No benefit from Chronic Illness Benefit

This is a never ending battle and once again I am forced to bring my fight for Chronic Illness cover to this platform because dealing directly is fruitless.

Prescribed medication previously approved under the Chronic Illness Benefit is now declined when submitting an updated script (for exactly the same medication just repeated for another six months). Apparently "the criteria" is not met ! This is not some game show being entered to win a prize, this is treatment prescribed by a qualified, specialist physician. Who decides what medicine should or should not be taken - the medical scheme or the doctor ? Or perhaps they deem the condition to have been miraculously cured and treatment is no longer required.

Isn't the whole objective of belonging to a medical scheme to have cover for treatment when ill ?