When purchasing health insurance with pre-existing conditions like diabetes and hypertension, one of the most important aspects to consider is the waiting period. The waiting period determines when your insurer will start covering medical expenses related to these conditions.
This guide will explain:
A waiting period is the duration after purchasing a policy during which claims related to pre-existing diseases are not covered. This means if you need treatment for diabetes or hypertension during this time, you will have to pay out-of-pocket.
Key Points About Waiting Periods
The Insurance Regulatory and Development Authority of India (IRDAI) has set guidelines stating that insurers can impose a maximum waiting period of 4 years for pre-existing diseases. However, most health insurance policies have waiting periods of 2 to 4 years for conditions like diabetes and hypertension.
Insurer | Waiting Period for Diabetes & Hypertension |
---|---|
ICICI Lombard | 2 to 3 years |
Max Bupa (Niva Bupa) | 2 to 4 years |
HDFC ERGO | 3 years |
Apollo Munich (now HDFC ERGO) | 3 years |
Care Health Insurance | 2 to 4 years |
Star Health Insurance | 2 to 4 years |
Note: These waiting periods are subject to change based on policy updates. Always check with the insurer before purchasing a policy.
Example 1: A Policy with a 3-Year Waiting Period
Example 2: A Policy with a 2-Year Waiting Period
If you do not want to wait for 2-4 years before your insurance covers your condition, some insurers offer ways to reduce the waiting period.
1. Buy a Policy with a Shorter Waiting Period
2. Opt for a Waiting Period Buyout (Waiver)
3. Choose a Disease-Specific Insurance Policy
4. Porting Your Health Insurance Policy
Many people do not disclose pre-existing conditions when buying health insurance to avoid long waiting periods. However, this can have serious consequences:
If the insurer finds out later that you had diabetes before purchasing the policy, your claims can be rejected.
Some insurers may even cancel the policy due to non-disclosure.
It is always better to disclose your medical history honestly and choose a policy that suits your needs.
✔ Waiting Period Duration – Choose a policy with a shorter waiting period.
✔ Pre-Existing Disease Coverage – Confirm that the policy explicitly covers diabetes and hypertension.
✔ Premium Costs – Policies with lower waiting periods usually have higher premiums.
✔ Sub-Limits or Caps on Treatment – Check if the policy has any limits on treatment costs for pre-existing diseases.
Best Strategy:
Always compare different insurers and read the policy terms carefully before making a decision.