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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
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I slipped on Mud whilst leaving work at approximately
Good afternoon I slipped on Mud whilst leaving work at approximately 12.15pm on 7th December 2019. I had already clocked out and was walking down an incline when due to the heavy rain had become very … read more
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Chris K
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My wife is entitled to diapers on PNP. GEMS honours this
My wife is entitled to diapers on PNP. GEMS honours this partially until funds are exhausted. This happens late in the year or earlier because it comes from the same funds that have been set aside for… read more
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My wife went for a CT scan of her chest and abdomen. The
My wife went for a CT scan of her chest and abdomen. The reason for the two scans was that she had her gall bladder removed but their was a blockage ie any food or liquid consumed stayed tn her stomac… read more
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I am a woman of 57 yrs. work as a fin man @ a shipping co. I have very bad arthritis. Sin
I am a woman of 57 yrs. work as a fin man @ a shipping co. I have very bad arthritis. Since 2010 Both my shoulders, hands, and elbows had operations. Trigger fingers were operated on in Jan 14. I am a… read more
Freddie Lombard
Freddie Lombard
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My life partner had an operation to repair a tendon in her
My life partner had an operation to repair a tendon in her foot. Having worked through the recuperation process and following all the surgeon's instructions to the letter, there has been no improvemen… read more
WCLawyer
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Good day Im writing on behalf of my Dad a pensioner. His
Good day I'm writing on behalf of my Dad a pensioner. His Medical Aid is Platinum Health (Full)(AngloPlats) He had a heart attack on the 8th of May 2012, was transferred from Thabazimbi to Olivedale h… read more
WCLawyer
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To whom it may concern On 15 December 2012 my daughters right
To whom it may concern On 15 December 2012 my daughter's right foot was badly injured when she stepped down a step at church which was higher than the normal steps, not well lit up and was not demarca… read more
WCLawyer
WCLawyer
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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
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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
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Mike Otis
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Hi, I hurt my knee with touchrugby about 2 years ago, i
Hi, I hurt my knee with touchrugby about 2 years ago, i then went to my chiropractor friend and he said i pulled my ligaments and minescus in my knee. I didnt have any money for X-rays so he just told… read more
JJ
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We became members of FEDHEALTH MEDICAL SCHEME Hospital Cover
We became members of FEDHEALTH MEDICAL SCHEME Hospital Cover MAXIMA CORE Membership number XXXXXXXXXXX on 1 Feb 2012 with a waiting period of 3 months, being 1 May2012. On 9 February, we spoke to MARG… read more
JJ
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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
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I WAS DIVORCED IN 1998 AND AS PART OF COURT ORDER I HAD TO
I WAS DIVORCED IN 1998 AND AS PART OF COURT ORDER I HAD TO MAINTAIN EX ON A MEDICAL AID AND PAY REASONABLE EXPENSES. THERE ARE NO CHILDREN. SHE HAS UNDERGONE TREATMENT IN 2009 THAT BILLS TOTAL R15000,… read more
Mike Otis
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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
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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
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on friday 6 august 2010 i rushed to constantia medi clinic
on friday 6 august 2010 i rushed to constantia medi clinic with a chest pain, i am 38 years old. on arrival the nursed checked my blood pressure and asked me all types of medical questions. she then p… read more
JJ
JJ
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4,502 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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