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Why you can trust our health insurance reviews
Real customers who've claimed
We asked 784 health insurance holders who'd claimed in the last two years to rate their insurer.
Which? Recommended Providers
Only insurers with a high score from their customers, and at least average scores for handling claims, are recommended by us.
At its most basic, private health insurance pays out for private treatment if you fall ill.
Generally speaking, health insurance is designed to pay for the private treatment of medical conditions that respond quickly to treatment (usually called 'acute' conditions), as well as elective surgery and medical tests.
This guide explains exactly what you need to know about private health insurance, from how it works to the best providers.
Please note that the information in this article is for information purposes only and does not constitute advice. Please refer to the particular terms and conditions of an insurer before committing to any financial products.
Find the right private health insurance policy using the service provided by LifeSearch.
Get a quoteWe've surveyed private health insurance customers who have claimed within the past two years to get their views.
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RECOMMENDED PROVIDER WPA | 74% | - | Find the right private health insurance policy using the service provided by LifeSearch. | |||||||
Aviva | 68% | |||||||||
Axa Health | 63% | |||||||||
Bupa | 61% | |||||||||
Saga | 60% | |||||||||
Vitality | 55% |
Table note: The results are based on an online survey of 784 members of the Which? Connect panel, who owned private health insurance and had claimed on their policies within the past two years. The survey was conducted in March and April 2023. Sample sizes given in brand 'info'. 'Customer Score' reflects the general satisfaction of customers with their insurer and their likelihood of recommending it. The 'Claims Score' reflects how satisfied they were with how their most recent claim was handled and their likelihood of recommending the insurer for claims. A dash ('-') means not enough respondents in our survey answered the question for us to report the result. Find out more about our methodology below.
WPA – short for the Western Provident Association – is a not-for-profit private medical insurer originally founded in 1901.
Leading in our tables with a customer score of 74% and a claims score of 82%, WPA is a Which? Recommended Provider.
WPA's main policy, Complete Health, comes with Core, Mid-Range and Comprehensive levels to choose from. Core provides inpatient and day-patient treatment, a remote GP service, a health and wellbeing helpline, and NHS cash benefits (cash payments for time you spend in an NHS hospital).
The two higher tiers build on the outpatient cover available and add cancer cover, as well as a range of extras such as overseas cover and mental health treatment. Most elements of cover within the three levels can be tweaked to preference. If you join aged 66 or over, certain cancer therapies ('targeted cancer therapies' that block the growth and spread of cancer by interfering with specific molecules) aren't covered if available to you on the NHS.
The policy's flexibility extends to how you want the insurer to calculate your premiums. You can select pricing based around a no-claims discount, which goes down when you claim, or 'pooled risk pricing'. With this, your premium isn't directly affected by claims you make but by claims and risk factors across the wider 'pool' of customers.
Customers in our survey were highly positive about various areas of their experience of claiming, from the speed of claims to the choice of consultants available. It was also one of the highest scorers for clarity of terms and conditions.
Aviva offers a comprehensive policy called 'Healthier Solutions' as well as a 'Speedy Diagnostics' policy.
Healthier Solutions – the core policy includes consultations and/or treatment with a specialist, diagnostic tests, hospital charges, full cancer cover, and outpatient mental health treatment. If you wish, you can choose to enhance your cover, for example, by adding complementary therapies such as osteopathy and physiotherapy, or reduce your cover, for example, by reducing your outpatient cover limits.
Speedy diagnostics – as the name implies, this cover is focused on diagnosing health problems. Cover ends once a condition has been diagnosed. It pays for prompt access to tests, scans and hospital charges while a condition is being investigated.
Customers in our survey gave Aviva a customer score of 68%, placing it second of six providers. Claimants were impressed with the ease of the claims process and pleased with the access provided to the services they wanted.
AXA Health is the second-largest health insurer in the UK.
Its Health Plan is a sort of 'build-your-own' policy. When you get a quote, you'll be asked to select what you want to be covered for, out of outpatient diagnosis and care, inpatient and day patient care, cancer care, and mental health care.
You can further tailor cover to increase the specialists and range of hospitals you have access to, and the number of consultations included.
As standard, you'll also get extras such as online GP appointments, a 24/7 health support line, and mental health support by phone and app.
AXA Health ranked third in our customer score table, with 63% – near the average of 64%. Respondents in our survey rated the ease of purchasing the policy and the choice of medical professionals available through their cover.
The largest health insurer in the UK, Bupa runs a wide network of private hospitals as well as offering insurance.
You can choose between its Treatment and Care and more expensive Comprehensive levels of cover. As standard, both levels of cover include hospital treatment, outpatient therapies such as physiotherapy, mental health cover, cancer cover, and post-treatment tests, scans and appointments. Both policies can be customised, but the core difference between the two is that the latter covers a wider range of outpatient tests and consultations than the former.
Bupa customers placed it fourth (of six) in our survey, with 61%.
It received a score of 70% for its claims service, which put it in joint third place with AXA Health. Customers gave it five stars for choice of consultants available during a claim, matched only by WPA.
Saga provides insurance exclusively to customers over 50. Its policy is underwritten by Bupa Insurance Limited.
Saga offers four main plans: Super (the most comprehensive), Secure, Saver Plus and Support (the least comprehensive).
All cover inpatient and day-patient treatment and cancer cover plus outpatient surgical procedures, mainly varying when it comes to cover for and limits on scans, tests, consultations and therapies. As standard, you also get access to Saga's online and telephone GP Service, and a 24/7 health line.
No matter which plan you select, you can tailor it to adjust the hospital lists you have access to, adjust your excess, add cash benefits for everyday health costs, and add Extended Cancer cover.
Saga customers in our survey awarded it a customer score of 60% (5th of six providers). It achieved the same ranking when reviewed for its claims service, with a score of 66%.
Vitality is well known for its Active Rewards Scheme, which rewards members for keeping fit and living healthily. Members get points for logging healthy activities (eg walking or gym workouts) via activity tracking devices. The points earn members discounts on products and perks with partner companies.
Vitality's health insurance policy, like most, provides full inpatient cover, cancer care and outpatient surgical procedures as standard, plus hospital diagnostic tests – with extras available such as mental health cover and travel insurance.
It has limited standard outpatient cover (£500 a year), but the plan is highly customisable and more cover can be added, with a 'full cover' option removing the cash limit.
Vitality Health customers placed it at the bottom of our customer score table with 55%. It also came bottom with its claims score of 61% (compared to an average of 72%).
Like many other types of insurance, private health insurance costs vary depending on your circumstances and the specifics of the cover you buy.
Similarly, where you live can have a dramatic effect on the costs of treatment and, consequently, on the premium you'll pay.
Premiums also inevitably rise with age. For younger customers, an individual, comprehensive health insurance policy might cost a few hundred pounds a year. For customers over retirement age, cover is more likely to be well into the thousands.
The table shows some example quotes of what two couples (aged 35 and 55) would potentially pay annually if they sought cover for surgery, comprehensive heart and cancer cover, diagnostic tests and scans, outpatient care, and some cover for therapies (such as physiotherapy).
However, these are illustrative. Prices can vary considerably depending on the specific cover options you choose, as well as your age and medical history.
Read more on the average monthly costs of private health insurance.
Provider | Policy name | Quote for a 35-year-old couple | Quote for a 55-year-old couple | Take out a policy* |
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Aviva | Healthier Solutions | £1,1291 | £1,8651 | Use the service provided by LifeSearch |
AXA Health | Health Plan | £2,698 | £4,569 | |
Bupa | Comprehensive2 | £1,841 | £3,272 | Use the service provided by LifeSearch |
Saga | Healthplan Super (with Extended Cancer Cover) | n/a3 | £2,305 | |
Vitality | Personal Healthcare4 | £1,768 | £2,997 | Use the service provided by LifeSearch |
WPA | Complete Health | £2,440 | £4,342 | Use the service provided by LifeSearch |
Table note: These are illustrative quotes obtained from provider websites in January 2025. When getting quotes for all providers, we selected cover that provides full inpatient care and full outpatient care, comprehensive heart and cancer cover, diagnostic tests and scans and some cover for complementary therapies (such as physiotherapy) for a non-smoking couple, in good health, living in south London. Where possible, we excluded mental health, dental and optical cover. We selected the standard hospital and specialist lists, rather than any extended lists. We selected no excess, but did select a waiting time if offered. We opted not to protect our no-claims discount, when given a choice of this. 1) Includes 15% first year discount. 2) Bupa's quotes include some dental and mental health cover as it was not possible to exclude this online. 3) Saga does not offer cover for those under 50. 4) Cover for therapies not available online so not included in quote.
*Not all private medical insurers are available through LifeSearch. Check insurers' websites directly for more information.
Private health insurance can be helpful, but whether it's right for you depends on your preferences, finances and recent medical history.
One in five patients had paid for private treatment in the past two years, out of 14,821 Which? members we surveyed in June 2023.
Even though it can be pricey, private patients we heard from in our survey were generally very happy with their care. Private hospitals can offer nicer rooms and extras, and skipping the long NHS wait lists can be a big relief if you need treatment fast.
Use our expert advice and recommendations to live your best life every day.
Get startedPaying for private treatments with your own savings can be difficult: a hip replacement might cost over £13,000, for instance, while cataract surgery could cost around £2,800 per eye.
Insurance can help you avoid these big one-off costs, in exchange for paying a smaller premium every year – whether or not you claim on your policy.
If you're unlikely to claim on your insurance, and/or would be comfortable using NHS services on the rare occasions you do need healthcare, private insurance may not be worth it.
But if you're easily able to afford the premiums and have a preference for private treatment, insurance is one way to control its costs.
Find the right private health insurance policy using the service provided by LifeSearch.
Get a quoteOur Which? Recommended Providers are companies that go the extra mile to satisfy their customers, based on feedback from our surveys. These insurers stand out in our analysis for their customer score, as well as having an average or better claims score.
WPA (Western Provident Association) achieved a customer score of 74% and a claims score of 82%, making it our only Which? Recommended Provider.
Find out what it offers in our full WPA review.
Find the right private health insurance policy using the service provided by LifeSearch. Find out more
Our Which? Recommended Provider analysis isn't a comparison of the cover levels in insurers' policies.
Health insurance cover is highly complex with wide ranges of options designed to suit different customer needs and budgets. If you're unsure which kind of cover will suit you best, we highly recommend enlisting some expert help.
You can find a specialist broker on the Association of Medical Insurers and Intermediaries (AMII) website.
Find out more from our insurance guides:
Find the right private health insurance policy using the service provided by LifeSearch.
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