Worst Hospital Plan

I just want to share the worst experience I received from the Netcare plus authorisation department on the 9th of may 2024, my son was in school who just passed out while playing, when the teachers woke him up they checked his temp and it was 42c, we rushed him to the hospital finding out he bruised his arm, back and forehead, when the hospital called netcare for authorisation a lady by the name of vivian asks for an injury report , the admin in the hospital explains that the doctor will not do a report unless we pay cash or get authorisation, vivian kept saying that they will not give authorisation and kept declining it, I don't understand why she declined it when the following is on the netcare plus broacher, he was in a serious condition where by he was dizzy, bruised, his fever was very high, he was weak and in a lot of pain, if this is not an emergency or unexpected incident then what is??? from my knowledge this could have went worst.

THEY LIE ABOUT THE FOLLOWING

What is an emergency medical treatment? What is an emergency medical condition? An emergency medical treatment is an urgent and short term, not longer than 90 days, remedial medical treatment that is required due to an emergency medical condition. Emergency medical treatment will be provided up to a maximum of 90 days calculated from the date of the accident and trauma event, provided that the treatment and services are directly related to the accident and trauma event An injury or an event which is unexpected and sudden and would likely result in death, serious impairment of bodily functions, serious dysfunction or disfigurement of any bodily organ or place the health of the individual in serious danger if emergency medical treatment is not received