AGS Health ******** actions.

I am a current member at AGS health on their Top Plan. I've scratched my leg two weeks ago, it was just a minor incident. (Similar to a carpet burn. Just the skin stripped) Didn't even bleed enough to put a plaster on. Nothing to rush to a hospital or doctor or something.

It started getting inflamed and sore two or three days ago. I went to the Doctor today, for some antibiotics. After looking at the leg, she said I needed to get an IV treatment, there are two options. Option 1 (Most cost effective and better) I get admitted to hospital the put me on an IV for a few days and it's done. Option 2 (More costly and statistically takes longer) is to come in every day to the rooms, they put me on an IV for an hour and hope things get better.

So I opted for the cheapest option and to get it over and done with quicker. Got to the hospital they agreed it was the best option and guess what........... AGS Health denies me admission to the hospital. Their reason...."I took to long to get to the doctor." So in their infinite wisdom, they believe you should run to the doctor for the smallest little thing, until your account is run down fully, and then when you do have a real crisis, they can sit back and say "Oh, sorry sir, but your account funds has been used up in full,, and we unfortunately can not pay any more". So they are basically FORCING you to delete your account as early as possible.

Their excuse was not you ran out of funds, or we don't cover this procedure or anything else. It is just "you did not go to the doctor immediately, so we will not pay" Not withstanding the fact that I am paying thousands of rands every month. To hell with that!