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Waiting Period

The time a health policy must run before certain conditions or treatments become claimable.

What it means in practice

Typical structure: 30 days initial waiting, one to two years for listed ailments, two to four years for maternity, and up to three years for declared pre-existing diseases. Waiting periods carry over when you port a policy.

Why Waiting Period matters when comparing products

Waiting periods are a critical factor when evaluating financial products, especially insurance, in India. They dictate when coverage for specific conditions or events begins, directly impacting policyholders' ability to claim. Understanding these periods ensures individuals select products that align with their anticipated healthcare needs and timelines, avoiding unforeseen delays or exclusions at the time of claim. This knowledge is essential for making informed comparisons.

Illustrative example

Consider a health insurance policy with a two-year waiting period for knee replacement surgery. If a policyholder buys this plan today and needs the surgery nine months later, the claim would likely be denied due to the unfulfilled waiting period. They would bear the entire cost, say ₹3,00,000, out-of-pocket, as coverage only activates after the full two years.

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