Cancer is excluded from OM Medical Benefit Schedule on Flexidowment (medical)!

Dear Flexidowment Medical

I have had this policy for as long as I can remember. Recently, I had breast cancer for which I had surgery and am soon commencing with treatment. My financial advisor encouraged me to send through all my bills and fill in a claims form.

Yesterday, I received a letter through my broker stating that the “procedures I underwent are not listed in the Medical Benefit schedule”. I cannot see how the removal of cancerous tissue/cancer is is not listed. The worst and offensive part of the letter is that I received a small sum as “a gesture of goodwill”. This is a shame and unacceptable. Besides this policy, I have been with OM for a number of years and would never have expected a response like this from you! Secondly, I had the same procedure in January 2021 for breast cancer and when I submitted a claim, this procedure was listed on your benefit schedule. How could this have changed? I would like to request that someone who knows what a dreaded disease is has a look at this claim and sends me a response together with the list of illnesses on your Medical Benefit Schedule. I would be most surprised if it cannot be found. I will be taking this matter to the ombudsman as I find it unfair as well as questionable.

Very disappointing and a poor show from an organisation that I have supported for so many years.