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PMI providers offering guided network option as UK health system moves towards three-tier model

August 19, 2024
in Retirement
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PMI providers offering guided network option as UK health system moves towards three-tier model



Most private medical insurance (PMI) providers now offer a guided network option as the UK transitions to a three-tier health system, according to Clarity Health Insurance.

The guided network options are offered to make policies more affordable. They are available alongside full PMI policies and the NHS.

However, Clarity Health Insurance cautioned that guided networks differ significantly among insurers.

It said this increase in options can add complexity to the market, necessitating thorough training for advisers.

A PMI policy with a guided network (or “guided options”) restricts the list of consultants and hospitals available for care.

These policies can be as much as 53% cheaper than standard all-market options, while still providing access to thousands of consultants nationwide.

In the past 12 months, 61% of new policies sold through Clarity Health Insurance included the guided network option, reflecting growing consumer demand.

There is a sharp rise in the number of people opting for care in the private health sector.

The Private Healthcare Information Network recently revealed the private health sector had more admissions in 2023 than any previous year on record (898,000) and the number of admissions paid for with private medical insurance (PMI) was at the highest level ever in Q4 2023.

Clarity Health Insurance is an independent specialist PMI broker whose mission is to simplify the complicated world of health insurance and empower people to make informed decisions about their health and wellbeing.

Kyle Godden, managing director at Clarity Health Insurance, said: “We are witnessing the evolution of the UK health market into a three-tier health system. With pressures on the NHS, there is a rising demand for private healthcare from a broader audience. Insurers have responded by offering more restricted products to lower costs and attract newer customer demographics.

“PMI policies with a guided network are hugely popular and for good reason. However, once you scratch below the surface, the difference in quality between insurers becomes more apparent. This adds further complexity to the industry and underscores the need for specialist advice. For example, the number of consultants in a network can vary from 4,000 to 19,500, and some are more geographically restricted.

“Additionally, insurers are not always required to inform customers about changes or restrictions to their networks, even if these occur mid-term. As demand for guided network policies continues to grow, we urge insurers to prioritise sharing updates so brokers can provide the best advice to their clients.”



Editorial Team

Editorial Team

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