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Frequently Asked Questions

Question: Are there any waiting periods?

SmileCare Dental Group: Members' Frequently Asked Questions
Answer: Once you meet the enrollment guidelines for your company, there are no waiting periods once your coverage is effective with SmileCare.
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What are waiting periods and how do they apply to me?

Dental Blue for Individuals - Frequently asked questions
Waiting periods are the time from your effective date to the day when you can receive a covered service. With Dental Blue for Individuals, the waiting period for basic services is six months and for major services, it is 12 months. Refer to your benefit booklet for a listing of basic and major services.
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What are waiting periods?

NIB Health Funds - Frequently Asked Questions - About Privat...
The period of time you have to be an NIB member before you can make a claim. As with any health fund, there are waiting periods for new members and members upgrading from another cover for services that were previously unavailable. Please refer to the table below for our waiting periods. a transferring member, waiting periods are waived for all services which are covered by your current fund, providing you have already served the required NIB waiting period and NIB offers the same service.
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WizeCare
Other than waiting for your member ID Card, there is no waiting period before you can start using your plan! And, there are no deductibles, no claim forms to fill out, and no limits on visits to your providers!
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Will members have pre-existing and waiting periods?

Frequently asked questions
How will mental health/substance abuse services be handled for NC SmartChoice members? Enrollment and effective dates
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Why are there waiting periods on some benefits?

HealthCare International - About Us - Your travel and medica...
Waiting periods apply to a few of our benefits to protect the premium investment made by our existing members. If we had no waiting periods for our dental/optical and pregnancy benefits, people could join when treatment was required, claim for an expensive procedure and cancel their membership until further medical assistance was necessary. This hit and run cycle of membership would cause premiums to escalate at an uncontrollable rate.
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How do you handle exclusions and/or waiting periods?

Neil Harvey & Associates
Currently we use our comprehensive case management system to load waiting period cases for these people. We load a Diagnosis code and some free text. The system will display a message for the assessor that such a case exists. The assessor then has to evaluate the claim accordingly and decide to pay or reject.
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What are the applicable Waiting Periods?

If you are not already on an eligible level of cover with Australia and upgrade, or are not on an equivalent level of cover to the eligible Australia covers with another health fund before you switch to Australia, then the Waiting Periods for 'No cost dental' for kids are: months for Major Dental, root fillings, complex fillings, dental sleep apnoea devices and pre-existing ailments
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Will I have to serve waiting periods?

FAQ
If you have transferred across from another fund, served waiting periods with that fund and take up an equivalent or lower level of cover with Lysaght Peoplecare, you will not have to serve waiting periods. If you are a new member or transferring from another fund with a lower level of cover than what you are applying for, you may have to serve waiting periods.
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Question: Can I leave this product exposed to sunlight for extended periods of time?

FAQ
Exposure of up to a year should not pose a significant problem. However, the ultraviolet light of sunlight will produce a light oxidation layer on the surface of the forms after extended periods of exposure. This oxidation does not indicate any detrimental effects to the wall form. If the proposed finish is to be a stucco (or other hard coat material), it is recommended that the oxidized layer be brush away to provide a clean bonding surface for the stucco materials.
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What are HCF's waiting periods?

HCF health insurance and Medicare FAQ's
Existing HCF members who upgrade to a higher level of cover.
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Are there waiting periods under our dental plan?

FAQ's
There are no waiting periods for Dental Services, as long as you enroll in the plan within 30 days of your initial eligibility date.
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What are the waiting periods applicable to the MediGap scheme?

NIB Health Funds - Frequently Asked Questions - MediGap Cove...
The period of time you have to be an NIB member before you can make a claim. As with any health fund, there are waiting periods for new members and members upgrading from another cover for services that were previously unavailable. Please refer to the table below for our waiting periods.
Related Questions

Are there any waiting periods imposed before coverage begins?

Kaiser Permanente Choice Solution
You, the employer, may establish a waiting period for new employees. This waiting period may be first of the month following date of hire or 30, 60, 90, 180 or 365 days from the employee's date of hire. This waiting period must be consistent for all employees since multiple waiting periods are not allowed. You may choose to waive the waiting period for new employees during initial enrollment, but this also must be consistent for all employees.
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Question: Will there be a waiting period before I can use the services?

OPM-Federal Dental and Vision Program
Answer: For dental benefits, there is a waiting period for orthodontia services of up to 24 months. You must be enrolled in the same dental plan/option over the duration of the waiting period to receive orthodontia services. There are no waiting periods for any other dental services or any vision services. Answer: No, FEDVIP dental plans will not cover the cost of any orthodontic appliances that were placed before enrollment in the plan and satisfaction of any waiting period.
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Why Are You Waiting?

See My Heart - by The American Society of Echocardiography
Heart Ultrasounds are not for everyone, but if you would like to protect your heart health because of a family history of heart disease, are in a high-risk group, or are experiencing any symptoms (shortness of breath, pain in your arm, etc.—see AHA guidelines), take the time to talk to your doctor today.
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Question: How will I know if I am on the waiting list?

FAQ's
Answer: All applicants are strongly encouraged to submit their completed on-campus living application packet by April 1 for their best opportunity to receive on-campus housing. April 1 –You will be notified by mail of your application status (complete or incomplete). If bed space is available, you will be included in the first set of room assignments. If more applications are received than available bed space, you will be notified you are on the waiting list.
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Why are there waiting periods for death by natural causes or illness?

Over 55s :: Life Insurance, Accident and Accidental Death In...
If there wasn’t, everyone unfortunate to be ill or considering suicide would be able to take out a policy in their last days, receiving a full payout for minimal premium payments. That would make the policy extremely expensive for everyone and we would not be able to offer it. Your age only affects the initial cost of your premium. After that premiums do not increase just because you get older. After age 90 cover continues for free.
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Are there waiting periods before certain treatments are covered?

Health Insurance: Your Questions Answered
Some policies have waiting periods before they make payments on any health care you receive. Others have waiting periods before you can receive treatment for pre-existing conditions. It varies, so it's important to find out before committing to a plan. Becoming informed is the first step. Now it's time to request a quote by filling out a short application. Let us get you on the right track to getting the right health insurance.
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Are there pre-existing condition waiting periods on LTD?

FAQ's
Yes, if you have a disability arise during the first 12 months you are insured due to a pre-existing condition, then that disability will not be covered by the plan. A condition is considered pre-existing if during the 90 days immediately prior to your enrollment on the plan, you consulted a physician, received medical care or services, or took prescription drugs or medications.
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How does crediting for pre-existing condition waiting periods work under HIPAA?

PW_AD031450
Time served under the prior carrier counts if the gap between when coverage ended and full time employment began did not exceed 90 days. Additionally, employee waiting periods count toward satisfaction of pre-existing condition waiting periods, including gaps between coverage and full time employment, as described. There will be no product changes; however administrative changes will occur to protect the member's individually identifiable information.
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I was insured with another fund. Do I need to serve the waiting periods again?

Frequently Asked Questions - Health Insurance - South Austra...
If you switched to SGIC Health Insurance within one month of leaving another health fund, then you won't lose any Waiting Period entitlements you've already earned with the previous fund. The Fund will honour any waiting periods you've already served with the previous fund. Benefits for all services will be limited to the level payable by your previous fund or your new SGIC Health Insurance cover, whichever is the lower, for the length of the relevant Waiting Periods.
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Will I or my dependents have any pre-existing condition waiting periods on the health insurance?

HR FAQ
No pre-existing conditions clauses will apply as long as you enroll you and your dependents when you are first eligible for coverage (within your first 30 days of employment). Enrollment outside this time frame may result in a 12 months pre-existing conditions waiting period. If you can provide proof of continuous health insurance coverage, the time you were insured with the other health insurance may be credited toward the waiting period.
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