Private depression cover: CBT, psychiatry, medication review and inpatient care compared across Bupa, AXA, Aviva, Vitality and WPA's own policy documents.

Private Depression Cover UK

NHS Talking Therapies data shows 83.4% of people who finished treatment in August 2026 waited under 6 weeks and 97.5% under 18 weeks (NHS England, Oct 2026). PMI mental health benefit can fund psychiatric assessment, CBT/counselling and, on some policies, inpatient admission for severe depression — but outpatient and inpatient limits differ significantly between insurers, as set out in their own documents below.

Depression and the NHS pathway

The NHS describes depression as persistent low mood lasting weeks or months, distinct from short-term unhappiness. Treatment is matched to severity: watchful waiting and self-help for mild cases, talking therapies such as CBT for mild-to-moderate depression, and a combination of talking therapy and antidepressants — or referral to a specialist mental health team — for moderate to severe depression.

People aged 18+ can self-refer to NHS Talking Therapies without seeing a GP first. In the latest published month, 83.4% of people who finished a course of treatment had waited less than 6 weeks and 97.5% less than 18 weeks, with 47.5% reliably recovering (NHS England, August 2026 data, published 8 Oct 2026).

What UK PMI typically covers for depression

Bupa By You includes mental health cover as standard, with inpatient limits of 28, 45 or 90 days depending on the policy and a member-chosen outpatient benefit limit (Bupa mental health FAQs).

AXA Health's mental health care option covers talking therapies on GP referral and psychiatric treatment including hospital stays, with no stated yearly limit on clinician fees for psychiatric treatment (AXA Health).

Aviva's Healthier Solutions mental health cover can include outpatient treatment up to £2,000 on GP referral, plus in-patient and day-patient psychiatric treatment up to 28 days depending on plan (Aviva).

Vitality's core cover includes up to 8 Talking Therapy sessions a year with self-referral or GP referral, plus a Headspace subscription; its optional enhanced Mental Health Cover adds up to £1,500 of outpatient treatment and up to 28 days each of in-patient and day-patient treatment per episode (Vitality).

WPA's Complete Health includes six sessions of Structured Counselling and a 24/7 helpline as standard, with a Mental Health Treatment optional extra adding up to 28 days/nights of in/day-patient treatment, £1,000 or £2,500 of outpatient treatment, and up to 20 sessions of extended structured counselling (WPA Complete Health IPID, effective 1 Nov 2025).

What's typically excluded

Pre-existing and chronic conditions are excluded or limited depending on underwriting basis across insurers (Aviva; WPA IPID). Repeat antidepressant prescriptions are generally excluded from PMI — the consultant consultation and medication review are covered, not ongoing dispensing.

WPA's IPID also lists general exclusions applying across its product, including fertility, cosmetic treatment, allergic conditions and treatment outside the UK unless an add-on is purchased.

Underwriting and a history of depression

Under moratorium underwriting, conditions you've had symptoms, treatment or advice for in a set look-back period — commonly five years — before joining are excluded until you've had a continuous symptom-free period, often two years, after which cover may be reinstated. Under full medical underwriting, you disclose your history upfront and the insurer decides what to exclude or load individually.

Bupa states it can review a previously excluded mental health condition for cover once you've had no symptoms, treatment or advice for at least 12 months, assessed case by case at renewal (Bupa mental health FAQs). See our moratorium vs full medical underwriting guide.

Comparing mental health limits across insurers

For depression, the practical difference between insurers is the outpatient limit for psychiatry/CBT and the inpatient day cap should admission ever be clinically needed.

Compiled from each insurer's own published documents, checked 15 Oct 2026: Bupa, AXA Health, Aviva, Vitality, WPA IPID.

InsurerMental health benefitOutpatient limitInpatient/day-patient limit
Bupa By YouIncluded as standardMember-chosen outpatient benefit limit28, 45 or 90 days depending on policy
AXA HealthMental health care — one of four plan optionsNo stated yearly limit on clinician feesCovered for an initial period of admission
Aviva Healthier SolutionsMental health treatment, plan-dependentUp to £2,000 outpatientUp to 28 days in/day-patient
VitalityCore cover + optional enhanced cover8 sessions core / £1,500 enhanced28 days in-patient + 28 days day-patient per episode (enhanced)
WPA Complete Health6 sessions core / optional extra for more£1,000 or £2,500 (optional extra)Up to 28 days/nights (optional extra)

How PremierPMI helps

We compare mental health benefit limits across 10+ leading UK health insurers so you can see outpatient and inpatient limits and referral routes side by side before you buy. See mental health insurance, our moratorium vs full medical underwriting guide, or all providers we compare.

A note on medical advice

Our team are insurance specialists, not clinicians. This page explains how private medical insurance treats this condition; for medical advice, speak to your GP or NHS 111.

PremierPMI broker desk notes

  • We always check whether mental health cover is included as standard or needs adding, because clients often assume it is automatically part of every PMI policy, and that is not the case across the market.
  • Where a client has a past depression diagnosis, we talk through moratorium vs full medical underwriting before they apply so they understand, realistically, what an insurer is likely to exclude or cover.
  • For clients wanting certainty over session numbers rather than vague 'as clinically necessary' wording, we point them to the insurers whose documents state a specific outpatient limit, such as WPA's optional extra.

Common questions

Does private health insurance cover depression treatment?

Most comprehensive PMI policies include or offer a mental health benefit that can fund psychiatric assessment and talking therapies such as CBT for depression. The structure differs by insurer — check whether it's included or an optional extra and what the limits are.

How many CBT or counselling sessions are covered?

This varies by insurer. WPA's Mental Health Treatment optional extra provides up to 20 structured counselling (extended therapy) sessions plus £1,000 or £2,500 of outpatient treatment a year ([WPA Complete Health IPID](https://cdn.wpa.org.uk/literature/website/250815-IPID-Complete-Health.pdf)); Vitality's core cover gives up to 8 Talking Therapy sessions ([Vitality](https://www.vitality.co.uk/health-insurance/core-cover/mental-health-cover/)).

Is inpatient psychiatric admission for severe depression covered?

Where the mental health benefit includes inpatient cover, most policies cap this at a set number of days per year — WPA's optional extra and Vitality's enhanced mental health cover both cap inpatient/day-patient admission at 28 days ([WPA IPID](https://cdn.wpa.org.uk/literature/website/250815-IPID-Complete-Health.pdf); [Vitality](https://www.vitality.co.uk/health-insurance/core-cover/mental-health-cover/)).

Can I see a psychiatrist without a GP referral?

This depends on the insurer. AXA Health's mental health care option provides access to talking therapies on GP referral, while Vitality allows self-referral for its core Talking Therapy sessions ([AXA Health](https://www.axahealth.co.uk/health-insurance/mental-health-insurance/); [Vitality](https://www.vitality.co.uk/health-insurance/core-cover/mental-health-cover/)).

Is antidepressant medication covered?

Consultant assessment and medication review generally fall within the mental health benefit; ongoing prescription dispensing is typically not covered and continues via the NHS or private pharmacy — confirm exact wording in your insurer's handbook.

Will a past depression diagnosis be excluded on a new policy?

It depends on the underwriting basis. Under moratorium underwriting, conditions with symptoms, treatment or advice in a set look-back period (commonly five years) are excluded until a symptom-free period has passed; under full medical underwriting the insurer assesses your disclosed history individually. See our [moratorium vs full medical underwriting guide](/answers/moratorium-vs-full-medical-underwriting).

Can a previously excluded mental health condition be covered later?

Bupa states it can review a previously excluded condition for cover once you've had no symptoms, treatment or advice for at least 12 months, assessed case by case ([Bupa mental health FAQs](https://www.bupa.co.uk/health/health-insurance/mental-health/existing-customer)).

Which insurer has the most generous depression cover?

It depends what matters to you: outpatient session limits, inpatient day caps or referral route all differ by insurer. We compare the current published limits across 10+ leading UK health insurers so you can choose on the detail rather than marketing claims.

Sources

  • NHS England — NHS Talking Therapies Monthly Statistics, Performance August 2026, https://digital.nhs.uk/data-and-information/publications/statistical/nhs-talking-therapies-monthly-statistics-including-employment-advisors/performance-august-2026/introduction (checked 15 Oct 2026)
  • Bupa — Mental health, existing customer FAQs, https://www.bupa.co.uk/health/health-insurance/mental-health/existing-customer (checked 15 Oct 2026)
  • AXA Health — Mental health insurance, https://www.axahealth.co.uk/health-insurance/mental-health-insurance/ (checked 15 Oct 2026)
  • Aviva — Mental health insurance, https://www.aviva.co.uk/health/health-products/health-insurance/mental-health-cover/ (checked 15 Oct 2026)
  • Vitality — Mental health cover, https://www.vitality.co.uk/health-insurance/core-cover/mental-health-cover/ (checked 15 Oct 2026)
  • WPA — Complete Health IPID (effective 1 Nov 2025), https://cdn.wpa.org.uk/literature/website/250815-IPID-Complete-Health.pdf (checked 15 Oct 2026)

PremierPMI is a UK private medical insurance broker specialising in whole-of-market placement across 10+ leading UK health insurers including Bupa, AXA Health, Aviva, Vitality, WPA, Freedom Health, The Exeter, General & Medical and National Friendly. FCA regulated (Tesha Family Ltd, FRN 1029667). Speak to a broker on 020 4525 0884, WhatsApp 020 4525 0884, or email contact@premierpmi.co.uk.

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