Waiting Period (Insurance)
A waiting period is a specified time frame after purchasing insurance coverage during which certain benefits are not available or claims will not be paid. This period protects insurers from adverse selection by preventing people from purchasing coverage immediately before needing expensive treatments or services.
Example
“The dental insurance policy had a six-month waiting period for major procedures, so Jennifer had to delay her crown replacement until the waiting period expired.”
Memory Tip
Remember 'Wait to Get' - you must wait to get certain benefits, preventing people from buying insurance only when they immediately need expensive care.
Why It Matters
Waiting periods directly affect when you can access insurance benefits and should influence the timing of when you purchase coverage. Planning ahead and buying insurance before you need it ensures you won't be caught in a waiting period when you require care, potentially saving thousands in out-of-pocket costs.
Common Misconception
People often think waiting periods apply to all benefits equally, but they typically only affect non-emergency services and pre-existing conditions while allowing immediate coverage for accidents and preventive care. Some also believe waiting periods continue indefinitely, when they actually end after the specified time frame.
In Practice
Lisa purchases a health insurance policy on January 1st with a 12-month waiting period for pregnancy-related care. If she becomes pregnant in March, any pregnancy-related expenses would not be covered until the following January, potentially costing her $8,000-15,000 in delivery costs. However, if she had purchased the same policy a year earlier, her March pregnancy would be fully covered under the maternity benefits.
Etymology
The term combines 'waiting' from Old French 'waitier' meaning 'to watch or guard' and 'period' from Greek 'periodos' meaning 'a going around or cycle of time.'
Common Misspellings
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Related Terms
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See Also
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