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Related South Africa Law Questions
I have an issue with a medical payment, that the medical aid
Good day. i have an issue with a medical payment, that the medical aid declined after the operation, when it was approved the day before the time. i have been told that the Dr sent in codes that was a… read more
Freddie Lombard
Freddie Lombard
Attorney
Bachelor's Degree
3,595 satisfied customers
Good morning, My new medical aid, that I've been on since 15
Good morning, My new medical aid, that I've been on since 15 February 2016 has cancelled an operation that I was booked for tomorrow. The medical aid is medihelp and the scheme option is Dimension pri… read more
Freddie Lombard
Freddie Lombard
Attorney
Bachelor's Degree
3,595 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
3,595 satisfied customers
GOOD DAY IN SHORT I WANT TO KNOW IF I CAN OPEN A CASE AGAINST
GOOD DAY IN SHORT I WANT TO KNOW IF I CAN OPEN A CASE AGAINST A HOSPITAL WHICH ACCORDING TO ME LEFT MY FATHER SITTING AT CASUALTIES FROM THE FRIDAY UNTILL THE SUNDAY MORNING WHEREAFTER HIS REFERAL LET… read more
AntonSmith13
AntonSmith13
Director
Master's Degree
63 satisfied customers
I have been to maintenance court recently, and my daughters
I have been to maintenance court recently, and my daughters mother originally claimed 3000.00, I offered 4000 to settle out of court. I was never married to her. In this she said that medical aid is i… read more
Freddie Lombard
Freddie Lombard
Attorney
Bachelor's Degree
3,595 satisfied customers
Hi, I recently had surgery done. The condition was approved
Hi, I recently had surgery done. The condition was approved as a PMB condition by the medical aid. Are they by law responsible for the full payment of the doctor's accounts? The surgeons are not on th… read more
WCLawyer
WCLawyer
Attorney
Bachelor's Degree
8,913 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
Master's Degree
4,502 satisfied customers
good afternoon i went in hospital for a laparoscopic hysterectomy
good afternoon i went in hospital for a laparoscopic hysterectomy in May this year. the medical aid phone me with a auth number and said they will only pay R18 000. i did not know how much the operati… read more
Mike Otis
Mike Otis
Legal Advisor
Master's Degree
2,094 satisfied customers
So what you are telling me is that because we did not appoint
So what you are telling me is that because we did not appoint the 'narkotiseur" and had no contract with him he has no claim against us to pay the part of the account the medical aid did not pay? And … read more
Shaie Zindel
Shaie Zindel
Attorney
B.A. (RAU); BProc (RAU)
1,250 satisfied customers
Who should l deal with? A doctor or Medical Aid? This doctor
Who should l deal with? A doctor or Medical Aid? This doctor saw it necessary that a certain operation be performed to a patient. The medical aid asked for a motivation letter which the doctor wrote a… read more
WCLawyer
WCLawyer
Attorney
Bachelor's Degree
8,913 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
Dear Lawyer Online, My friend had blood tests done at George
Dear Lawyer Online, My friend had blood tests done at George Hospital in Sept 2011. She did not know at that time that the tests wre being done by NHLS. She was sent by the doctor for the tests - as f… read more
WCLawyer
WCLawyer
Attorney
Bachelor's Degree
8,913 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
Master's Degree
4,502 satisfied customers
My wife who is 52 years old underwent planned cardiac surgery
My wife who is 52 years old underwent planned cardiac surgery to replace her mitral valve. After the operation the surgeon proclaimed the operation to be a complete success with no complications. Two … read more
JJ
JJ
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
2,273 satisfied customers
D.Ruthven.I am working as a expat in Zambia.About two and a
D.Ruthven.I am working as a expat in Zambia.About two and a half months back i become sick.The company has a Medical insurance (Expacare).The Doctor on site refer me to another docter,and i carry all … read more
JP
JP
Bachelor
622 satisfied customers
May(2009) i had a baby by c-section at sunninghill hospital,
May(2009) i had a baby by c-section at sunninghill hospital, Johannesburg, South Africa, the doctor who performed the operation left a golf ball size piece of the placenta behind,n failed to tell me t… read more
WCLawyer
WCLawyer
Attorney
Bachelor's Degree
8,913 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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