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    Why Waiting Periods ExistThe Standard Waiting PeriodsThe Wrong Way to Explain ItThe Right Way to Explain ItSpecific Objection Scripts"12 months for maternity is too long""I already have diabetes. Why buy insurance that won't cover it?""Pre-existing conditions feel like a scam"The Psychology Behind ItUse Comparisons They UnderstandWhen to Bring Up Waiting PeriodsReducing Waiting Period ObjectionsWhat to Do When It's a Deal BreakerSend Them to Learn MoreThe Bottom LineNext Steps

    Explaining Waiting Periods Without Losing the Sale

    KKeryl Kelonye
    •
    May 14
    •
    Sales
    Health

    Guide to explaining waiting periods to clients without losing the sale

    "So I pay for 12 months, but you won't cover me for a year?"

    That's the moment you lose the sale.

    Waiting periods are the #1 reason clients hesitate on health insurance. They feel like a scam. They sound unfair.

    And if you can't explain them properly, you'll watch deals walk out the door.

    Here's how to turn waiting periods from objections into selling points.


    Table of Contents

    • Why Waiting Periods Exist
    • The Standard Waiting Periods
    • The Wrong Way to Explain It
    • The Right Way to Explain It
    • Specific Objection Scripts
      • "12 months for maternity is too long"
      • "I already have diabetes. Why buy insurance that won't cover it?"
      • "Pre-existing conditions feel like a scam"
    • The Psychology Behind It
    • Use Comparisons They Understand
    • When to Bring Up Waiting Periods
    • Reducing Waiting Period Objections
    • What to Do When It's a Deal Breaker
    • Send Them to Learn More
    • The Bottom Line
    • Next Steps

    Why Waiting Periods Exist

    Before you explain them, understand them.

    Waiting periods exist because of adverse selection.

    Without waiting periods:

    • Someone gets pregnant → buys maternity cover → uses it → cancels
    • Someone gets diagnosed with cancer → buys insurance → claims KES 3M → never pays another premium

    Insurance companies would go bankrupt.

    Premiums would skyrocket.

    Nobody would be able to afford cover.

    Waiting periods keep the system working.


    Consultant explains why waiting periods exist to a Kenyan couple in a clinic

    The Standard Waiting Periods

    Here's what clients are looking at:

    Condition TypeTypical Waiting Period
    General illness30 days
    AccidentsNone (immediate cover)
    Pre-existing conditions12-24 months
    Maternity10-12 months
    Chronic diseases12 months
    Dental/Optical3-6 months
    Congenital conditions12-24 months

    These vary by insurer. Always check the specific policy.


    The Wrong Way to Explain It

    Most agents say:

    "There's a 12-month waiting period for pre-existing conditions."

    Client hears:

    "We'll take your money but won't help you for a year."

    Sale dead.


    The Right Way to Explain It

    Use this framework: Acknowledge → Explain → Reframe → Move On

    Example script:

    "I hear you. It sounds frustrating.

    Here's why it works this way: If anyone could buy insurance the moment they got sick, companies couldn't afford to pay claims. Premiums would triple.

    Think of it like joining a sacco. You contribute first, then you can borrow.

    The good news? Accidents are covered immediately. And after year one, you're fully covered for everything. Most people never even notice the waiting period because they don't need to claim that quickly.

    Now, let's talk about the hospitals you'll have access to..."

    What you did:

    1. Acknowledged their concern
    2. Explained the logic
    3. Reframed it positively
    4. Moved the conversation forward

    Specific Objection Scripts

    "12 months for maternity is too long"

    "I understand. Here's the thing — if you're planning a family in the next year, start now. By the time you conceive and carry to term, you'll likely be covered.

    Most of my clients who bought cover 'too late' wish they'd started earlier. The ones who started early? They got their delivery fully covered.

    And even during the waiting period, all your other benefits are active. Doctor visits, tests, everything else — covered."

    "I already have diabetes. Why buy insurance that won't cover it?"

    "Fair question. Here's how I'd think about it:

    Your diabetes is one condition. But you could also need surgery for something unrelated. You could have an accident. Your kids might need medical care.

    The policy covers all of that immediately.

    And after 24 months? Your diabetes management is covered too. Medications, checkups, everything.

    The alternative is having no cover at all. And hospital bills without insurance can wipe out your savings overnight."

    "Pre-existing conditions feel like a scam"

    "I get why it feels that way. But think about it from the other side:

    If insurance covered everything immediately, people would only buy when they're sick. Healthy people wouldn't pay in. The whole system would collapse.

    Waiting periods are actually what make your premiums affordable. They're protecting you from paying 5x more.

    And remember — anything new that happens after you buy is covered from day 30. The waiting period only applies to conditions you already have."


    The Psychology Behind It

    Clients don't buy insurance.

    They buy peace of mind.

    Waiting periods threaten that peace of mind.

    Your job is to restore it.

    Key psychological shifts:

    Client ThinksHelp Them See
    "I'm not covered""You're building coverage"
    "This is unfair""This keeps premiums low"
    "12 months is forever""You're covered for everything else now"
    "They're trying to avoid paying""They're managing risk so they can pay all claims"

    Use Comparisons They Understand

    The gym analogy: "It's like joining a gym. You pay membership first, then use the facilities. You wouldn't expect to walk in off the street and use everything for free."

    The sacco analogy: "Like a sacco — you contribute before you can borrow. That's how pooled resources work."

    The fire insurance analogy: "You can't buy fire insurance after your house is burning. Same logic."


    When to Bring Up Waiting Periods

    Timing matters.

    Don't lead with waiting periods.

    Lead with:

    • Hospital networks
    • Benefits they get
    • What's covered

    Then address waiting periods before they ask.

    "Now, like all health insurance, there are waiting periods for some conditions. Let me explain exactly what that means..."

    Own it before they question it.


    Reducing Waiting Period Objections

    Some insurers offer options:

    1. Medical loading Pay 15-30% extra premium to reduce pre-existing waiting period.

    2. Buyback options Provide medical records from previous insurer to "buy back" waiting period time.

    3. Group schemes Join a group policy — often shorter or no waiting periods.

    4. Continuous coverage If client is switching from another insurer, some waiting periods can be waived.

    Know these options. Offer them when appropriate.


    What to Do When It's a Deal Breaker

    Sometimes, waiting periods genuinely don't work for the client.

    If they're pregnant now: "I'll be honest — a new policy won't cover this pregnancy. But you should still get covered. Your next pregnancy will be covered. And your child needs coverage too."

    If they need surgery soon: "For this specific surgery, you'll need to pay out of pocket. But everything after that? Covered. And right now, you're one accident away from a KES 500,000 bill with no protection."

    Don't force the sale. Be honest. They'll trust you more.


    Send Them to Learn More

    After your conversation, clients may still have questions.

    Share educational resources:

    "Here's an article that explains it really well: Understanding Health Insurance Waiting Periods. Read it tonight. Call me tomorrow with any questions."

    Education builds trust. Trust closes sales.


    The Bottom Line

    Waiting periods are not the enemy.

    Bad explanations are the enemy.

    Your job:

    1. Explain why they exist (protect the pool)
    2. Show what IS covered immediately
    3. Reframe the timeline positively
    4. Move on to closing

    Master this conversation and you'll close deals others lose.


    Next Steps

    1. Practice the scripts until they're natural
    2. Know each insurer's specific waiting periods
    3. Prepare comparison quotes showing what's covered immediately

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