The Exeter Review · Updated May 2026

The Exeter Health Insurance Review: What Health+ Actually Delivers

The Exeter health insurance stands out for one reason most people don’t expect from a smaller insurer: one of the fairest no claims discount structures in the UK private medical insurance market. Small claims under £300 don’t affect your discount at all. Only claims over £2,000 trigger the maximum three-level drop. Combined with individual NCDs per member, that combination is hard to match among the major UK insurers we place.

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★★★★★ 5.0 on Google · reviews · FCA Authorised
Written by Patrick Baxter, Founder & Health Insurance Broker
Fact-checked by Sadie Sansford, Business Development Director
Updated May 2026
14 min read
145k+
UK Members
5 Star
Defaqto Rating
75%
Max NCD Discount
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Friendly Society
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Fair NCD Structure

Claims under £300 don’t affect your no claims discount. Only claims over £2,000 trigger the maximum three-level drop — a forgiving small-claim threshold combined with a high ceiling before the maximum step-down.

Friendly Society Model

Owned by its policyholders, not shareholders. Surpluses go back into the business — which shapes how The Exeter handles claims, underwriting and pricing.

Precise Underwriting

Targeted exclusions rather than broad ones, plus a published “Do Not Disclose” guide for switchers — rare transparency in UK PMI.

How The Exeter Compares

Side-by-side against Bupa, AXA, Aviva, Vitality and WPA.

About Core Cover Customise NCD Costs Underwriting Healthwise Claims Exclusions Comparison Best For FAQs

About The Exeter

Health+ is the product. It comes with strong core cover and no annual limit on inpatient treatment. You choose either a traditional hospital list — where you pick your own specialist — or a guided option where The Exeter recommends a shortlist for you to pick from. The guided route costs around 14% less.

The Exeter is a friendly society registered with the FCA (Mutuals Register no. 91F). No shareholders. All surpluses go back to members. That shapes how they handle claims, underwriting and pricing — and it shows in the service.

We place The Exeter health insurance alongside Bupa, AXA, Aviva, Vitality and WPA. It consistently gets strong client feedback. But there’s one gap worth knowing: the core health insurance policy doesn’t include outpatient consultations or diagnostic tests. You need to add those. Without them, your GP handles the diagnosis on the NHS and private healthcare only kicks in at the treatment stage.

The Exeter was founded in 1927 as the Exeter Hospital Aid Society. It later traded as Exeter Family Friendly Society before rebranding in 2015. Based in Devon, the company has over 145,000 members across health, life insurance and income protection.

The Exeter is owned by its policyholders — not shareholders. It also sells life insurance and protection cover, making it a specialist rather than a general insurer.

Health+ holds a Defaqto 5-star rating. At time of writing (May 2026), The Exeter scores above 4 out of 5 on Trustpilot — fewer reviews than the bigger insurance companies, but consistent. Among UK health insurance providers, The Exeter is smaller but consistently rated highly for claims handling and underwriting fairness.

What Health+ Covers as Standard

Every Health+ policy — whether traditional or guided — starts with the same benefits:

  • Unlimited inpatient and day-patient treatment — hospital fees, consultant fees and nursing costs with no annual limit
  • Complete cancer cover — all stages of cancer from diagnosis through to palliative and terminal care, including the latest drugs and treatments. No time or financial limits
  • Out-patient surgery carried out by a specialist
  • Complex diagnostic tests as an inpatient or day-patient — MRI, CT and PET scans
  • Post-operative physiotherapy — up to three sessions following surgery
  • NHS cash benefit — £250 per night for in-patient stays (up to 30 nights) and £150 per day for day-patient treatment, with a single annual cap of up to £10,000 across both. Increased from £150 to £250 per night in January 2026, with excess deductions removed
  • Unlimited home nursing following inpatient or day-patient treatment
  • Private ambulance when medically needed
  • Parental accommodation if a child under 18 on the policy needs hospital treatment

The cancer cover deserves attention. It covers all stages of cancer with no financial cap. Reconstructive surgery after cancer or covered injury is included as standard. The Exeter’s policy wording on restorative surgery after illness more broadly is worth checking against your specific medical situation — we’ve found it tends to be more generous than several competitors, but exact scope varies by claim type.

Three sessions of post-operative physiotherapy is low. Most clients who need physio after surgery need more than three. If that matters to you, add the therapies option — which gives you £500, £1,000 or unlimited sessions with a physio, chiropractor, osteopath or acupuncturist.

The big gap: there are no outpatient consultations, no specialist fees and no routine tests like blood work, ECGs or X-rays. Those all need the outpatient cover add-on. Without it, you’ll rely on the NHS for diagnosis and only go private for the treatment itself. For some clients that’s fine. For others, it defeats the purpose of having a health insurance policy.

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How to Customise Your Health+ Plan

The core cover is strong but it’s built to be added to. There are three add-ons that let you shape your Health+ policy to your needs and budget.

Outpatient cover

This is the most important add-on. Without it, you have no cover for specialist consultation fees or routine tests like blood work, ECGs, X-rays and pathology tests. Complex scans (MRI, CT, PET) are in core, but the simpler tests aren’t. You can set outpatient limits at £500, £1,000 or unlimited. If you choose £500 or £1,000, that limit is shared between consultation fees and tests — unless you add the outpatient diagnostics upgrade, which makes all tests unlimited and leaves your limit for consultations only.

Mental health cover

Core cover gives you six video counselling sessions per year through the Healthwise app. The add-on goes much further: up to 28 days of inpatient or day-patient treatment, plus unlimited outpatient consultations with psychologists, psychiatrists and CBT therapists. That’s more generous than most providers on the outpatient side.

Therapies cover

Adds access to physiotherapists, chiropractors, osteopaths, acupuncturists, podiatrists, speech therapists and pain clinics. You also get two dietitian consultations per year. Three levels: £500, £1,000 or unlimited. Given that the standard plan only includes three physio sessions after surgery, most clients who want ongoing access add this.

Health+ Traditional vs Health+ Guided — which to pick

Traditional gives you three hospital lists. Essential covers your nearest hospitals. Standard adds the main private hospital groups — Nuffield, Spire, Circle and Ramsay. Extended adds central London facilities. The more hospitals on the list, the higher the price. You choose your own specialist consultation route with a GP referral.

Guided is around 14% cheaper. Your GP makes an open referral and a shortlist of specialists from the pre-negotiated pool is recommended. You pick from that shortlist. This keeps costs within the fee schedule and keeps your level of cover affordable.

Our view: if you’re on a budget, Guided is a smart choice. If you have a preferred consultant or need London access, go Traditional with the Standard or Extended list.

The No Claims Discount Advantage

This is where The Exeter stands out. The NCD runs on a 15-level scale with a maximum discount of 75%. Members move up one level for each claim-free year. Here’s how claims affect it:

  • Claims under £300 in a policy year — no effect at all
  • Claims between £300 and £2,000 — a smaller drop of one or two levels depending on the amount
  • Claims over £2,000 — the maximum drop of three levels
How Claim Size Affects Your NCD
£0 £300 £2,000 £5,000+ 0 levels lost No impact 1–2 levels lost Smaller drop 3 levels lost Maximum drop CLAIM AMOUNT IN A POLICY YEAR Each member has their own NCD — one person’s claim doesn’t drag the others down

Compare that to Aviva, where any claim above the £250 threshold can move your discount down. Or Vitality, which doesn’t use an NCD at all — your renewal is driven by ABC pricing and claims thresholds shared across the whole policy.

Each member on your health insurance policy has their own no claims discount. One person claiming doesn’t drag the others down. For clients who expect to use their cover — even occasionally — this structure means your renewal stays fairer over time. It’s one of the main reasons we recommend The Exeter to clients who want reassurance that using their cover won’t punish them at renewal.

Broker’s View — Why This Matters

The Exeter’s £300 small-claim threshold sits at the top of the UK PMI market — Bupa shares the £300 figure but caps the NCD at 70%, Aviva’s small-claim bar is £250 with a 75% maximum, and WPA upgraded to a £250 threshold with a 73% maximum in late 2025. None of them match the full combination of a high small-claim threshold, individual member NCDs and a forgiving step-down structure The Exeter offers. See our guide to saving money on health insurance for how to use NCD strategically.

How Much Does The Exeter Health Insurance Cost?

Your premium depends on your age, where you live, which extras you pick and whether you choose traditional or guided. To give a rough idea based on a £250 excess, £500 outpatient cover, unlimited outpatient diagnostics, £500 therapies and no mental health cover:

  • Age 30, Guided — around £38 per month
  • Age 30, Traditional (Standard list) — around £44 per month
  • Age 40, Guided — around £48 per month
  • Age 40, Traditional (Standard list) — around £55 per month
  • Age 50, Guided — around £65 per month
  • Age 50, Traditional (Standard list) — around £75 per month
  • Age 60, Guided — around £100 per month
  • Age 60, Traditional (Standard list) — around £115 per month

In independent research, The Exeter consistently comes in below the market average across all age groups. The Guided option is the easiest way to keep costs down without losing the core benefits.

Excess options range from £0 to £5,000. A higher excess lowers your premium but means more out of pocket at claim time. For most clients, £250 is the right balance. See our guide to the average cost of health insurance for wider context. Your actual quote will vary.

How Underwriting Works

The Exeter offers several underwriting options depending on whether you’re new to private health insurance or switching from an existing health insurance provider.

New to health insurance

Two routes. With moratorium underwriting, any medical conditions from the past five years are excluded at first. If you go two years without symptoms, treatment or advice for that condition, it’s covered again. The Exeter can request up to five years of your medical history when you claim to check this.

With full medical underwriting, you declare your medical history up front. The underwriting team reviews it and decides what to cover, exclude or load. What sets The Exeter apart is precision — brokers consistently report that their medical exclusions are more targeted than other insurers. They tend to exclude only closely related conditions rather than applying broad exclusions. They also publish a guide explaining exactly how they’ll treat common medical conditions, which is more transparency than most private medical insurance providers offer.

Switching from another insurer

If you have existing health insurance, the options include continued moratorium or continued personal medical exclusions. Your existing terms carry across. A “Do Not Disclose” guide is published for every common condition. It tells you and your GP exactly which details are relevant and which aren’t — so you don’t over-share and risk unnecessary exclusions. That level of transparency is rare in the market. Talk to us before you switch — we check what transfers and flag any gaps.

Broker’s View — Why Precision Matters

If you’ve had a back issue, anxiety, or another condition in the past five years, the difference between a broad exclusion (“all musculoskeletal”) and a precise one (“lumbar L4-L5 disc”) can be huge over the life of the policy. The Exeter’s underwriting tends towards precision. For clients with medical history, this often makes Health+ more useful than a cheaper policy with sweeping exclusions.

Not Sure About Underwriting?

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The Healthwise App

Every Health+ member gets access to the Healthwise app. It includes:

Unlimited remote GP

Book video consultations with UK-registered GPs at a time that suits you, no annual cap on sessions.

Second medical opinion

Up to two consultations per year if you want another view on a diagnosis or treatment plan.

Mental health support

Up to six video counselling sessions per year — direct access without a GP referral.

Physiotherapy

Up to six video physiotherapy consultations per year for assessment, diagnosis and treatment of musculoskeletal issues.

Dietitian, lifestyle & nutrition

Up to six consultations each per year, covering nutrition advice, lifestyle coaching and dietary planning.

Annual health check

A pin-prick blood test covering 20 markers for the main policyholder — cholesterol, blood glucose, liver and kidney function, with a personalised report.

Unlimited remote GP was added to Healthwise in November 2023. The most recent update, in January 2026, added a redesigned interface, a new ‘My Family’ feature so family members aged 16+ can have their own accounts, and split nutrition and lifestyle into two separate services (six appointments per service, doubled from a previous combined allowance). The annual health check covers 20 biomarkers including cholesterol, blood glucose, liver function and diabetes risk, with a personalised report.

These are genuine additional benefits that add value from day one. The GP appointments alone save you the cost of a private consultation elsewhere. Crucially, using Healthwise services does not affect your no claims discount — the app sits outside the main claims process.

One caveat: these benefits sit outside your Health+ policy terms. They can change at renewal. They’re useful while they last, but don’t choose a plan based on them alone. Also worth noting: the Healthwise physio and counselling sessions are app-based allowances — not a self-referral pathway to unlimited treatment under your main policy cover, the way Bupa Direct Access or Vitality Priority Physio work.

How to Claim

Start by calling The Exeter or logging into the app. If you chose Health+ Guided, The Exeter will recommend a specialist and arrange the appointment. If you chose Health+ Traditional, you book with your chosen consultant and submit the claim. Pre-authorisation is needed for planned treatment — call before you go. For most claims, the hospital invoices The Exeter directly so you don’t pay up front. You only pay your excess. Claims are usually straightforward.

For Healthwise app benefits like remote GP, second opinions and counselling, you book directly through the app without a separate claims process — and these sessions don’t affect your no claims discount.

What Health+ Doesn’t Cover

The standard exclusions are similar to most UK insurers:

  • Chronic conditions — anything long-term like diabetes or arthritis
  • Pre-existing conditions — unless your underwriting allows it
  • Pregnancy and fertility
  • Cosmetic surgery — unless restorative after illness, injury or cancer treatment
  • Mental health — unless you add the mental health cover option (six Healthwise counselling sessions are still in core)
  • Dental, optical and hearing — not available as extras. You’d need a separate policy
  • Weight loss surgery
  • Organ transplants
  • Learning and developmental disorders

The lack of a dental or optical option is a gap. Most other providers let you add a cash benefit for routine dental and eye tests. It’s not offered with Health+. If that matters, you’ll need standalone cover elsewhere.

You can’t apply after your 80th birthday. There’s no upper age limit for existing policyholders, but new joiners are cut off at 80. If you’re close to that age, apply sooner rather than later.

All personal exclusions will be listed in your policy documents. Always read them before you buy.

Our View

The Exeter’s exclusions list is shorter and cleaner than many competitors. Where it falls short is the lack of dental, optical and weight loss surgery cover. If those matter, look at Bupa, AXA or Vitality instead. For everyone else, the trade-off is a tighter focus on medical cover at a sharper price point.

How The Exeter Compares

FeatureThe ExeterBupaAXAAvivaVitalityWPA
Core outpatient includedAdd-on (£500/£1,000/full)TieredAdd-onTiered (£0/£500/£1,000/full)Add-on (caps £500–£1,500 or full)£250
Cancer as standardYes (all stages, no limit)YesYesYesYes (advanced)Diagnosis in core; treatment via Cancer Care optional extra
NCD or renewal modelNCD up to 75% (£300 bar)NCD up to 70% (£300 bar)NCD up to 80% (no general bar)NCD up to 75% (£250 bar)ABC pricing (renewal adjustment, not a traditional NCD)NCD up to 73% (£250 bar)
Max claim before max NCD drop£2,000Cumulative; max 3 levels/yearAny paid claim£250n/a (no NCD)£750
Individual NCD per memberYesYesYesYesNo (shared)Yes
Guided consultant optionYes (Health+ Guided, ~14% off)YesYesYesYes (Consultant Select)No
Self-refer for physioYes (Healthwise, 6/yr)Yes (Direct Access)Yes (Working Body)NoYes (Priority Physio)Yes (Fast Track)
Self-refer for talking therapiesYes (Healthwise, 6/yr)Yes (Direct Access)Yes (Stronger Minds)NoYes (Talking Therapies, 8/yr)Yes (Structured Counselling)
Dental/optical optionNoYesYesYesYesYes
Weight loss surgeryNoNoNoNoYes (75%)No

Based on standard plan terms verified against each provider’s 2026 policy documents (verified 12 May 2026). Check the latest policy documents before you choose. Your actual quote will vary.

The standout: The Exeter has one of the most protective NCD structures in the UK PMI market — combining a £300 small-claim threshold (matched only by Bupa, which caps NCD at 70%), individual member NCDs, and a £2,000 ceiling before the maximum three-level drop. Underwriting precision is also a broker-recognised strength. If you want full cover without being penalised for using it, that combination is hard to match among the major insurance products we place.

Where it falls short: no dental or optical add-on, no weight loss surgery. If those matter, look at Vitality for weight loss surgery and Bupa or AXA for bundled dental.

Who The Exeter Suits — and Who Should Look Elsewhere

The Exeter Is a Strong Fit If…

This plan works best for clients who want strong cover, fair renewal pricing and precise underwriting. If you expect to claim and don’t want your premium punished for it, the NCD structure alone justifies a serious look.

It’s a strong pick for people with conditions in their history. The underwriting is more targeted than most — you’re more likely to get a narrower exclusion rather than a blanket one.

It suits couples and families well. Each person has their own NCD, so one claim doesn’t drag the whole policy up.

Consider Alternatives If…

You want a rewards programmeVitality does that. If you need direct access to a physio or therapist without a referral, WPA and Bupa both offer broader self-refer pathways.

You want dental and optical bundled in — you’ll need to go elsewhere. It’s not offered with Health+.

You’re over 80 and looking for new cover — The Exeter won’t accept you. Look at Aviva or WPA instead — neither has an upper age cap for new joiners. Also see our guide to private health insurance over 50 for age-specific advice.

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Common Questions

Yes. Defaqto 5-star, solid Trustpilot rating, and one of the fairest NCD structures in the market. Smaller than the big names but consistently rates highly for claims handling and underwriting fairness.

Traditional lets you choose your specialist from a hospital list. Guided costs around 14% less — your GP makes an open referral and you pick from a shortlist The Exeter recommends. Same core cover either way.

It depends on your underwriting. Moratorium excludes recent conditions until you’ve been symptom-free for two years. Full medical underwriting assesses your history up front. The Exeter is known for precise, targeted exclusions rather than broad ones.

Yes. Continued moratorium or continued personal medical exclusions are available, so your existing terms carry across. The Exeter also publishes a “Do Not Disclose” guide that explains exactly which details are relevant when switching.

You can’t apply for a new Health+ policy after your 80th birthday. There is no upper age limit for existing members.

It’s not offered with Health+. You’d need separate cover. The Exeter says this keeps the product focused and competitive on price.

It’s a 15-level scale with a maximum 75% discount. Claims under £300 in a policy year don’t affect your discount at all. Claims between £300 and £2,000 drop you one or two levels. Only claims over £2,000 trigger the maximum three-level drop. Each member on the policy has their own NCD.

Still have questions? Talk to an adviser — it’s free.

How to Get Started

We compare The Exeter against every major UK private health insurance provider — including income protection insurance and life cover if you need the full picture. As an independent insurance broker, we work for you, not the insurer. One call, no cost, no pressure.

0203 859 1822

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Patrick Baxter, Founder of My Health Protected and FCA-authorised health insurance broker (FRN 785132) based in London
About the Author

Patrick Baxter

Patrick Baxter is the founder of My Health Protected, an FCA-authorised independent health insurance broker based in London. He has helped hundreds of individuals, families and businesses compare UK health insurance providers including Bupa, AXA, Aviva, Vitality, WPA and The Exeter. This review is based on The Exeter’s current policy documents and our experience placing Health+ plans.

Browse all health insurance guides or get in touch for free, independent advice. LinkedIn →

We provide unbiased, independent comparisons of UK health insurance providers. For personalised advice, get in touch — our advice is free and we’re FCA-authorised.

Disclaimer

This article is for information only. It does not constitute financial advice. Always check the latest policy documents before buying. For personalised advice, contact us directly.

About Exeter Friendly Society Limited

The Exeter is a trading name of Exeter Friendly Society Limited. Authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. Register number 205309. Incorporated under the Friendly Societies Act 1992. Registered office: Lakeside House, Emperor Way, Exeter, England EX1 3FD. Cover is available in England, Scotland, Wales and Northern Ireland across the United Kingdom.

Regulatory Information

My Health Protected is registered in England and Wales and is authorised and regulated by the Financial Conduct Authority under FCA number: 785132. Our registered office is located at 79a High Street, Wimbledon, London, SW19 5EG.

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