Medihelp
Confusion regarding medical aid

I am currently on the medihelp necesse since 01/03/2010. I didn't have any issues with the medical aid until this year. In June I found out the I was pregnant and contacted medihelp regarding this. I was told the the ICD code used by the referral network doctor would be used to activate the pregnancy option. I was subsequently referred to the gynae for my first visit of the 2 provided (as per necesse benefit schedule). I later found out that the gynae visit and antenatal bloods were not paid for. I was informed by a rather rude call centre agent that antenatal bloods (including RPR, HIV, Rh) where not part of antenatal care. I was also further informed that I need to provide a letter from my gynae saying that I was pregnant and the wrong ICD code was used. On a quick google I saw that the ICD code was correct. Now this information conflicted with what I was previously told. So now I am confused as to what to do and how to proceed since I was told completely different things on 3 different calls! The call center has been no help what so ever. Please inform me on my way forward and the procedure for pregnancy (not clearly outlined on your website)

Company: Medihelp
Country: South Africa
City: Durban

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