Can I reduce the premium by taking less medical insurance cover?

No, it's not possible to reduce the medical limit on our policies.

The medical limit we provide is high, and it may sound excessive, but a vast amount of experience tells us that it is better to have a high level of cover rather than to be left under-insured. No one can tell what treatment would be required and where it would be available when the unexpected happens abroad. Repatriation is covered under this section of your policy, which can be very expensive if it has to be by private plane. Similarly, even the most basic of medical treatment in the USA can run into thousands of dollars.