You can move private health insurance, or private medical insurance as insurers also call it, from one provider to another: a personal policy is normally a contract for a year at a time, not a lifelong tie to the insurer you began with. Whether a switch is worth making turns less on the new premium than on what the new insurer does with your medical history: take over the terms you already hold, or underwrite you from the start, in which case anything treated in recent years can fall out of cover. Before you give notice on anything, a broker can take your current terms to several insurers and find out which would carry them across. If you want that done, the form on this page, for which you pay nothing, requests an introduction to one who is FCA-authorised; approaching an insurer yourself remains open to you.

Whether this year's figure is worth accepting, and what you could alter while staying put, belongs to the page on your renewal price; how a policy rolls from one year into the next is on renewing a private health insurance policy. Moving is also a different decision from cancelling private health insurance with nothing to replace it, though a mid-year switch meets some of the same terms.

When can you switch health insurance companies?

There are two moments, not equally cheap.

At the renewal date. Because the contract normally runs a policy year, its renewal date is where one contract can stop and another begin with nothing left half-used, and next year's price will be in front of you. If your policy carries on automatically, a decision to leave will usually need to reach the insurer before the date; how and by when is for your own wording to say.

Part-way through the year. Two insurers' cancellation clauses contemplate it, both quoted further down. Aviva's lets the policyholder cancel after the cooling off period but will not refund premiums already paid for cover up to the cancellation date, which leaves open what becomes of money paid for later months if you pay annually. Vitality's reserves a £40 administration fee for cancelling before the end of the 12 month term. A mid-year move can therefore carry a cost that sits in the policy you are leaving, so ask your current insurer what it would refund, charge and need from you before agreeing a start date elsewhere.

In general there is no enrolment window to wait for: an annual open-enrolment season is an American arrangement, and a UK personal policy runs from the day it started. The dates that limit a switch are your renewal date and whatever your wording says about leaving before it.

What moves with you when you switch, and what starts again

A switch ends one contract and opens another, written from its own first day. Some of what you hold crosses over only if the new insurer agrees; for the rest, assume it stays behind unless the new insurer confirms otherwise in writing. The right-hand column names who can settle each piece.

What you hold nowWhere it stands on a new policyWho to ask, and what
The date your cover beganThe pre-existing wording of Bupa, Freedom and Vitality counts from the policy's own first day, not from your first day insured anywhere: Freedom's reaches conditions you had "before your cover with us started".The new insurer: from what date will my history be judged?
Your underwriting routeChosen afresh. You may be offered the route you are on, a different one, or terms that continue your present exclusions.The new insurer: which routes are open to me, in writing?
Exclusions already written into your policyOn a fresh basis the new insurer reads your history for itself and may exclude different conditions, or more of them. Continued terms are, in general terms, the existing list carried across; AXA names such a route, and how it works for you depends on the insurer.The new insurer: what would you exclude on each basis?
Clear time built up under a moratoriumOn Vitality's standard moratorium the two clear years count "after taking out your plan"; on its switch terms the moratorium is "backdated to when your cover first started with your previous insurer" (Membership Guide, page 31).The new insurer: does any time under my old policy count?
A condition being treated nowOn a fresh basis, caught by the pre-existing wording from Bupa and Freedom. On continued terms, it depends on the insurer.Both: does authorised treatment continue after I leave, and would the new policy pick it up?
This year's excess and annual limitsAviva's terms make the excess payable "every policy year" (the April 2025 issue quoted below, page 11), and a new policy starts a policy year of its own. Do not assume an excess paid to one insurer counts with another.The new insurer: does anything paid this year count?
A no-claims discountWhere your policy has one, whether another insurer will honour it is for that insurer to decide.The new insurer: will you take my claims record into account, and how?

The first five rows are where cover is won or lost, and they come down to one question: will the new insurer treat you as continuing the policy you hold, or as a new applicant? Put it to every insurer you are weighing before you compare a single price; a quote on continued terms and a quote on a fresh basis are prices for two different products. The broker who rings back from the form can go through those rows with you, free.

The wording behind it: what the insurers' documents say

How an insurer takes over another's terms, what it asks to see and how long it takes are for each insurer to set. The passages below show why the table comes out as it does; read each alongside the rest of its document.

On Vitality's standard moratorium, the clock starts with the new plan

"Will I be able to claim for this condition, as I have not sought medical advice or taken any prescribed medication for it? The moratorium excludes all conditions that you were aware of during the five years before your cover began, even if you have not needed to see a GP about them or taken prescribed medicine"

— Vitality, Membership Guide (Your Personal Healthcare plan terms and conditions), August 2024, page 48, read 10 October 2026. This copy is published by an intermediary, not by Vitality itself.

"We will cover them if you have not received any treatment, advice or medication for that condition for a continuous period of two years after taking out your plan • Pre-existing medical conditions that we permanently exclude from your cover"

— Vitality, the same guide, page 30.

The first looks back five years from when "your cover began", which in Vitality's own guide reads as cover with Vitality, and catches a condition you knew about even if no GP saw it. The second gives the way out: two continuous years with no treatment, advice or medication, counted "after taking out your plan". On those words, clear time run up under an earlier policy is not what the clause measures. Vitality's switch terms differ: the moratorium is "backdated to when your cover first started with your previous insurer" (Membership Guide, page 31), so ask which basis your quote is on. It also mentions conditions Vitality will "permanently exclude" without naming them here, so ask which, if any, would apply to you.

Freedom's and Bupa's clauses make the same point from another angle, each measuring a pre-existing condition from the start of the policy in question. Both are quoted in full, with what they leave open, on the page that asks whether insurers cover pre-existing conditions.

Leaving before the year is out

"After the cooling off period The policyholder may cancel the policy after the cooling off period, but we will not refund any premiums that have been paid for cover up to the cancellation date"

— Aviva, Healthier Solutions Terms and conditions (April 2025 issue), page 33, read 4 September 2026. The copy is one an intermediary hosts. Aviva put out a March 2026 issue after it, and the refund wording in your own terms is the one that applies to you.

"In addition, if you cancel your plan prior to the end of the 12 month term your plan covers, we reserve the right to charge an administration fee of £40"

— Vitality, Membership Guide (Your Personal Healthcare plan terms and conditions), August 2024, page 37, read 10 October 2026, from the same intermediary-hosted copy.

Neither clause stops you going. Aviva's settles one point, that premiums for cover already had are not handed back, and says nothing more; it mentions a cooling off period without giving its length here, so your own documents are where to find yours. Vitality's adds a possible charge: "reserve the right" means the fee may be applied, not that it always is.

Carrying your underwriting across

AXA Health's handbook lists continuing medical exclusions as one of four underwriting routes on its personal product, which shows that a basis other than starting afresh exists. The list itself, and a general account of how such terms tend to work, are on the renewal price page under the switching trap.

Aviva's terms touch the same idea in passing. In a clause about a member who stops being UK resident, the April 2025 issue says that member "will need to arrange alternative cover if they wish to continue their underwriting terms with another provider" (Aviva, Healthier Solutions Terms and conditions, page 31, read 4 September 2026). It concerns leaving the country, not moving between UK insurers, and matters here only for what it assumes: that a member may want to take underwriting terms elsewhere. Which insurers would accept yours, and on what conditions, depends on the insurer and on your history.

That makes it the first thing to find out, not the last. A broker regulated by the FCA can put that question to several insurers in one round, whether each would take your existing terms and on what conditions, while your current policy is still running. Asking for the introduction, through the form on this page, carries no fee.

Switch offers: what one can be, and what it cannot

"Switch offer" means two quite different things, only one of which bears on what you are covered for.

An incentive on the price. A lower opening premium, a reward or something else: offers come and go, so this page names none; the broker on the call-back can say which, if any, its insurers are running. Whatever its form, it acts on the price and leaves the underwriting alone, and a cheaper first year on a policy that writes out the condition you most need covered is a worse policy bought for less. How to test a deal against the undiscounted price, a second insurer's figure and the price at first renewal is on the page on discounts and offers.

An offer of terms. This is the new insurer agreeing to take you on as a continuation of the cover you hold rather than as a new applicant. It has no headline figure attached, and it decides whether moving costs you cover.

Where both are in front of you, three questions connect them:

  • Does the price incentive still apply if I join on continued terms, or only on a fresh moratorium or full medical underwriting? A cheaper headline available only on a basis that resets your history is a trade.
  • Does it require a particular start date, and would that date leave days uninsured, or have you paying two insurers for the same weeks?
  • Would taking it mean leaving my current policy early, and what does that cost under my current wording? The Aviva and Vitality clauses above show the kind of term to look for.

What no switch offer can be is a promise that a condition you have now will be covered. A discount or a sign-up reward is no substitute for that: on Freedom's clause, cover for a pre-existing condition takes the insurer having "agreed to cover that condition", and that is an underwriting decision about you, not a promotion.

How to switch private health insurance without a gap in cover

Under every step is one principle: the new policy is settled, in writing, before the old one is touched. The order matters more than the speed.

  1. Collect your current terms before asking for a quote. Your schedule or membership certificate, with its start and renewal dates and level of cover; the underwriting route you are on; any exclusion confirmed to you in writing, which on Bupa's wording comes as "a confirmation of special conditions"; and, if you have moved insurer before, the date you were first covered.
  2. List what has happened to your health since that first date. Anything diagnosed, investigated, treated or claimed for, with the month it started. These are the conditions most exposed on a fresh basis, and the list to check every offer of terms against.
  3. Ask each insurer for two answers rather than one: its terms for continuing your underwriting, if it will offer that, and its terms on a fresh basis. Have each in writing, with the conditions covered and excluded named, before any price.
  4. Match the cover you are pricing. Excess, hospital list, out-patient limit and any extras should be the same across the quotes you set side by side, or the cheaper one may simply be less insurance.
  5. Pick a start date that meets the end of the old policy. Not later, or the days between are uninsured; not much earlier, or you pay twice for the overlap. Ask the new insurer whether even a short gap would change the terms it has offered.
  6. Accept, then check the new documents against what you were told. Underwriting basis, named exclusions, start date. If anything differs, settle it now, while the old policy is still in force behind you.
  7. Only then give notice to your current insurer, in whatever way its wording requires, and ask what it will refund or charge. Ask, too, whether stopping the direct debit is enough or separate notice is needed.
  8. Keep both sets of documents. If a claim is ever questioned over when a condition began, the old paperwork shows what was covered, and from when.

Switching from a company scheme, or to private cover for the first time

Leaving an employer's scheme for a policy of your own

If your cover came through work and the job is ending, the switch is to a personal policy, with one twist: the basis you are leaving may be kinder than anything offered to an individual. Medical history disregarded, one of the routes in AXA's list, is in general terms a company-scheme basis, under which past conditions are not written out. Whether a departing member can continue on a personal policy, and how soon after leaving you would have to apply, depends on the scheme. Put both questions to the scheme's insurer, through HR if need be, before your last day, or let a broker explain your options on a free call-back.

From the NHS to private cover

Switching to private health insurance often means buying it for the first time. Nothing is given up then: the NHS is not a policy you leave, and taking out private cover leaves what it provides untouched. The underwriting point still applies, with no terms to carry: a first policy is written on a fresh basis from the day it begins. The place to start is what private health insurance is, and how it works.

Switching health insurance: what people ask

Can I switch my health insurance?

Yes. A personal policy normally runs for a policy year, and you can arrange cover elsewhere when it ends, or earlier on your current wording's terms for leaving. The harder question is what the new insurer will cover, which the sections above deal with.

Can I switch from one health insurer to another after making a claim?

You can, but the condition you claimed for is the one most at risk. On a fresh basis it falls within the pre-existing wording of Bupa and Freedom; on continued terms it may come across, if the new insurer agrees. Find out which before you leave, not after.

How easy is it to switch health insurance?

The paperwork is, in general, one application and one notice. Your health since cover began is what makes it easy or hard: with little to carry, a fresh basis may lose you nothing that matters; with recent treatment, it turns on whether an insurer will continue your terms.

Is it bad to switch health insurance companies?

Not in itself. It goes wrong when cover is lost without anyone noticing: a condition written out by the new insurer, a gap between the two policies, or a moratorium clock set back to zero. Each of those can be checked before you commit.

Can I go back to my previous insurer later?

In general that would be a new application, and how a returning customer is treated is up to each insurer. Assume you would be underwritten again unless it agrees otherwise, and if returning is something you might want, ask before you leave.

Do I have to switch through a broker?

No. You can ask each insurer the same questions yourself, one at a time. A broker puts your current terms to the insurers it works with in one go; the policy is still with the insurer, and the choice is still yours.

Before you give notice

Have your schedule, your list of what has happened to your health since cover began, and your renewal date beside you; with those, the form on this page is quick to complete. From your entry, a broker the FCA has authorised can find out which of the insurers it deals with would take you on your existing terms before your current insurer hears a word. Those insurers are not the whole market, and there is no charge to you.