Moto Health Care
Claims taken off "Day to Day" that should not be

My wife and myself have both had claims for radiology that under the 2013 policy no longer fall under the "day to day" section of our contract policy but have been taken off the annual limit for these.
I have spoken to the help line but they tell me that everything that is not done in hospital is for the "day to day" account, and reference the Members Guide where it states " Benefits obtained outside hospital are for "day to day benefits". However the policy document states Radiology is not and is covered 100% of MHR.
This is the third claim this year that has been done incorrectly. Please can someone explain why these mistakes are taking place and why the help line people do not know the policy.

Company: Moto Health Care
Country: South Africa
City: Durban

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