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I am seeking advice regarding medical aid and particularly
I am seeking advice regarding medical aid and particularly circumstances surrounding emergency medical procedure inside the three month waiting period. … read more
Freddie Lombard
Freddie Lombard
Attorney
Bachelor's Degree
3,660 satisfied customers
I'm a service provider in the medical field. Discovery
Hello I'm a service provider in the medical field. Discovery health conducted an audit of my practice only to find incorrect billing code from the billing company that I use . They want a reverse in c… read more
Shaie Zindel
Shaie Zindel
Attorney
B.A. (RAU); BProc (RAU)
1,250 satisfied customers
I have a question relating to the consumer protection act and
I have a question relating to the consumer protection act and medical aid. I underwent surgery 3 months ago for an ovarian tumour. I asked the gynaecologist if it would be possible to do minor plastic… read more
Freddie Lombard
Freddie Lombard
Attorney
Bachelor's Degree
3,660 satisfied customers
I had a triple bypass operation in October 2011. All the bilss
I had a triple bypass operation in October 2011. All the bilss invoices were submitted to Medical Insuance/ Aid and were paid - Or so I thought! The surgeon bill was never sent to me - Nor did he send… read more
Barend B.
Barend B.
Master's Degree
1,364 satisfied customers
Hi, My father-in-law underwent a triple-bypass operation last
Hi, My father-in-law underwent a triple-bypass operation last week. Initially his medical aid approved his hospital stay in Richards Bay (he lives in Empangeni). He was moved to Durban on the request … read more
JJ
JJ
Attorney
Master's Degree
4,502 satisfied customers
Good day, could I please get some advice as to what I should
Good day, could I please get some advice as to what I should do with regards XXXXX XXXXX matter mentioned below - this mail was sent to the medical aid client services 07/01/13 and I have not had any … read more
Mike Otis
Mike Otis
Legal Advisor
Master's Degree
2,094 satisfied customers
1. Can a docter charge you more that what the agreed medical
1. Can a docter charge you more that what the agreed medical aid rates is for a service without informing you of it upfront. We did not select the aneastethist, the operating doctor or hospital selcec… read more
Shaie Zindel
Shaie Zindel
Attorney
B.A. (RAU); BProc (RAU)
1,250 satisfied customers
I retired from my company during late May 2012 so that my notice
I retired from my company during late May 2012 so that my notice period would be the month of June. I took up another position on 1st July. Effectively I went on early retirement/pension. I was a memb… read more
JJ
JJ
Attorney
Master's Degree
4,502 satisfied customers
My medical aid Refuse to authorize a medical procedure. The
My medical aid Refuse to authorize a medical procedure. The letter from the Medical Aid states "The funding decision is based on the fact that surgery of this nature is a scheme exclusion as per Annex… read more
Mike Otis
Mike Otis
Legal Advisor
Master's Degree
2,094 satisfied customers
I had a succesfull total prostatectomy on 6/06. The surgery
I had a succesfull total prostatectomy on 6/06. The surgery wound formed a septises and Hematome. My Urologist was on leave, his Locum immediately opened the wound. There formed a 5cm deep and at leas… read more
JJ
JJ
Attorney
Master's Degree
4,502 satisfied customers
my father was admitted to Kloof ICU in January 2012 after suffering
my father was admitted to Kloof ICU in January 2012 after suffering a cardiac arrest due to heart failure. In ICu the physician prescribed the drug, Precedex, to keep him sedated and comfortable as we… read more
Shaie Zindel
Shaie Zindel
Attorney
B.A. (RAU); BProc (RAU)
1,250 satisfied customers
I am employed as medical doctor by the department of health
I am employed as medical doctor by the department of health western cape. I have changed jobs in April of this year. I now work at Jooste hospital and was previously at Alexandra hospital, both hospit… read more
WCLawyer
WCLawyer
Attorney
Bachelor's Degree
8,953 satisfied customers
I have joined a medical aid and was advised ON ACCEPTANCE that
I have joined a medical aid and was advised ON ACCEPTANCE that I will be EXCLUDED for 4 conditions namely Hormones, Hypertension, Thyroid Disfunctions and Gastrointestinal Disorders for a period of a … read more
WCLawyer
WCLawyer
Attorney
Bachelor's Degree
8,953 satisfied customers
I have a strange situation (for it is a bit bizarre). My
I have a strange situation (for it is a bit bizarre). My daughter underwent an operation to remove her wisdom teeth in April this year. As principal member of my medial aid, I contacted the medical ai… read more
JJ
JJ
Attorney
Master's Degree
4,502 satisfied customers
I am a 73yrs old pensioner,in March 2009 I had an aortic valve
I am a 73yrs old pensioner,in March 2009 I had an aortic valve replacement performed by surgeon Dr. Sussman who charged +- R 33000.00 ,Discovery health paid him R25000.00 and now he has instructed Com… read more
CaseLaw
CaseLaw
Attorney
Master's Degree
2,300 satisfied customers
Please can you give some advice, My husband had a stent (Nappi
Please can you give some advice, My husband had a stent (Nappi Haemostat Angioseal VIP Vascul (RSN66) inserted in December and I was on the Extender option with Momentum, the cover for hospital is 300… read more
JP
JP
Bachelor
624 satisfied customers
Dear Sir/Madam Re Unfair Suspension, victimization, harassment,
Dear Sir/Madam Re: Unfair Suspension, victimization, harassment, abuse etc, in the workplace CHARGES OF ALLEGED MISCONDUCT IN TERMS OF PARAGRAPHS 6 AND 7 OF THE PSCBC RESOLUTION 1 OF 2003: DISCIPLINAR… read more
WCLawyer
WCLawyer
Attorney
Bachelor's Degree
8,953 satisfied customers

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DISCLAIMER: Answers from Experts on JustAnswer are not substitutes for the advice of an attorney. JustAnswer is a public forum and questions and responses are not private or confidential or protected by the attorney-client privilege. The Expert above is not your attorney, and the response above is not legal advice. You should not read this response to propose specific action or address specific circumstances, but only to give you a sense of general principles of law that might affect the situation you describe. Application of these general principles to particular circumstances must be done by a lawyer who has spoken with you in confidence, learned all relevant information, and explored various options. Before acting on these general principles, you should hire a lawyer licensed to practice law in the jurisdiction to which your question pertains.

The responses above are from individual Experts, not JustAnswer. The site and services are provided “as is”. To view the verified credential of an Expert, click on the “Verified” symbol in the Expert’s profile. This site is not for emergency questions which should be directed immediately by telephone or in-person to qualified professionals. Please carefully read the Terms of Service (last updated February 8, 2012).

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