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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
3,613 satisfied customers
I am a 70 year old lady, now state pensioner, as I was a
I am a 70 year old lady, now state pensioner, as I was a stay-at-home-mother; and had to start employment over age 41, worked 11 years at FNB, which time I joined Bankmed. My daughters provide me my f… read more
Charlene Vorster
Charlene Vorster
Attorney and Conveyancer
Honours
263 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
3,613 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
3,613 satisfied customers
My mom went to hospital for three days so that they could run
My mom went to hospital for three days so that they could run tests as she has severe pain in her neck. Her medical aid gave an authorisation code for that. She was in hospital for 3 days. Her medical… read more
Freddie Lombard
Freddie Lombard
Attorney
Bachelor's Degree
3,613 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
8,935 satisfied customers
Hi , I was diagnosed with a savere heart condition in 2006
Hi , I was diagnosed with a savere heart condition in 2006 and was medically boarded in 2008. I was being paid bay Momentum for dissability cover since then. In June 2011 I underwent a heart transplan… read more
WCLawyer
WCLawyer
Attorney
Bachelor's Degree
8,935 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
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
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
My father-in-law underwent a procedure for a dual chamber pacemaker
My father-in-law underwent a procedure for a dual chamber pacemaker implation. Discovery Medical Aid is refusing to pay hospital bill of R85,852.21 due to waiting period of 12 month (ending October 20… read more
JJ
JJ
Attorney
Master's Degree
4,502 satisfied customers
good day i have had oneplan meducal aid policy for a year.
good day i have had oneplan meducal aid policy for a year. due to financail constraints i am in arrears of two months premuims[that is April and May] i was planning to pay this my end of this month. i… read more
JJ
JJ
Attorney
Master's Degree
4,502 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
8,935 satisfied customers
I had an operation last year. It was initially supposed to
I had an operation last year. It was initially supposed to be a Laparascopy, but the Gynae took long to make a decision for theatre until I had to have an emergency Lparactomy by another surgeon who h… read more
WCLawyer
WCLawyer
Attorney
Bachelor's Degree
8,935 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
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
2,291 satisfied customers
Please be so kind as to help me with the following question
Please be so kind as to help me with the following question regarding my Medical Aid Scheme with Liberty Medical Scheme Member Number XXXXXXXXXXX My Brother who is a Pensioner and do not have an incom… read more
JJ
JJ
Attorney
Master's Degree
4,502 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
8,935 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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