Item: Genesis Medical Scheme
Rating: 1
Author: Sean W

Genesis Medical Scheme's replyOfficial

22 Feb 2018, 15:03

Dear Mr Woods

It is unfortunate that you feel you have been treated unfairly by Genesis Medical Scheme.

According to information made available to us by your doctor, it would seem that a full disclosure of your / dependant’s health conditions was not made on your application form.

If you dispute the information that was made available to us by your doctor, kindly contact your doctor for further information.

We await your feedback.

GENESIS MEDICAL SCHEME

Genesis Medical Scheme's reply22 Feb 2018, 15:03

Official

Dear Mr Woods

It is unfortunate that you feel you have been treated unfairly by Genesis Medical Scheme.

According to information made available to us by your doctor, it would seem that a full disclosure of your / dependant’s health conditions was not made on your application form.

If you dispute the information that was made available to us by your doctor, kindly contact your doctor for further information.

We await your feedback.

GENESIS MEDICAL SCHEME

SW

Sean W's updateReviewer Update

22 Feb 2018, 17:01

After speaking to my doctor it was clear that you as the medical aid do not understand different medical conditions. It has nothing to do with my doctor but with the loop holes that genesis look for in order to get out off payments . It is clear that I am not the only person that genesis has done this to . Again I state that if anyone is looking for medical cover, genesis is not the place .

SW

Sean W's update22 Feb 2018, 17:01

Reviewer Update

After speaking to my doctor it was clear that you as the medical aid do not understand different medical conditions. It has nothing to do with my doctor but with the loop holes that genesis look for in order to get out off payments . It is clear that I am not the only person that genesis has done this to . Again I state that if anyone is looking for medical cover, genesis is not the place .

Genesis Medical Scheme's replyOfficial

23 Feb 2018, 08:40

Dear Mr Woods

This specific case has nothing to do with understanding (or not understanding) medical conditions. It is about the non-disclosure of material information regarding your medical history prior to joining Genesis.

With reference to our letter to you dated 21 February 2018, we invited you to provide us with any comments or information that you may have and that you believe might influence the outcome of this matter. We await your written reply within 7 calendar days of the date of this letter.

GENESIS MEDICAL SCHEME

Genesis Medical Scheme's reply23 Feb 2018, 08:40

Official

Dear Mr Woods

This specific case has nothing to do with understanding (or not understanding) medical conditions. It is about the non-disclosure of material information regarding your medical history prior to joining Genesis.

With reference to our letter to you dated 21 February 2018, we invited you to provide us with any comments or information that you may have and that you believe might influence the outcome of this matter. We await your written reply within 7 calendar days of the date of this letter.

GENESIS MEDICAL SCHEME

SW

Sean W's updateReviewer Update

02 Mar 2018, 10:05

Good. I have responded to your letter dating 21st February the same say and the next . It has now been 7 calender days and I have not heard a word from Genesis and yet they are deducting money. I am not sure if I still have cover or not seeing that your letter stated that termination will be recommended. ( Due to non disclosing what is relevant )

SW

Sean W's update02 Mar 2018, 10:05

Reviewer Update

Good. I have responded to your letter dating 21st February the same say and the next . It has now been 7 calender days and I have not heard a word from Genesis and yet they are deducting money. I am not sure if I still have cover or not seeing that your letter stated that termination will be recommended. ( Due to non disclosing what is relevant )

SW

Sean W's updateReviewer Update

02 Mar 2018, 10:08

In cases of non-declaration of pre-existing conditions, the Rules of the Scheme require that the Board take some action in terms of its broader responsibility to the membership as a whole. Such action includes the termination of membership. However, before putting your case to the Board for a decision, I invite any comments or information that you may have that you believe might influence the Board in the decision it has to make. If so, please ensure that we have your written reply within 7 calendar days of the date of this letter. Yours sincerely D. van der Merwe PRINCIPAL

SW

Sean W's update02 Mar 2018, 10:08

Reviewer Update

In cases of non-declaration of pre-existing conditions, the Rules of the Scheme require that the Board take some action in terms of its broader responsibility to the membership as a whole. Such action includes the termination of membership. However, before putting your case to the Board for a decision, I invite any comments or information that you may have that you believe might influence the Board in the decision it has to make. If so, please ensure that we have your written reply within 7 calendar days of the date of this letter. Yours sincerely D. van der Merwe PRINCIPAL

Genesis Medical Scheme's replyOfficial

02 Mar 2018, 11:15

Dear Mr Woods

We acknowledge receipt of your feedback to us. The Scheme has considered all the relevant facts to the matter and will respond to you by close of business today.

GENESIS MEDICAL SCHEME

Genesis Medical Scheme's reply02 Mar 2018, 11:15

Official

Dear Mr Woods

We acknowledge receipt of your feedback to us. The Scheme has considered all the relevant facts to the matter and will respond to you by close of business today.

GENESIS MEDICAL SCHEME

Unfairly treated by genesis medical