GOOD FOR NOTHING SCHEME

<p>HELP HELP BEFORE I LOSS IT </p> <p> </p> <p>1. AFTER MY GRANDMOTHERS RECENT VISIT TO HOSPITAL BEING TREATED BY THE SAME DOCTOR SAME HOSPITAL WE GET A CLAIM REJECTION FROM DR GJ VISAGIE R220.88</p> <p>THIS IS NOT THE FIRST CLAIM REJECTED AFTER THIS HOSPITAL VISIT. </p> <p>ON THIS SCHMECE MEMBERS NEED TO BE THERE OWN CLAIM ADMINSTRATORS </p> <p> </p> <p>2. LAST YEAR AS DISCUSSED WITH A CLIAM MANAGER WHEN MY GRAN WAS AS CASUALTIES THEY DID BLOOD TEST EVERY THING WAS PAID EXCEPT THE BLOOD TEST HAD A CLAIM REJECTION OF R118 FROM LANCET THE REASON WAS VERY LOUSY WHICH I TOLD THE MANAGER WHEN WE SPOKE LAST WEEK FRIDAY. I HAS SINCE SENT THROUGH THE STATEMENT. </p> <p> </p> <p>3 . I AM A STUDENT DEPENDENT ON MY GRANDMOTHERS MEDICAL AID THE AGE REVIEW PROCESS WAS RECENTLY APP**** TO ME I SUBMITTED A AFFIDAVIT STATEING THAT I AM DEPENDENT FIANCIALLY ON MY GRANDMOTHER . ND THAT I AM A FULL TIME STUDENT AT UNISA UNEMPLOYED I DID SENT A LETTER TO THE SCHEME PROVING I AM REGISTERED FOR THIS ACADEMIC YEAR NOW LISTEN TO THIS ACCORDING TO THERE SO CALLED SCHEME RULES WHICH THEY FOREVER PULL OUT WHEN THEY REFUSE TO BENEFIT THE MEMBER THEY REQUEST THAT THEY ARE LONGING FOR A LETTER FROM THE INSTITUITION UNISA IN THIS CASE ON A LETTERHEAD WITH A SIGNED STAMP ASK ANY UNISA STUDENT IF THEY ARE IN POSSESION OF SUCH A LETTER I AM FROM ODENDAALSRUS THERE IS NO OFFICE WITH IN A 50 KM RADIUS OF ME. I FURTHET DONT STAY ON A CAMPUS IF UNISA DOES HAVE ONE WE DONT RECIEVE LETTERS FROM UNISA VIA POST DUE TO POST OF STRIKES AND IF THEY DID SENT A LETTER I IT TAKES MONTS TO REACH THORUGH THE POST. I CANNOT EMAIL UNISA THEY DONT RESPOND I AM CURRENLTLY APPROACHING EXAMS AND I CANNOT BREAK MY HEAD ON THIS ADMIN REQUIREMENT OF MEDSHIELD THEY ARE TRHREATHING TO UP MY PREMIUM TO ADULT RATES THAT THEY CANNOT DO CAUSE I SUPP**** DOCUMENT TO THE BEST OF MY ABBILITY. </p> <p> </p> <p>4. REGARDING DENTAL CLAIM FOR DR VORSTER FOR EXTRAORAL RADIOGRAPH I CANNOT SEE THE SENSE FOR THE REJECTION I AM AWARE OF THE UNDER 18 AGGE BUT AT THE TIME THAT I VISITED THE DINTIST ROOM MY DENTIST AND MYSELF DID NOT KNOW WE SHOULD GAIN AUTHROZATION FOR THIS PROCRDURE BASED ON THE WHOLE CLAIM U CAN SEE THAT THEY DID A COMPLETE ASSESMENT. ME DENTIST DID VIEW THE MEDIPLUS BROCHURE WHICH DID NOT CLEARLY HIGHLIGHT THE PAYMENT OF SUCH TREATMENT I AM APPEALING TO THE SCHEME TO RECONSIDER BASED ON MERIT TO PLEASE PAY THE CLAIM AS I CLEALRY WOULD NOT GO FOR TRETMENT THAT MY SCHEME DOES NOT PAY FOR I AM A STUDENT AND DONT HAVE MONEY LIKE MEDSHIELD DOES.</p> <p> </p> <p>5. LIKE I SAID I AM BUSY WITH EXAMS THERE I APPEAL TO THE SCHEME TO RESPOND TO MY QUERY FROM A MANAGERAL LEVEL DONT GET SOME LOW LEVEL CONSULTANT TO CALL ME AND REEXPLAIN TO ME WHAT I ALREADY KNOW OF MY TERRIBLE SCHEME I HAVE STUDIED THEM VERY WELL EVEN BETTER THAN MY SUBJECTS I COULS LITTERLY WORK FOR THE SCHEME BY THE WAY I Am seeking employment . </p> <p> </p> <p>6 I TRUST THAT ALL THE CLAIM WILL BE SETTLED INCLUDING THE DENTAL CLAIM I AM NOT LIABLE FOR THAT CLAIM YOU WILL HAVE TO EXPLAIN TO THE PRACTICE FOR REASON OF NO PAYMENT THUS HOPE IT DOES NOT COME TO THAT. </p> <p> </p> <p>7 I HAVE COMPLAINED TO THE MEDICAL SCHEME COUNSIL BUT THAT DID NOT HELP EITHER THE SCHEME IS STILL FAILING US AS MEMBERS. I ALREADY AM EXPECTING A TWO LINE EMAIL RESPONSE. </p> <p> </p> <p>THIS SERVICE IS PATHETIC HOW MANY OLDER MEMBER HAS THE SCHEME DONE DOWN. </p> <p> </p>