DV
Dean V

1 reviews | Active since Dec 2011

18 Mar 2019, 20:48

Unpaid medical fees for emergency consult

I had to visit the Emergency Room on the 8th March. I sustained an injury (fracture and torn ligaments) late the night - and proceeded to the casualties early that morning (around 06:50). I am on Network Choice and went to a network hospital at Waterfall Netcare Hospital. My matter was escalated as serious and I proceeded to get treatment, an x-ray, and sonar for my injuries.

Now CAMAF is rejecting my claim, stating that is was ordered by a non-network doctor. I did not have the option to refuse treatment or wait for a network GP as I was in severe pain and I required medical attention. CAMAF should pay for the radiology expenses and related costs as I visited a network hospital and it is completely unreasonable to expect me to not see a doctor in an emergency purely based on the fact that the attending GP is not network-based.

0
Replies (2)
Camaf
Camaf's reply19 Mar 2019, 08:07
Official
Good day Dean,

Thank you for bringing this matter to our attention. 

Kindly allow us an opportunity to investigate this matter further. One of our senior consultants will contact you to discuss as a matter of urgency. 

Kind Regards, 
Wentzel Maistry
Client Relations Team Leader 
DV
Dean V's update19 Mar 2019, 09:06
Reviewer Update
Do you have my contact details Wentzel? Do you need information? I would like this to be resolved amicably.