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Spectramed / authorisation for operation

1 bloemfonteinbloemfontein, South Africa
Contact information:
Phone: 0832818133

I was diagnose in Nov 2014 with breast cancer. December they have remove my left breast. we have request to remove the right one as well due to breast cancer in the family. They refused. There is still accounts that I struggle to get paid. I am receiving ITC letters!!! I have phoned several times - have phoned them and spoken to Nathan and he has promised it will get paid because the PMB was not loaded. Still now it is STILL NOT PAID!!!. I must go for an reconstruction on left breast on the 17th and 24/6/2015. My doctor has sent the motivation letters already through in May 2015. We still struggle to get it auth before the 17/6/2015. They only rejecting procedures WITHOUT CONSULTING THE DOCTOR. They promise to phone the doctor but never do. I have request to pay for reduction on the right breast as well and do not get any authorisation. Where can I buy a bra with 2 different cap sizes. The difference is the breast is obvious and has a big influens on my self confidence!!! If you phone it you are not able to speak to the supervisor or team leader. I have spoken several times to Kgotso at the pre authorisation department. Every time she promise that the medical person will phone the doctor to discuss the different procedures. BUT NOTHING GET DONE. The doctor is waiting for there call and they do not keep their promises. In the meantime I am get more stress because the operation must be done on the 17/6/2015 and still there is NO AUTHORISATIONS!!! I went through I hell the last couple months and now I am struggling with my medical aid. I want you at the pre-authorisation department 1. Would you like it if something like this happens to one of your family members and get treated like this? Would you like to appear is the community with 2 different sizes of breast? I am receiving counselling for the trauma I went through and are on medication for depression - BUT WHAT DOES SPECTAMED and their staff care - they receiving premiums at the end of each month so THE HELL WITH THE MEMBER - Let them suffer. Could someone please help me with the authorisations for the two procedures ASAP and consider my request for the right breast. Hopefully there is someone who understand and has empathy

Jun 10, 2015

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