Health insurance waiting periods are the set timeframes you must wait after taking out a policy for the first time, or upgrading your cover, before you can claim benefits. Waiting periods apply to both Hospital and Extras cover.
The length of a waiting period depends on the type of treatment, usually ranging from two to 12 months.
For example, health insurance for pregnancy typically has a 12-month waiting period, so you would need to take out an appropriate level of hospital cover, such as Gold cover, and hold it for 12 months before you can claim for birth-related services and treatment.
Why do waiting periods apply?
According to PrivateHealth.gov.au, health insurance waiting periods help prevent people from taking out cover and making an immediate claim.
They protect existing members by reducing the risk of individuals making a large claim soon after joining and then cancelling their cover, which would otherwise lead to higher premiums for all policyholders.
Waiting periods are one of the potential disadvantages of health insurance, as they apply in most scenarios. But there are a handful of situations where getting health insurance with no waiting period may be possible. The catch is, you generally need to have cover in place already to qualify.