Call us on 0844 809 4897
Call us on 0844 809 4897

Reasons for reviewing a private health insurance policy:-

As with most insurance policies, your private medical plan should be reviewed annually so that you’re aware how your current premium compares against the rest of the market. This enables you to work out whether you are getting value for money from your current provider or whether you would be better off considering switching to a new company. Reviewing your plan will also give you a good chance of driving costs down with your current provider if you find better value elsewhere as they won’t want to lose you to a competitor.

You should also consider that at any time new providers will be coming into the marketplace and they will often price themselves competitively in order to find new clients which can lead to significant savings. The same can also be said for more established providers who are simply looking to increase their market share. Just because a provider seemed to offer a competitive premium previously doesn’t mean they are still competitive today, this area is constantly changing.

In addition you may have made decisions on which of the many cover options you wanted, such as excesses, hospital choice or out-patient limits, some time ago but these cover options might not be right for you today. By reviewing annually you will make sure that your policy stays up to date and in line with your current needs.


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Can I move to a new provider but retain cover
for conditions I’ve already been treated for?

Many people don’t realise it but in most cases it is possible to switch to a new healthcare provider whilst retaining cover for conditions that have developed after they entered their current healthcare policy.

It’s called “continued underwriting” and whilst there are a small number of exceptions that could either make it impossible or delay this, in the majority of cases it’s a very straightforward process which is available on both business and personal policies. It’s also worth pointing out that people who have stayed with their current provider for a prolonged time because they didn’t appreciate that it’s possible to switch providers without penalty could well find that significant savings are available.


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Tips when making a claim on your private health insurance policy:-

  • Unless its' an emergency you will always need a referral from your GP
  • Don’t incur costs before you have had your claim agreed by your insurer – always get a claims reference number and give it to the specialist and hospital
  • Check your policy to determine what is and isn’t covered; if you’re unsure consult your broker for clarification
  • Get the details straight & be sure about relevant dates.
  • Inform your insurance provider of a need to claim as soon as possible.
  • Give the details clearly.
  • Make notes, be clear on what you’ve been told and ask for clarification if necessary, always record the name of who you have been speaking to.
  • If you meet resistance to your claim and you disagree, a good broker will do their best to assist you.


Call us on 0844 809 4897
Call us on 0844 809 4897

Underwriting:-

This is the process that determines whether your health insurance policy will exclude cover for certain “pre-existing” medical conditions. There are quite a few options here but this is arguably the most important part of a healthcare policy, get this wrong and you might find that your claim is rejected so here’s an overview.

Please choose from the following:


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Moratorium:-

Rather than supplying medical information when arranging the policy your eligibility to claim will be assessed at the point that your GP makes a referral. This is because this method allows pre-existing conditions, which might be excluded in the first instance, to become eligible for treatment after a period of time subject to certain conditions. In other words something that may be excluded initially could well come back under cover at a later date hence the need to assess eligibility at the point of claim.

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Full Medical Underwriting:-

You complete a medical declaration when applying and certain conditions may then be excluded from cover and listed on your membership certificate. Unlike moratorium, this type of underwriting rarely allows pre-exiting conditions to come back under cover however you will be aware from the outset what, if anything, you aren’t covered for which some policyholders prefer.

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Call us on 0844 809 4897

Medical History Disregarded (MHD):-

This option is most commonly seen on company policies with membership in excess of 20 members although some providers occasionally offer this to smaller groups whilst others insist on a member list in excess of 50. This is a very useful option as it means the provider won’t look to reject a claim if a person had a medical condition that was present before joining the plan. This makes the claiming process simple but of course it is a more expensive option as it presents a greater risk to the insurer.

Please choose from the following:


Call us on 0844 809 4897
Call us on 0844 809 4897

Excess:-

Many providers offer a choice of excess to help reduce the premium. The higher the amount you choose to pay in the event of a claim the higher the discount. In many cases choosing to pay a small excess should you claim can mean some big savings but beware as some providers offer a ‘per claim’ excess which means that you pay for each condition you claim for whilst others offer a ‘per policy year’ excess meaning you only pay an excess on your first claim of the year – again a good broker will discuss which choice is best for you.

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Call us on 0844 809 4897

Out-Patient Cover:-

This is cover when you’re not actually admitted to hospital but have to attend for consultations, diagnostic tests, physiotherapy etc. and then leave. Most providers today offer a range of out-patient cover ranging from “full” to “none”. Again your broker will discuss what’s best for you based on your budget and what you feel is important to you.

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Cancer Care:-

Peace of mind in this area is incredibly important and some providers make it simple by only offering "full" cover as standard. This means they fund treatment and care without limitation until it is no longer required and they will also pay for follow ups for a full 10 years after treatment. There are also a number of providers who will allow a relatively inexpensive upgrade to full cover, from their standard limited cover. Finally there are also providers who have limited cover as their standard but don’t have the facility to upgrade their policies. A specialist broker is well aware of all these differences and can guide you through this element of cover.

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Call us on 0844 809 4897

6 Week Option:-

This is a cost saving option offered by a number of providers, it has no bearing whatsoever on your activity as an out-patient meaning that you would still get the prompt diagnosis that a private healthcare policy provides but should an in or day-patient stay be required then the 6 Week Option becomes relevant. Essentially if the NHS can admit in 6 weeks or less then you follow that route but if not then you take the private patient route. Please note that if the NHS confirm that the procedure you require isn’t available inside 6 weeks then you can go privately at your convenience and you don’t have to wait until the 6 weeks have lapsed.

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Call us on 0844 809 4897

Extra's:-

A number of providers offer extra benefits such as discounted gym membership, travel insurance, dental treatment, optical care and even access to loyalty programmes that could mean discounts on travel, entertainment and sports equipment. No two insurers are the same in this area so product knowledge is key when considering these options - again talk to your broker.

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Call us on 0844 809 4897

How we make our money

When it's time to renew your health insurance, most brokers will move you to whichever policy earns them the most commission, whether or not it's the best value policy for you.

We'd rather be able to sleep at night, so we make sure you're on the best value policy for you, whatever that means for us. This ethos still earns enough commission to pay the bills, and sticking to it means we can put our expertise to good use without taking advantage of people.


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