Moratorium Period In Health Insurance
  • What is the Moratorium Period?
  • What is the importance?
  • How to navigate?
Moratorium Period In Health Insurance
Buy Policy in just 2 mins

Buy Policy in just 2 mins

Happy Customers

2 lakh + Happy Customers

Free Comparison

Free Comparison

Customized Health Insurance Plan for you.

Get upto 15% Online Discount*

Select Members You Want To Insure

Age of Eldest Member

What is the Moratorium Period in Health Insurance?

In this world, even healthcare costs are going out of control, thus falling ill can be Nobody wants to fall seriously ill or want their loved ones to go through any serious medical conditions. But in case such an unfortunate situation occurs, the last thing you want to think about is piling medical bills which only adds to the stress. In these unexpected and distressing life events, health insurance can prove to be your best friend!

The term "moratorium period" can be a little confusing for some in this health insurance industry. It is a term that may not be as commonly understood as premium, deductible, or coverage. This article talks about the concept of the moratorium period in health insurance. This article aims to explain everything related to the moratorium period in health insurance and other related important information.

Moratorium Period in Health Insurance- The Definition

The moratorium period is the waiting period imposed by the insurance providers during which certain pre-existing medical conditions are not covered. During this period you need to remain free for specific medical conditions or treatments before they can be eligible for the coverage. The duration of this period is been set by the IRDAI which is 8 years.

Purpose of Moratorium Period

The insurance companies issue a moratorium period to prevent the policyholders from purchasing health insurance only when they need immediate coverage for pre-existing conditions. With the enforcement of this moratorium period, the insurer aims to maintain a healthier and more balanced risk pool. This can help them in keeping the premiums manageable for all the policyholders.

How Does the Moratorium Period Work?

  • Waiting it Out

    During the moratorium period, you need to maintain continuous coverage for 8 years without any claim. If you can remain free of the specified pre-existing conditions or treatments during this time, then only you are eligible for the coverage of such conditions in the future.
  • Trigger

    The moratorium period starts from the date your policy becomes effective. In case the insured person already has some pre-existing medical situation or needs treatment for any specific condition, it will be listed on their policy papers. Any claim related to these conditions will be denied during the moratorium period.
  • Exceptions and Clauses

    The potential person is always provided with a copy of their health insurance documents for review before they even opt for it. Like every important decision in life, before choosing you must read the fine print of your health insurance policy. At times, many medical emergencies or fatal situations can be covered by your health insurance if those are related to your pre-existing medical condition.

Why Does the Moratorium Period Matter?

The Moratorium Period is an essential part because of the following reasons-

  • Protecting the Risk Pool

    The moratorium period helps maintain a balanced risk pool for the insurance company. Without any waiting period, individuals might purchase insurance only when they need immediate coverage for their pre-existing conditions. This could lead to a higher number of claims and subsequently increased premiums for everyone.
  • To Manage Costs

    Having a moratorium period, insurance can better manage costs. It allows them to predict and allocate resources more effectively. This way they can analyze certain high-cost conditions that would not be immediately covered, hence the decisions will be better.
  • Legal Requirements

    It is a legal requirement for the insurance providers to impose a moratorium period. In some regions, this emphasizes the importance and significance of this waiting period in the health insurance company and industry.
Check Health Insurance Premium
Check Health Insurance Premium

How to Navigate the Moratorium Period?

There are a few steps you can take to get to know about the moratorium period against your policy-

  • Read your Policy Carefully

    It is suggested that you should thoroughly read your health insurance policy. Understand the conditions and treatments that are subjected to this waiting period, and take note of anything exceptional you see.
  • Plan for the Future

    If there is any pre-existing condition that you are suffering from or any need for certain treatment you are thinking of, it is crucial to plan for the moratorium period. Make sure to maintain continuous coverage and explore the options for temporary coverage of these conditions.
  • Ask the Expert

    Understanding the terms and conditions of health insurance is kinda complex. Call your expert and seek guidance from them. They will guide you in a better way.

Conclusion

A moratorium period is the best alternative method of dealing with pre-existing conditions which does not require you to disclose any medical histories when you opt for the policy. Like everything else in insurance, even a moratorium period has its pros and cons. So it is suggested to read out the policy thoroughly before opting for the policy and moratorium period.

Moratorium Period In Health Insurance: FAQ's

1. What is the moratorium period in health insurance?

Moratorium period is the period during which the insurance companies apply to apply no look back policy. IRDAI says that after completing eight continuous years of policy there will be no look-back policy applied. This above-mentioned time of eight years is called the moratorium period in health insurance.

2. Is moratorium better?

Moratorium is better if you have suffered from a medical condition 5 years ago.

3. Why is the moratorium period given?

Moratorium is given to deal with financial hardship.

4. Can we cancel moratorium period?

No, Once you have opted for a moratorium period you cannot cancel it.

Health Insurance Companies

What Our Customers Have to Say

Customer Review Image

Babu Shenoy

Other

February 17, 2024

Excellent service. Very prompt. Personal attention and care... it is a pleasure to deal with them. Can safely recommend to friends and relatives.

Customer Review Image

Bhawani Singh Chikliya

Kolkata

February 16, 2024

I highly recommend reaching out to PolicyX.com before buying health insurance. They are great at what they do, and they& 039;ve helped me get an all-in-one Niva Bupa health insurance for my sen...

Customer Review Image

Jayant Parashar

Bhopal

February 16, 2024

I was in search of the best available health insurance for me and my family, and then I came to know PolicyX could help me with this. And exactly what I& 039;d heard about them, they did an ama...

Customer Review Image

Akash Soni

Gandhinagar

February 16, 2024

I am really happy with the customer service of PolicyX. I got my health insurance policy from Niva Bupa, and the members of the team helped me prepare my mind and finances for the policy.

Customer Review Image

Ritu

Bhopal

February 16, 2024

PolicyX insurance experts helped me enjoy the full potential of my Aditya Birla Health Insurance plan by informing me of all the impressive wellness benefits provided by the insurer.

Customer Review Image

Ritika Bhalla

Kolkata

February 16, 2024

For all my SBI health insurance plan queries like premium comparison, renewal, and rider information I turn to PolicyX.

Customer Review Image

Nishtha Holkar

Mysore

February 16, 2024

I was looking for the best critical illness health insurance that can provide adequate coverage for cancer treatments. PolicyX insurance experts pointed me in the right direction with Aditya Bi...

Customer Review Image

Sakshi Kapoor

Ranchi

February 16, 2024

Maternity insurance was a major concern for me. PolicyX suggested the SBI Super Health Insurance which has got everything I need and more.

Simran Saxena

Written By: Simran Saxena

An explorer and a curious person, Simran has worked in the field of insurance for more than 3 years. Traveling and writing is her only passion and hobby. Her main agenda is to transform insurance information into a piece that is easy to understand and solves the reader’s query seamlessly.