• Sandy van Dijl

Everything you need to know about Medical Aid non-disclosure

Non-disclosure is when you or your dependents, intentionally or unintentionally, don’t disclose or give certain details when you complete the application form to join a medical scheme or gap cover service provider. Sandy van Dijl, KwaZulu-Natal branch head at Alexander Forbes Health discusses why it’s important to fully disclose your medical health details to your insurer.

These details include:

  • Medical information

  • Medical condition

  • Treatment

  • Medication you’ve taken or currently taking

What does this mean for you and your dependent?

Medical schemes and gap cover service providers require you to provide all medical information about you and your dependants on the application form. It’s very important when you join a medical scheme or gap cover product to disclose all medical conditions you may have had or for which you or your dependants currently receive medical treatment or advice for.

What will happen if you don’t disclose all medical information on the application form?

The medical scheme or gap cover service provider may end your membership immediately and reverse all claims they’ve paid.

The medical scheme or gap cover service provider may impose waiting periods.

How do you avoid non-disclosure?

  • Read all medical questions carefully.

  • Be honest and disclose all medication information.

  • Give as much details as possible when answering the medical questions on the application form.


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