What to do when medical aids refuse to authorise a procedure

CapeTalk's Kieno Kammies took a call from Janita saying that her medical aid refused to authorise her medical procedure.

She approached her medical aid to cover her breast reduction operation as she's been suffering physical pain.

Kammies spoke to the regulatory body to find out what can be done to assist Janita.

Panesh Prema of the Council of Medical Schemes says the council deals with each case on its merits and is willing to look at this case.

If its for cosmetic purposes then that's different, but if it's for specific medical condition then we can look at it.

Panesh Prema, Head of Benefits Management at the Council of Medical Schemes

Listen below to hear how Council of Medical Schemes can assist:

Read More
SANBS facing blood Type O shortage

SANBS facing blood Type O shortage

The South African National Blood Service has appealed to the public to donate blood ahead of the Easter Weekend.

Project Flamingo steps up for Cape's breast cancer patients

Project Flamingo steps up for Cape's breast cancer patients

The Project Flamingo initiative raises funds for breast cancer patients and provides free resources to perform timeous surgeries.

All you need to know about Life Cover

All you need to know about Life Cover

Ryan McCracken, Director at Emryn Wealth explains what life cover is and why is it advisable to have one.

Financial Wellness: What you need to know about medical aid schemes

Financial Wellness: What you need to know about medical aid schemes

When shopping for a medical aid scheme you should consider selecting the right and accredited broker says expert.

Health Dept request for medical aid members details may breach privacy - lawyer

Health Dept request for medical aid members details may breach privacy - lawyer

The department asked medical aid schemes to submit names and addresses of their members for the department's database.

The rules on gap cover are changing

The rules on gap cover are changing

Medical aid limits cover to the Medical Scheme Tariff which invariably falls way short of what doctors and/or specialists charge.

Beautiful Moments 2016

Beautiful Moments 2016

We reflect on the heartwarming stories of 2016.

Popular articles
It's not the end of the road... Top tips to improve your matric

It's not the end of the road... Top tips to improve your matric

"Recognise that it’s not the end, it’s the beginning." Expert advise for school-leavers who want to improve their results.

14 job titles that callers can't take seriously

14 job titles that callers can't take seriously

People do some very interesting things for a living, but some job titles are given more credit than others.

Pamela Nomvete on her downfalls as actress, and 'climbing back'

Pamela Nomvete on her downfalls as actress, and 'climbing back'

This week Xolani Gwala's speaks to former Generations actor Pamela Nomvete for #WhatInTheWorldHappenedTo feature.

Who is Advocate Tembeka Ngcukaitobi?

Who is Advocate Tembeka Ngcukaitobi?

The EFF lawyer stole the show during the state capture report court battle.

[WATCH] New adapted national anthem by students

[WATCH] New adapted national anthem by students

Fees Must Fall activists singing the national anthem with a new melody and phrases calling it a 'decolonised national anthem'.

3 easy questions could bag you R2000!

3 easy questions could bag you R2000!

WIN R2000! But only if you can prove you're a whiz of the MTN Biz Quiz by answering the following three questions...

Blesserfinder: Matching you with a sugar daddy near you

Blesserfinder: Matching you with a sugar daddy near you

Is social trend Blesserfinder, where girls are allegedly matching up with rich 'benefactors' in exchange for sex, a real thing?

Jack Mabaso resurrected on 'Generations The Legacy'

Jack Mabaso resurrected on 'Generations The Legacy'

Will Jack Mabaso's return to the realm of Generations boost ratings? Well it seems not all viewers are impressed by the come-back.