Expats in the UK can access healthcare through the National Health Service (NHS), a publicly funded system that provides free medical services at the point of care. However, many opt for private health insurance to avoid long wait times and gain access to faster, more personalized treatment at private hospitals.
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While the NHS covers essential care like GP visits, emergency treatment, and hospital stays, it has limitations in speed and service availability. Private health insurance fills those gaps by offering quicker access to specialists, advanced facilities, and coverage for services not fully included in the public system.
In this article, Pacific Prime will provide you with an overview of the healthcare system in the UK and how securing private health insurance to complement public healthcare services could be beneficial for expats.
How the NHS Works in the UK

The NHS is the cornerstone of the UK healthcare system, providing comprehensive healthcare services to all residents. It is funded through general taxation and operates on the principle of universality, offering healthcare services that are free at the point of service.
The NHS covers a wide range of medical treatments and services, including consultations, hospital care, surgeries, and essential medications. It also provides access to primary care through general practitioners (GPs) and offers specialized care through referral systems.
All hospitals in the UK are run by NHS trusts, a healthcare provider to deliver hospital and community services. There are a total of 229 trusts in the UK, with each trust running multiple hospitals or medical facilities for both physical and mental health.
As an expat, you will find a GP and register with them. This is done online, by phone, or in person. Once you have registered, you will be able to make appointments for non-emergencies. From there, you then can access a specialist or further consultations according to your condition by referral.
With the NHS, you’ll have access to the services below:
- GP consultations
- Treatment at A&E
- Maternity services
- Sexual health and contraception
- Specialist treatments (If referred by your GP)
However, you will generally have to pay for:
- Prescription drugs – Fixed at GBP £9.65 per item, regardless of the type of medication or quantity
- Dental care
- Eye care
Issues with the NHS and Public Healthcare
While the NHS offers many benefits such as accessibility and affordability, there can be challenges such as long waiting times for certain treatments and access to specialists.
The quality of public healthcare varies depending on your location, hence relying on public medical services might not be enough to meet your medical needs, especially if you think you’ll be needing healthcare services consistently, for instance, an underlying problem.
The NHS provides very comprehensive care that is free of charge. However, expats from outside the EU/EEA/Switzerland have to pay a mandatory health surcharge of GBP £470 per year to get the same access to the NHS as locals.
For expats moving to the UK, you will have access to the NHS if you’ve paid the immigration health surcharge during visa application. However, many choose to supplement this with private health insurance due to the abovementioned problems.
One-off payments for private insurance are costly, so investing in a comprehensive and sustainable health insurance plan for your needs and budget makes sense. Here’s why you might want to go private.
Why Private Health Insurance Is Worth Considering
Private health insurance offers an alternative to the NHS, allowing individuals to access private healthcare services. It provides additional coverage and benefits beyond what the NHS offers. There are a total of 515 private hospitals in the UK, offering quality services and treatments.
Private health insurance policies can cover various services, providing you with the benefits below:
Pros:
- Shorter waiting times
Time is of the essence when it comes to health-related matters. Within the private healthcare system, you can see a GP and/or specialist on the same day you make an appointment.
- Better facilities
Private hospitals and clinics also have better facilities that make your visit more comfortable. Especially if you need to stay overnight for a treatment, being at ease makes all the difference.
- More freedom in making healthcare decisions
You can also choose the specialist you want to see without having to go through your GP first. Furthermore, private hospitals may provide treatments that are not available on the NHS. This gives you more control over your health.
Although private health insurance can provide extensive healthcare services, it is important to carefully consider policy options and assess costs, as private health insurance can be more expensive than relying solely on the NHS.
Choosing the Right Private Health Insurance Plan
Finding the right health insurance plan requires careful consideration of factors on the policy per se and the flexibility to adjust monthly premiums. There are a lot of insurance providers that provide insurance coverage in the UK, for instance, Allianz Care, Bupa Global, and Cigna Global.
With so many types of health insurance available for expats in the UK, it can be confusing for you to navigate through. It is advisable for you to consider these factors before signing up for a health insurance plan suitable for your needs.
Network of healthcare providers: Private health insurance allows expats to access a large network of medical practitioners and specialists all over the UK.
Coverage and benefits: It is recommended that you assess your medical needs, and select the suitable plan that better covers your medical needs. Expats are likely to be interested in coverage for emergency evacuation, dental, vision, wellness, and worldwide coverage.
Tips to Lower Your UK Health Insurance Premiums

If you think your desired plan is over budget for your current needs, consider the following:
Deductibles: Deductibles are the specific amount you must pay for your medical treatments before your insurance policy pays for the rest of your claims according to the coverage scope and limit of the insurance plan.
Copayments: Copayments are fixed out-of-pocket amounts paid by the policyholder for a covered healthcare service after the deductible has been paid. Splitting the cost of medical services between the insurance provider and the policyholder keeps your monthly medical bills in check.
Note: You can always adjust the amount of deductibles and copayments upon policy renewal, so you don’t have to worry about not having the right coverage limit when you need it in later days.
Frequently Asked Questions
What is the National Health Service and do I need health insurance if I have access to the NHS?
The NHS is a publicly funded healthcare system in the UK. Having access to the NHS means you don’t necessarily need private health insurance, but it is still recommended due to the extensive coverage it provides.
How does private health insurance work in the UK, and what are the benefits of having private health insurance?
Private health insurance in the UK offers additional coverage and benefits beyond the NHS, including faster access to specialists and private hospitals.
Can I have both NHS coverage and private health insurance at the same time?
You can have both NHS coverage and private health insurance simultaneously, allowing you to access a broader range of healthcare options. Insurance brokerages such as Pacific Prime can provide you with plans from global insurance providers to find you the best deal.
Conclusion
The UK has a great extent of healthcare provision through the NHS, but the public healthcare system has its challenges. Supplemented with private health insurance, expats can rest assured that they can gain access to top-notch medical facilities and world-class services everywhere in the country.
Pacific Prime has over 20 years of experience in helping expats secure the best international health insurance for their requirements and budget. Our team of insurance specialists is trained to compare and choose a policy from globally renowned insurance providers, and offer value-added services.
Contact us today for impartial advice and an obligation-free quote!
Check out our articles on health insurance in Costa Rica or New Zealand if that is something you are considering.
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