cost | Key Features | Unique Perk |
---|---|---|---|---|
AXA Health | Customization | £35/month | Tailored plans, 6-week option | Guided care savings |
Bupa UK | Comprehensive Coverage | £40–£50/month | Wide hospital access, 24/7 GP | Own hospitals |
Vitality Health | Wellness & Rewards | £35/month | Incentives for activity | Brand rewards |
The Exeter | Freelancers/Self-Employed | £30–£45/month | Simple underwriting | Pre-existing support |
WPA | Families/Customer Service | £28–£50/month | Non-profit model | Freedom plans |
What to Look Out for When Buying Private Insurance
Before you commit, keep these tips in mind:
1. Understand the excess
This is the amount you’ll pay toward a claim before insurance kicks in. Higher excess = lower premium.
2. Look at hospital networks
Some plans limit which private hospitals you can use. Always check the hospital list.
3. Review exclusions
Most plans won’t cover cosmetic surgery or pre-existing conditions unless declared and approved.
4. Consider the 6-week wait option
If you’re happy to wait six weeks for NHS care before switching to private, this can cut your premiums by up to 30%.
Frequently Asked Questions (FAQs)
Is private health insurance worth it in the UK?
Yes—if you want faster treatment, more comfort, or specialist access that may not be available on the NHS. But it’s a supplement, not a substitute.
Will I still use the NHS?
Absolutely. Most people with private insurance still rely on the NHS for things like emergency care or GP visits.
Can I get private insurance with pre-existing conditions?
Yes, some providers like The Exeter specialize in this. Others might offer moratorium underwriting, which means they’ll cover the condition after a symptom-free period.
Final Thoughts: Choose the Right Plan for Your Needs (and Budget)
Private health insurance in the UK doesn’t have to cost a fortune. By choosing the right provider—one that complements NHS services rather than replacing them—you can secure peace of mind, faster care, and more treatment options.
Whether you value flexibility, rewards, or full coverage, there’s a plan that suits your needs and budget.
The best next step? Get a few quotes based on your age, health status, and region. Start with providers like AXA Health, Vitality, and Bupa and see how their plans stack up for your lifestyle.
💡 Pro Tip: Want to save even more? Choose an insurer that lets you use NHS services when available (like AXA’s 6-week rule) to shrink your monthly premium without losing quality care.
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