Network plans: In case of emergency, patients may NOT use the nearest clinic, but are required to look up network clinics, then compare them against Google Maps for the closest one, then (if still alive) proceed to that one. Ridiculous

<p>Regarding your refusal to reimburse our emergency c-section at Park Lane:</p> <p>1. You claim that there were other network hospitals in closer proximity: This is BS. Please send me a list of hospitals with neonatal ICUs that are closer than Netcare's Park Lane clinic. (Please be reminded that the decision for the emergency c-section was taken not at our residential address, but at the doctor's consulting rooms during a check up, at 35 Bartlett Road in Braamfontein. This address, and not our residential address, should therefore serve as the centre for the search for nearby, adequately equipped, hopsitals.</p> <p>2. For the record, it is ridiculous to expect of patients confronted with an emergency situation to first search your network for network hospitals, then compare these against Google Maps to determine their distance from the patient's location, and then proceed to the nearest network hospital. Your policy states that, in case of an emergency (which my doctor has certified), any hospital, even if outside the network, may be used. It is ******* of you to decide not to apply this policy as it pleases you. Please forward me the relevant extract from Discovery's policy which states that in case of an emergency, the patient may not in fact use the nearest hospital but first needs to determine whether another network hospital is in equally close proximity.</p> <p>3. You are changing your story. First we were told that this was not an emergency; now, after the doctor's note, you suddenly claim that it was an emergency, but there are other reasons why you cannot pay the claim. Nice try.</p>