Waiting Period
A waiting period is the initial period in a health insurance policy during which some specified treatments or procedures are not covered. Cover on these treatments or procedures becomes active only after the policyholder completes the waiting period under the policy.
Here are some examples of common waiting periods in a health insurance policy.
Initial Waiting Period: Expenses related to treatment of any illness or disease are not covered for the first 30 days from the start of the policy. However, claims arising due to an accident during this period are paid by the insurer.
Waiting Period on Pre-Existing Diseases (PED): Pre-existing diseases and complications arising out of them are not covered during the initial policy years. The waiting period for PEDs is usually 24 months or 36 months, depending on the policy.
Waiting Period on Specified Illnesses: Some specified illnesses which are listed in the policy terms come with a waiting period of 24 months. These are usually slow-growing chronic illnesses, and their treatment can be planned.
Waiting Period on Maternity Benefits: Most health insurance policies covering maternity expenses impose a waiting period on these benefits. This waiting period ranges from 9 months to 4 years, depending on the policy terms.
Your health insurance policy might impose any other waiting period depending on the features and benefits covered under the policy. Please read the policy document carefully to understand the waiting periods and their implications, the insurer can reject a claim raised during the waiting.
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A
- Accident
- Acute Care
- Acute Condition
- Age Limit
- Agent
- Ambulance Cover
- Annual Health Checkup
- Annual Renewal Date / Renewal Date
- Any One Illness
- AYUSH Treatment
B
C
- Cancer Insurance
- Cashless Facility
- Chronic Condition
- Claim
- Claim Assessment
- Claim Rejection / Claim Repudiation
- Claim Settlement
- Claim Settlement Ratio
- Comorbidity
- Congenital Anomaly
- Consumables
- Continuity Benefit / No-Lapse Benefit
- Contract
- Convalescence Benefit
- Copayment
- Critical Illness
- Cumulative Bonus / No-Claim Bonus (NCB)
D
- Daily Hospital Cash / Daily Cash
- Day Care Treatment
- Deductible
- Discharge Summary
- Domiciliary Hospitalisation
- Durable Medical Equipment
E
F
G
H
I
- Illness
- Indemnity
- Injury
- Inpatient Care / Inpatient Hospitalisation
- Insurance Ombudsman
- Insured Person
- Insurer
- Intensive Care Unit (ICU)
- IRDAI
L
M
N
O
P
- Personal Accident Cover
- Planned Hospitalisation
- Policy Document
- Policy Schedule
- Policyholder
- Portability
- Post-Hospitalisation Expenses
- Pre-Authorisation (of Cashless Claims)
- Pre-Existing Disease (PED) / Pre-Existing Condition
- Pre-Hospitalisation Expenses
- Pre-Policy Medical Check-Up
- Premium
- Proportionate Deduction
R
- Reasonable and Customary Charges
- Reimbursement
- Renewal
- Renewal Premium
- Restoration Benefit / Automatic Restoration
- Rider / Add-on Cover
- Room Rent Limit
S
- Shared Accommodation
- Sub-Limit
- Sum Insured
- Super Top-Up Health Insurance Plan
- Surgery or Surgical Procedure
- Survival Period


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