SK
Salome K

1 reviews | Active since Feb 2012

23 Jan 2017, 20:19

No feedback - PMB LETTER

<p>EMAIL REFERS</p> <p>from:<br />Salome Kruger ********** <br />to:<br ********** ********** <p>date:<br />Sun, Jan 8, 2017 at 5:50 PM<br />subject:<br />PMB CAPTURE</p> <p>Good day,</p> <p>Attached find all information to re-register my disability as a PMB again. All the documentation was send through and I received a letter on 8 November 2016 of approval by the Bonitas ambulatory PMB team. See all hospitalization requests for 2016, the diagnoses code also indicated that I am a ******* hemiplegic.</p> <p>The problem is that the wrong diagnoses/ codes were captured by the Bonitas team, the original request, stated that I am a ******* hemiplegia (cerebral Palsy) and G81.1 particular as from Prof Mennen letter and not a paraplegia/quadriplegia and this is not correct as I am hemiplegic. <br />Thus where did this paraplegia/quadriplegia approval code was obtained from is a mystery. I did send mail to correct it but with no feedback as on today.<br />Attached find again letter from Dr Visser and Prof Mennen, stating that I am a hemiplegic since birth and do qualify to be on a care plan and expenses must be paid from PMB funds and risk pool.</p> <p>******* Hemiplegia is PMB as per council for medical Schemes (regulation 8 of the Medical Schemes act)</p> <p>Please capture ICD CODES G80–G83 ******* Hemiplegia is PMB as per council for medical Schemes (regulation 8 of the Medical Schemes act)</p> <p>******* Hemiplegia: Prescribe minimum benefits (G80–G83) Cerebral palsy and other paralytic syndromes IS COVERED AS PMB other paralytic syndromes THUS Bonitas medical aid, is legally obliged by law to pay all accounts. <br />Kind Regards</p>

0
Replies (2)
Bonitas Medical Fund
Bonitas Medical Fund's reply24 Jan 2017, 08:30
Official

Hello Salomek,

Thank you for submitting a comment to us through Hello Peter.

This is to confirm that we have received your comment and that we are currently investigating this matter.

Our representative will be in touch with you shortly to discuss this matter and ensure that it is speedily resolved.

Kind regards

Bonitas Team

SK
Salome K's update22 Feb 2017, 19:33
Reviewer Update

Still no feedback