UNPAID HOSPITAL CLAIM

Kindly refer to the email below which I wrote to my medical aid on the 28th of March 2018 and have not received feedback. I made a follow upon the 9th of this month and was advised that a team leader by the name of REESE will call me I am still to get that call.

Towards the end of December 2017 I went to my GP because I was experiencing headaches, short breath, etc. He discovered that my blood pressure was extremely high and suggested that I see a physician specialist. My blood pressure is very volatile and requires vigorous treatment hence I am on chronic and have been for more than 20 years. Refer to my chronic profile. In 1998 I suffered a minor stroke the doctor advised that the blood pressure was abnormally high and I had to be given immediate attention. Blood pressure is a PMB condition and has to be attended to without restrictions. Based on the above statement, I was not ready to have another stroke hence I went to seek help by the hospital. Had I seen my specialist he would have probably also referred me to the hospital (to be fully admitted) this means you would have had to pay 3 bills. My GP, the specialist and the hospital, however now there is only 2 bills to take care of and it’s still a problem. My question to you is, how was I supposed to be treated? What matters most, it is my health as your member or the money? Wouldn’t it have caused you more if I was admitted for the whole night and day? I called a while back and I was advised that your pre-auth will liaise with the hospital direct in order to resolve this in terms of getting an authorisation. Please advise. This is the response I received immediately after my email to them. This e-mail serves to confirm that we have received and are attending to your query. Your query number is :280318QP8J0S Expected query resolution time for emails: 5 working days from date of receipt, excluding weekends and public holidays. Should additional information be required, resolution time may be extended. Please DO NOT reply to the e-mail address this message was sent from. Kind regards, The hospital send me a text message on Friday they are handing me over.