Jatin, a 40-year-old software employee in Bengaluru, was diagnosed with gallstones. This needed immediate medical action, and gallbladder surgery was unavoidable. Having a comprehensive health insurance plan provided significant relief for him during this health emergency. However, when he initiated the cashless claim via the hospital, they were informed by the insurance company that the particular diagnosis falls under the ‘’ waiting period clause” and there is no cover for another six months for the diagnosis. Jatin was not prepared for this and had to finally liquidate his savings.
This is not just a distinct story of Jatin. Many health insurance policyholders face this problem and learn the fact that health insurance policies come with certain terms and conditions. Understanding these clauses and strings attached to the policy is extremely important to reap the benefits at the time of need. The industry is revolutionising day by day and introducing products as per evolving demands. One such revolution is introducing ‘zero waiting period health insurance plans’.
Let us explore in detail on- the waiting period clause, zero waiting period health insurance plans, and how to choose the right plan suitable for your needs.
The waiting period clause is an extremely important clause in the health insurance policy. It is crucial to understand that during the waiting period, no claims are admissible for specific treatments and illnesses. Generally, the waiting period clause is suitable for the following cases:
Generally, the first 30 days from the commencement of the health insurance policy are considered the waiting period. In this period, no claims are allowed except for accidents.
This is typically for one or two years from the commencement of the health insurance policy, during which you cannot claim for specific illnesses or treatments mentioned in the policy documents. This includes knee replacement, diseases of the gall bladder, cataract, pancreatitis, skin tumours, fibroids, and hernia.
Waiting period for pre-existing illnesses can vary from 12 months to 48 months, depending on the terms and conditions of the insurance company. It is generally applicable for some pre-existing health conditions like asthma, hypertension, and diabetes, etc.
There are now health insurance companies that offer zero waiting period health insurance plans after waking up to the concerns of policyholders like Jatin, promising instant coverage as soon as the policy period starts.
Zero waiting period health insurance plans rule out or notably reduce the waiting period for health insurance claims related to pre-existing illnesses, special treatment/illnesses. That means you get the coverage from day one without having to worry about specific terms of the insurance company. Specifically, zero waiting period health insurance plans are suitable for the following people:
The following are the important features of zero-period health insurance plans:
However, it is important to remember that the terms and conditions may vary from insurance company to insurance company. Hence, it is crucial to go through the policy documents before you sign the documents.
There are a few insurance companies that offer zero waiting period health insurance plans in India. At Jio Insurance broking, you can compare the features of these policies, compare their quote and then buy them as per your need and affordability.
The following are the advantages and drawbacks of zero waiting period health insurance plans:
The following are some important things to keep in mind while buying a zero waiting period health insurance plan:
To conclude, health emergencies do not wait for your waiting period to get over. Jatin’s story highlights the need for immediate healthcare insurance coverage. As the health insurance is evolving, policies like zero waiting period health insurance policies provide instant protection against health uncertainties. Understanding the plan, its features and following the important tips is the key to rational buying of health insurance.