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Marianne B

1 reviews | Active since Jan 2017

07 Jan 2017, 23:56

Gems Medical aid refuses to pay for Prostate Cancer surgery

<p>My Dad is diagnosed with Prostate Cancer, but has Comorbidities (has had 2 heart attacks) so his Urologist suggested that he has minally invasive surgery(The da Vinci Laparoscopic surgery) </p> <p> </p> <p>The new procedure is more expensive( and we are willing to pay the difference) but they now al together refuse to pay anything if we dont take the more invasive procedure.) </p> <p> </p> <p> Dr Boshoff</p> <p> </p> <p> </p>

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Replies (2)
Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply09 Jan 2017, 09:55
Official

Good day

Thank you for the opportunity to respond to your concerns. We are investigating this matter and will provide feedback.

Kind regards

The GEMS online team

Gems (Government Employees Medical Scheme)
Gems (Government Employees Medical Scheme)'s reply12 Jan 2017, 14:53
Official

Good day

Thank you for bringing your concerns regarding authorisation to our attention.

We can confirm, as per our discussion with you, that your request has been authorised up to the cost of an open procedure at scheme rates. Any shortfall for the hospital and provider, will be the responsibility of the member.

Kind regards

The GEMS online team