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Small Business Health Insurance (SME) in the UK

Small business health insurance provides private health cover for both you and your employees, encompassing rapid tests, diagnoses and treatment. We’re here to support all kinds of businesses, whether they’re family-owned service providers or startups. Our goal is to help your company offer an attractive benefit: a private health plan for your employees. With the number of options available, we can customise the perfect policy for you, allowing you to focus on your business with peace of mind.

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We offer completely free and no obligation advice on corporate private healthcare in the UK. Our experienced advisors will take the stress away from you and do all the hard work in finding you the best Provider by comparing quotes with the top leading providers in the market. We have worked directly with AXA, Aviva, Bupa, and Vitality for over 40 years, and we have tailor-made the best policies for our customers

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Is company health insurance worth it?

A survey by the Association of British Insurers found that more than half of people (57%) think about health insurance, and almost half (49%) consider income protection when choosing a job. Also, seven out of ten (69%) people would think about getting medical insurance if it was offered by their employer.

Wondering if company health insurance is worth the investment for your business? Here’s why it’s a smart move:

Attract and Retain Talent

Offering comprehensive health coverage demonstrates your commitment to employee well-being, making your company more attractive to top talent. It’s a powerful tool for recruiting and retaining skilled professionals who value their health and security.

Reduce Absenteeism

With private insurance, you and your employees can skip the long waiting lists of public healthcare systems. Access to timely medical treatments means faster recovery times, reduced absenteeism, and a healthier workforce overall.

Boost Productivity

When employees feel supported and cared for, they’re more likely to be engaged, motivated, and productive at work. Providing health insurance sends a clear message that their health and wellness matter, leading to higher morale and job satisfaction.

Our article helps you understand a small company’s health insurance benefits. Learn how it can support you and your employees by providing quick medical care and improving job satisfaction. We offer guidance on understanding costs and choosing the right coverage. Let’s explore how business cover can make a difference, keeping your employees healthy and boosting your business’s success.

Small Business Private Health Insurance Cover

Small Business Health Insurance offers a private health plan for you and your employees, granting access to private diagnostics, treatments, and follow-up care. The extent of coverage typically caters to acute conditions, with curable pre-existing conditions often subject to exclusion for a specific period, while chronic conditions—those less likely to improve—are typically permanently excluded.

This type of coverage strikes a balance between proactive and reactive healthcare, providing both preventative measures and responsive treatments. Employees appreciate the benefits of swift access to treatments and the convenience of consulting with online GPs.

Core Cover

Core cover offers the basic benefits that are typically provided to all policyholders regardless of additional options or add-ons. Core cover usually includes essential healthcare services such as:

  • In-patient treatment
  • Day-Patient
  • Cancer Cover
  • Virtual GP ( with most insurance providers)
  • Basic Hospital List

The core cover forms the foundation of the policy, with additional features or benefits available as optional add-ons depending on the specific needs and preferences of the company.

Extras

Extras are add-on benefits or features that you can add to your health insurance plan to upgrade your core cover. However, it’s important to note that by doing so, your premium might increase. Examples of extras include:

  • Outpatient
  • Mental Health 
  • Dental, Optical, and Audiology cover
  • Physiotherapy
  • Worldwide Travel Cover
  • Hospital List Upgrade
  • Private GP

Additional Benefits

Plus, many Business Health plans come with added choices and special benefits to make your plan even better at no cost. For instance:

  • Employee Wellbeing Centre membership
  • Fast track appointments 
  • Employee Assistance Programmes
  • Second medical opinion 
  • Health Screening

Dependents

Expanding the company’s policy to cover an employee’s family is a great way to make your employees feel valued and committed. It recognises the crucial support families offer to employees’ work. The company can cover the extra cost or employees can choose to pay for it from their salary, which is also a good option. Usually, adding family members through salary deduction costs much less, so many employees go for it.

How much is private health insurance for small business owners?

The cost of health insurance can vary based on factors such as the company’s location, how many employees you have, their ages, and the level of coverage needed. To provide insight into these costs for small businesses, our team of insurance experts conducted market research. We analyzed data from the top four UK health insurance providers: Aviva, AXA, Bupa, and Vitality. This research aimed to offer comprehensive information on how these factors influence the pricing of insurance plans tailored to small businesses.

Business Health Insurance Plans Сomparison

The cost of your policy can change depending on factors like your age, the hospitals covered, the excess you choose, and how much coverage you want. On average, it costs around £52 per month per employee in February 2024. But this can vary a lot, from £28 to £120 per month. For instance, if you’re over 50, you might pay more than someone who’s 20.

Let’s take a look at the price list for different levels of coverage based on the age of the policyholders, all with a £100 excess:

Level of cover and price per employeeAge 20Age 30Age 40Age 50Age 60
Basic Cover£28£31£36£53£81
Mid-Range Cover£35£41£46£61£92
Comprehensive Cover£36£43£49£68£119

From the table provided, the basic cover includes full cancer cover, some outpatient cover, a basic level of hospital list and no additional benefits like dental and mental health.

Comparison by providers

Let’s compare what each provider offers: Bupa, AXA Health, Aviva, and Vitality:

ProviderBasicMid RangeComprehensive
AVIVA£38.56£47.25£58.06
AXA£41.01£51.13£63.99
BUPA£44.89£58.05£62.21
VITALITY HEALTH£36.43£44.97£49.69

These monthly prices are calculated based on an average employee age of 40 years old, across basic, mid-range, and comprehensive cover levels, with a £100 excess, and for a location in HA9. They are accurate as of February 2024 and may vary depending on location, age and the preferences of the company.

Price by number of employees

After researching pricing, we’ve gathered some insights for businesses with employees aged 30 to 40:

For instance, if you have 1 to 19 employees, you might expect to pay around £36 per employee.

With 20 to 49 employees, the cost could decrease to approximately £32 per employee.

And for 50 to 99 employees, the price might drop to about £28 per employee.

It’s important to note that these prices are subject to change, as the cost per person can change based on factors such as your location, the ages of your employees, your group’s risk level for insurance and the health plan you choose.

How to reduce the cost?

Excess

Opt for a higher excess, which reduces premiums by lowering the overall cost of medical care. You can opt for £0, £100, £150, £200, £500, £1000, £2000

Reduce Outpatient Cover

Reducing outpatient cover can lower the monthly premium. For example, opting for limited outpatient cover, such as £750 or 3 consultations, instead of an unlimited outpatient option achieves this.

6-Week Wait

If an employee needs inpatient treatment, the insurer checks the NHS waiting list. If the wait is longer than 6 weeks, the insurer covers private treatment. Otherwise, the procedure is done through the NHS.

Hospital List

Choose a standard hospital list over a London hospital’s list to reduce costs.

Additional Cover Options

Exclude extras like private GP if virtual GP services are already included as standard. Some insurance providers offer mental health support and therapies as complementary.

Underwriting

Opt for tiered underwriting instead of the medical history disregarded option, which may be more expensive. For instance, new joiners can have a moratorium, while management can have a medical history disregarded option.

Consider switching to another provider

By doing so, you can save up to 38% on your renewal premium. Shop around or consult with your broker to find more affordable health insurance coverage elsewhere.

Best Health Insurance Providers for Сompanies

Let’s take a look at some of the main health insurance providers offering company policies in the UK. These summaries provide a quick overview of their benefits, but for more detailed information, it’s best to speak with our broker. They can explain everything in detail and help you choose the best option for your needs.

Vitality

Vitality, a health insurance company based in London, provides a wide range of services for businesses looking after their employees’ health. They also have an impressive rewards program that encourages you and your employees to adopt healthier lifestyles. Here are some of the benefits they provide for businesses like yours, with 1-249 employees:

  • Get up to £100 per year for private prescriptions or minor tests.
  • Access the Virtual GP app for convenient medical consultations.
  • Receive up to 8 therapy or CBT sessions.
  • Enjoy rewards through the Better Health scheme, encouraging you to adopt healthier habits for increased happiness and productivity.
  • Benefit from Better Care, which helps you avoid lengthy waiting lists and speeds up your recovery process.
  • Take advantage of Better Rewards, offering year-round rewards and discounts from top brands, even if you don’t make a claim.
  • Receive NHS Cash benefits, with £250 per night up to £2000 per plan year for hospital stays or £125 per day up to £500 per plan year for other medical expenses.
  • Receive cash benefits for childbirth or adoption, amounting to £100 per child.
  • Enjoy coverage for pregnancy complications.
  • If needed, access weight loss surgery or corrective surgeries, with members contributing 25% of the cost.
  • Health Checks

Aviva

Aviva stands out as a great option for health insurance in the UK, especially for businesses. They provide flexible healthcare plans that can be adjusted to meet the needs of small businesses. Whether you have a team of 1 to 99 employees or 100 to 249 employees, Aviva has tailored packages for you. Their cover options cater to various needs, ensuring that every business finds a plan that suits them best:

  • Standard healthcare cover for employees.
  • Wide choice of specialists and hospitals.
  • Comprehensive Cancer Cover
  • Mental Health Care and ongoing support for mental well-being.
  • Special help for muscle and bone issues.
  • NHS Cash Benefits
  • Coverage for pregnancy complications.
  • Online consultations for easy medical advice.

Bupa

Bupa is a top medical insurance provider in the UK. Their small business health insurance offers four different levels of coverage to suit different budgets. These plans are for organisations with up to 250 employees. Along with the basic coverage, Bupa also provides some standout features:

  • Round-the-clock access to a qualified nurse through Bupa Anytime Healthline.
  • Unlimited GP appointments through the Bupa Digital GP app provided by Babylon, along with a symptom checker.
  • Mental health coverage options.
  • Access to a network of 600 hospitals under Bupa.
  • NHS Cash Benefits Comprehensive cancer cover

AXA Health

AXA is one of the best international insurance companies, headquartered in France, with operations worldwide. Their Small Business Health Insurance plans cater to teams with 1 to 249 employees. Along with the basic coverage, they offer lots of additional benefits:

  • Physiotherapy consultations through the Working Body service, where you can talk to an expert online or over the phone.
  • Up to 40% discount on monthly membership fees for Fitness, Nuffield Health and Wellbeing benefits, as well as Hussle Monthly+ passes.
  • Coverage for cancer care and heart conditions.
  • 24/7 online GP service with AXA Doctor at Hand or Doctor Care Anywhere.
  • Fast-track services to see specialists promptly.
  • NHS Cash Benefits
  • Extensive hospital list 
  • Gym discounts

Freedom Health Insurance

Freedom Health Insurance, a family-run company in the UK, provides cover for groups of any size, offering various underwriting options. They offer a basic plan with essential employee benefits similar to a cash plan, or you can customise a comprehensive package with optional features for small businesses:

  • Out-patient treatments cover specialist fees, diagnostic tests, and physiotherapy.
  • NHS Cash benefit provides compensation of up to £100 per day or £200 per night.
  • A wide selection of hospitals and consultants for your convenience.
  • Comprehensive cancer coverage.
  • Accommodation in private hospital rooms for added comfort during treatment.

Choosing the right insurer ultimately depends on personal preferences and business needs. However, a wise approach would be to consult with a broker to gather extensive information. Leaving the negotiation process to our experts at Premier PMI allows you to focus on your business without added stress.

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FAQ

Private health insurance premiums are considered a legitimate business expense. Therefore, if your limited company covers the cost of your medical insurance, you’re eligible to claim corporation tax relief on the premium amount. However, when employees get insurance as part of their benefits, it’s seen as a perk they have to pay tax on. So, employers have to report this benefit to HMRC using a form called P11D, and employees might see a bit of their salary go towards taxes because of it.

Small business insurance typically works by offering coverage to your employees and providing access to medical services and treatments. You can choose to pay for this insurance yourself as a benefit to your employees, or you can deduct a portion of the insurance cost from your employees’ salaries. In either case, employees gain access to private healthcare benefits such as doctor visits, hospital stays, prescription medications, and other medical services, depending on the specifics of the insurance plan provided by the company.

If you have a limited company, you can pay for the cost of your private medical insurance, whether you’re getting coverage just for yourself or for your staff as well. However, it’s important to think about how this choice might affect your taxes personally. You’ll want to weigh whether it’s better to pay for your medical insurance directly or have your company cover it.

If traditional medical insurance is too expensive, consider these alternatives:

  • Health Cash Plan covers everyday health needs 
  • Employee Assistance Programme offers mental health support 
  • Group Income Protection provides sick pay and support for a faster return to work
  • Critical Illness Cover aids employees dealing with critical illnesses 
  • Dental care/optical coverage can be standalone or combined with other plans
  • Life Insurance

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