The waiting period in health insurance refers to the duration or period that one has to wait before claiming health insurance benefits. Insurance providers do not offer any coverage to any claims within that period.
The waiting period varies as per the different circumstances or situations of the insured. Therefore, if you know this variance of the waiting period, you can claim benefits wisely.
You can file a claim only after the minimum waiting period of the health insurance policy is over. However, there are different types of waiting periods for health insurance. You can avoid getting rejected by insurance providers if you make an informed claim. So, read the following to know more about the types of the waiting period in insurance.
The initial waiting period indicates the minimum duration that a person needs to wait to get any insurance benefit. You can claim health coverage only after this initial waiting period.
In general, a standard initial waiting period of 30 days is common among all health insurance providers.
Before obtaining a health insurance plan, you must inform all of your pre-existing diseases to the insurer. It refers to all kinds of treatment, medical advice, diagnosis, or symptoms of diseases an individual has undergone in the last 48 months.
Usually, a person has to wait for three to four years on average to claim health insurance benefits for pre-existing diseases.
There is no health insurance policy without a waiting period. However, in case of hospitalisation due to accidental injury, no pre-existing waiting period is applicable.
Policyholders can claim coverage after the completion of a specific waiting period of maternity benefits. The expenses of hospitalisation and delivery get covered by the maternity benefits.
Generally, the average period for maternity benefits ranges from one year to four years.
There is a specific limit in the waiting period for health insurance for a list of specific diseases. Insurance holders need to wait for two to four years as per the guidelines of policy providers. Specific disorders include ENT disorders, cataracts, tumours, osteoporosis etc.
Also Read: Health Insurance Plans For Diabetes Patients
A health insurance policy works by sharing the health coverage and collecting the premiums from policyholders. However, premiums paid by policyholders are always less than the monetary coverage by insurers.
The waiting period helps insurers in preventing misuse of health insurance policies. One can manipulate health coverage of the insurance if there is no waiting period. Had there been health insurance policies with no waiting period, policyholders could claim the coverage a few days after purchasing the policy.
The length of the waiting period depends on the insurance provider. Some insurers provide the option of a lesser waiting period at the cost of a higher premium price. You can reduce your average waiting period by two to four years if the insurer allows you to do so. Thus, with a reduced waiting period, one can obtain his policy’s benefits faster.
This clause stipulates that policy owners pay a certain share of the hospitalisation cost while the insurer would cover the other remaining amount. Some insurance providers manage to provide the health insurance of elderly persons by using a co-pay clause.
You should read the terms and conditions regarding the waiting period for health insurance carefully before purchasing a policy.
You can read the policy-related guidelines from the official websites of your insurer. The waiting period restricts policyholders from manipulating health insurance policies. It varies from one company to another; therefore, one should be aware of the policy guidelines.
Ans. You will surely get benefits if you buy a health insurance plan at an early age. You will get to pay a lower premium price as you enter a plan at a younger age and stay in the health insurance plan for a maximum period.
Ans. You will get medical coverage for a new disease only when you claim benefits after an initial waiting period. You can file for a claim after an average initial period of 30 days. However, it depends on the policies of different insurers.
Ans. You have two options to claim health insurance coverage. First, you can get cashless treatment if you plan accordingly with your insurer beforehand. Secondly, you can provide the insurers with medical bills, medical certificates, cash memos, discharge cards, etc., to claim reimbursement.
Ans. You can buy a health insurance plan from Navi App. The best thing is that it’s completely paperless and can be availed within two minutes.
Ans. You cannot avoid the waiting period of your health insurance plan. However, you can get around the problem of the waiting period by purchasing health insurance plans early.
How about an affordable health insurance policy 👨⚕️ starting at a monthly premium of just ₹235? Install the Navi app now and get your policy in under 2 minutes.
Disclaimer: This article has been prepared on the basis of internal data, publicly available information and other sources believed to be reliable. The information contained in this article is for general purposes only and not a complete disclosure of every material fact. It should not be construed as investment advice to any party. The article does not warrant the completeness or accuracy of the information, and disclaims all liabilities, losses and damages arising out of the use of this information. Readers shall be fully liable/responsible for any decision taken on the basis of this article.
|Karunya Health Scheme||Niramaya Health Insurance Scheme||Best Health Insurance Repositories|
|Pradhan Mantri Suraksha Bima Yojana||Best Personal Accident Insurance Plans||Best Insurance Policy For New Born Baby|
|Third Party Administrator (TPA)||What is Super Top Up Health Insurance Plan||Deen Dayal Swasthya Seva Yojana (DDSY)|
|Best Health Insurance Plan For Parents||Incurred Claim Ratio In Health Insurance||Chief Minister Comprehensive Health Insurance Scheme|
|Best Health Insurance Policies In India||Best Health Insurance Policies In India||Best Family Floater Health Insurance Plans in India|
|No Claim Bonus in Health Insurance||IRDAI Guidelines For Health Insurance||OPD Cover in Health Insurance|
|Maternity Health Insurance Plans||Health Insurance Plans For Senior Citizens||What is Portability Of Health Insurance|
TPA in Health Insurance – Meaning, Full Form, Functions and RolesTPA (full form - Third Party Administrator) is a licensed intermediary between health insurance pol... Read More »
5 Best Cancer Insurance Policy in India 2023 – Types and BenefitsCancer insurance plans can give individuals and families financial protection from expensive cancer... Read More »
10 Best Cashless Health Insurance Policy in India 2023 – Taxation and CoverCashless health insurance plans are policies that provide medical coverage to policyholders without... Read More »
6 Best Critical Illness Insurance Companies in India 2023Critical illness insurance is a type of health insurance policy that protects against fatal illness... Read More »
10 Best Personal Accident Insurance Policy in India 2023Accident insurance plans provide financial assistance to the policyholder in the event of an unfort... Read More »
Best Health Insurance for Parents in India 2023 and How to Buy?Health insurance for parents offer several perks, including a higher insured sum and full coverage ... Read More »
Best Dental Insurance Plans in India 2023: Benefits, Types and How to Claim?Dental insurance plans are policies that provide cover for expenses arising out of standard dental ... Read More »
7 Best Health Insurance for Newborn in India 2023 – Benefits and CoverHealth insurance for newborns are crucial in today’s time. When you are a new parent, the safety ... Read More »
Yeshasvini Health Insurance Scheme: Apply for Yeshasvini Health Card OnlineEveryone should have access to quality, affordable healthcare. Yeshasvini Health Insurance Scheme i... Read More »
5 Best Diabetes Health Insurance in India 2023 – Top Plans, Cover and Benefits OfferedDiabetes Health Insurance plans are specifically designed insurance covers for people who have diab... Read More »
Best Family Floater Health Insurance Plans in India (2023)A family floater health insurance plan covers the medical expenses of the entire family. It is more... Read More »
10 Best Cashless Network Hospitals in India 2023 – Benefits and Claim ProcessCashless Network hospitals are accredited hospitals that have partnered with a health insurance com... Read More »