How does Health Insurance Work

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James Bradley – PMI DIRECTOR

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Being new to private health insurance I didn’t know what to expect, James understood this and was clear, concise and more importantly patient with me. We spoke about different options, hospitals and levels of cover. I genuinely felt like he had my interests at heart.

Mr Marshall

Having spoken with James I was surprised to find that the benefits on my plan were not suited to my needs. We had a thorough conversation about what was important to my family. Ultimately, I saved around £200 per month and now have a plan tailored to my family. Thank you.

Mr Carter

James recently organised our private health insurance. He was very knowledgeable and professional and kept us up to date every step of the way. I wouldn’t hesitate to recommend his services.

Ms Hawtin

What Is Private Health Insurance?

Private health insurance is your key to unlocking a world of unparalleled medical care and peace of mind. It’s a proactive investment that shields you and your loved ones from the financial burdens and stress of unexpected health challenges.

Unlike the one-size-fits-all approach of traditional healthcare, private health insurance offers tailored solutions designed to meet your unique needs. From expedited access to specialists to state-of-the-art facilities, you’ll experience a level of care that exceeds expectations.

Don’t settle for the ordinary – embrace the extraordinary with private health insurance.

get referred to consultant, diagnostics then treatment

How Does Private Health Insurance Work?

Private health insurance is largely about choice. It provides the ability to schedule medical treatment around your own lifestyle, and be seen by the very best specialists in the UK. PMI also provides enhanced cover, such as access to cancer treatment not available on the NHS. With PMI, you can choose the facility where treatment takes place, and the quality is second to none. Health insurance doesn't have to break the bank, so talk to us about comparing quotes for you to see what it's likely to cost. For now, here's a run down of how the product can help. 

Here's how it works:

1.

You pay a monthly or annual premium – tailored to your specific requirements. We can help you decide the cover you need. 

2.

In return, your insurance provider covers a predetermined range of medical costs, as outlined in your policy.

3.

No more waiting lists or settling for subpar care. With private health insurance, you gain swift access to the treatments you need when you need them.

But that's just the beginning. Private health insurance empowers you with the freedom to choose the medical facilities and healthcare professionals that align with your preferences, ensuring a seamless and personalised experience every step of the way.

The first step?

Reach out to us, your trusted guide, and let's find the perfect plan for you.

Go Beyond the Ordinary with Private Health Insurance

The NHS is a remarkable institution, but when it comes to your health, why settle for ordinary? Private health insurance is the ultimate complement, unleashing a world of exceptional medical care tailored to your unique needs.

Bypass Lengthy Waiting Lists

No more agonising delays for elective procedures. With private coverage, you'll receive the treatment you desire without the frustrating wait.

Exclusive Access to Elite Specialists

Gain the freedom to choose from a curated network of renowned medical experts, ensuring your care aligns perfectly with your preferences.

Luxury Private Hospital Experience

Indulge in the serenity of state-of-the-art private facilities, where your comfort and peace of mind take precedence.

Cutting-Edge Medical Innovations

Stay ahead of the curve with access to the latest treatments and technologies, often unavailable through traditional healthcare channels.

What's Covered?

When it comes to private health insurance, knowledge is power. Understanding the scope of your coverage empowers you to make informed decisions about your care. With our expertise, you'll navigate the landscape of benefits with confidence, ensuring you're fully protected against life's unexpected health challenges.

Comprehensive Core Coverage

Direct access to renowned specialists for expert consultations.

State-of-the-art diagnostic testing, including MRIs and CT scans.

Essential and complex surgical procedures, with full aftercare support.

Physiotherapy and alternative therapies for complete healing.

Inpatient and Outpatient Care

Extensive coverage for inpatient treatments requiring overnight hospital stays.

Outpatient services and day-patient care for added convenience.

Additional Perks

Private room accommodations for a luxurious recovery experience

Early access to the latest cutting-edge medical innovations

With a deep understanding of policy fine print, we'll ensure you're aware of any potential exclusions, pre-authorisation requirements, or limitations on chronic condition coverage. Together, we'll craft a tailored solution that serves as your ultimate health safety net.

What Private Health Insurance Doesn’t Cover?

While private health insurance offers comprehensive protection, it’s essential to understand the exceptions that may apply. With our guidance, you’ll navigate these limitations with ease, ensuring you make informed decisions about your coverage needs.

Potential exclusions or limitations may include:

Certain chronic or pre-existing conditions.

Ongoing mental health support services.

Emergency treatments (often covered by the NHS).

Experimental or unproven therapies.

Remember, every policy is unique, and our role is to help you understand the fine print, ensuring you’re fully aware of what’s covered and what’s not. By addressing these exceptions head-on, we’ll create a safety net that aligns perfectly with your healthcare needs and priorities.

Don’t let the unknowns hold you back. Contact us today, and let’s dive into the details, empowering you with the knowledge to make confident decisions about your private health insurance coverage.

Invest in Whole-Body Wellness: Mental Health, Dental, and Optical

Unlock the full potential of private health insurance with tailored solutions that prioritise your complete well-being:

Mental Health Services

Gain access to counselling, therapy, and personalised treatment plans, empowering you to navigate life's challenges with resilience and inner peace.

Dental Care

Achieve a radiant, confident smile through comprehensive coverage for routine check-ups, complex procedures, and state-of-the-art dental treatments.

Optical Treatments

Elevate your sight and unlock new possibilities with optical care solutions, including eye exams, advanced vision treatments, and stylish, functional eyewear.

Don’t settle for fragmented care. Embrace a holistic approach to your health and invest in a private insurance plan that nurtures your mind, body, and spirit. Connect with us today, and let’s craft a personalised solution that empowers you to thrive in every aspect of your well-being.

How Much Does Private Health Insurance Cost?

The cost of comprehensive care is an investment in your peace of mind. At its core, private health insurance premiums are tailored to your unique circumstances:

Your Age and Health History

Your Lifestyle Choices

Your Location

While the initial cost may seem daunting, remember – the value lies in gaining swift access to top-notch medical care, cutting-edge treatments, and the freedom to choose your healthcare journey.

Secure Your Health with
Private Health Insurance

Take control of your well-being with our private health insurance plans. Experience peace of mind knowing you'll receive swift treatment and personalized care. Get started today to safeguard your health and protect your future.

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Will I Have to Pay an Excess?

The choice is yours, but think of it as your key to unlocking unbeatable value. An excess is the amount you contribute when making a claim, and it’s a powerful tool for customising your coverage costs to fit your budget.

Higher excess? Lower monthly premiums.

Lower excess? Higher monthly premiums.

We’ll work together to strike the perfect balance, ensuring you have the comprehensive coverage you need without breaking the bank.

Do Private Health Insurance Premiums Change?

Absolutely. As your life circumstances evolve, so too should your health insurance plan. Premiums may fluctuate based on factors like your age, recent claims, and medical inflation.

But fear not – with our expertise, you’ll stay ahead of the curve, ensuring your policy remains a perfect fit as you navigate life’s journey. Embracing change is the key to unlocking unparalleled peace of mind. Speak to us each year when your renewal is due

Ways to Make Private Health Insurance More Affordable

Investing in your well-being doesn't have to break the bank. With our flexible solutions, you can craft a private health insurance plan that fits seamlessly into your budget without compromising on quality or coverage.

Explore our cost-saving strategies:

Adjustable Excesses:

Customise your out-of-pocket expenses by increasing your excess for lower monthly premiums.

No-Claims Rewards

Enjoy discounted rates when you've had a claim-free period.

Coverage Tailoring

Streamline your plan by focusing on the treatments most relevant to your needs.

Group & Employer Plans

Unlock exclusive savings through our group and employer-sponsored insurance schemes.

Speak to us about how to tailor cover to be affordable. We know the best ways to reduce cost, without impacting the important aspects of the policy.

How Does Medical Underwriting Impact Private Health Insurance Coverage?

Imagine a world where your health insurance is tailored to fit you like a perfectly tailored suit. That's the power of medical underwriting – a process that ensures your private health coverage aligns seamlessly with your unique needs and circumstances.

Through an open and transparent dialogue about your medical history, underwriting empowers you to:

Gain Personalised Coverage Options

Understand Any Potential Premium Adjustments or Exclusions Upfront

Make Confident, Informed Decisions About the Right Plan for You

Whether it's full medical underwriting or a moratorium approach, this tailored assessment is the key to unlocking a private health insurance solution that provides comprehensive protection without excessive exclusions or unfair pricing.

Don't settle for a one-size-fits-all approach to your healthcare. Embrace the power of personalisation, and experience the peace of mind that comes with a plan crafted specifically for you.

How Do I Choose the Right Private Health Insurance Plan?

Navigating the world of private health insurance can be daunting, but with our expertise, you'll find a plan that fits your lifestyle and needs seamlessly. Here's how we'll approach it:

1.

Tailored Assessment

We’ll carefully evaluate your current health, family history, and lifestyle to understand your unique requirements fully.

2.

Comprehensive Comparisons

With a clear picture of your needs, we’ll guide you through a detailed comparison of top providers, policy terms, and customer reviews, ensuring you have access to the best coverage and service.

3.

Personalised Recommendations

Drawing from our extensive knowledge and industry experience, we’ll provide personalised recommendations tailored to your specific situation, budget, and priorities.

4.

Seamless Enrollment

Once you’ve selected the perfect plan, we’ll ensure a hassle-free enrollment process, guiding you through every step and addressing any concerns you may have.

Call us now for a tailor made quote.

How Do Private Health Insurance Claims Work?

When it comes time to utilise your private health coverage, understanding the claims process is essential for a smooth experience. Here's a breakdown of how it typically works:

1.

Referral

The first step is to gain a referral from your NHS GP. This can be an open referral to any specialist or a named referral. If names you must ensure they work within your insurers network.

2.

Pre-Authorisation

Before undergoing any treatment, you'll need to contact your insurance provider to confirm coverage. This step ensures there are no surprises down the line.

3.

Documentation

Gather all necessary paperwork and evidence related to your medical treatment, such as receipts, diagnoses, and procedure details. Thorough documentation streamlines the claims process.

4.

Claim Submission

Submit your claim to the insurance provider, ensuring all forms are filled out accurately and completely. Include your supporting documentation for a comprehensive review.

5.

Claims Processing

Your provider will review the claim against your policy details, checking for any exclusions or coverage limits that may apply to your specific situation.

6.

Reimbursement

If approved, your claim will be settled through one of two methods: direct payment to your healthcare provider or reimbursement to you if you've paid out-of-pocket expenses.

Throughout this process, clear communication with your provider is key. Understand your policy's terms, coverage details, and the expected timeframes for review and reimbursement. This transparency allows you to navigate the claims journey with confidence.

Unlock Maximum Value from Your Private Health Plan

Investing in private health insurance is just the first step towards comprehensive care. To truly maximise your coverage, it’s crucial to stay proactive and engaged. Here’s how we can help you get the most out of your plan:

Stay Ahead of Life's Transitions

As your circumstances evolve, so should your policy. Connect with us annually, and we'll review any changes that may impact your coverage needs, ensuring your plan remains tailored to your lifestyle.

Seamless Provider Switches

Found a better option? No problem. We'll guide you through a smooth transition, avoiding gaps and ensuring any accrued benefits carry over seamlessly. Your health is the top priority.

Tap Into Extra Benefits

From wellness programs and preventative screenings to valuable health resources, your plan likely offers a suite of additional benefits. We'll help you navigate and utilise these offerings, empowering you to take a proactive approach to your well-being.

Frequently Asked Questions

Get Answers to Common Queries About Health Insurance Coverage

  • Can I use my private health insurance for treatments abroad?

    Private health insurance typically covers treatments within the UK, but some policies may allow you to add-on international coverage for emergency treatments while travelling.

  • How does private health insurance handle alternative therapies?

    Coverage for alternative therapies varies by policy; some may include treatments like acupuncture or homoeopathy, while others may not. In most circumstances though, you can choose to add in this benefit for an additional cost. 

  • Are there any age limits for taking out private health insurance?

    Most insurers have age limits for new policyholders, but these vary between companies. We can guide you to the most suitable provider based on your inception age, and support you each year at renewal. 

  • Can I switch my private health insurance policy mid-term?

    Yes, you can usually switch policies or providers mid-term, but be aware of potential fees, waiting periods, or loss of accrued benefits.

  • Does private health insurance cover the cost of prescriptions?

    It’s unlikely to have prescriptions covered by your private health insurance. In some circumstances an Insurer may offer to cover the cost post-treatment, however it’s fair to expect the NHS to pick up most of these costs as usual. 

“Ready to secure your health and peace of mind? Contact us today to explore your insurance options!”

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