Pathetic excuse for payments

Hi there

I have called on 1 Aug2017 to enquire about a grommet and Adeloid operation for my 4 year old... I was adviced that my hospital is unlimited and that i have 3 specilaist visits a year... I went for the consulation and had to Pay R700 for the ENT (cheap compared to R1200) usual specialiats visits i will be refunded... So i paid cash... 1 week later i was refunded R349 for the visit accordimg to medshield its paid at medixal scheme rates ( so what specialist charges R349 not even a GP charges that)... Then i had to pay the ENT R2091 for the operation before they would do the opif medical aid doea not pay, which i did... Also asked and nothing to say of I ta at 100% or 200% the lady at medshield said if it doesnt spesify its paid in FULL.... SO now i asked and the Aneathesist do they cover that why dont i get a Auth nr for her too, they said mam its unlimted she is included in the hospitalisation, so now today i get a ill have to pay R2400 to her as they cover R1500 of R3800 that she chargea... So of a R8000 total account i paid R5000 inand i pay R1935 a month for a medical aid... So where does medixal aids think we have to scratch out another R5000 now then i would be on Medshields top plan if i had the money and not have to pay it n wth???

So now i need to ask how is this resolved i dont except the excuse its at NMR rates.... Sorry not good enough not even a rural areacharges R349 for a specialist so gow do i resolve this????

Melani