WAITING PERIOD WHILE RAKING IN THE MONEY - WAIT FOR YOUR DEATH.

Hi there

I have sent a letter to them this morning, it goes as follow:-

Hi there

I am very much disappointed with this medical aid. Firstly when I registered, I was told since I have been on previous medical aid for more than 24 months and did not have more than 90 days break before I join Netcare medical aid - there won't be any waiting period. A membership certificate came and mentioned a GENERAL WAITING PERIOD ( which no explanation what it means)

1. My wife tripped and injured her knee, went to a hospital and she was told we are on the waiting period there is no cover for that. She also phoned the medical aid herself to confirm on the 24th of May - only to be told we are on the WAITING PERIOD. ( You can check your call logs as you always says, all calls may be recorded)

I have enquired with the medical aid about this: Here is a reply for Preesan Govender - Fri, Jun 8, 2018 at 11:32 AM

Dear Mr

Thank you for your recent contact with the Netcare Medical Scheme.

Query

We have reviewed your application to join Netcare Medical Scheme. According to the details on your application form, you are considered to be a Category C member.

Category C members are members who:

Have belonged to a previous medical scheme for more than 24 months Have not had a break in cover of more than 90 days since withdrawing from their previous medical scheme. Underwriting that can apply to Category C members

We may apply a three-month general waiting period. We may apply a late-joiner penalty for a period you or your dependants cannot provide credible cover. Category C members will have access to the Prescribed Minimum Benefits, even during a waiting period described above.

Please be advised the waiting period will end on 31 July 2018.

According to CMS, PMB aim to provide people with continuous care to improve their health and well-being....AND when deciding whether a condition is a PMB, the doctor should only look at the symptoms and NOT at any other factors, such as how the injury or condition was contracted.

Now I have a wife who got injured on the knee - she goes to a hospital only to be told THAT is not covered - WE ARE ON THE WAITING PERIOD. No X-ray to make sure that there are no any injuries that can hamper the health and the well-being of her. Now we must pop out money from our pockets to pay to service providers while YOU as a medical aid will be raking in thousands of rands from my salary and all you can give is a waiting period.

2. She is a Hypertensive as well

And that too can wait for another three months according to YOUR WAITING PERIOD on the other hand on the CMS that is listed on the PMB list. Why are you taking the money if you cannot provide the service?. OR you want the HYPERTENSION to escalate up to CVA's and AMI's while waiting for your waiting period or should we also spend more money from our pockets to take care for that too?

3. As we speak she has FLU for three days now. we don't have the money. We cannot go to Health providers because YOU guys when they enquire about the medical aid all they get is a WAITING PERIOD NONSENSE.

4. My son is waking up with EPISTAXIS some mornings, I cannot take him to a Health care facility or provider because I will be told the same story. I am very upset about this - I will be looking for legal advises regarding all this thing.

With all these how are you making sure that OUR health and well-beings are taken care of with all these waiting periods you are talking about.

You just cannot be taking my money for a service that you are unable to provide. THAT CANNOT HAPPEN IN THIS DAY AND AGE.