What happens during a waiting period?

Asked by: Aric McClure  |  Last update: May 29, 2026
Score: 4.4/5 (26 votes)

A waiting period is a set timeframe after signing up for insurance, starting a new job, or initiating legal proceedings during which specific benefits are not active, coverage for pre-existing conditions is excluded, or mandatory "cooling-off" rules apply. During this time, you usually cannot file claims, and any related costs must be paid out-of-pocket.

What happens during the waiting period?

A waiting period is the amount of time an insured must wait before some or all of their coverage comes into effect. The insured may not receive benefits for claims filed during the waiting period. Waiting periods may also be known as elimination periods and qualifying periods.

What happens if I need care during the waiting period?

Most medical expenses: You'll need to pay out of pocket until the waiting period ends. Pre-existing conditions: Require waiting through extended periods before coverage begins.

How does waiting period work?

A waiting period is an initial period of health insurer membership during which no benefit is payable for certain procedures or services. Waiting periods can also apply to any additional benefits when you change (upgrade) your health insurance policy.

What is the purpose of a waiting period?

The purpose of a waiting period is to ensure informed decision-making and to provide a cooling-off period before exercising certain rights.

TWW: 9 Things to Do During the Two-Week Wait

28 related questions found

Does PTO accrue during a waiting period?

Even though employees cannot use their PTO during the waiting period, they often start accruing it from their first day of work.

How to get through a waiting period?

For some, distraction works best-throw yourself into work, a hobby, or make casual plans with supportive friends and family. For others, time alone doing the things you enjoy the most works best - prepare a wonderful meal, take long walks or curl up and read a good book.

Why do employers have a waiting period for benefits?

With that said, a primary purpose is to determine whether or not an employee fits into the company. Due to high turnover within the first few months of employment, an organization may want to mitigate the cost of subsidized care for a worker who may only be on the team for a few weeks.

Are waiting periods effective?

More recent research on waiting periods has broadly used evidence from changes in the state law of a single state and has found that these laws are associated with lower rates of gun‐related violence such as suicides (Oliphant 2022; Anestis et al. 2017) and homicides (Webster et al.

Can I claim after waiting period?

Waiting periods on pre-existing conditions are 12 months. Once you've served this waiting period, you're able to receive benefits towards treatment for that condition.

How long do you have to work for a company before you get insurance?

First and foremost, knowing (and following) the rule helps companies stay compliant with the Affordable Care Act (ACA). As we mentioned earlier, employers who offer group health insurance plans must offer their eligible employees access within the first 90 days on the job.

How does a waiting period affect benefits?

The waiting period directly affects when you can start receiving benefits from a disability insurance claim. This waiting period can vary depending on your premiums and whether you have short-term or long-term disability insurance. Shorter wait times usually mean higher insurance premiums.

Why is there a 7 day waiting period?

Waiting period laws give law enforcement additional time to perform an accurate background check and create a “cooling off” period to prevent acts of violence or suicide attempts. If sold from a federally licensed dealer, a gun can be transferred to a purchaser before a proper background check is performed.

What is the meaning of waiting period?

A waiting period is a time for which the insured has to wait for some or all coverage to come into effect. It is the duration from the inception of the policy when the insured does not have the cover assurance even though the policy is purchased and the premium is paid.

What states have a 10 day waiting period?

California, Rhode Island, Washington, and the District of Columbia impose a statutory waiting period on all firearm purchases. Subject to limited exceptions, California and the District of Columbia require a ten-day waiting period for all firearm purchases.

Why do insurances have waiting periods?

One reason is to prevent misuse. If there were no waiting periods, people could buy insurance only when they need expensive medical care — and then cancel it afterward. It would be like signing up for a free trial of a streaming service just to binge one show and then canceling before the charge hits.

Do 72 hour waiting periods and two visit requirements for abortion affect women's certainty a prospective cohort study?

Main Findings

Overall, 63% reported no change in certainty owing to the information visit and 74% reported no change in certainty owing to the waiting period.

How long do new hires have to enroll in benefits?

How Long Do New Hires Have to Enroll in Benefits? New employees typically have 30 days from their hire date (or eligibility date) to enroll in health benefits. After that, they must wait until the next enrollment period unless they experience a qualifying life event.

Why do I have to wait 3 weeks for my first paycheck?

There are three main reasons why jobs hold your first paycheck, namely payroll processing delays, misaligned pay periods, and the employee's probationary work status.

Can waiting periods be waived?

Sometimes insurers will waive some waiting periods as part of a promotion to attract new members. Usually, they only waive some of the waiting periods for general treatment services. Always check which waiting periods will still apply.

What should I do while waiting?

I could think of several things. Sure, it's not altogether in one lump, but it's still time. Time that you could chip away at a project or a goal, time that you could spend learning something new or just doing something fun for you.