Refusal to provide explanations

I have been with CAMAF for more than 10 years. An expensive medical aid, but used to be a good one.

A month ago my son had his tonsils removed and for the first time ever the ENT's bill was not fully covered. I t was explained to me that one of the auth codes was not authorized. The lady at authorizations however clearly stated that it is included in another code and I will have no co-payment!

I wrote a letter to CAMAF requiring why an in hospital procedure was not covered. 5 Days later (although they supposedly respond within 48 hours) - no response.

CAMAF seems to have unfortunately joined the pool of "average" medical aid funds, however charging more than the most of them.

Refusal to respond to my queries by Friday will result in cancellation of my membership.