Health Cash Plans for your employees without the admin.

Your people are already spending money on dental check-ups, eye tests, and physio appointments. A corporate health cash plan pays them back, turning everyday healthcare costs into an employer-sponsored value they'll see and feel regularly, not just when they’re ill.

Kota is an FCA-licensed broker that helps you find the right plan, enrol your people, and manage everything in one place. No manual workarounds. 

Powering benefits for 65,000+ employees

About
Health Cash Plans

What is a Health Cash Plan?

A corporate health cash plan reimburses your people for the everyday healthcare costs they pay out of pocket. They pay upfront, submit a claim, and get cash back up to a set annual limit.

It’s cost-accessible for you as the plan sponsor. You pay a flat monthly premium per employee. No age-weighted pricing surprises and no complex underwriting. Many small and scaling teams use a health cash plan as a standalone benefit; others offer it alongside existing cover. Either way, costs stay predictable and easy to plan for.

Cover generally includes:
-> Dental treatment and check-ups
-> Optical care, including eye tests and glasses
-> Physiotherapy and complementary therapies
-> Prescriptions and specialist consultations
-> Mental health support and counselling

Health Cash Plans vs. 

Private Medical Insurance

Private medical insurance (PMI) covers your people when something serious happens health-wise. It's comprehensive, but comes at a higher cost, and utilisation rates tend to be lower since most people won’t use it in a given year.

A health cash plan works at the other end of the spectrum. It covers the routine, everyday healthcare costs your people are already dealing with, which is why cash plans see consistently high engagement from employees.

Why offer Health Cash Plans?

Your people see and feel the value

Many benefits only matter when something goes seriously wrong. A health cash plan pays out for health costs your people deal with frequently. A survey of more than 2,000 UK employees ranked health plans second only to pay rises as the cost of living support they most want from their employer.

A health cash plan means: 
  • Your people frequently engaging with a benefit you're funding
  • Your people actually using a benefit they remember, which reflects well on your business
  • Your people feeling supported for costs they genuinely care about

Strengthens your recruitment and retention

The market for talent is competitive, and salary alone rarely seals the deal. Candidates are scrutinising benefits packages more carefully than ever. A health cash plan gives your benefits package something more significant to point to, as opposed to gym discount or a free Friday lunch that gets forgotten by Monday.

With a health cash plan, you: 
  • Give candidates a concrete, everyday benefit to factor into their decision
  • Help your people feel valued through consistent, practical support beyond cover for big life events
  • Strengthen your employer brand by showing you invest in your people's wellbeing year-round

Affordable without renewal shocks

If you've ever managed a PMI renewal, you'll know the drill. A quote lands weeks later than expected, premiums have jumped 15-30%, and you've got days to make a decision. A health cash plan works differently. Premiums are flat, largely predictable, and priced per employee, so you always know what you're paying and can plan accordingly.

In practice, that means: 
  • No age-weighted pricing surprises since this benefit uses a flat monthly premiums per employee
  • Costs scale cleanly as your team grows
  • What you agree is what you pay month after month, which removes any last-minute renewal panic 

Supports your employees'
financial wellbeing

Everyday costs are up, and routine healthcare  - dental appointments, eye tests, physio sessions - is often the first thing your people delay or skip when money is tight. A health cash plan puts money back in their pockets for costs they're already paying. This turns a financial pressure point into something you've actively helped solve.

An employer health cash plan:
  • Reimburses the everyday healthcare costs your people might otherwise go without
  • Reduces the financial stress that quietly affects focus, morale, and productivity
  • Shows your people you understand the real pressures they're facing

How to set up your
Health Cash Plan

Setting up and managing a health cash plan involves a few moving parts. A better grasp of what's involved helps you make better decisions - from choosing the right provider to knowing where the admin can build up once you're live.

Here's what that process looks like end to end.
1

Assess your needs and
compare providers

Before committing to a plan, you need a clear picture of what your workforce needs. Consider your team's age profile, existing benefits that might overlap, and which healthcare costs they’re most likely to claim for. From there, compare providers - cover levels, claim limits, included services, and pricing tend to vary. 

2

Select plan level and terms

Your cover level determines how much cashback your people can claim across categories. Then your eligibility rules determine whether cover kicks in from day one or after a probation. It's also worth considering whether you want a single plan for all employees or different levels based on seniority or role.

3

Provide group data

Your provider will need basic data about your workforce to go live. This usually includes employee names, dates of birth, job titles. Errors at this stage can create coverage issues and payroll headaches down the line. If your employee data lives across multiple systems, this is where the admin can start to feel heavy.

4

Finalise and enrol your people

Once your provider has your group data and your plan terms are agreed, employees are enrolled onto the scheme. They receive a welcome communication from the insurer outlining their cover, how to submit claims, and what they're entitled to. This process can take up to two weeks.

5

Go live and manage ongoing admin

The real admin begins when your plan goes live. Every time someone joins or leaves your team, their details need to be updated with the provider. Cover changes, eligibility updates, and payroll adjustments all require accurate, timely data flowing between your HRIS, your provider, and your payroll system. 

Set up your Health Cash Plan
in minutes

If you're managing employee benefits across broker emails, spreadsheets, and provider portals - it's time for a simpler approach. Kota gives you complete control, without the admin burden.

Who offers
Health Cash Plans?

Explore health cash plan providers that you can set up easily with Kota.
United Kingdom
One of the UK's oldest health cash plan providers, Medicash offers flexible corporate plans with a straightforward claims app and cover for dental, optical, physiotherapy, and other everyday healthcare costs.
Book a demo
United Kingdom
Simplyhealth offers flexible corporate health cash plans covering everyday healthcare costs. This often includes dental, optical, and access to virtual GP services, designed to suit teams of different sizes and budgets. 
Book a demo

How much do
Health Cash Plans cost?

Health cash plans are generally cost-accessible. But what you pay can vary based on various factors. A clear understanding of those factors help you compare providers more effectively, ask the right questions, and budget with confidence.

Here's what shapes your premium:  

1

Your cover level

The higher the cashback limits you offer your people across each category - dental, optical, physiotherapy, and so on - the higher your monthly premium. Most providers offer tiered plans, so you can choose a cover level that fits your current budget and adjust as your benefits strategy evolves.
2

The size of your team

The number of employees you're covering directly affects your overall cost. Larger teams tend to benefit from more favourable per-head pricing, but health cash plans remain accessible for smaller teams too. Some plans start from as little as £3 per employee per month.
3

The age profile of your employees

Older workforces tend to claim more frequently, which can influence your premium depending on how your provider prices their plans. Though that influence is likely far less than with PMI since health cash plans need no medical underwriting. But it's worth factoring in your team's age distribution when you're comparing quotes, particularly if you have a significant proportion of employees over 50.
4

Your add-ons and extras

Family cover, virtual GP access, hospital stays, and additional therapies can all increase your premium beyond the base plan cost. The more extras included in your plan, the higher your per-employee cost, so it's useful to understand exactly what's bundled into any quote you receive.

Example scenario

A 50-person tech company opts for a mid-level health cash plan covering dental, optical, and physiotherapy.

At an average of £8-£10* per employee per month, their annual spend comes to roughly £4,800-£6,000, which is a fraction of what a comparable PMI policy would cost for the same team.

* Based on sample data - quotes may vary.

Tax implications of
a Health Cash Plan

Getting the tax treatment right keeps you and your people compliant. Here's how it works in the UK and Ireland:

United Kingdom

Employer Treatment

Premiums you pay are an allowable business expense, deductible against Corporation Tax. You'll also pay Class 1A NICs on the value, currently at 13.8%. Always check current HMRC guidelines as this rate can change.

Employee Treatment

A health cash plan is treated as a benefit-in-kind.

The premium value is added to your employee's taxable income, and they pay income tax at their marginal rate. 

P11D Reporting 

Report the gross premium value for each employee on a P11D form, submitted to HMRC by 6 July following the end of the tax year.

Ireland

Employer Treatment

Health cash plans are treated as a deductible business expense. You'll need to report the value of the benefit through Revenue's systems, but you’re not responsible for withholding employee taxes on it directly.

Employee Treatment

Employees pay income tax, PRSI, and USC on the gross premium value as a benefit-in-kind. Tax Relief at Source (TRS) may apply at the insurer level for qualifying plans, potentially offsetting some of the tax liability. 

Revenue / BIK Notes

A health cash plan tax treatment can vary from PMI in Ireland. If TRS hasn't been applied or was misapplied, employees can claim Medical Insurance Relief through Revenue's myAccount. Verify the specific treatment with your tax adviser. 

What you need to set up
a Health Cash Plan

Before you go to market for quotes or start comparing providers, it helps to have the right information ready. Getting these essentials in order upfront means you can move quickly once you've chosen a plan.

You’ll need to provide:

Basic empoyee data

Names, dates of birth, job titles, and start dates for everyone you want to cover

Workforce demographics

Age profile and headcount, needed for accurate provider quoting, though not always required upfront

Eligibility rules

Whether cover kicks in from day one or after a probation period, and whether all employees are included or only certain groups

Cover level decision

How much cashback you want employees to claim across each category, and at which tier

Provider selection

Which provider best fits your team's needs, budget, and preferred pricing model

How Kota handles
Health Cash Plans

Sourcing your quotes through a traditional broker, managing it on a separate platform, and updating employee data manually demands three-way coordination and hours of admin. Kota eliminates this fragmentation, combining FCA-regulated brokerage, real-time provider integrations, and automated HRIS sync in one platform.

Compare

Kota gives you a clear view of health cash plan providers so you can compare cover levels, claim limits, and pricing. No coordinating with a traditional broker or the corresponding back and forth.

Set up

With Kota, your employee data syncs directly from your HRIS to your insurer. You won’t have to enter data manually, upload CSVs, or wait two weeks for coverage to activate.

Manage

Whenever someone joins or leaves, Kota updates your insurer automatically. No spreadsheets, no manual offboarding, and no ex-employees sitting on your policy. Everything is managed in one place, alongside the rest of your benefits.

Modern benefits management starts here

If you're managing employee benefits across spreadsheets, brokers, and broken integrations, it's time for a simpler approach. Kota gives you complete control, without the admin burden.

Frequently asked questions

Is a health cash plan worth it?

For most scaling teams, it can be. A health cash plan is one of the few benefits that delivers regular, visible value to employees.

Claim frequency tends to be high compared to other workplace insurance products, premiums are predictable, and costs are modest compared to PMI.  There could be a positive impact on employee engagement, since people see the benefit in action throughout the year rather than only when something serious happens.

What's the difference between a health cash plan and health insurance?

A health cash plan reimburses your employees for everyday healthcare costs - dental, optical, physiotherapy, prescriptions - up to a set annual limit. Health insurance, typically referred to as private medical insurance (PMI), covers acute conditions and major medical treatment like surgery or specialist referrals.

The key difference is frequency: a cash plan is built for the routine costs your people face regularly, while PMI is there when something serious happens.

Can you have a health cash plan and PMI?

Yes, many employers do. A health cash plan and PMI serve different purposes, so they work well together rather than duplicating each other. PMI covers your people when something serious happens; a cash plan covers the routine costs they're already dealing with every month. Offering both gives your people comprehensive health support at every level without an overlap.

How do employees claim on a health cash plan?

Your employees pay for their treatment upfront and then submit a claim through their provider's app or online portal with a receipt or proof of payment. The provider reimburses them directly, usually within a few working days, up to their annual limit for that category. There's no pre-authorisation needed and no referrals required.

How many employees do you need to set up a health cash plan?

Most providers will work with teams from as few as 3-5 employees, making health cash plans accessible even for smaller scaling companies. Health cash plans offer a realistic and straightforward approach to benefits, even for solo HR managers looking after teams of 20, 30, or 50 people.