Not getting the results you expect from your medical aid? Here is what you can do.
Given the complexities of medical aid plans, the vast number of members many of them have and the multitude of medications and health issues, problems do occur. Sometimes it is a lack of understanding on the part of the member and at times, the medical aid company is wrong.
Some policies are extremely controversial and there are a few occasions where the rules become a bit blurred. It would be great if medical aids could cover all health-related issues sufficiently but this would make the plans unaffordable.
If you understand the terms and conditions of your medical aid and feel that you have a valid complaint, there are a number of ways you can address the issue.
This is the order you should follow:
Before proceeding with any action, ensure your contributions are up to date and that you have read and understood the rules and benefits that apply to your scheme and the plan that you selected.
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