Extremely Unhelpful

<p>My wife and I are currently on the Bestmed PACE 1 medical aid scheme. My wife had to go in for an emergency operation to remove her appendix in January 2016. If not treated quickly, the appendix would've ruptured and she could have died. The doctor, who performed the operation in hospital under such short notice, basically saved her life. Bestmed has been refusing to pay the full amount for her EMERGENCY procedure.The outstanding balance is approx R5500 . Yes the word emergency is in bold writing. Bestmed supposed to cover the procedure fully as it was an emergency. I've contacted Bestmed so many times and they keep saying the same things or they keep escalating it. They keep saying that the Doctor is contracted to Bestmed so he's apparently not supposed to charge a certain rate. Apparently, they would normally cover it but they won't because the dcotor is contracted to Bestmed. Please tell me what contract there is where the medical aid will not cover the doctor for saving a client's life because he is affiliated with them. Again it was an EMERGENCY. Bestmed has NOT helped me at all. Bestmed wants me to keep contacting the doctor and to sort it out myself. Why? I am Bestmed's Client. I pay for this medical aid but Bestmed expects me to do the "running around". Where is the help? </p> <p> </p> <p> </p>