Poor Service/Unfair Termination of Membership/Non disclosure

Medihelp has refused to pay my medical claims and my wifes stay in hospital and they have re**** on the fact that there is a non-disclosure on our part. My wife, was hospitalised & it was discovered that she had two ovarian cysts. Medihelp decided to terminate our membership and refused to pay the medical bill for the hospital stay and related costs. The reason furnished for the refusal was that we did not disclose that my wife had a prior medical condition when we signed on to the scheme. We disputed the claim of non-disclosure because in a letter from my wife’s gynaecologist it provided clarity on the finding that the scheme had made of which they dont want to acknowledge. The scheme had found that my wife underwent a hysteroscopy & they assumed that this procedure was done as a result of “excessive and frequent and irregular menstruation” but this was not the cause of the procedure. My wife has never had a menstrual condition and Dr. explained that i a letter given to the medical aid of which they are refusing to acknowledge and have stated that they will rely on their initial findings.

BE CAREFUL OF MEDIHELP AS WHEN IT COMES TO PAYING OUT THEY WILL ALWAYS WANT TO FIND A REASON NOT TO YOU WILL DISCOVER IN HOW THEIR INVESTIGATORS AND CONSULTANTS HOW THEY HANDLE PEOPLE. Had i not paid for the operation myself Medihelp was willing to let my wife suffer.