While most of us would not want to be without the NHS or the services of Manx Care, there is no denying that services have become extremely stretched in recent years. This has been made worse by the pandemic, and it could take years, as well as significant commitment by the government, to bring the service back into line with the public’s expectations.

Rather than wait to have routine investigations and procedures completed on the NHS or via Manx Care, many of us are opting for private healthcare. This can help to cut waiting times, grant access to high-quality medical care as well as relieving the pressure on Government services.

How does Private Healthcare work?

Private healthcare operates as an insurance policy. You pay a monthly premium, and in exchange, the insurer will pay for certain medical treatments, tests, and therapies.

Many employers now offer private healthcare, which can be extremely cost-effective. Group plans are usually cheaper than individual policies, and the employer will benefit if their employees are treated, and able to return to work more quickly. If you receive private healthcare from your employer, you will need to pay tax on the cost of your premiums.

If your employer doesn’t offer this, or you want to buy a more comprehensive policy, you can set this up directly through one of our financial advisers on the Isle of Man. You can apply as an individual, or you can add your spouse and family members.

If you are a business owner, you can set up private healthcare through your company for yourself and your employees.

To claim on the policy, you would normally start by visiting your usual GP, although many healthcare policies now offer private GP consultations. Your GP would then refer you for the appropriate treatment.

Depending on the policy and the type of treatment, you may need to pay a contribution to the cost, known as an ‘excess.’ This could be up to a few hundred pounds. The higher the excess, the lower your monthly premiums will be and can be tailored to your needs.

What will be covered?

It’s important to check the coverage of your private healthcare plan, as they do not all work in the same way. The more comprehensive the plan and the options you have chosen, the more expensive it will be.

Typically, you can expect your policy to be able to cover the following:

  • Tests, diagnosis, and consultations with a specialist
  • Hospital treatments, either as an in-patient or out-patient
  • Physiotherapy and rehabilitation from injuries
  • Mental health treatment
  • Some insurers offer cover towards travel costs, on and off the island

Many plans will also offer dental or optical cover as well a variety of other additions.

Policies are intended to work in tandem with Government services, rather than as an end-to-end replacement.

Many insurance plans offer additional incentives with your cover. Free health checks and discounts on gym memberships or fitness equipment are widely available with any participating partners. It’s worth shopping around for the best premium and thinking carefully about which additional benefits you would actually use. Doing so, you will be able to achieve a high-quality plan, covering what you think you may actually need at an affordable cost.


No private healthcare plan covers everything, and there are some situations where you may need to use the services of Manx Care, the NHS or self-fund your treatment. For example:

  • Emergencies such as accidents, heart attacks, or strokes
  • Treating pre-existing conditions or chronic illnesses not covered by your plan
  • Normal pregnancy and childbirth
  • Cosmetic surgery

Private healthcare is best suited to acute, or short-term conditions which require a specific treatment.

Why should you choose Private Healthcare?

If your employer offers private healthcare, or you can afford the premiums on an individual basis, it is definitely worth considering. The main benefits are:

  • Reduced waiting times if you need to undergo tests or treatment.
  • More choice over the hospital and doctor you use.
  • You will usually be offered a private room for your stay in hospital, with a higher standard of accommodation than the NHS can provide.
  • You can sometimes access treatments or medications that are not available through Government services.
  • Continuing support and policy benefits to help maintain your health.
  • Opting for private treatment can help to reduce the strain on Manx Care/NHS services and free up resources.

What are the downsides?

Like with any insurance contract, you need to weigh up the costs, benefits, and potential risks. If you are young and relatively healthy, there is a good chance that you won’t need to claim on your policy for many years. Older applicants with a history of medical issues may find that their premiums are more expensive, or their existing conditions are excluded entirely.

The potential disadvantages are:

  • Your plan won’t cover every condition or situation. This includes many of the most common reasons for needing medical care, such as pregnancy, accidents needing immediate care, ageing, and chronic conditions requiring routine management.
  • The premiums can be expensive, particularly if you opt for a very comprehensive policy.
  • You need to read your policy conditions carefully before starting on a treatment plan. While the initial treatment may be covered, there may be limits or exclusions that apply later on. This can result in an expensive hospital bill.

Private healthcare should be seen as a complement to Government services, not a replacement. It can help you get back to work more quickly after an illness or injury, and ensure that you are more comfortable during your treatment.  If you use the plan effectively, you can also improve your overall health and access preventative support.

Most people will still need to use Manx Care or the services of the NHS at some point in their lives, even if they have private healthcare. Despite its problems, Government services should not be written off and are incredibly important. It requires public pressure to be funded and managed adequately, but on an individual level, we can be mindful of how we use its resources.

Please don’t hesitate to contact a member of the team to find out more about private healthcare.

Where does your financial adviser come in to all of this?

At Osborne Financial, private healthcare is a key part of our financial planning, no good financial plan is made without the correct protection for your health. It is important when thinking of taking out such plans, that you are taking out the correct type of cover for your personal circumstances, covering what you need most.

We take a fully holistic and thorough approach with reference to insurance, taking a look at your personal and financial circumstances and put together a plan of action.  We take all of the complication away, putting high quality insurance plans in place where required and read all of the fine print for you.

Please do not hesitate to contact a member of the team if you would like to find out more about private healthcare.

The information provided on the pages, blogs and articles contained within this website are solely for information purposes only and do not constitute financial advice. Professional advice should always be sought from a financial adviser.

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