Waiting periods in health insurance

A waiting period is time after the policy starts during which some claims are not paid. Health policies usually have an initial waiting period for most illnesses, a longer one for pre-existing diseases and one for listed illnesses or procedures. Accidents are often covered from the first day; check your policy.

Last reviewed on 18 October 2026. Exact requirements depend on your policy, the insurer and the rules in force.

Who this guide is for

  • People buying a new health policy or porting to another insurer

Step by step

  1. Find each waiting period in the schedule and note the date it ends.
  2. Disclose every existing illness when you buy; non-disclosure can lead to rejection.
  3. Renew on time: waiting periods already served are kept when cover is continuous.
  4. When porting, ask the new insurer in writing how it credits the waiting periods you have served.

Documents commonly asked for

DocumentWhy it is needed
Policy scheduleStates each waiting period and its length.
Previous policiesProve continuous cover when you port or claim.

The insurer may ask for fewer or other documents depending on the case.

Common mistakes

  • Letting the policy lapse and starting the waiting periods again
  • Assuming a group (employer) policy's terms apply to a personal policy

What the rules say

  • For health policies issued or renewed after 30 September 2024, the waiting period for pre-existing diseases can be at most 36 months. Older policies may show a longer period until they are renewed. [1]
  • After 60 months of continuous cover (the moratorium period), a claim cannot be contested on grounds of non-disclosure or misrepresentation, except for established fraud. [2]

Rules referred to

  1. IRDAI (Insurance Products) Regulations, 2024 (F. No. IRDAI/Reg/8/202/2024, 20 March 2024)
    Product rules, including the limit on the waiting period for pre-existing diseases.
  2. IRDAI Master Circular on Health Insurance Business (Insurance Products Regulations, 2024) (IRDAI/HLT/CIR/PRO/84/5/2024, 29 May 2024)
    Free-look period, grace period, moratorium period, cashless and discharge timelines.

Finobazaar read published copies of these rules on 19 October 2026. Rules change: check the current text on irdai.gov.in or with your insurer.

Important limitations

  • Waiting periods vary by product; some products offer shorter ones for an extra premium.
  • This guide explains the usual process; it does not replace your policy wording or the insurer's instructions.
  • Following these steps does not guarantee that a claim will be paid.

Official resources

Addresses checked on 19 October 2026.

Frequently asked questions

What is a waiting period?

Time after the policy starts during which certain claims are not paid. Your policy schedule lists each one and its length.

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