Waiting Periods
We provide the best world-class coverage, service and care for all our members.
Induviduals joining Generation Health Medical Fund may be subject to waiting periods as detailed below. Waiver of waiting periods is at the discretion of the Fund Administrator. Waiting periods cannot be paid off.
All Individual Members joining the Fund will be subject to a six (6) month waiting period for optical benefits, this also applies where waiting periods have been waived.
Discipline | Corporates | INDIVIDUALS/SMES (NEW) | |||
---|---|---|---|---|---|
Small 15 to 20 Principal | Medium 21 to 30 Principal | Large +30 Principal | |||
General Waiting Period | Waiver | Waiver | Waiver | 4 months | |
Specialist Treatment | Waiver | Waiver | Waiver | 6 months | |
MRI | 3 months | Waiver | Waiver | 9 months | |
CT Scans | 3 months | Waiver | Waiver | 9 months | |
Nuclear medicine, Special appliances | 3 months | Waiver | Waiver | 12 months | |
Hospital treatment | 3 months | Waiver | Waiver | 9 months | |
Dental | 3 months | 2 months | Waiver | 9 months | |
Maternity | 3 months | 2 months | Waiver | 12 months | |
Nursing Homes | Waiver | Waiver | Waiver | 1 year | |
Spectaces | 3 months | 2 months | Waiver | 1 year | |
Contact Lenses | 3 months | 2 months | Waiver | 1 year | |
Foreign Treatment | 3 months | 2 months | Waiver | 1 year | |
Prosthetics Devices & ART | 2 years | 1 year | 6 months | 2 years | |
Oncology | 2 years | 1 year | 6 months | 2 years | |
Haemodialysis | 2 years | 1 year | 6 months | 2 years | |
Pre-Existing conditions | 2 years | 3 months loading | Waiver - loading | 2 years | |
Orthodontic Treatment | 4 years | 1 year | 6 months | 4 years |