Horizon Medical Scheme
Paying for non service

During the past few months my wife has been having severe abdominal pains, nausea, keeps vomitng and severe headaches. We ended up consulting our family doctor who did tests including a pregnancy test which was negative. He then said it could be food poisining and gave my wife pills and an injection. A few days later the symptoms began and we went back to consult. The doctor then reffered us to a gynaecologist. I then called the medical aid to inform them. To my supprise I was told that my wife can only see the gynaecologist if she was pregnat or hospitalised. I then asked should we wait for her to be critical and the response was yes. I feel angry because I never skip my payments and don't abuse my medical aid and this is what I'm paying for. What is the point of having this worthless scheme if so I want to take this to the medical counsel for advice as I have to pay for a scheme which is like a public service scheme where they advice us to see gorvnment doctors? Please advice as if my wife becomes worse I am going to take this the legal route. In the meantime whatever condition my wife has will continue to be worse

Company: Horizon Medical Scheme
Country: South Africa
City: Johannesburg

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