Every member of your family needs a different level of cover

This site explains how private medical insurance works for a family, to help UK parents see what each person is likely to need before choosing a policy.

See how insurers treat children in a family policy
Where to start

Three questions to work through first

Each of these answers one practical question parents are actually asking when they sit down to cover their household.

Check the tax on employer cover

Adding family to an employer scheme counts as a benefit in kind. See what that means on your payslip.

Understand the tax cost

Why the right level of cover is a question about each person

A family policy sounds like a single decision, but it's really several people's healthcare needs sitting inside one document. A teenager who plays contact sport, a toddler who's never needed more than a GP visit, and a parent managing a long-standing back problem don't need the same thing from an insurer. Pricing a whole household as one unit hides that difference, and it's usually where people overpay for cover nobody in the house will use, or underpay for cover someone actually needs.

What changes when you start with the person

Ask what each person would realistically use. A young child who's only ever seen a GP might need little beyond outpatient cover. A parent with a condition that needs regular specialist input is a different question entirely, and so is an older child about to age out of a child rate. Looking at the household this way, person by person, tends to surface the gaps and the overlaps that a single family-wide quote doesn't show.

Where children complicate the arithmetic

Children aren't priced the same way adults are. Some insurers charge for the eldest child only, under a published age limit, which means a second or third child can sometimes be added at no extra cost under that insurer's own rule. The age limits and conditions vary by insurer and aren't universal, so this is a question to put to any insurer directly. How insurers treat children sets out the kinds of rules insurers publish and the questions they raise.

The person-by-person guide takes each person in your household in turn, with their age and likely use, and shows how to match a level of cover to each person's situation, including where a children's pricing rule might be worth checking with an insurer before you apply.

Who operates in this market

Before you ask any insurer about children's pricing rules or cover levels, it helps to know who is out there and where to find their published terms for yourself.

National Friendly National Deposit Friendly Society

National Friendly (trading name of National Deposit Friendly Society) is a mutual society founded in 1868, offering private medical insurance to individuals in the UK.

  • Cover types Level 1: quick diagnosis, with access to private GPs and consultants, scans, tests and therapies, plus a few minor operations. Level 2: an allowance towards scans and tests, focused more on in- and day-patient treatment, typically for common cancer treatments and operations, with limited follow-up consultations and therapies source
  • Established year 1868 source
  • FCA firm reference 110008 source
  • Regulator status National Deposit Friendly Society Limited: authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority source

WPA

WPA (Western Provident Association) is a not-for-profit private medical insurer founded in 1901, offering individual, SME and corporate health insurance in the UK.

  • Cover types Core cover is usually for in-patient treatment; WPA says most people add some out-patient cover (consultations and tests), cancer cover and mental health treatment source
  • Established year 1901 (origins) source
  • FCA firm reference 202608 source
  • Regulator status Western Provident Association Limited (WPA): authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and Prudential Regulation Authority source

The Exeter

The Exeter is a mutual friendly society established in 1927, offering private medical insurance primarily to individuals in the UK.

  • Cover types Health+ core cover: in-patient and day-patient treatment, which The Exeter says its core cover never limits; cover for all stages of cancer; and out-patient surgery source
  • FCA firm reference 205309 source
  • Regulator status Exeter Friendly Society Limited: authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority (Register number 205309) source

AXA Health AXA Group

AXA Health (formerly AXA PPP Healthcare) is a major UK private medical insurer, part of the global AXA Group, offering individual, SME and corporate health insurance.

  • Cover types Options include outpatient diagnosis and care, inpatient and day patient care, and cancer care; mental health care, which must be chosen with one of the other options source
  • Established year 1940 source
  • FCA firm reference 202947 source
  • Regulator status AXA PPP healthcare Limited: authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority source
  • Underwriter AXA PPP healthcare Limited source

Aviva Health Aviva

Aviva Health is the health insurance division of Aviva, one of the UK's largest insurance companies, offering tiered private medical insurance plans for individuals, families and businesses.

  • Cover types Core cover includes things like diagnostic tests (blood tests, X-rays and scans) and inpatient, day-patient and outpatient care, including hospital accommodation costs, specialist fees and home nursing when it is possible source
  • Established year 1990 (incorporated) source
  • FCA firm reference 308139 source
  • Regulator status Aviva Health UK Limited: authorised and regulated by the Financial Conduct Authority (Firm Reference Number 308139) source

Work out who in your family needs covering, and at what level

Take each person in your household in turn and match a level of cover to what they would realistically use.