Knowledge Hub

Waiting Periods Explained

The rule that quietly decides when your policy actually starts working

Most people believe health insurance starts working the day the policy document arrives.
That belief causes more disappointment than almost anything else.

Because In health insurance, time matters.

A waiting period decides when specific treatments are actually allowed — even though you are already paying premiums.

What Is a Waiting Period (In Simple Words)

A waiting period is the time you must wait after buying a policy before certain treatments are covered.

During this time:

  • You pay the premium
  • You remain insured
  • But specific claims are not allowed yet

This is normal in health insurance.
It exists to prevent misuse — not to trouble customers.

The Four Waiting Periods You Must Know

Let’s go through them calmly, one by one.

1. The First 30 Days Rule

For the first 30 days after your policy starts:

  • illnesses are not covered,
  • hospitalisation due to sickness is not allowed.

Exception:
Accidents are covered from Day One.
Why this rule exists:
To stop people from buying insurance after falling sick.

This rule applies to almost every policy in India.

2. Waiting Period for Specific Diseases (Usually 2 Years)

Some common treatments fall under this category:

  • Cataract
  • Piles
  • Kidney stones
  • Hernia
  • Sinus surgery
  • Joint-related procedures

These are not emergencies in most cases.
So insurers ask you to wait — usually 2 years.

Important point:
Many people don’t realise this and assume these are covered immediately.

They aren’t.

3. Pre-Existing Disease (PED) Waiting Period (3–4 Years)

This is the most important waiting period.

A pre-existing diseasemeans:
Any medical condition you had before buying the policy — diagnosed or not.

Examples:

  • Diabetes
  • Blood pressure
  • Thyroid
  • Asthma
  • Heart conditions
  • Past surgeries

Most policies cover these only after 3 or 4 years.

Buying early matters here. Waiting makes this period harder to complete.

4. Maternity Waiting Period

Most maternity benefits come with a waiting period:

  • anywhere between 9 months to 2 years.

That means:
You cannot buy a policy today and claim maternity expenses tomorrow.

This needs planning, not panic buying.

The Mistake People Make With Waiting Periods

The biggest mistake is assuming: “I’ll buy insurance when I need it.”

Health insurance punishes late decisions. If you wait until:

  • you are older
  • your parents fall ill
  • medical issues appear

waiting periods become a barrier.

Buying while healthy is not optimism — it’s strategy.

Do All Policies Have the Same Waiting Periods?

No.
This is where policies differ quietly.
Some policies:

  • reduce PED waiting periods
  • waive specific disease waiting
  • offer faster coverage under conditions.

But these differences are never obvious on websites or ads.

You only discover them when you read the fine print — or when someone explains it clearly.

Can Waiting Periods Be Reduced?

Sometimes, yes.
Through:

  • policy upgrades
  • migration within the same company
  • porting from another insurer
  • special offers (rare and conditional).

But this depends on:

  • your age
  • health history
  • previous policy continuity.
There is no universal shortcut.

Why Waiting Periods Decide Policy Success

Many claim disputes are not rejections. They are waiting period violations.

The insurer simply says:
“This condition falls under the waiting period.” Legally, they are right.

Emotionally, customers feel cheated — but the rule was always there.

Don’t see waiting periods as obstacles. See them as timelines you must complete.