Refusal to pay

What a disappointment. After 11 days, sending a complaint via email (***), I'm still waiting for a response.

In March of this year, 2025 I requested to claim from my Oncology benefits for which I'm registered (diagnosed with NHL 2016). I had 2 teeth extracted due to ongoing infection that persisted for over a year. I submitted the Dr's Report as motivation to claim from Oncology benefits, as requested by Medihelp, indicating treatment for infection, duration of treatment, cause of infection and reason for extractions. Medihelp was satisfied with the letter, as subsequently, the Clinical Case manager requested an additional quote to be submitted for dentures. She stated: " At this stage the committee just have to decide if dentures or implant will be funded, or implants up to the limit of dentures". She also stated that the quote requested is not to fund dentures. But, true as Bob, after submitting the denture quote, I got a Pre-approval for Dentures via email.

Long story short, after multiple Dr's visits to obtain a more satisfactory (to Medihelp's requirements) LOM (Letter of Motivation) of why dentures are NOT an option and implants are the solution, Medihelp refused to authorize my claim, refusing to consider the last and more clinical Letter of Motivation from the Drs. I am very disappointed being led by the nose, jumping through all the hoops and requirements...and the Case manager / Medihelp not being held accountable for her / their actions.