Pre-authorisation Nightmare!!!!

<p>I am totally disgusted with MediHelp's service!</p> <p> </p> <p>My Fiance, who is the Main Memeber on the Medical Aid, fell ill this week and went to the Doctor yesterday. The Doctor immediately wanted to admit him to hospital. I phoned MediHelp to sort out the pre-authorisation and find out exactly what we need to do.</p> <p> </p> <p>They gave me a list of everything I need to provide them (The Doctors Name and Practice Number. The Hospital Practice Number. Diagnosis Code. ). We got to the hospital and they phoned MediHelp to provide them with the information they needed. They then informed the hospital that they cannot authorise yet as they need to conduct a full Medical History Investigation to determine if it is a pre-existing condition. The hospital then told us we will need to pay a R 30 000.00 deposit for him to be admitted! He has Bronchitis and a Chest Infection. Can someone please explain to me how that could be pre-existing???? </p> <p> </p> <p>Apparently it can take 2-3 days for them to finalise their investigation. I tried everything to speed up the process. I phoned them again myself and asked what I need to do. They just told me they need to speak to the Doctor who admitted him to give his medical history. I then went back to my Doctor and phoned again and told them I have the Doctor with me. They can speak to him now. They then said no it must be done by the right departmet. I asked them to put me through to the right department and was told that they can't.</p> <p> </p> <p>I am so disgusted! It worries me that we are on this medical aid, what is going to happen if our 3 year old needs to go to hospital? Are they also going to tell me to wait 2-3 days for authoisation??</p> <p> </p> <p>Why am I paying so much money for medical aid when I can't even use it? My Fiance is supposed to be in hospital, he is extremely ill and he is now sitting at home.</p> <p> </p> <p>Why was I not told about this "policy" when I signed up??</p> <p> </p> <p>I was told how wonderful MediHelp is, and how they don't have issues when paying claims. This is the first claim we have done and now there are issues. I am not happy and I am seriously considering cancelling!!!</p>