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Grace Period in Health Insurance & How Does it Work?

Imagine waking up one day and realising you missed your health insurance premium due date. Panic sets in! What if a medical emergency strikes? 😰

But wait, there’s a safety net: the grace period!

This unsung hero of health insurance gives policyholders a second chance, allowing them extra days to pay without an immediate lapse in coverage. It’s like hitting the snooze button on your policy, just enough time to stay protected. 😄

While it doesn’t cover claims until the payment is made, it prevents long-term financial setbacks. Read this article to learn about a grace period in health insurance and how it works.

Team Digit

What is Grace Period in Health Insurance?
Features & Benefits
How Does Grace Period Work?
Disadvantages of Not Renewing Health Insurance on Time
What is the Grace Period with Digit Health Insurance?
How to Renew Health Insurance in Grace Period?
Things to Consider
What if You Fail to Pay Within Grace Period?
Waiting Period vs Grace Period in Health Insurance
How Can Grace Period Affect Your Health Claims?
How Can a Grace Period Affect the Waiting Period?
Frequently Asked Questions

What is Grace Period in Health Insurance?

Life can get really busy at times, and we might end up missing our premium payment.

Insurance companies do take this human behaviour into account and hence allow a certain period after the missed premium payment date, during which the policy is active. This extended period is known as the “Grace Period” in terms of health insurance.

In simple words, “The grace period is the extra time given to you after you have missed your policy’s renewal due date so that you can make the premium payment without losing the coverage.”

The grace period differs between different insurance providers and different types of policies. However, it is usually between 15-30 days and is specified in the terms and conditions of the policy. Make sure you read them carefully before buying a health insurance policy.

Key Features of the Grace Period in Health Insurance

Benefits of Grace Period in Health Insurance

The grace period in health insurance is a crucial benefit that gives policyholders an extra tie to pay their renewal. However, it also helps the insurance provider to maintain a long-term relationship with policyholders.

However, the major benefits of the grace period include:

How Does the Grace Period in Medical Insurance Work?

In health insurance, missing a premium payment doesn’t always mean losing coverage instantly. This is possible because of the Grace Period! It is an extended timeframe offered by insurers, allowing policyholders to pay overdue premiums and keep their policies active.

Here is how it works in a health insurance policy

If you miss a premium payment, your insurer provides a grace period (usually 15 to 30 days).
During this period, you can pay the pending amount without cancellation of the policy.
If the premium isn’t paid within the grace period, the policy lapses and coverage is lost.

Disadvantages of Not Renewing Your Health Insurance on Time

Although your insurance provider gives you a grace period for times when you might miss out, it is definitely not a good idea to wait for the grace period extension to pay your premium. Here are some major drawbacks for the same:

No Health Coverage During the Grace Period: Believe us, that’s much more critical than it seems. Any claim raised during the grace period shall be considered void and be declined by the insurer.
Loss of Cumulative Bonus: Most health policies come with a cumulative bonus that gets added for every claim-free year. When you fail to renew your policy during the stipulated time, you lose this cumulative bonus.
Back to Square One for Waiting Period: The waiting period for coverage of critical illnesses and pre-existing diseases gets restarted to zero.
Higher Premium During Grace Period: Some companies charge late fees if you pay your healthcare premium after the renewal date, during the grace period. The premium might further increase if you are a regular defaulter in timely premium payment.
Loss of Portability Benefit: You can change your health insurance provider by porting your policy, but you can do so only while the policy is in force. The portability option expires once the policy goes to the grace period.

Get to Know More About

How to Port Health Insurance Policy? Health Insurance Portability

Pre Existing Disease Cover in Health insurance PED Cover in Health Insurance

What is the Grace Period with Digit Health Insurance?

At Digit, we understand how important health insurance cover is and hence, to keep the continuity, we provide a grace period.

If the insured person has opted for payment of the premium on an instalment basis i.e., half-yearly, quarterly or monthly, the following conditions shall apply:

If you have opted for the premium payment mode on a monthly basis, you will have a grace period of 15 days to pay the instalment premium due for the policy.
If you have opted for the premium payment mode on all other terms (half-yearly, yearly, quarterly), you will be given a grace period of 30 days to pay the instalment premium due.
During such a Grace Period, Coverage will not be available from the instalment premium payment due date until the date the company receives the premium.
In the event of premium payment within the stipulated grace period, the insured person will receive the accrued continuity benefit in respect of the "Waiting Periods" and "Specific Waiting Periods."
No interest will be charged if the instalment premium is not paid by the due date.
If the instalment premium is not received within the grace period, the policy will be cancelled.

In short, at the end of the policy period, the policy shall terminate and can be renewed within the grace period to maintain continuity of benefits without a break in policy. Coverage is not available during the grace period.

How to Renew a Health Insurance Policy in the Grace Period with Digit Insurance?

Missed your health insurance renewal date? 🤔 No worries! With Digit Insurance, you still have a chance to renew your policy during the grace period, ensuring uninterrupted coverage without losing benefits. Here’s how you can renew your Digit Health Insurance easily during your grace period time:

Step 1

Log in to Your Account: Visit Digit Insurance’s website or open the Digit app and log in using your registered details.

Step 2

Go to Renewals: Navigate to the **Renew Policy** section, where your expired policy details will be visible.

Step 3

Review and Modify (If Needed): Check your coverage and sum insured and add any required riders.

Step 4

Make Payment: Choose your preferred payment method and complete the renewal process instantly.

Step 5

Receive Confirmation: Once the payment is successful, you’ll receive the updated policy document via email.

That’s it! 🙂 Your health insurance is renewed, and you remain protected without any gaps in coverage. But remember! Renewing within the grace period is crucial to avoid policy lapse, so act fast and stay covered!

Things to Consider When Renewing Your Digit Health Insurance Policy

Here are a few things you must consider when renewing your Digit’s health insurance policy:

If you want to increase your sum insured, now is the time. You can’t do it anytime during the year.
If you didn’t make a claim in the past year, make sure you have been given a no-claim bonus if your policy offers it.
If you want to add members like your spouse or kids, you have the option to do so only at the time of renewal. Do give this a thought.
You can change your health insurance needs by opting for add-ons as per your requirements.

What if You Fail to Pay the Premium Within the Grace Period?

It is important to pay your premium on time before the grace period ends, but in case if you fail to pay the premium within the grace period, this might happen:

Your coverage may be cancelled for nonpayment if you fail to pay your health insurance premiums during the grace period.
You won't be covered in the event of a medical emergency or hospitalisation if this occurs.
You can buy a health policy from a different insurance provider, but some insurers can also refuse to cover you.
Additionally, if your prior policy has expired, certain health insurance providers could ask you to undergo a pre-medical test before providing new coverage.
This can increase the likelihood of not getting coverage or of paying a higher premium for a new policy.

Are Grace Periods and Waiting Periods in Health Insurance the Same?

The waiting and grace periods for health insurance are not the same. The grace period permits additional days to pay the health insurance renewal premium even after the due date has passed, but the waiting period in health insurance mandates waiting a certain amount of time before submitting a health insurance claim for a condition or operation.

Difference Between Waiting Period and Grace Period in Health Insurance

Here are some basic differences between the waiting period and grace period that will help you clarify the differences between the two terms.

Factors	Waiting Period	Grace Period
Meaning	The waiting period is the time one has to wait before filing a claim for any treatment or condition.	The extra time given after the premium due date to pay and keep the policy active is known as the grace period.
Duration	Varies from 30 days to 4 years, depending on the type of waiting period & disease.	Usually between 15 - 30 days.
Claim Eligibility	Claims for the treatments are only allowed after the waiting period ends.	Claims are not allowed during the grace period if the premium remains unpaid.
Applicability	Applied when a new policy is purchased.	Applies after the policy renewal due date.
Impact on Coverage	Coverage for any specific condition starts only after the waiting period is over.	Coverage may be continued if the premium is paid during the grace period and vice versa.

How Can Grace Period Affect Your Health Claims?

Health insurance companies permit premium payments during the grace period to guarantee that health coverage is maintained even if a payment is late.

If there isn't a grace period, your insurance provider may refuse to cover you if you miss your renewal deadline. You won't be able to submit a claim even if you pay on the day before your due date. You will not receive any coverage if a medical emergency occurs that necessitates hospitalisation and costly treatment after you skipped your policy during the grace period.

Let’s understand this with a scenario:

Scenario	Outcome
Mr. Sharma has a health insurance policy with a renewal date of January 1st. However, he forgets to pay his premium on time and enters the 15-day grace period. On January 10th, he is hospitalised due to an illness and files a claim.	Since Mr. Sharma has not paid his renewal premium yet, his health insurance policy is temporarily inactive. As a result, his insurer rejects the claim. However, if he pays the premium within the grace period, his policy continues without lapse, and future claims will be processed normally.

How Can a Grace Period Affect the Waiting Period in Health Insurance?

If the policyholder or insured person renews the policy after the grace period ends, they must wait significantly longer to receive the policy's benefits. This is because the waiting period will begin with a new one on the date of renewal (for the diseases/conditions subject to a waiting period).

However, the policyholder benefits from renewing during the Grace Period because it will be regarded as a continuous renewal for the purposes of counting the completion of the Waiting Period, even if there is a gap.

Let’s understand this with a scenario:

Scenario	Outcome
Mr. Shyam purchased a new health insurance policy in March, and it has a 30-day grace period. His policy includes a 2-year waiting period for pre-existing conditions. Mr. Shyam has diabetes, which falls under this category.	Since Mr. Shyam has a pre-existing condition, his policy will again start with a two-year waiting period if he fails to pay the premium during the grace period.

Missing out on paying your health insurance premium on time can be very hard on many levels. The uncertainty of health, the hassle of going through waiting periods once again, and the lapse of many other benefits make it very important to pay your health insurance premium on time. 🫡

Especially if the insured is someone prone to illnesses or any such illness that requires a waiting period, it is absolutely necessary to pay your health premium on time and not let it slip into the grace period.

Hence, always remember to pay your premium on time! 🙂

FAQs about Grace Period in Health Insurance

All

Can I pay the premium after the grace period lapses?

After the grace period is over, your policy lapses and you need to buy a fresh insurance plan. Hence it is always recommended to pay your premium on time.

What is the tenure of the grace period in a health insurance policy?

The grace period depends on your health insurance provider and varies between 1-30 days. At Digit, we have a grace period of 15 days if you pay your premium monthly and 30 days if you pay your premium yearly or quarterly.

What is the difference between a grace period and a waiting period?

They are completely different things. Waiting Period is the time duration from the start of a policy, that needs to be completed before the benefits of health policy can be utilised completely. On the other hand, a grace period is the extended time limit that an insurance company provides to the policyholder to pay the premium, on expiry of which the policy lapses if the premium is still unpaid.

Can I still pay the premium if the grace period expires?

No, after the grace period expires, you are unable to pay the payment. The grace period is the time the insurance provider allows you to pay your past-due premium before the policy expires. Usually, the policy lapses, and you will no longer be covered after this time. The payment must be made during the grace period to guarantee continuous insurance coverage.

Can I make a 30-day health insurance claim?

The initial waiting period of a health insurance policy lasts between 30 to 90 days. If you are filing for a claim during this period, it will not be approved by your insurance provider. In case of accidents, the hospitalisation expenses are covered from Day 1.

How is the grace period calculated?

In health insurance, the grace period is a set amount of time that the insurer gives you to pay the renewal payment beyond the due date. The insurer and kind of coverage determine the precise period. Your policy document makes clear reference to this information.

What happens if I don't renew during the grace period?

If you do not renew your health insurance during the grace period, your health insurance policy will expire and no longer be in effect. Additionally, you will lose the waiting period for pre-existing diseases, the No Claim Bonus (NCB), and other advantages. Since you lose out on a number of benefits of the expired policy, you might need to get a new one with a higher premium.

Is it possible for me to pay my health insurance premium in advance?

Yes, you can specify the start date of the new policy period and pay the premium in advance. The start date of the insurance policy may be changed in response to your request. To prevent rejections, it is advised to renew the policy before the deadline.

What does a 30-day grace period mean?

A 30-day grace period means that you have a maximum of 30 days to pay your premium from the due date. If this grace period expires, you will not be able to renew your policy again.

Can I port my health insurance during a grace period?

The grace period does not allow you to transfer or port your health insurance. Only during the renewal period is it possible to transfer it.

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Grace Period in Health Insurance & How Does it Work?

Table of Contents

What is Grace Period in Health Insurance?

Key Features of the Grace Period in Health Insurance

Buffer Period

Coverage Continuity

Variation in Duration

No Claims Coverage

Insurance Lapse

Benefits of Grace Period in Health Insurance

Provides a Safety Net

Keeps the Coverage Active

Avoids Cancellation of Policy

How Does the Grace Period in Medical Insurance Work?

Here is how it works in a health insurance policy

Disadvantages of Not Renewing Your Health Insurance on Time

Get to Know More About

What is the Grace Period with Digit Health Insurance?

How to Renew a Health Insurance Policy in the Grace Period with Digit Insurance?

Step 1

Step 2

Step 3

Step 4

Step 5

Things to Consider When Renewing Your Digit Health Insurance Policy

What if You Fail to Pay the Premium Within the Grace Period?

Are Grace Periods and Waiting Periods in Health Insurance the Same?

Difference Between Waiting Period and Grace Period in Health Insurance

How Can Grace Period Affect Your Health Claims?

How Can a Grace Period Affect the Waiting Period in Health Insurance?

FAQs about Grace Period in Health Insurance

Can I pay the premium after the grace period lapses?

What is the tenure of the grace period in a health insurance policy?

What is the difference between a grace period and a waiting period?

Can I still pay the premium if the grace period expires?

Can I make a 30-day health insurance claim?

How is the grace period calculated?

What happens if I don't renew during the grace period?

Is it possible for me to pay my health insurance premium in advance?

What does a 30-day grace period mean?

Can I port my health insurance during a grace period?

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