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Zero Waiting Period Health Insurance: Benefits & Coverage

Zero Waiting Period in health insurance is one of those important terms that as a policyholder you must be aware of. Such terms help you understand your health plans better and you can use your coverage in a hassle-free manner during a medical emergency. In this article, we will deep dive into what is a zero waiting period in health insurance along with all the things related to this concept.

What Is Zero Waiting Period in Health Insurance?

Zero waiting period means you don’t have to wait for any fixed amount of time before raising the claim. Understand that the waiting period in health insurance is a fixed time in which you cannot raise a claim except for an accident. There are different types of waiting periods applicable when you buy health insurance. Some health plans like ACKO Platinum Plan is a type of health insurance with no waiting period. Under this plan accidents and pre existing diseases are covered from day 1.

Health Insurance Plans with No Waiting Period for Pre-existing Diseases

Health insurance with zero waiting period for pre-existing diseases offer coverage from day 01 of the policy. You can check the policy start date on your health insurance policy. If you have this coverage then you can raise a claim for hospitalisation related to the treatment of a pre-existing disease.

For calculating the pre-existing diseases waiting period, your health insurance company will evaluate your medical history and then decide the duration of the waiting period. Pre-existing diseases like hypertension, asthma, diabetes, etc. can trigger a waiting period. The waiting time can be between 2 to 3 years. You need to pay the hospital bills in case you or a family member needs hospitalisation for medical treatment of any of the listed diseases during the waiting period. 

Do You Have Pre-Existing Conditions? Here’s How to Get Health Insurance Without a Waiting Period

If you already have a medical condition and need health insurance right away, here’s what you should know about zero waiting period plans. 

    • First, make sure that coverage for pre-existing conditions from Day 1 is clearly mentioned in the policy. It is because most health insurance plans usually have a waiting period for pre-existing diseases.
    • Second, at the time of purchase, be sure to disclose all of your pre-existing medical conditions. Non-disclosure can lead to claim rejection later.
    • Third, find out if the health plan has any special conditions, as policies with immediate coverage often include co-payments, sub-limits, or higher premiums. Some insurers may offer immediate coverage but apply cost-sharing clauses.
    • Fourth, thoroughly review the sum insured. If you already have a medical condition, pick a coverage amount that can realistically handle hospital expenses related to that condition.
    • Fifth, check if a rider or add-on is required. Some insurers remove the waiting period only if you buy an additional rider for pre-existing diseases. Make sure you understand whether this benefit is included in the base plan or available as an optional add-on.
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The waiting period is only one aspect of selecting the right plan. You should also pick a health policy that truly helps you manage hospital expenses and protects your savings when you need them.

How Does Zero Waiting Period in Health Insurance Work?

You need to buy health insurance with zero waiting period to get this coverage. For example, the 1 Cr ACKO Platinum Health Insurance Plan offers zero waiting period. Usually, there are four main types of waiting periods applicable when you first buy a health insurance plan. These include, initial waiting period, pre-existing diseases waiting period, maternity waiting period, and specific diseases waiting period. With health insurance with no waiting period for pre-existing conditions, you can claim from the first day of your policy. Some insurance companies may exclude only a few types of waiting period and still apply others.

For example, the initial waiting period would be waived off but pre-existing conditions and specific diseases waiting period may still apply. At ACKO we offer the Platinum Plan with zero waiting period, it means none of the four types of waiting period apply to your policy.

 Which Health Insurance Plans Have No Waiting Period for Immediate Coverage?

Health insurance plans that provide coverage from day one typically fall into a few distinct categories. Waiting periods for illnesses and pre-existing conditions are included in the majority of health insurance policies in India.

Instant coverage may be offered by the following health plans:

  • Premium individual health insurance plans that clearly state “zero waiting period” in their policy terms
  • Most employer group policies offer immediate coverage from the first day
  • Personal accident insurance plans that provide immediate coverage for accidental injuries
  • Policies with optional riders or add-ons that reduce or waive waiting periods for specific conditions

Not all plans offering early or instant coverage eliminate every type of waiting period. So, find out exactly what is covered immediately and what still has a waiting period before buying a health plan.

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What Are the Types of Waiting Periods?

Here is a detailed list of different types of waiting periods in health insurance and how they work.

Health conditionsHow does the waiting period work?Waiting period
   
Pre-existing diseases (diabetes, hypertension, etc.) waiting periodMost traditional health insurance plans cover pre-existing conditions after the completion of the minimum waiting period. Group health insurance waiting periods may have different terms and conditions.1 to 3 years
Psychiatric health conditions, Bariatric surgery, Specific diseases/illnessesCertain diseases or medical conditions and procedures may come with a specific waiting period. These may include cataracts, ENT disorders, osteoporosis, hernia, joint replacement surgery, etc. The waiting period for such illnesses can vary from 2 to 3 years, depending on the policy’s terms and conditions.2 to 3 years
Maternity waiting periodIf the maternity waiting period is applicable under your health insurance plan, then you cannot raise a claim for this benefit until the waiting period is over.9 months to 3 years
Newborn baby inclusionMost health insurance plans cover maternity-related expenses and include a newborn baby only after the specified waiting period. It can range from 9 months to 3 years. The maternity benefit covers the delivery expenses and the newborn baby for the first 3 months. However, there are plans that do not cover maternity expenses.9 months to 3 years
Initial waiting periodThe initial waiting period in health insurance is the duration from the date of policy commencement to the date from when you can start using the policy’s benefits. Except for accidental hospitalisation, no other medical expenses are covered during this initial waiting period in health insurance.0 to 30 days
Accidental hospitalisationThere is no waiting period applicable for accidental injuries under health insurance.0 days
COVID-19 coverageUsually, health insurance companies apply COVID-19 waiting period when you buy the policy for the first time.30 days

Zero Waiting Period on ACKO Platinum Health Plan

Are there health insurance plans with no waiting period in India? Yes, there is no waiting period health insurance in India. With ACKO Platinum Health Plans, you get coverage from Day 01. Provided you disclose all the pre-existing conditions. Additionally, you get benefits like No Room Rent Capping, No Deductions on claims, and much more.

Here are more details about these features.

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Zero Waiting Period

Your coverage begins from the first day of your ACKO Platinum Health Plan. This is a no waiting period health insurance plan. For example Initial waiting period, pre-existing diseases waiting period, etc. are not imposed.

Note: Get access to this feature by disclosing all the pre-existing conditions. Claims for undisclosed conditions may be rejected.

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Zero Deductions on Claims

You get the full claim amount including coverage for non-medical expenses (these are generally deducted from the claim amount). Besides, we also do not consider other deductions, such as deductibles, sub-limits, copay, etc.

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No Room Rent Capping

Choose a hospital room of your choice without worrying about its effect on the final hospital bill. This is one of the best zero waiting period health insurance on the market.

Is it possible to reduce the waiting period in health insurance?

While it may not be possible to reduce the waiting period for health insurance, you can opt for health insurance without waiting period. Go for ACKO Platinum Health Insurance Policy to get zero waiting period for pre-existing diseases. Make sure that you disclose all the medical conditions of all insured members while buying the plan.

Additional points to remember about health insurance waiting periods

Here are some important points to keep in mind about health insurance with zero waiting period.

  • If the insured is diagnosed with a disease during the waiting period, then it will not be considered a pre-existing disease and will be covered under the policy.
  • Some of the health insurance plans for senior citizens have removed or reduced the waiting period by including a copay clause. In this case, the insured must bear a certain portion of the claim amount.
  • Opt for a health insurance plan that offers a zero waiting period or the shortest possible waiting period.

What is Survival Period in Health Insurance?

The survival period in health insurance refers to the specified time duration the policyholder needs to survive after being diagnosed with a critical illness (cancer, heart or kidney failure, etc.). This period can be anywhere between 14 days to 180 days, depending upon the type of plan and the illness. Note that the survival time period is in addition to the waiting period of a policy.

The survival period in health insurance is an important part of critical illness plans. If a policyholder has a critical illness and raises a claim, the insurer will pay a pre-defined lump sum amount. However, this amount will only be paid if the policyholder survives through the specified survival period. Once this lump sum amount is paid for the surviving policyholder, the policy is terminated.

Difference between survival period and waiting period in health insurance

Health Insurance without waiting period may also come with coverage without survival period. Here are the differences between survival and waiting periods in health insurance.

CriterionSurvival periodWaiting period
   
Applicable forCritical illness policies.All types of health insurance policies (excluding ACKO Platinum Health Insurance Policy).
What is it?The specified time period during which the policyholder needs to survive after being diagnosed with a critical illness to get the claim amount (lump sum)The specified time period before the policyholder can start raising claims against the policy
What’s the time period?14 - 180 days0 - 30 days of initial waiting period, 0-3 years for pre-existing disease
Factors affecting the time periodDepends on the critical illness and the insurance providerDepends on the disease and the insurance provider
Continuity of the coverageTerminates after the one-time lump sum payment of the sum insuredExists post the waiting period with continued premium payments

Both the survival and waiting periods are associated with health insurance to make sure that genuine customers get adequate health insurance coverage during their time of need. However, they are not the same.

Conclusion

Now that you understand the definition of the waiting period in health insurance, it’s time to choose a plan that suits your requirements. However, you need not worry much about the waiting period in medical insurance if you buy a health insurance plan at an early stage of your life. Health insurance plans with zero waiting periods are ideal for coverage from day 1. Take advantage of ACKO’s Rs.1 Crore plan with zero waiting period and zero deductions at claims for optimum coverage.

Frequently Asked Questions

Here are some common questions and answers about the waiting period in health insurance.

Yes, you can use the ACKO Platinum Health Plan from the start date of the policy.

To avoid waiting periods, you can opt for health insurance with no waiting period. These plans offer coverage from day 01. You can go for ACKO Platinum Health Plan that not only offers zero waiting period but also 100% coverage on hospital bills.

Yes, you can claim health insurance after one day if you have opted for health insurance with zero waiting period.

Except for accidental hospitalisation, you cannot file a claim during the waiting period of most conventional health insurance plans. However, you can raise a claim from day 1 with ACKO.

It is slightly difficult to get instant health insurance as most insurance companies request a pre-policy medical checkup where they confirm your medical status.

Zero period in health insurance refers to the waiting period in health insurance. This is the time when you cannot claim for hospitalisation expenses.

PED (Pre-existing Disease) waiting period refers to the waiting period applicable on the coverage for Pre-existing Diseases. Most health insurance companies impose a waiting period of up to 3 years for offering this coverage. However, with ACKO Platinum Plans, you can get coverage for disclosed PED from day 01.

The reason for the waiting period in health insurance is to avoid malpractices by policyholders.

For example: If the policy buyer has a pre-existing disease and needs treatment for the same, the buyer may not disclose the same while purchasing the policy to avoid rejection of the claim. Insurers have included the waiting period in their health insurance plans to prevent such manipulation.

If you are looking for health insurance without a waiting period, then look no further. We offer Rs.1 Crore health insurance with zero waiting period if you disclose any pre-existing disease in case the pre-existing disease surfaces after a policy is issued. However at the time of claim, if it is found that the policyholder did not disclose any known pre-existing diseases while buying the policy, the claim may get rejected.

The ACKO Platinum Health Plan offers coverage from Day 01. Under this plan, you also get benefits like high sum insured, no deductions on claims, no room rent capping, and much more.

The most significant advantage of a lower waiting period in health insurance is that the lower the waiting period, the sooner you can avail of the policy’s coverage. Before purchasing the plan, make sure to read the terms and conditions of the health insurance policy.

No. Most insurers do not return the premium if the insured does not survive during the survival period in health insurance.

Please check and understand the terms and conditions of the policy to know the inclusions and exclusions of the coverage.

The waiting period for mediclaim policy can range anywhere from 2 years to 4 years. However, this can vary from insurer to insurer. Make sure you read and understand the terms and conditions of the policy before purchasing a health insurance plan.

This can only be accomplished if the insurer permits the exclusion of the waiting period clause under specific conditions. If not, there is no possibility of doing so.

The waiting period for mediclaim policy can range anywhere from 2 years to 4 years. However, this can vary from insurer to insurer. Make sure you read and understand the terms and conditions of the policy before purchasing a health insurance plan.

Some insurers offer health insurance with immediate policy issuance if you are young and in good health. You can choose a plan with zero waiting periods to start your health coverage instantly. This will help you get coverage for things like pre-existing conditions as well. Just remember that if you have a major health condition or select a high sum insured, the insurer may take some extra time to review your application.

Most health insurance plans come with a waiting period for pre-existing conditions. However, some insurers may offer plans with reduced waiting periods or specific add-ons to cover certain conditions sooner. It is important to check the policy terms carefully before buying to understand what is covered and from when.

Some health insurance plans offer zero waiting period benefits, which means certain coverages begin from day one. These are usually specific premium plans or optional riders/add-ons that remove waiting periods for selected conditions or benefits, such as accidental hospitalisation. However, it’s important to check the policy details carefully before buying.

Disclaimer:

*Except for exclusions like maternity benefits, undisclosed diseases, etc. Please check policy wordings for more details.

**In case the pre-existing disease surfaces after a policy is issued. However at the time of claim, if it is found that the policyholder did not disclose any known pre-existing diseases while buying the policy, the claim may get rejected.

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Roocha Kanade profile avatar

Written by

Roocha Kanade

Content Architect

Dr Nitin Kumar Gupta profile avatar

Reviewed by

Dr Nitin Kumar Gupta

SVP – Health Underwriting & Claims at Acko General Insurance