Medical aid

Dear hello Peter

I hope you can assist me in this regard.

I recently opened a membership for my mother at Medihelp membership number *** effective 01/10/2022.

My mother had not been feeling well and due to this I had taken her to Melomed Belville on 01/10/2022 for their help, Melomed was wonderful and admitted my mother however due to it being a weekend they did not request the authorisation immediately.

The authorisation was requested thereafter and the authorisation was pended and referred to Medihelp non-Disclosure team.

Yesterday I received comms from the medical aid that they have denied the authorisation now due to non-disclosure however how could we disclose a condition that we did not even know my mother had, my mother has High Blood Pressure which I have disclosed and the medical aid chose not to apply a condition specific waiting period however they are giving my mother a waiting period for Cancer based on non-disclosure when we were not even aware that she had cancer.

I am really at my wits end with the medical aid, it makes no sense, how can they give my mother a waiting period for a condition we did not know she had.

The hospital is now wanting to discharge my mother understandably due to the authorisation, so my mother has to receive inferior treatment now because somebody at Medihelp felt that we knew about the Cancer even when we clearly did not.

Please advise if there is anyway you can assist me in this regard as I really don’t know what way further anymore.

I am at the point where I want to rebel against this medical aid and tell my story to the world about how a medical aid can give you a waiting period based on “Non-Disclosure” when we did not even know about the condition hence we could not disclose.