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Private Medical Insurance

What is it?

These are policies which provide you with the option of private medical care as an alternative or in addition to the care provided through the Gibraltar Health Authority. Rather than waiting for GHA treatments, Private Medical Insurance (PMI) allows you to bypass the queues for the treatment of curable, short-term medical conditions.

You (and/or your employers) pay monthly or annual premiums, the cost of which is determined by your personal circumstances (e.g., sex, age, previous medical history) and the type of cover you choose. Premiums are reviewable each year.

The advantage of PMI is that you can often choose the place for treatment from a list of international hospitals. As well as avoiding GHA waiting lists, you can usually choose a date and time for treatment which is convenient for you. PMI is relatively flexible. The number of claims you make each year is not usually limited. Where you choose to be treated and the level of cover required would determine the premiums you pay.

What is covered?

Typically, PMI policies will not cover pre-existing conditions, long-term or chronic conditions, HIV/AIDS-related conditions, cosmetic treatment, outpatient drugs and dressings, among many other things. There are generally two types of policies to choose from: a comprehensive policy and a low-cost/budget policy. 

As a comprehensive policyholder the insured could expect:

In-patient treatment

  • Hospital charges, including accommodation, nursing care, meals, drugs and dressings.
  • Specialist fees.
  • Tests, including X-rays, CT scans and MRI scans.
  • Radiotherapy/chemotherapy.
  • Psychiatric treatment.
  • Out-patient treatment.

Out-patient treatment and benefits

  • Consultations with a specialist.
  • Nursing at home.
  • Private ambulance.
  • Complementary medicine.
  • Minor surgery.
  • Hospice care.

You can also keep costs down by agreeing to pay a larger share of the claim cost or by being less constrained in your hospital choices.

PMI insurers may offer no-claims bonuses to limit premium increases or reduce the costs, giving you an incentive to avoid minor claims. Some insurance companies will settle the medical bills directly with the hospital or consultants rather than you having to pay and then claim the money back.

Contact Castiel Winser today to find out how we can tailor cover to meet your individual circumstances.