Waiting Periods

The following waiting periods generally apply for:
  • New Day1 Health membership applications
  • When upgrading your policy to include benefits not previously covered
Day to Day Benefit & Waiting Periods
Doctor Visits
A 1 month waiting period applies
Specialist Benefit
A 3 month waiting period applies
Acute Medication
A 1 month waiting period applies
Chronic Medication (unknown condition)
A 3 month waiting period applies
Chronic Medication (known/pre-existing condition)
A 12 month waiting period applies
Chronic Medication (65+ years)
A 12 month waiting period applies
Radiology Benefits
A 1 month waiting period applies
Pathology Benefits
A 1 month waiting period applies
Dentistry Benefits
A 3 month waiting period applies.
Optometry Benefits
A 12 month waiting period applies
Out-of-Area Visits
A 1 month waiting period applies
Family Funeral Benefit
A 3 month waiting period applies.
Hospital Plan Benefits & Waiting Periods
Hospital Illness Benefit
A 3 month waiting period applies (Pre-Existing conditions 12 months)
Top-Up Illness Benefit
A 3 month waiting period applies
Maternity Benefit
There is a 3 month waiting period applicable to the maternity benefit for unknown conditions from date of inception of policy and a 12 month waiting period for pre-existing conditions ie where the member is pregnant at inception date. Once the maternity benefit has been utilised by a member, a further 12 month waiting period will apply in respect of such member for maternity. (The maternity benefit is limited to R20 000.)
Accident/Trauma Benefit
Immediate Cover
Critical Illness Benefit
A 3 month waiting period applies
Accidental Permanent Total Disability Benefit
Immediate Cover
Death Benefit
A 3 month waiting period applies
Family Funeral Benefit
A 3 month waiting period applies.
Emergency Medical Services (Ambulance)
Immediate Cover

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