Understanding medical aid waiting periods
By
By Susan Weedman
New members applying to medical aid schemes need to understand that there is a waiting period before they may claim. They pay full contributions to the medical scheme during this waiting period, but cannot yet claim for full benefits from the scheme.
Why does the medical scheme apply a waiting period?
A waiting period protects the medical scheme and its members so that it is sustainable. It prevents members from joining a medical aid scheme just to claim large medical expenses before cancelling their membership.
In terms of the Medical Schemes Act, medical schemes may apply a general waiting period of 3 or 12 months. During the waiting period the applicant and their registered dependants may not claim any benefits, except for prescribed minimum benefits in certain circumstances.
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