Authorization provided for Mirena in Oct 2017 to date note paid out. Terminated Medical Aid and last day of cover was 30 November 2017 to date no clarification was provided as to when and how much my saving in my 'My Saver' will be paid out.

I refer to the above matter and hope that you are able to assist to finalize this matter. During August 2017 my Gynecologist prescribed that I insert the Mirena IUD and go off the pill (up to that date I had used Triphasil, which were for six months paid through my 'My Saver'). Herewith a copy of the prescription:Inline image 2 The process of inserting a Mirena IUD Device is as follows: The patient has to purchase same from Dischem and make an appointment for insertion with the Gynecologist. I attended to purchase the Mirena IUD Device from Dischem and the pharmacists confirmed on your system that such would be covered by Spectramed and that authorization would be required. Herewith photos of the box and proof of payment in the amount of R 2867.31. Inline image 1Inline image 3 The Device had to be inserted on the 18th of August 2017, which it was. Authorization was provided by Spectramed on the 21st of October 2017. See enclosed a copy of the email and document. You Electronically authorized the insertion of the Device only, as per the attached email and document. You advised that the cost of the Mirena device is not covered by you, despite the fact that you did indeed cover my Triphasil pill for six month. On the 23rd of August 2017 I advised that I had more than sufficient monies in my 'My Saver' that you could refund the amount of R 2 867.31 back to me. On the 24th of October 2017 your offices confirmed that the Mirena Device has been authorized from my savings, thus an amount of R 2 867.31 had to be refunded to me, see enclosed a copy: We acknowledge receipt of your e-mail enquiry dated the 03rd October 2017 and wish to advise you as follows: Kindly be advised that Mirena was authorized from your savings, please send us a copy of the pharmacy invoice for us to send this account for review. For any further queries please feel free to reply to ********** or call our call centre on ***. I again attended to send through the invoices and all other documentation and information, already provided. Despite various follow up request in terms of when the amount of R 2 867.31 will be paid to my account no payment nor proper feedback have been received to date except for your standardize emails in which you merely again request all information. I have since terminated my membership and my last day of coverage was the 30th of November 2017 and my last installment was deducted. Still no payment of the reimbur*****t of R 2 867.31 has been made to me. Further on the date of my termination of the membership I enquired in terms of my 'My Saver' monies which had accumulated over the years since 2008 to date, the exact amount , how such was determined and when such will be paid. To date not feedback has been received in terms thereof, you merely provided me with a copy of the termination certificate and deducted my last installment. I have hardly used this medical aid over the years, not to mention my 'My Saver' fund. My membership with Spectramed has officially ended on the the 30th of November 2017 and my 'My Saver' monies remains my monies together with any interest which has accumulated on such over the years. This is my final request and I would appreciate your cooperation herein. Please advise when my 'My Saver' monies including the Mirena Device monies will be paid to my bank account, how much and how such was determined. Should I not receive feedback by tomorrow 12h00 I will proceed with my complaint to the Council for Medical Aid Schemes.