Misconducted claim

<p>Good day,</p> <p> </p> <p>I went to clinton clinic ( on the network) and I was transferred from clinton to Union ( not on the network) I blatantly asked three times if I would have to pay a Co-payment and I was told no... But now I am getting a bill to pay R7100.00 which include in hospital benefits which I am fully covered for. After getting a bill and enquiring, I still get the same answer (see emails below)</p> <p> </p> <p>---</p> <p> </p> <p>To: ********** forensics ********** />Subject: Re: We have received and assessed your latest claim(s) -MailRef# ********** 228#-<br />From: Heloise Lockey ********** />Date: Fri, 21 Jul 2017 08:00:02 +0200 (CAT)<br />Delivered-to: ********** />In-reply-to: < ********** 120. ********** . ********** ********** />References: < ********** 120. ********** . ********** ********** />Resent-from: ********** <p> </p> <p>Good Morning,</p> <p>I went to clinton clinic ( on the network) I was transferred from clinton to Union ( Not on the network) I blatantly asked three times if I would have to pay a Co-payment and I was told no... Below is the reason why.. I refuse to pay the Co-paymnet because I asked and was told because there wasn't any plastic surgeon on call at clinton I was transferred to union ... Please investigate this I cannot pay for something I didn't make a decision off , Otherwise let clinton pay it, But I wont<br />Kind regards,</p> <p>Heloise Lockey</p> <p> </p> <p>Reply:</p> <p> </p> <p>Re: ********** 10 -WRefNo# ********** 642#- -MailRef# ********** 423#-</p> <p>healthinfo <br /> to:<br /> heloisel<br /> 07/24/2017 03:29 PM</p> <p><br />From: ********** <p>To: ********** <p> </p> <p>Dear Miss Lockey</p> <p>Thank you for contacting us.</p> <p>Claim query</p> <p>We have processed your claim for Union hospital dated 06/07/2017 for R10582.65 and we will pay R3458.65 to the provider on 26/07/2017. The claim will not be paid in full because there is an amount of R42.00 that is a non-chargeable item and there is a deductible of R7100.00 that app**** to the hospital’s account because of the use of a non-network hospital.</p> <p>Did you know? If you are registered on the Discovery website, you can check the status of your claims online. If you would like to register, please go to www.discovery.co.za. You can also find your latest claim statement online, once you have logged in.</p>