2025
9
UK Consumers and Health Insurance: 2025
2026-01-06T10:02:58+00:00
REPD6F979B5_8437_4229_8EFC_7FAB8E9471D5
2195
190923
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Report
en_GB
The UK health insurance market has surged post-pandemic, with double-digit premium growth driven by record claims, rising medical inflation and concerns about NHS backlogs. Corporate cover is fuelling this growth…
UK
Insurance
Consumer Insights
simple

UK Consumers and Health Insurance: 2025

"The future of health insurance lies in moving from transactional interactions to becoming health and wellness partners. This will help drive value perceptions, and customer retention."

Thomas Slide, Category Director

Thomas Slide, Category Director

The UK health insurance market has surged post-pandemic, with double-digit premium growth driven by record claims, rising medical inflation and concerns about NHS backlogs. Corporate cover is fuelling this growth in both PMI and health cash plans. Personal cover is growing, but more slowly due to affordability constraints.

Interest in health insurance is growing, but only a minority are willing to bear the full cost of comprehensive coverage. This gap between expectations and affordability is limiting market growth, with cost remaining the biggest obstacle to broader adoption.

Younger adults are driving consumer interest, with 53% of Gen Z expressing a desire to purchase cover within the next two years. This highlights a substantial untapped market, provided price and value perceptions can be aligned. To successfully engage these younger consumers, products and marketing should emphasise lifestyle and wellness aspirations and preventative healthcare.

There is an opportunity to move beyond basic rewards to create experiences that unite members around shared health goals. A winning strategy embeds the insurer into the daily routine of the customer, using community-led initiatives and gamified rewards. By doing this, providers can shift from being a reactive safety net to an essential, proactive partner in their customers’ long-term well-being.

This report looks at the following areas:

  • Market size, segmentation and five-year forecast for PMI
  • Competitive landscape and market share among leading players
  • Interest in health insurance, including barriers to adoption and customer segment for growth
  • Key factors behind choice of policy, including the importance of price, level of coverage and additional benefits
  • Attitudes towards health and health insurance, including concerns with NHS waiting times and switching activity

Market Definitions

For the purposes of this Report, Mintel has used the following definitions:

This Report examines the UK market for health insurance, with a focus on PMI (private medical insurance). The Report also touches on other health cover options, including health cash plans (HCPs) and healthcare trusts.

For the purposes of this Report, Mintel has used the following definitions:

PMI is designed to cover the costs of private treatment for what are commonly known as acute medical/surgical conditions (ie curable short-term illnesses or injuries). The main advantage of having this cover is that it ensures prompt access to treatment should the policyholder become ill or injured.

The market for PMI can be segmented into two sectors: Personal PMI – policies arranged by individuals; and Corporate PMI – group schemes arranged by an employer for some or all employees.

There are also policies that are designed to cover diagnosis only or treatment and aftercare only.

HCPs provide cash benefits to cover everyday costs associated with primary care treatment (eg dental examinations), hospital treatment (though not the treatment itself) and post-operative care. The majority of plans do not cover the full cost, but pay a fixed rate usually between 50% and 75%. Plans may also include protection cover, wellness services and telephone helplines.

Unlike PMI, HCPs work on the basis of ‘guaranteed acceptance’, meaning that subscribers are not required to undergo a medical examination and premiums are not based on claims history. Some plan providers adjust premiums according to different age bands, although most do not. Some also impose an upper age limit for joining or offer reduced benefits to those over a certain age.

Healthcare trusts are where individual companies (typically larger companies) provide a form of PMI which is administered by insurance companies. The employer sets up the trust and establishes a fund that is used to pay for the medical treatments of its beneficiaries. This provides health cover for employees and their dependents. Subscribers can receive hospital attention or undergo operations in private hospitals more quickly or at a more suitable time that can be offered through the NHS.

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  1. EXECUTIVE SUMMARY

    • What you need to know
    • Outlook for health insurance market
    • Opportunities
    • Actively support consumers’ health goals by fostering a sense of community
    • Educate on value and deliver on affordability to convert interest
    • Introduce entry-level options to lay the foundations with Gen Z
  2. THE MARKET

    • Snapshot – market size and forecast
    • Market factors
    • Affluent consumers support growth amid economic uncertainty
    • NHS pressures and focus on wellbeing fuel interest in health insurance
    • Claims costs rise, placing upward pressure on premiums
    • Graph 1: gross claims incurred and average value of PMI claims, 2020-24
    • AI and tech are key to gaining a competitive advantage
    • Market size and forecast
    • Double-digit growth driven by volume sales and inflation
    • Graph 2: PMI gross earned premiums, 2021-25
    • PMI premiums are forecast to hit £8bn in 2030
    • Graph 3: [no title]
    • Economic productivity concerns fuel demand for corporate health coverage
    • Category growth extends to HCPs and healthcare trusts
    • Market share
    • Corporate sector growth intensifies market competition
    • Bupa and Simplyhealth maintain sector leading positions
    • Graph 4: PMI market share of leading players by premiums (written and earned) , 2024
    • Graph 5: HCP market share of leading players, by premiums (written and earned) 2024
  3. THE CONSUMER

    • Product ownership and interest in ownership
    • Higher-income households bolster category resilience
    • Concerns around access to  NHS treatment continue to drive interest
    • Strong interest highlights opportunities for growth
    • Introduce entry-level options to capture Gen Zs’ enthusiasm for health insurance
    • Insurers must bridge the gap between cost and perceived value
    • Graph 6: monthly price interested consumers would be willing to pay for health insurance, 2025
    • Barriers to adoption
    • Affordability and perceived lack of value constrain growth
    • Insurers must prove their value
    • Public loyalty to the NHS remains strong, despite ongoing concerns around access to treatment
    • Reframe PMI as relevant earlier in life to engage younger adults
    • Trust grows when consumers hear from each other
    • Key factors behind choice of policy
    • Price leads the way, but perks and policy features still count
    • Insurers can shift the conversation from price to protection
    • Actively support consumers’ health goals by fostering a sense of community
    • Ongoing engagement reframes renewal as a relationship, not a transaction
  4. INNOVATION AND MARKETING

    • Vitality deepens its role in promoting healthier living
    • Bupa leans on storytelling to kickstart conversations about health
    • Advertising spend remains resilient
    • Graph 7: total above-the-line, online display and direct mail advertising on private healthcare insurance, 2020/21-2024/25
    • Major providers dominate advertising expenditure
    • Graph 8: top advertisers by above-the-line, online display and direct mail advertising expenditure on private healthcare insurance, 2024/25
    • Bupa highlights the everyday value of cover
  5. APPENDIX

    • Market definition
    • Market definition (continued)
    • The market
    • Forecast methodology
    • Forecast methodology – fan chart
    • Market forecast and prediction intervals
    • Health insurance GEP: PMI (corporate and personal) and healthcare trusts
    • Subscriber numbers: PMI and HCPs
    • Number of lives covered: PMI and healthcare trusts
    • Claims activity: corporate and individual PMI
    • Average premiums for PMI, HCPs and healthcare trusts
    • The consumer
    • Consumer research questions
    • Consumer research methodology
    • Generation groups
    • Other data source methodologies
    • Nielsen Ad Intel coverage
    • Abbreviations

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