Reap Off!!

I am completely frustrated with this medical aid. I don't know what I am paying for. Smart Classic is the worst. They reject even claims which are approved upon pre-authorization. The only thing they will pay for is the GP consultations. I took my son to the nearest non-network hospital for an emergency. The hospital phoned the medical aid for authorisation to admit, but they were told that they cannot admit him but only treat him in casualty. Knowing very well that they don't pay for casualty treatment. My son was dehydrated and almost lost his life. The doctors were forced to attend to him in casualty all night and day, they only released us late in the afternoon when he was stable.

This month I had a pre-authorisation for a colonoscope and gastroscopy, they approved it but now they have rejected all the claims stating that it's not covered.

Acute medication has ***9* exclusions, it only covers flu medication. This is a ****. I wish my employer could let me go without a medical aid because I am better off using public facilities than paying R3700 for me and my son and yet I have all these additional medical bills that are rejected.