Refusing to pay for a standard procedure

We were with Discovery for the past 10 years and moved over to Medihelp this year simply because their pricing seemed more competitive.

Now my son is supposed to go for a tonsilitis appointment tomorrow. We phoned medihelp aid for authorisation for the procedure last week. None was given now when we followed up they said we will not get authorisation and we are under investigation. The reason for the investigation? Because we have been there for less than a year. The fact that we have been on medical aid for the past 10 years at a higher rate apparently means nothing.

This is unacceptable. I must now pay for the procedure from my own pocket. I will be demanding this money back plus interest or all my monthly premiums back. This will also go to the ombud.