New Customer Waiting Periods

When you take out health insurance for the first time, you may have to serve waiting periods before you are fully covered, but accident and injury will be covered immediately. The maximum waiting periods are:

New Customer Maximum Waiting Periods
Your age on joiningAccident and InjuriesIllnesses that commence after you joinIllnesses that commence before you joinMaternity related claims
Under 55None26 weeks5 years52 weeks
55-59None52 weeks7 years
60-64None52 weeks10 years
65 or overNone104 weeks10 years

Once you serve these waiting periods you will not have to serve them again if you switch to another insurer, as long as you haven't had a break in cover of more than 13 weeks. If you switch insurers while you are serving new customer waiting periods, the amount of time served with the first insurer will be taken into account and you will finish off your waiting periods with the new insurer. You will only have to serve additional waiting periods if you switch to a plan with higher benefits. See our section on switching for further details. 

Current Market Practice

Currently, all insurers normally apply the maximum waiting periods for new customers to the market, to inpatient benefits, as described above. However these are maximum waiting periods and can be waived or reduced at the insurer's discretion.

In practice, shorter waiting periods are applied to new customers for outpatient benefits. These shorter waiting periods are listed below.

Age group at time of switching plansWaiting periods applied to new customers for out-patient benefits
 Vhi HealthcareAviva Health and GloHealth
Laya Healthcare
Under 50Immediate CoverImmediate CoverImmediate Cover
50-5426 weeksImmediate CoverImmediate Cover
55-6452 weeks52 weeksImmediate Cover
65 and over104 weeks104 weeksImmediate Cover
Maternity Benefits52 weeks52 weeksImmediate Cover

Infants born to policy holders will not serve a waiting period if they are added to a policy within 13 weeks of their date of birth.

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