Health Insurance

Corporate health and wellbeing for UK employers

Corporate health and wellbeing covers the private medical insurance, cash plans, and support programmes employers use to keep staff healthy and reduce sickness absence. This guide explains the options, typical costs, and how to choose the right package for your business.

  • Compare cover across insurance, cash plans, and EAPs
  • Access expert advice with no pressure to proceed
  • Support for businesses of every size, from 2 to 250+ employees

What is corporate health and wellbeing?

Corporate health and wellbeing is the range of benefits, programmes, and support that employers provide to look after their employees' physical, mental, and financial health. It goes beyond statutory requirements like sick pay to build a broader system of support, and might also be called workplace wellbeing, employee health benefits, or corporate wellness.

  • Most packages combine private medical insurance for fast access to treatment, health cash plans for everyday costs like dental and optical care, and an Employee Assistance Programme (EAP) for confidential counselling and support
  • Corporate health insurance typically costs £25 to £150 per employee per month, depending on cover level and the age of your workforce
  • Health cash plans are more affordable, usually £4 to £25 per employee per month
  • EAPs now cover an estimated 75% of the UK workforce and can cost as little as £10-£20 per employee per year
  • Premiums are generally corporation tax deductible for the business, though employees pay income tax on the benefit as it's classed as a benefit in kind

The right combination depends on your budget, workforce demographics, and what you're trying to achieve, whether that's reducing sickness absence, supporting recruitment, or meeting your duty of care to staff.

Compare corporate health and wellbeing options for your team

Speak to a specialist about combining private medical insurance, cash plans, and EAPs for your business.

What is corporate health and wellbeing?

Corporate health and wellbeing refers to the range of benefits, programmes, and initiatives employers provide to support their employees' physical, mental, and financial health. It goes beyond basic statutory requirements like sick pay and pension contributions to create a broader system of support for your workforce.

You might also hear it called workplace wellbeing, employee health benefits, or corporate wellness programmes. Whatever the terminology, the purpose stays the same: helping employees stay healthy, reducing sickness absence, and building a workplace where people can thrive.

A typical corporate health and wellbeing strategy might include:

  • Private medical insurance to bypass NHS waiting times
  • Health cash plans for everyday healthcare costs like dental and optical
  • Employee Assistance Programmes offering confidential counselling
  • Mental health support and manager training
  • Wellness apps and fitness benefits
  • Income protection for long-term illness

Example: a Manchester-based tech company with 45 employees introduced a package combining group private medical insurance (in the £40-£60 per employee per month range) with a health cash plan (around £5-£10 per employee per month). Within the first year, they reported a meaningful drop in sick days and improved scores on their employee satisfaction survey, with the annual investment more than offset by reduced absence costs and better retention.

Good to know

Lawrence Howlett

If budget is tight, you don't need private medical insurance to make a difference. An Employee Assistance Programme combined with a health cash plan costs a fraction of full private medical cover and still gives employees tangible, frequently used support.

Lawrence Howlett,Founder of Money Saving Advisors

Why corporate health and wellbeing matters

The business case for investing in employee health has never been stronger. Several factors are pushing UK employers to prioritise wellbeing benefits, from strained NHS capacity to a more competitive job market.

The business case

Why corporate health and wellbeing matters

NHS waiting times create real business impact

The NHS waiting list stands at around 7.4 million patients, with only about 60% seen within the 18-week target. Private cover typically means employees can see a specialist within days, cutting the time they spend working through pain or waiting for treatment.

The cost of poor employee health

The average UK employee now takes 9.4 sick days a year, the highest figure recorded in over 15 years, with mental ill health the leading cause of long-term absence. For a small team, even one long-term absence can be seriously disruptive.

Recruitment and retention benefits

Employees increasingly weigh health and wellbeing support alongside salary when comparing job offers, and many say they'd consider leaving an employer that doesn't focus on it. Strong benefits signal that you genuinely care about your team.

Types of corporate health and wellbeing benefits

Corporate wellbeing isn't one-size-fits-all. Different benefits serve different purposes, and the right combination depends on your budget, workforce demographics, and company culture.

Private medical insurance (PMI)

Private medical insurance is the flagship corporate health benefit. It gives employees fast access to private consultants, scans, and treatment without NHS waiting times. Most policies cover:

  • Inpatient and day-patient hospital treatment
  • Consultant consultations and specialist referrals
  • MRI, CT, and PET scans
  • Cancer treatment and care
  • Mental health support, often as an add-on
  • 24/7 virtual GP access

Typical costs: £25-£80 per employee per month for standard cover, rising to £90-£150+ for comprehensive policies including outpatient benefits.

Best for: businesses wanting to reduce absence from serious health issues and attract strong candidates.

Health cash plans

Health cash plans work differently from insurance. Instead of covering major medical treatment, they reimburse employees for everyday healthcare costs. Submit a receipt for a dental check-up, eye test, or physiotherapy session, and receive cashback up to your annual limit.

Typical coverage includes:

  • Dental treatment and check-ups
  • Optical care and glasses
  • Physiotherapy and osteopathy
  • Chiropody and podiatry
  • Consultations and health screenings

Typical costs: £4-£25 per employee per month depending on cover levels.

Best for: businesses wanting an affordable way to support employee health, particularly if full private medical insurance isn't in budget.

Employee Assistance Programmes (EAPs)

EAPs provide confidential support for employees dealing with personal or work-related problems. They typically include a 24/7 helpline staffed by trained counsellors, plus structured counselling sessions for those who need more support.

According to the UK Employee Assistance Professionals Association, EAP services are now available to an estimated 24.45 million employees across more than 105,000 organisations, covering around 75% of the workforce.

Common EAP services include:

  • Telephone and video counselling
  • Face-to-face therapy sessions
  • Legal and financial guidance
  • Debt and money advice
  • Bereavement support
  • Relationship counselling

Typical costs: £10-£20 per employee per year for basic cover, more for enhanced programmes.

Best for: every business. EAPs offer strong value and work as a standalone benefit or alongside health insurance.

Mental health support

Beyond EAPs, many employers now offer dedicated mental health benefits, including:

  • Mental health first aid training for managers
  • Subscriptions to therapy apps
  • Access to online therapy platforms
  • Mental health days as part of leave policy
  • Manager training on having sensitive conversations

The CIPD found that mental health remains a key focus of organisations' health and wellbeing activity, with 89% of employers prioritising it.

Wellness and lifestyle benefits

Modern wellbeing programmes often include broader lifestyle support:

  • Gym membership discounts or subsidies
  • Fitness apps and wearable technology
  • Health screening and check-ups
  • Nutrition advice and healthy eating initiatives
  • Cycle-to-work schemes
  • Mindfulness and stress management programmes

Some insurers integrate these into their health insurance policies, rewarding healthy behaviours with lower premiums and perks.

Expert insight

Lawrence Howlett

Before buying an EAP separately, check what's already bundled with your health insurance or cash plan. Many providers now include a basic EAP as standard, so you might already have this cover without realising it.

Lawrence Howlett,Founder of Money Saving Advisors

Group cover

Not sure which benefits suit your team?

An advisor can compare private medical insurance, cash plans, and EAPs to help you find the right combination for your budget.

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How much does corporate health and wellbeing cost?

Understanding the true cost of corporate health benefits helps you budget effectively and make informed decisions.

Private medical insurance costs

Corporate health insurance pricing depends on several factors:

What affects your corporate health insurance premium

Factor
Impact on premium
Employee ages
Older workforces cost significantly more
Number of employees
Larger groups often get better rates per head
Cover level
Comprehensive plans cost 2-3x basic cover
Location
London and the South East typically cost more
Excess amount
A higher excess reduces premiums
Claims history
Previous claims can increase renewal prices

Typical price ranges:

  • Basic SME cover: £20-£40 per employee per month
  • Mid-range with outpatient benefits: £40-£70 per employee per month
  • Comprehensive with mental health and therapies: £80-£150+ per employee per month

For a company with 20 employees averaging age 40, expect to pay roughly £800-£1,400 per month for mid-range cover, or £9,600-£16,800 annually.

Health cash plan costs

Cash plans are considerably more affordable:

  • Entry level: £4-£8 per employee per month
  • Standard cover: £8-£15 per employee per month
  • Enhanced cover: £15-£25 per employee per month

A 20-person company could provide health cash plans for as little as £1,920-£6,000 a year.

EAP costs

Employee Assistance Programmes offer strong value:

  • Basic telephone EAP: £8-£12 per employee per year
  • Enhanced with counselling sessions: £12-£20 per employee per year
  • Comprehensive with manager support: £20-£30+ per employee per year

For that same 20-person company, EAP costs would range from £160-£600 a year.

Tax treatment

Business health insurance premiums are generally corporation tax deductible as a legitimate business expense. But employees receiving the benefit pay income tax on its value, as it's classed as a benefit in kind and must be reported on P11D forms.

Example: £600 annual premium treated as a benefit in kind

Employee's tax rate
Additional income tax owed
20% taxpayer
£120 a year
40% taxpayer
£240 a year

Most employees consider this a worthwhile trade-off for the benefit received.

Benefits of corporate health and wellbeing programmes

Investing in employee wellbeing can deliver returns across several areas of the business.

Reduced sickness absence

The most direct benefit is fewer sick days. When employees can access treatment quickly rather than waiting months on NHS lists, they recover faster and return to work sooner. Private health insurance typically means seeing a specialist within days rather than weeks.

The CIPD found that 36% of organisations with employees working from home report decreased sickness absence, suggesting that flexible working combined with health support creates compounding benefits.

Improved productivity

Employees who feel supported tend to perform better. The government's Thriving at Work review estimated a return of £4.20 for every £1 spent on mental health interventions, and poor mental health costs UK employers significantly each year through reduced productivity, even when staff are physically present.

Better recruitment and retention

In a competitive job market, benefits packages matter. Comprehensive health cover can differentiate you from competitors and help attract candidates who might otherwise choose larger companies with established benefits.

For retention, employees with good benefits are less likely to leave. The cost of replacing an employee, including recruitment, training, and lost productivity, typically runs to several months' salary, making retention-focused benefits a sound investment.

Demonstrates duty of care

UK employers have a legal duty of care to support employee wellbeing under the Health and Safety at Work etc. Act. While EAPs and health insurance aren't legally required, they demonstrate genuine commitment to this duty.

Supports an ageing workforce

With people working longer, health needs increase with age. Corporate health benefits help manage conditions that become more common in older workers, keeping experienced employees productive rather than losing them to ill health.

Expert insight

Lawrence Howlett

The return on wellbeing spending is easiest to see in retention. Replacing an experienced employee typically costs several months of their salary once you factor in recruitment, training, and lost productivity, so even a modest benefits package can pay for itself several times over.

Lawrence Howlett,Founder of Money Saving Advisors

Corporate health and wellbeing by business size

The right approach varies depending on whether you're a startup, growing SME, or larger organisation.

By headcount

Corporate health and wellbeing by business size

1

Startups and micro-businesses (1-10 employees)

With tight budgets, focus on high-value, low-cost options. An EAP is affordable at £10-£15 per employee per year, and a health cash plan adds tangible benefits from £5-£10 per employee per month. Many startups begin with these two and add private medical insurance as they grow.

2

Small businesses (11-50 employees)

Full private medical insurance becomes more feasible at this size. Group schemes from providers like Aviva and Bupa work well, and it's worth considering tiered cover, enhanced for senior roles and standard for others, plus a stronger focus on mental health cover.

3

Medium businesses (51-250 employees)

Larger teams justify more sophisticated approaches, including flexible benefits where employees choose what suits them, Medical History Disregarded underwriting to cover pre-existing conditions, occupational health integration, and using claims data to spot workforce health issues.

4

Corporate and enterprise (250+ employees)

Large organisations can negotiate bespoke arrangements, including enhanced corporate schemes, global coverage for international teams, wellbeing programmes integrated across HR systems, and onsite health services or screenings.

Choosing the right corporate health provider

The UK market includes several major insurers and specialists. Here's how they compare.

Major health insurance providers

Bupa

The UK's largest private health insurer, Bupa owns hospitals and clinics alongside providing insurance. Their SME plans cover 2-249 employees with strong mental health support and 24/7 digital GP access. Known for comprehensive cover, though not always the cheapest option.

Aviva

Aviva's Solutions plan is designed specifically for SMEs, combining competitive pricing with comprehensive cover including cancer care and mental health as standard. Often a strong option for small businesses wanting straightforward, quality cover.

AXA Health

Strong on wellbeing integration, AXA combines traditional health insurance with preventive programmes. Good for businesses wanting to encourage healthy behaviours alongside treatment cover.

Vitality

A rewards-based model that incentivises healthy behaviours with gym discounts, technology rewards, and lower premiums for active members. Appeals to younger, health-conscious workforces, though the rewards programme adds complexity.

WPA

A not-for-profit provider focused on service rather than shareholder returns. Known for flexibility, though policies can be harder to compare like-for-like with larger insurers.

Employee Assistance Programme providers

Major EAP providers include Health Assured, PAM Assist, and Optima Health. Many health insurers also bundle an EAP with their policies, so check whether yours already includes one before buying separately.

Health cash plan providers

Popular health cash plan providers

BHSF

One of the largest health cash plan providers, BHSF has served businesses since 1873. Plans start from around £4 per employee per month with straightforward claims processes.

Health Shield

Offers flexible cash plans with good online tools and employee engagement features. Popular with SMEs wanting to supplement or replace traditional health insurance.

Medicash

Provides cash plans alongside other wellbeing services, with a reputation for good customer service and efficient claims handling.

Why compare corporate health and wellbeing options with an advisor?

  • Access advice across cover types, from private medical insurance to cash plans and EAPs
  • Compare quotes from providers such as Bupa, Aviva, AXA Health, Vitality, and WPA
  • Access expert advice with no pressure to proceed

How to implement corporate health and wellbeing

Implementing a wellbeing strategy takes more planning than simply buying a policy. Before choosing benefits, it helps to understand your starting point: your current sickness absence rate, the main causes of absence, what you already offer, your budget, and what employees actually want. Employee surveys can reveal surprising insights, you might assume everyone wants gym memberships when mental health support is actually the priority.

How it works

How to implement corporate health and wellbeing

1

Assess your current position

Understand your sickness absence rate, its main causes, what benefits you already offer, your budget, and what employees actually want.

2

Define your objectives

Be clear about what you're trying to achieve, whether that's reducing sickness absence, improving satisfaction scores, supporting recruitment, or meeting duty of care obligations.

3

Choose appropriate benefits

Match benefits to your objectives and budget: an EAP plus cash plan for limited budgets, private medical insurance if absence reduction is the priority, or a comprehensive package if recruitment is the focus.

4

Get quotes and compare

Don't accept the first quote. An advisor can compare options across multiple providers and negotiate on your behalf.

5

Communicate effectively

Explain clearly what's covered, how to access each benefit, who to contact with questions, and any costs or tax implications. Many providers offer launch materials to help.

6

Encourage engagement

Remind staff about services like the EAP regularly, celebrate when employees use preventive care, and share anonymous usage data to demonstrate value.

7

Review annually

At renewal, check whether absence has changed, how the claims experience has been, whether employees are satisfied, and whether your workforce has changed enough to adjust cover.

Corporate health and wellbeing risks and considerations

While the benefits are significant, there are considerations to keep in mind.

Pre-existing conditions

Standard private medical insurance doesn't cover pre-existing conditions. If an employee has diabetes, a previous back injury, or an ongoing mental health issue, these typically won't be covered. It's worth communicating this clearly to avoid disappointment.

Benefit in kind tax

Health insurance provided by employers is taxable for employees. While the benefit usually outweighs the tax cost, some employees on tight budgets might prefer higher salary instead. Offering flexible benefits lets people choose.

Rising premiums

Health insurance premiums tend to increase annually, driven by medical inflation, claims experience, and an ageing workforce. Budget for 5-10% annual increases and review regularly to make sure you're still getting value.

Coverage limitations

Even comprehensive policies have exclusions. Typical limitations include:

  • Cosmetic procedures
  • Chronic condition management
  • Fertility treatment
  • Routine pregnancy care
  • Pre-existing conditions

Make sure employees understand what's covered before they need to claim.

Administrative burden

Managing health benefits creates ongoing work: processing joiners and leavers, handling P11D reporting, answering employee questions, and managing renewals. Consider whether you have capacity internally or need broker support.

Good to know

Lawrence Howlett

Larger groups can sometimes access Medical History Disregarded underwriting, which does cover pre-existing conditions, but it comes at a higher premium. Whether it's worth it depends on how many employees are likely to have conditions that would otherwise be excluded.

Lawrence Howlett,Founder of Money Saving Advisors

Corporate health and wellbeing vs alternatives

Corporate health benefits aren't the only way to support employee wellbeing.

Corporate health insurance vs NHS reliance

Advantages of private cover:

  • Faster access to treatment (days rather than months)
  • Choice of consultant and hospital
  • Private rooms and better facilities
  • More flexible appointment times
  • Reduced absence while waiting for treatment

Advantages of NHS reliance:

  • No cost to the business
  • No benefit in kind tax for employees
  • Simpler administration
  • Covers conditions that private insurance excludes

Many businesses use a combination: private cover for conditions where speed matters, the NHS for everything else.

Health insurance vs health cash plans

Choose health insurance if:

  • You want to cover serious medical conditions
  • Reducing long-term absence is the priority
  • You can budget £40-£100+ per employee per month
  • Cancer and mental health cover matter to your team

Choose health cash plans if:

  • Budget is limited, under £25 per employee per month
  • You want to help with everyday healthcare costs
  • Your workforce is generally young and healthy
  • You want tangible, frequently used benefits

Many businesses combine both: insurance for serious conditions, cash plans for everyday healthcare.

In-house vs outsourced wellbeing

Large organisations sometimes bring wellbeing services in-house with occupational health teams, onsite gyms, and internal counsellors. This can work well at scale, but rarely makes sense for SMEs, where outsourced providers tend to offer better value and specialist expertise.

Common questions

Frequently asked questions

Corporate health and wellbeing encompasses all the benefits, programmes, and initiatives employers provide to support employee health. This includes private medical insurance, health cash plans, Employee Assistance Programmes, mental health support, wellness apps, and fitness benefits. The goal is keeping employees healthy, reducing sickness absence, and creating a supportive workplace culture.

Corporate health insurance typically costs between £25 and £150 per employee per month in the UK. Basic cover starts around £25-£40 monthly, mid-range plans with outpatient benefits cost £40-£80, and comprehensive cover with mental health and therapies can exceed £100 per employee per month. Costs depend on employee ages, location, cover level, and group size.

Yes, corporate health insurance premiums are generally treated as a legitimate business expense and can be claimed against corporation tax. But employees receiving the benefit must pay income tax on its value as it's classified as a benefit in kind. This is reported through P11D forms at the end of each tax year.

Health insurance covers the cost of private medical treatment, surgery, and hospital stays. Health cash plans are different. They pay fixed amounts towards everyday health costs like dental check-ups, eye tests, physiotherapy, and prescriptions. Cash plans are much cheaper, often under £20 per month, but don't cover hospital treatment or surgery. Some people have both.

Small businesses don't legally need to provide health insurance, but it can deliver significant benefits including reduced absence, improved recruitment, and better employee retention. Many SMEs start with affordable options like EAPs and health cash plans, adding comprehensive insurance as budgets allow.

EAPs typically include 24/7 confidential helplines staffed by trained counsellors, structured counselling sessions (usually 6-8 per issue), legal and financial guidance, debt advice, bereavement support, and online resources. Some enhanced programmes add manager training, critical incident support, and wellbeing portals.

Private health insurance provided by employers is a taxable benefit in kind. Employers must report the cash equivalent value on each employee's P11D form, and employees pay income tax on this amount at their marginal rate. For example, if insurance costs £600 annually and the employee pays 20% tax, they'll owe an additional £120 in tax.

Yes, director-only health insurance is available and can work well for small businesses. The company pays premiums as a business expense, and directors receive the benefit. This is often a sensible first step before extending cover to all employees.

Standard corporate health insurance typically excludes pre-existing conditions, chronic disease management, cosmetic procedures, fertility treatment, routine pregnancy care, and dental and optical care unless specifically added. Always check policy terms carefully and communicate exclusions clearly to employees.

The most effective approach is speaking to an advisor who can compare quotes across a wide range of providers and explain the trade-offs. Key comparison points include cover levels, mental health provisions, network hospitals, excess amounts, virtual GP access, and additional wellbeing services. Don't just compare headline prices, as policy terms vary significantly.

Most insurers offer group schemes starting from just 2 employees, with some accepting single-director policies. True SME schemes typically cover 2-249 employees, with different underwriting approaches and pricing structures for larger groups.

Mental health coverage varies by policy. Many modern policies include some mental health provision, but the extent differs significantly. Some offer comprehensive psychiatric and psychological treatment, others provide limited outpatient counselling. Check specifically what's included, as mental health has become a key differentiator between policies.

With private health insurance, employees can typically see a consultant within days of referral, compared to weeks or months on the NHS. For routine diagnostics and treatment, most insurers aim for appointments within 1-2 weeks. Emergency care remains an NHS responsibility.

Many policies allow employees to add spouses, partners, and children at additional cost. This can be employer-funded, employee-funded through salary sacrifice, or a combination. Family cover typically costs less per person than individual policies due to group buying power.

When employees leave your company, their cover typically ends with their employment. Most insurers offer continuation options allowing leavers to take out individual policies at favourable rates, though they'll need to apply and may face underwriting.

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This article was written by:

Lawrence Howlett
Lawrence Howlett

Founder of Money Saving Advisors

Lawrence Howlett brings a results-driven mindset to his writing, shaped by over a decade of experience across finance, legal, and energy sectors. As the founder of Moneysavingadvisors, he’s built a reputation for turning complex financial concepts into clear, actionable insights for consumers. His writing stands out for its clarity, structure, and focus on delivering value.

Article last updated 19 July 2026

Reviewed by Nick McDonald on 19 July 2026