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Glossary
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Waiting Period

A waiting period in insurance, particularly in Long-Term Care Insurance, refers to the initial period of time during which a policyholder must wait after purchasing the policy before they can start receiving benefits.

Example #1

For instance, if a Long-Term Care Insurance policy has a 90-day waiting period, the policyholder will need to cover their care expenses for the first 90 days after becoming eligible for benefits.

Example #2

In health insurance, a waiting period may apply to pre-existing conditions, where coverage for certain health issues can be delayed for a specified time after the policy is in effect.

Misuse

Misuse of waiting periods can harm policyholders by causing delays in accessing necessary benefits. For example, unscrupulous insurance providers may extend waiting periods unreasonably to avoid paying out claims promptly, leaving policyholders in financial stress and without the support they were promised. It's crucial to protect against such misuse to ensure that policyholders receive the timely assistance they need during challenging times.

Benefits

On the other hand, waiting periods can also benefit policyholders by helping to keep insurance costs lower. By having a waiting period in place, insurance companies can manage risk more effectively and offer policies at more affordable rates. This structure ensures that policyholders who genuinely need the benefits receive them, while discouraging those who may not have a real need from exploiting the system.

Conclusion

Understanding waiting periods is important for consumers to know when they can expect their insurance benefits to begin, allowing them to plan accordingly. By being aware of waiting periods, consumers can make informed decisions when selecting insurance policies and be prepared for any initial out-of-pocket expenses they may face.

Related Terms

Policyholder

See Also

Elimination Period

Last Modified: 4/29/2024
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