About Waiting Periods

A waiting period is an initial period of membership during which no benefit is payable for certain procedures and services.

Waiting periods can also apply to additional benefits when you change (Upgrade) your health Insurance cover.  

Waiting periods will usually apply if you are a new member, you are rejoining Transport Health after not having Health cover for some time, or you are changing to a higher level of cover from your previous level of cover either with Transport Health or another Fund.  If you are transferring to a higher level of cover, you will still be entitled to benefits at your previous level of cover if these services were included under your old cover and you had already served all waiting periods that applied to this cover.

Waiting Periods
When joining the fund or if upgrading your level of cover, waiting periods must be served before benefits are payable. 
 

 Services
Waiting Periods
 Emergency ambulance transportation

 No waiting periods

 Accidents requiring either hospital or ancillary treatment (excluding  services detailed below)

 All services, except as specified below

 2 months

 Optical

 6 months

 Elective Procedures

 12 months

 Appliances

 Orthodontic treatment

 Orthotics

 Major dental, ie: bridges, crowns, dentures & implants

 Pre-existing ailments (see definition)

 Pregnancy related conditions (except IVF/GIFT
Stands for in gamete intrafallopian transfer, which is when a mixture of sperm and eggs are placed directly into the fallopian tuves using laparoscopy
more...
 see definition)

 All services that refer to Benefit Limitation Periods for the insured level of  cover

 Reproductive treatment, such as IVF/GIFT
Stands for in gamete intrafallopian transfer, which is when a mixture of sperm and eggs are placed directly into the fallopian tuves using laparoscopy
more...


24 months 

 Hearing Aids

 Laser eye surgery

 36 months

 Replacement of dentures

Transport health