Moving to the UK as Expat

Embarking on a new life in the UK as an expatriate is an adventure filled with new experiences and opportunities. However, an important aspect of your move involves understanding and arranging appropriate healthcare insurance. The UK\’s healthcare system, primarily managed by the National Health Service (NHS), offers quality and accessibility, but for expats, there are specific considerations, especially around private health insurance.

Healthcare in the UK
The NHS provides comprehensive healthcare to all UK residents, generally free at the point of use, covering most medical services from GP visits to hospital treatments. As an expat, once you are a legal resident, you typically qualify for NHS services. This public healthcare system, however, may sometimes involve very long waiting times for treatments, leading many expats to consider private healthcare insurance.

St Thomas hospital UK Expats

Benefits of Expat Healthcare insurance in the UK

  • Speedier Access to Medical Care: Private health insurance often means shorter waiting times for treatments and quicker access to specialists.
  • Wider Choice of Providers: It allows more choice in terms of healthcare providers, including access to private hospitals and clinics.
  • Comprehensive Coverage: Private plans can offer more extensive coverage, including services like dental and optical care, which may not be fully covered by the NHS.
  • Visa Requirements: Certain visa categories for expats require proof of private health insurance as part of the residency application process.Benefits of Expat Healthcare insurance in the UK

Choosing the Right Private Health Insurance

So, you can buy Expat Healthcare insurance in your home country and make sure it covers you for use in the UK. This way you can use private healthcare including hospitals and outpatient services. However you can also buy Private medical insurance or PMI in the UK. This will allow you the same access, but there may be what is called a moratorium (or a waiting time before you can claim for certain conditions). Whichever option you decided to select, it\’s crucial to consider several factors, when choosing a private health insurance provider in the UK:

  • Coverage Scope: Assess the extent of coverage needed, including international coverage if you travel frequently.
  • Pre-existing Conditions: Understand how the policy addresses pre-existing medical conditions.
  • Cost: Consider premiums, deductibles, and co-payments, and how they fit into your budget.
  • Provider Network: Look into the network of hospitals and doctors covered by the insurance plan.
  • Additional Benefits: Some plans offer extra services like wellness programs, mental health support, or online health consultations.
expat in Britian and the UK

UK Only PMI providers include the following, but remember these are NOT going to cover you if you are frequently travelling abroad:

  • Bupa UK: Renowned globally, Bupa offers a range of health insurance plans with various coverage levels. They are known for their comprehensive plans that include access to private GP services and a wide network of specialists.
  • AXA PPP Healthcare: Offering a variety of health insurance plans, AXA PPP Healthcare is noted for its extensive network of hospitals and fast-track appointments for consultations and treatments.
  • Aviva Health: Aviva provides a range of health insurance options, including policies that cater to individuals, families, and businesses. Their plans are customizable, allowing policyholders to tailor coverage to their specific needs.
  • VitalityHealth: VitalityHealth stands out with its approach to encouraging a healthy lifestyle among its policyholders. They offer rewards for healthy behaviors and provide comprehensive health insurance plans.

There are others and these can be found here at the Association of British Insurers website.

How to use the NHS as an Expat?

Accessing the British medical system as an expat revolves around the National Health Service (NHS), which provides most healthcare services free at the point of use. Here\’s a guide to help you navigate the system:

  • NHS Registration: Upon your arrival in the UK, register with a General Practitioner (GP) in your local area. You\’ll need proof of address and, in some cases, identification. Once registered, you\’ll receive an NHS number, which is crucial for accessing healthcare services.
  • General Practitioner (GP) Services: Your GP is your primary healthcare provider and your first point of contact for most medical concerns. They can offer treatment, advice, and referrals to specialists if necessary.
  • Emergency Services: In emergencies, you can go directly to the Accident & Emergency (A&E) department of the nearest hospital or call 999. Emergency treatment is free, but non-emergency treatment in A&E without a GP referral might incur charges if you\’re not eligible for free NHS care.
  • Hospital Services: If you need specialist treatment, your GP will refer you to a hospital. NHS hospital treatment is free if you\’re lawfully residing in the UK, but eligibility might depend on your immigration status.
  • Dental and Optical Services: These are not always covered by the NHS and can incur charges. Some people are eligible for free or reduced-cost treatments, such as children, pregnant women, and those receiving certain benefits.
  • Prescriptions: In England, prescriptions have a set fee, while they are free in Scotland, Wales, and Northern Ireland. Some individuals qualify for free prescriptions based on age, income, or medical conditions.
  • Healthcare Surcharge: Certain visa categories require you to pay a healthcare surcharge as part of your immigration application, granting you access to the NHS on a similar basis as a UK resident.

Understanding your eligibility and registering with a GP are critical first steps in accessing healthcare. The NHS provides comprehensive services, but it\’s important to be aware of what is covered and any potential costs involved, especially for dental, optical, and certain prescription services.

Health Insurance for Visa and Work Permit Holders

The UK Immigration Health Surcharge (IHS) is a fee paid by non-EU immigrants applying for visas exceeding six months, granting access to the National Health Service (NHS) similarly to UK residents. The surcharge aims to contribute to the NHS\’s funding, ensuring immigrants can receive healthcare services during their stay. More details can be found here

Moving to the UK as an expat requires careful planning in terms of healthcare. Balancing between the NHS and private health insurance will ensure you have comprehensive coverage. Take the time to understand the different aspects of the healthcare system and choose a private health insurance provider that aligns with your health needs and lifestyle in the UK. With the right preparation, you can enjoy your new life in the UK, knowing that your health is well taken care of.

a british flag hanging over a city street
train on bridge surrounded with trees at daytime

Factors Influencing Premiums

The cost of private health insurance depends on several key factors:

  • Age: Premiums generally increase with age due to higher health risks.

  • Coverage Level: Basic plans may start around £500 per year, while more comprehensive coverage can cost significantly more.

  • Pre-existing Conditions: These can lead to higher premiums or exclusions from coverage.

  • Excess and Deductibles: Selecting a higher excess can lower monthly premiums but increases out-of-pocket costs during treatment.

  • Policy Add-ons: Extras such as dental or optical care can increase the overall premium.

Typical Cost Ranges

  • Basic Coverage: Starting from just under $200 per month.

  • Comprehensive Coverage: Ranging from approximately $2,000 – $15,000 annually, depending on age, insurer and plan details

Benefits of Private Health Insurance

Private health insurance provides several important advantages for expats:

  • Reduced Waiting Times: Access to treatment without long NHS waiting lists.

  • Choice of Healthcare Providers: Freedom to select preferred hospitals and specialists.

  • Comfort and Privacy: Access to private rooms and personalized care.

  • Global Coverage: Some policies include international protection, ideal for frequent travelers.

 

Conclusion

For those thinking of making the UK their home, private health insurance can be a valuable investment in both health and peace of mind. Although costs vary based on coverage level and personal circumstances, the benefits—such as shorter waiting times, wider provider choice, and more comprehensive coverage—make it a practical option for many living abroad.

Get A Quote to compare price and cover today, or speak to one of our expats experts who can help with your needs