Healthcare Insurance Products (IF7)

Healthcare Insurance Products (IF7) provides knowledge and understanding of the fundamental principles and practices relating to healthcare insurance. This unit looks at private medical insurance (PMI) in the UK.

PMI provides benefits to around 10% of the UK's population and the relationship between private healthcare and the NHS can be complex.

PMI policies are underwritten by for-profit and not-for-profit organisations, while health trusts and self-funded schemes may provide customers with PMI-style benefits but use little or no insurance.

An understanding of healthcare outside the UK helps to put the NHS and PMI in context and we look at an overview of some of these major healthcare systems.

We will look at how policies are underwritten and administered, how risks are assessed and how claims paid. We explore how the market works, the distribution systems and the effects of law, tax and regulation on PMI.

PMI exists alongside other types of health insurance, such as health cash plans, dental insurance and capitation plans. We explore the differences between them and the potential overlaps they have with PMI.

Building a successful career in insurance

This course is relevant for anyone seeking to develop their knowledge and skills for a rewarding career in the insurance profession or in a support role. Healthcare Insurance Products (IF7) counts towards achieving the Certificate in Insurance. It may also count towards the Diploma in Insurance and the Advanced Diploma in Insurance.

Summary of learning outcomes 

1. Understand the structure of the UK healthcare insurance market
2. Understand the key features of healthcare provision in the UK and overseas
3. Understand healthcare product types
4. Understand the different roles and responsibilities of intermediaries and providers
5. Understand risk assessment, rating and underwriting considerations
6. Know how to apply the principles of risk assessment, rating and underwriting considerations to a given set of circumstances
7. Understand the claims function
8. Know how to apply the principles of the claims process to a given set of circumstances
9. Understanding legal and regulatory considerations
10. Know how to apply the principles contained within law and regulation to a given set of circumstances

Assessment

• 2 hour exam
• 100 multiple choice questions
• The standard pass mark is 70% (for more information on standard pass marks please see here)
• The 2024 pass rate for this unit was 77.5%

Units treated as equivalent

Due to the extent of syllabus overlap, certain combinations of current and withdrawn units will result in only one award of CII credits.

If a withdrawn equivalent is held you may not need to complete a current unit in order to satisfy a qualification's completion rules. Clarification should always be sought from CII Customer Service.

Find out more about CII credit awards for equivalent units

Course delivery

Instructions on accessing your course on RevisionMate will be sent to your registered email address. This is typically within two working days of your order being placed, but may be longer, particularly if payment is made by bank transfer or the unit is available as a pre-order.

Study material - editions available

2025 edition (applicable to exams sat 01 Jan 25 to 31 Dec 25) 

Revision aids available

The revision aids available for this unit are listed below. Find out more details. **Please see individual shop pages for 2025 edition availability**

• Key Facts Booklet
• Knowledge Checker
• E-learn

Note for purchasing revision aids: please make sure you do not already have the revision aid(s) as part of any Enrolment plus purchase.