It has been removed , REPOSTING . ALMOST KILLING ME

After making a complaint on hello peter it has been removed, even where they were contradicting themself. NOTHING WAS PAID

I am reposting this as they are trying to hide this.

I am placing a complaint and Cancelling this Elexi health ( unity health )

Not only was my antibiotics not coved subscribed to me by the doctor you rejected for my Pneumonia

As my daughter phone to state I can not breath, I am coughing up blood and my situation became critical , no one could give us a definite answer or help us .After the confusion where I was told to pay 1500 for im not even sure ( nowhere stated in the policy ) I was taken to Medi-clinic where I was declined after being said ill be approved then after phoning to get that sorted , Casualty took me at 11:30

Where there was enough time to place me in a bed drip placed in my arm, then a covid test . Then without any further explanation, everything riped out of my body ( still cant breath) keep in mind doctor told us my right lung had collapsed and elixi health will not pay any more im being kicked out .

13H im in Sedibeng hospital. I cant breath im waiting on the floor until 18H . After my daughter walked in asking to please release me as she will move me over to a private hospital herself ( as I still cant breath and I am left on the cold floor while I have pneumonia)

Now here is the big issue . I was not stabilized, every step of the way I was treated like im worthless Your promises are false . All that was repeated to me is its not a accident or a burn. THERE WAS NO STABILITION

You state Procedure to follow in event of a emergency or serious accident –Call Unity Health call centre on **********or ER24 on **********, or make use of the push-to-call function on your Unity Health App. ER24 will verify the membership of the person in need of help, whether it be the main member or a dependant. ER24 will assist the member with advice and emergency transportation to the nearest inpatient hospital facility. ER24 will issue the hospital with a guarantee of payment and the member will be admitted for treatment.

An “emergency” is an event of a sudden, and at the time, unexpected onset of a health condition that requires immediate medical or surgical treatment, where failure to provide medical or surgical treatment would result in serious impairment to bodily functions or serious dysfunction of a bodily organ or would place the person’s life in jeopardy.

While being sent to the public hospital the dr at Medi clinic stated that I’m being kicked out due to no authorisation and he has to send me to a public hospital because my lung is collapsed and if I’m not around specialists I’ll Die .

Clinical stability was defined as achievement of five normal vital signs (heart rate, systolic blood pressure, respiratory rate, oxygen saturation, and temperature) plus normal mental status and ability to eat. A lenient definition of normal vital signs (e.g., temperature below 38.3°C) resulted in a median time to clinical stability of three days, whereas a conservative definition (e.g., temperature below 37.2°C) resulted in clinical stability within five to seven days. Not surprisingly, those with severe pneumonia on admission took longest to become clinically stable.

This definition seems clear: a patient is stabilized when his or her condition, will not worsen upon leaving the facility. Over the years, though, courts have interpreted the language differently before finally determining exactly when a hospital’s duty to stabilize has been satisfied

So After every Run around looking for ways out of this, you have broken the contract I am going public with this.

Talk sure Never approved half of the stabilization costs/transport. That is why they said ( As we have confirmed to you by feedback from the Administrator, the Emergency Stabilization benefit was authorized and as such not declined as you assert) to immediately respond with ( its all still in pending .)