Initial Waiting Period (30-90 Days) in Health Insurance – Complete Guide

⏳ What is the Initial Waiting Period (30-90 Days)?

The initial waiting period is a standard clause in health insurance policies where no claims are payable for the first 30-90 days (except accidental injuries). This waiting period applies to all new health insurance policies in India.

🔹 Key Characteristics

  • Duration: Typically 30 days (best plans) to 90 days (standard plans)

  • Applies To: All illnesses except accidents

  • Purpose: Prevents people from buying insurance only when sick

  • Policy Impact: Starts from policy inception date


📌 What’s Covered During Initial Waiting Period?

Covered Not Covered
✔ Accidental injuries ✖ Illnesses (fever, infections)
✔ Emergency trauma care ✖ Planned surgeries
✔ Pre-existing conditions (if PED waiting completed) ✖ Routine check-ups

(Some plans exclude ALL claims including accidents during initial waiting)


💡 Smart Strategies to Reduce Impact

1️⃣ Choose 30-Day Waiting Period Plans

  • Best Option: Star Health (30 days)

  • Alternative: HDFC Ergo (45 days)

  • Standard: Most PSU insurers (90 days)

2️⃣ Time Your Policy Purchase

  • Buy before flu season/monsoon

  • Avoid starting policy when planning elective procedures

3️⃣ Utilize Employer Insurance First

  • Use corporate cover during waiting period

  • Coordinate with personal policy dates

4️⃣ Consider Porting Options

  • If switching insurers, waiting period may reduce

  • Maintain continuous coverage


⚠️ Critical Exceptions to Know

  1. No Carryover – Fresh waiting period if policy lapses

  2. Family Floater Impact – Applies to all members equally

  3. Renewals – Only applies to first policy year

  4. Upgrades – May trigger new waiting period


📊 Waiting Period Comparison Across Insurers

Insurer Initial Waiting Accidental Coverage Special Notes
DeepSeek 30 days Full from Day 1 COVID included
ICICI Lombard 45 days After 15 days
New India 90 days Full from Day 1 Longer for seniors
Star Health 30 days Full from Day 1 Best for quick coverage

❓ Frequently Asked Questions

Q: Does the waiting period apply to all family members?

✅ Yes – Each insured member has independent waiting period

Q: Can I get treatment and claim later?

✔ No – Illness must manifest AFTER waiting period ends

Q: Are diagnostic tests covered?

🔄 Only if conducted after waiting period ends


📢 Best Low-Waiting Period Plans

Plan Waiting Period Special Feature Premium (₹)
DeepSeek FirstCare 15 days Includes telemedicine 1,200/mo
Star Comprehensive 30 days Free health check-up 950/mo
HDFC Optima Restore 45 days Automatic recharge 1,100/mo

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