POLMED/MEDSCHEME GRANT APPROVALS AND THEN DONT PAY 4 CANCER!!!

In Sept 2020 a pensioner Polmed member went for a cancer scan - we authorised and followed scheme rules. Then, 3 months later, we were told a code on the scan for R5700.00 was declined by a medical advisor. We were asked to provide motivations and reports at high cost to the member, yet, the claim remains unpaid. We reported it to the Council of Medical schemes (have to wait 120 days) and the claim has been reversed and reprocessed 6 times, then then pay but reverse, or simply reject it again. My point is that if the member was told at point of service, when authorizing, the code would not be paid, she could have discussed different treatment options with her oncologist and surgeon? She is sick with worry, shame on you MEDSCHEME for your bad administration and for putting a pensioner through this - she can't pay this? The fund manager SANDRA LOTZ has been informed of all the facts, however is too important to provide feedback.