Company Health Insurance pays for your employees to have medical treatment in private hospitals and facilities. Offering private healthcare lets your staff bypass potentially long NHS waiting lists and receive treatment when they need it most. This can help them to get back on their feet and return to work quicker.
As far as an employee benefit goes private medical insurance is the most sought-after paid benefit among workers and therefore a very popular policy.
It is designed to cover the cost of medical care to help speed up the diagnosis, treatment and recovery of an acute medical condition which might include:
In addition to having access to the latest medical treatments and medications some of the other perks you can expect from your business private health insurance plan include:
It is important to note that Private medical insurance is primarily designed to cover acute conditions which are defined as conditions that can be reversed with medical treatment.
An example of an acute condition would be the need for a hip replacement, which can be solved by replacing the joint. The NHS will still be required for treating and maintaining chronic conditions such as asthma and diabetes.
All medical care is divided into:
While inpatient treatment tends to be covered in full you will need to decide upon the level of outpatient cover you wish to provide. You have three options:
The more outpatient cover you choose to provide the more comprehensive your policy and the less your employees need to rely on the NHS.
All of the leading UK private medical insurance companies now have pledges in place to cover cancer in full.
As a result of this your employees will have access to cutting-edge cancer treatment through their business health insurance should they ever need it. This often includes drugs and procedures that don’t tend to be available on the NHS because the cost is prohibitive.
Other benefits of private cancer care can include:
Most policies now come with a digital GP service. These offer staff appointments with a GP, usually 24 / 7, from the comfort of their own home.
Typically via a smartphone app, these video calls with a remote GP mean covered employees no longer need to wait for an NHS GP appointment. They also can have an appointment outside office hours, so they don’t need to miss work.
Remote GP services can also make referrals for further private healthcare treatment if necessary.
Pre-existing conditions are not always covered under a company health insurance policy however this will largely depend on how your group policy is underwritten.
Depending on the cover levels you choose for your policy, pre-existing acute conditions will either be completely excluded, temporarily excluded, or covered regardless.
Some of the other most common exclusions are:
With it being so popular, there are a number of good reasons to introduce health insurance for your employees.
Whether it’s a simple trip to the GP, a dodgy back or something more serious such as cancer, everyone needs healthcare at some point.
Although it’s true that we’re incredibly fortunate to have the NHS in the UK picking up the bill for most of our healthcare, the reality is that the system is under strain.
For instance, at the end of March 2020, the NHS revealed that there were 4.24 million people on NHS waiting lists in England awaiting treatment. More than 1 in 5 such people had been waiting more than 18 weeks.
|
Benefits of Company Health Insurance |
|
|---|---|
|
For Employer |
For Employee |
|
Improved Employee Retention |
Reduced wait times for treatment |
|
Reduced absenteeism |
High quality private medical facilities and treatment |
|
Improved job satisfaction |
Flexible and consistent care from specialists |
For larger organisations there is strength in numbers and if one employee suffers an illness which leaves them on an NHS waiting list for treatment their workload can often be managed by the rest of their team.
For smaller firms those resources may not be available leaving an absent employee’s workload with nowhere to go. A small business health insurance plan can be set-up for companies with two or more employees.
Ensuring the workforce of a small business is healthy and can access treatment quickly could make all the difference when it comes to delivering business as usual.
If you are a small business owner wanting to pay for individual private health insurance through your limited company you can set-up a director health insurance policy.
It will be taxed in the same way as a company health insurance policy and it will be treated as a P11d benefit.
Getting an accurate quote for a Business Health Insurance policy by yourself is no easy feat. There are so many policy options and details around your business that can influence the price of your policy.
Below we’ve provided examples of the average cost of health insurance per employee for different size businesses however we’ve had to make some assumptions about the level of cover. For instance, we’ve assumed:
| Average cost per employee |
|---|
| 10 Employees |
| £54.54 per month |
| 50 Employees |
| £35.36 per month |
| 100 Employees |
| £28.79 per month |
Note that these premiums are for illustration purposes only. The cost per employee for your business will depend on a wide variety of factors, so it’s always best to seek advice.
If you need any help we are on hand to do the market research and provide you with options from all the leading UK insurers. We are independent experts who provide fee-free advice and your premiums will be the same whether you use us or go direct.
Pop our team a call on 02074425880 or email help@drewberry.co.uk
In addition to the level of outpatient treatment you choose to provide there are a number of other common policy options you will need to consider when setting up your company medical insurance.
An excess is the money employees pay upfront towards a claim before the policy covers the rest. Adding an excess can cut the cost of the scheme by reducing the insurer’s overall bill for your workers’ medical care. Excesses commonly start from £100 (although an excess of zero is possible).
Not every scheme includes psychiatric care as standard, even though it’s one of the most sought-after options. However, it can also be one of the most expensive. This reflects how difficult some mental health conditions are to treat.
Most policies cover surgical procedures such as cataract removal or wisdom tooth extraction. However, routine dental and optical treatments such as checkups and eye tests don’t tend to be covered. Adding this option allows employees to claim for such expenses.
Here, insurers only pay a claim if the NHS wait for the inpatient procedure an employee needs is longer than 6 weeks. If the wait is shorter than 6 weeks, then the patient would receive treatment via the NHS.
Some employers extend coverage to family members. This can either be company-paid or employee-paid. You may find this beneficial as it can reduce the amount of time employees are absent while caring for ill family members.
The type of medical underwriting you choose can have a big impact on what your scheme covers and the price per employee.
The two most common types of underwriting are:
The cheapest option. However, it’s the most time-consuming to apply for, requiring all employees to disclose their medical history.
It’s common in small business health insurance schemes which only cover a handful of employees. Usually, the insurer excludes any pre-existing conditions an employee declares.
The most common underwriting, this needs much less paperwork than FMU as staff don’t have to declare their medical history.
The insurer excludes conditions an employee has suffered in the 5 years up to the policy’s start date. However, if they serve at least 2 years on the scheme without treatment, medication or advice for that condition, the insurer may look to include it going forward.
More on the difference between full medical and moratorium underwriting here >>
Something to bear in mind with Moratorium Underwriting is that you cannot be sure what you are covered for until you try to claim.
Because insurers don’t take your medical information when you apply, they will look at your medical history when you put in a claim to see if they will be able to cover you.
Martyn Coates
Employee Benefits Adviser at Drewberry
A third choice for larger companies (of at least 20-25 workers) is medical history disregarded underwriting.
The best type of underwriting, this ignores your employees’ medical history. It therefore includes all pre-existing conditions, which means it can provide cover to employees who might not be able to get it anywhere else.
However, it’s the most expensive option.
For the company, the policy is usually a business expense and is not liable for corporation tax.
However, it is a P11D / benefit in kind for the employees receiving the benefit. That means employers need to fill out a P11D form to declare it to HMRC, which then taxes staff accordingly.
HMRC usually taxes premiums through a reduction in a covered employee’s personal allowance. This will be by the same figure as the price of the premiums paid on their behalf. After this deduction, employees can earn less before tax kicks in.
Usually you need 3 employees to set-up a group scheme. If you only have two employees the premiums tend to be the same whether it is set up as a business or as individual policies.
If you are requiring a policy without any medical underwriting (commonly known as Medical History Disregarded) you are likely to need at least 20 employees on the scheme.
A company paid medical insurance policy is considered a business expense and the company will gain Corporation Tax Relief but will need to pay Employers National Insurance contributions.
It is important to note Private Medical Insurance is classed as a P11d Benefit in Kind which means the employee must pay personal tax on the value of the benefit they have received.
Most company schemes will not cover pre-existing medical conditions as they are either underwritten on a moratorium or full medical underwriting basis. In both cases the current state of health of the employee is taken into account when approving a claim.
There is an option called Medical History Disregarded where pre-existing conditions will be covered. This tends to be reserved for larger schemes and is more expensive per employee.
Some UK insurers provide a set number of days per year they will cover overseas travel.
Other insurers have bolt on options where you can add an element of travel abroad. Some companies choose to set-up a separate travel insurance policy for their employees as it can be more cost-effective.
If you have employees who are stationed overseas for a prolonged period of time you may want to consider international health insurance for your staff.
As a team of experts providing independent advice we work with all the leading UK insurers.
There has been some consolidation over the years which has resulted in the bulk of the employer health insurance market now being made up of four main insurers:
Some insurers are better priced for a younger workforce where others tend to come out more competitive depending on where in the country your employees are located.
To get the best deal for your business when setting up a health insurance scheme we will obtain quotes from all the top UK insurers.
In addition to the core cover each of the above Business Health Insurance providers has a number of additional everyday benefits. These often include:
Given its popularity, business medical insurance is often one of the first benefits employers introduce into the workplace.
It can form a valuable cornerstone of any employee benefits package. Other insurances you might look at to round off your benefits package include:
Not everyone has the time to do the heavy lifting required to sort out a competitive employee benefits package for their staff.
We have all the specialist knowledge as well as whole-of-market access to ensure you get the best deal for your business. That way you can focus on what you’re best at: Delivering your own proposition.
We started Drewberry™ because we were tired of being treated like a number.
We all deserve a first class service when it comes to things as important as protecting our health and our finances. Below are just a few reasons why it makes sense to talk to us.
If you need help setting up private medical insurance for your employees don’t hesitate to give us a call on 02074425880 or email help@drewberry.co.uk.
The staff have been very knowledgeable and I have enjoyed working with Nadeem on setting up our plan.
Or call us on 0208 432 7333
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