Medihelp Pre Authorisation ****

I need urgent help with the following.

I used to stay in Gauteng but moved in 2013 to Durban.

I joined Medihelp i***** more less until 2008 and then change to Gems.

When i was 16 yrs old i was told i have a mitral valve problem but it never affected me until end of 2017 when i went to the GP in Durban for it.

I rejoined Medihelp this year and was approved as a member. My heart was excluded for 12 months because I disclosed all known conditions at the time

However in April i started feeling unwell I went to a local GP in Durban he was unsure what could be the cause for my new symptoms and refered me to a Physician to determine what could be the cause.

My 1st appointment with the physician was on the 24 April, after explaining my symptoms to the Dr he said he will have to admit me in hospital for 5 days to run tests he informed me that he suspect that I might have a PituitaryGland TSH hyperthyroidism tumor this is very rare condition only 2 in a million of the population get this type of disease or tumor benign or not i need to know, he wanted to do an MRI and kidney function test before he could confirm his suspicion .

However when his office tried to arrange pre auth on 25 April Medihelp requested additional medical history from the phycician he informed them that he dont have any medical history because im a new patient of his and my 1st appointment was on 24 April.

Since then i tried to get medihelp to approve the pre auth for tests only they refused and gave a reason of medical history non disclosure i fail to see this as a valid reason

1. I was a member of Medihelp for many years they should have all my history and they spoke to my GP in Pta for more information after i gave them her information its not my administrative duty to run after reports and do their jobs if they already should have past history as previous member 2 I am not a Dr so im curious to medihelps thinking do they expect potential new members to be able do a 100% diagnose like a qualified Dr by themselves and then run and declare the " finding" so Medihelp can pick and choose what they willing to approve or not? If so then I can treat myself for free and save the current R25000 payment this year alone!

Im of opinion Medihelp is deliberately frustrating me and this process yet continue to benefit from my money i need help in order to get a diagnosis and if necessary treatment and it already October and not getting better

If they had a valid reason they should have rejected my membership on joining.

The main member informed me he can not pay for another year where Medihelp just refuse treatment. I will not accept anything less than pre authorisation 100% covered by Medihelp as per my Benefits