Horrible!!!

Horrible is an understatement when describing this medical aid scheme. Firstly they declined all my hospital claims stating it’s because I failed to apply for authorisation when being treated for an emergency in hospital. When I asked how was I suppose to process this authorization I’m being told I need a cd10 number and practice number information that I’ve never been told to request from any hospital, mind you I wasn’t provided this information by the hospital at discharge as well.

Meaning no reasonable person would’ve been able to apply for this authorisation.

Now because the authorisation is being requested by the hospital and 48hrs has lapsed I’m being told I have to pay a R850 co-payment for late application of authorisation because I as a patient/ principal medical aid member could not process an authorisation while lying incapacitated in a hospital bed. How is it my responsibility to make sure that my medical allows the hospital to treat me while I’m sick and cant sit stable enough to even write my own name? What’s the point of me providing the hospital with my medical aid number and ID at casualty? This medical aid is the biggest **** you can ever find in South Africa