Vitality American Express UK review, no annual fee, up to 3% cashback with health-boosted rewards
Maximise cashback with Vitality Amex, fee-free across the UK, and earn up to 3% back by meeting simple health targets

Card overview and headline features
The Vitality American Express card in the UK gives members a straightforward, fee-free credit option that ties cashback to healthy habits. With no annual fee and the chance to earn up to 3% cashback, the Vitality Amex is aimed at people who already use Vitality insurance and want rewards that reflect an active lifestyle.
Core benefits include a base cashback rate on everyday spend, boosted monthly rewards when you meet activity targets, and a modest sign-up return for new customers. For UK residents with a Vitality policy, this card prioritises simplicity, security and value for regular spend on groceries, travel and bills.
Eligibility, costs and practical details
To apply you must hold a qualifying Vitality health or life policy, have a UK bank account and a permanent UK address, and meet standard credit checks. There is no annual fee, but the card does carry a variable APR for those who carry a balance, so paying in full each month avoids interest charges.
American Express acceptance is good across many UK retailers but can be less universal than Visa or Mastercard, so carry a backup card for smaller high-street traders. The Amex fraud protection and customer service are strong selling points for security-conscious users.
How cashback works and how to maximise earnings
The Vitality Amex cashback structure combines a base rate with activity-based boosts. Cardholders earn a baseline cashback on their annual spend, rising above set thresholds, then unlock extra cashback by hitting monthly Vitality activity targets – up to an additional 2% for those who regularly record steps, gym visits or health checks.
There is a cap on boosted cashback per month, so best practice is to concentrate qualifying spend on the card during months you achieve high activity points. New customers can also take advantage of introductory offers which further increase first few months of returns.
Extra perks, app features and who should consider it
Beyond cashback, the card includes travel accident insurance, Global Assist for travel support, purchase protection and access to American Express Offers and Experiences. The Vitality app links health activity to finance, making it easy to track activity points and view cashback earnings in real time.
This product suits people already in the Vitality ecosystem who lead an active life and pay balances monthly. If you want a fee-free cashback card that rewards healthy behaviour and provides solid travel and purchase protections, the Vitality American Express is worth considering alongside other UK cashback cards.