CS
Chantel S
1 reviews | Active since Aug 2011
27 Apr 2015, 11:29
Bad services
I'm very unhappy the way the medical aid has handle my hospital account. I got the authorisation before I went in and after being in hospital for 1 week, medical aid only paying for 3 days. I have been fighting since with medical aid but not winning, now I'll just have to take this matter higher.
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TopMed Medical Scheme's replyOfficial
30 Apr 2015, 13:52Hello Bullshark,
A thorough investigation was performed on your enquiry. The full details of this investigation has been emailed to you directly due to the confidential nature of this information.
We can confirm that upon authorisation you were only provided with an authorisation for 1 day. We have requested for clinical evidence as to why you required an extended stay in hospital. We have not received sufficient clinical evidence to authorise for additional stay. Authorisation was given in accordance to the clinical evidence provided.
Please refer to page 17 of your member guide, which also clearly indicate that should you require extended length of stay in hospital over and above the days already authorised, the Scheme has to be informed of this in order for us to authorise the additional days. Clinical protocols are then app**** accordingly.
Please refer to the details explanation provided to you personally via email.
Kind regards
Yolandi Knoetze
A thorough investigation was performed on your enquiry. The full details of this investigation has been emailed to you directly due to the confidential nature of this information.
We can confirm that upon authorisation you were only provided with an authorisation for 1 day. We have requested for clinical evidence as to why you required an extended stay in hospital. We have not received sufficient clinical evidence to authorise for additional stay. Authorisation was given in accordance to the clinical evidence provided.
Please refer to page 17 of your member guide, which also clearly indicate that should you require extended length of stay in hospital over and above the days already authorised, the Scheme has to be informed of this in order for us to authorise the additional days. Clinical protocols are then app**** accordingly.
Please refer to the details explanation provided to you personally via email.
Kind regards
Yolandi Knoetze
TopMed Medical Scheme's reply30 Apr 2015, 13:52
Official
Hello Bullshark,
A thorough investigation was performed on your enquiry. The full details of this investigation has been emailed to you directly due to the confidential nature of this information.
We can confirm that upon authorisation you were only provided with an authorisation for 1 day. We have requested for clinical evidence as to why you required an extended stay in hospital. We have not received sufficient clinical evidence to authorise for additional stay. Authorisation was given in accordance to the clinical evidence provided.
Please refer to page 17 of your member guide, which also clearly indicate that should you require extended length of stay in hospital over and above the days already authorised, the Scheme has to be informed of this in order for us to authorise the additional days. Clinical protocols are then app**** accordingly.
Please refer to the details explanation provided to you personally via email.
Kind regards
Yolandi Knoetze
A thorough investigation was performed on your enquiry. The full details of this investigation has been emailed to you directly due to the confidential nature of this information.
We can confirm that upon authorisation you were only provided with an authorisation for 1 day. We have requested for clinical evidence as to why you required an extended stay in hospital. We have not received sufficient clinical evidence to authorise for additional stay. Authorisation was given in accordance to the clinical evidence provided.
Please refer to page 17 of your member guide, which also clearly indicate that should you require extended length of stay in hospital over and above the days already authorised, the Scheme has to be informed of this in order for us to authorise the additional days. Clinical protocols are then app**** accordingly.
Please refer to the details explanation provided to you personally via email.
Kind regards
Yolandi Knoetze