Chronic medication not approved.

I am honestly out of word when it comes to this medical aid scheme my child was born with a heart condition the doctor loads the chronic medication on my child's behalf does the medical aid no go on and reject this medication what's worse is my childs cardiologist was not informed I was informed simply because I followed up .the gems agent further tells me plan is on the lower end and this condition is not PMB or chronic yet the condition q21.1 is PMB .I am so gatvol of this scheme honestly a bunch of ****mers