The Downside of Missing Family Health Insurance Renewals

While one-time pay options are available, most health insurance plans are offered on a subscription basis. This means that medical expenses under the policy will be covered until we make timely premium payments. But what happens if we miss an insurance premium? Most health insurance providers offer a grace period for insurance renewal. You can renew your insurance policy during the grace period to enjoy continuous coverage and benefits. If you don’t renew your policy even after the grace period, it will lapse and may be terminated.

While one-time pay options are available, most health insurance plans are offered on a subscription basis. This means that medical expenses under the policy will be covered until we make timely premium payments. But what happens...
While one-time pay options are available, most health insurance plans are offered on...
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What is the Downside of Missing Family Health Insurance Renewals?

Here are some consequences you may face if you miss the grace period:

Bonuses will be nullified

Any bonus you have earned will be nullified if you don’t pay your premium on time and your insurance policy lapses. Consider an example where you have made timely payments for three years and have never claimed insurance. In this case, you will have received no claim bonus, which would have reduced your premiums. However, if you miss the grace period for insurance renewal, the no-claim bonus will become zero, and you will have to start afresh.

Waiting period will reset

Suppose your policy has a three-year waiting period for heart problems. Although you have paid premiums and waited for three years until now, missing out even once will reset the waiting period. This will increase the total waiting period before enjoying insurance benefits, especially for pre-existing diseases.

Financial strain

A health insurance policy secures you financially during medical emergencies. If you miss the grace period for an insurance policy, it breaks the coverage, and you must pay all the premiums out of pocket.

Renewal can be expensive

Some insurers allow you to renew your lapsed policy after missing the grace period. However, this comes at additional costs, which can vary from insurer to insurer. Additionally, the no-claim bonus (if any) you lose will cause the premiums to go up.

No tax benefits

Section 80D of the Income Tax Act, 1961, allows deductions on health insurance policy premiums. If your policy is terminated after missing the grace period, you will not be able to claim Section 80D tax-saving benefits.

No portability

Health insurance portability lets you switch to a new insurance company if your current insurer cannot meet your healthcare needs. You need to initiate portability at least 45 days before the renewal date. Thus, if you are in the grace period or miss it, you cannot even port to a new insurer.

Will Waiting Periods Reset If You Buy a New Policy?

Insurers only consider continuous policy coverage for waiting periods. So, waiting periods will restart if you buy a new policy or don’t renew the existing one on time. Although there is no coverage during the grace period, renewal within this period is still considered a continued policy.

How to Avoid Missing Family Health Insurance Premium Payment?

You can use several measures to manage premium payments for timely renewal, including:

Automate payments

Many apps let you automate premium payments so you never miss a timely payment. For instance, you can automate payments using Unified Payments Interface (UPI) or digital wallet apps like Google Pay, Paytm, PhonePe, etc. Similarly, you can also use your banking application to automate payments with your debit or credit card.

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Set reminders

If you don’t want to automate premium payments, you can set reminders. Use digital tools like Google Calendar, Google Keep, Microsoft To Do, and more to set reminders for renewal dates.

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Review your financial stability

Regular financial status review is essential to ensure you can afford timely payments. If you are facing any issues, you can schedule premium payments to coincide with your salary dates for better cash flow management.

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The Upside of Paying Family Health Insurance Premium on Time

Below is a list of all the benefits you get for paying your health insurance premiums on time:

Prevents policy lapses

Paying health insurance on time prevents your policy from entering a grace period. Although the grace period allows you to renew your policy without severe consequences, you are not covered.

Retains waiting period and bonuses

If your policy lapses or is terminated without timely renewal, you will lose all the bonuses accrued on your health insurance. Similarly, the waiting period for the new policy will start from scratch.

Avoids the hassle of reapplication

When your policy is terminated, you must reapply to continue coverage. Your insurer might again ask you to go through the entire health check-up and application process.

Chances of reduced coverage

If you have to switch to a new insurer after missing timely payments, your coverage may be reduced, especially for senior citizens.

Example

Suppose you started your health insurance when you were 37 and healthy. In this scenario, there is a high chance that you will get comprehensive coverage at optimal premiums. However, now you are 63, and your health insurance has been terminated. When you try to find a new health insurance policy at the age of 63, you might not get similar coverage options at the same rate.

Conclusion

Getting late on paying your health insurance premiums can have severe implications. You may lose coverage, bonuses, waiting period, etc. Grace period for insurance renewal offers financial flexibility for renewing health insurance on time. You should proactively manage policy payments by automating them, setting reminders, and reviewing your financial stability.

Frequently Asked Questions

No, you cannot claim insurance during the grace period for an insurance policy. Although it allows policy continuation by nullifying all the bonuses accrued, it doesn’t give you coverage.

According to IRDAI’s guidance, insurers offer a grace period of 15 days for monthly instalments and 30 days for quarterly, half-yearly, or annual payments.

It depends on your insurer and how much time has passed since the policy lapsed. If too much time has passed, reinstating may require a new medical test.

A reinstated policy continues similar coverage while keeping your bonuses and other benefits intact. On the other hand, a new policy starts everything, including no claim bonus and waiting periods, from the start.

Yes, most insurers let you renew your policy only after it lapses.

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Written by Roocha Kanade

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Reviewed by Dr. Harshita Dahiya Author info Icon

Health Insurance content enthusiast who turns complex topics into easy, binge-worthy reads—fueled by SEO, creativity, and way too much chai! Loves juggling multiple projects, cracking impossible deadlines, and sprinkling humor into the mix. When not geeking out over digital trends, you'll find her lurking on Quora and Reddit, planning the next getaway, or passionately decoding all things health and insurance!

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