Health Platform preauthorisation paid from savings

Having been for a pre-authorised General Medical, Momentum have deducted the cost from my savings not from the Health Platform benefit, citing the doctor is a registered surgeon and not a General Practitioner. <br> <br> There is only 1 doctor in Underberg, and he runs the General Practice in the town. I consulted this doctor as a General Practitioner, for the pre-authorised medical.<br> <br> The fact that he is registered as a surgeon with Momentum Health and that they will not cover his consult is completely hidden from the member, and only made known after the fact.<br> <br> This seems to me, to be a typical insurance **** to avoid payment on a minor technicality. Why have Momentum Health not updated their records to show that this particular doctor runs a legitimate General Practice, surely they have had claims from this practice before and are aware of the fact.<br> <br> The call center response as usual is pathetic, issuing useless reference numbers(*** & ***) but offering no way of elevating your problem.<br> <br> I now intend to get a letter from the doctors practice, stating he runs a General Practice, and then elevating the matter to the Council for Medical Schemes and the Ombudsman for a ruling