Streaming issues? Report here
Temp 702 logo 1000 x 1000 2020 Temp 702 logo 1000 x 1000 2020
Best of 702
00:00 - 04:00
volume_up
volume_mute

Up Next: Early Breakfast with Africa Melane
See full line-up
Best of 702
00:00 - 04:00
Home
arrow_forward
Business
fiber_manual_record
Local

Med scheme covers chemo treatment but not weekly Covid test required by hospital

24 February 2021 7:39 PM
Tags:
The Money Show
Bruce Whitfield
Medical aid
Wendy Knowler
chemotherapy
medical claims
Momentum
medical schemes
COVID-19
Covid-19 testing
consumer issues
Momentum Health
hospital costs

Consumer ninja Wendy Knowler follows up on the case of a patient who'd been paying his membership dues for more than 40 years.

A 73-year-old Durban man has had a particularly rough ride undergoing chemo treatment during the Covid-19 pandemic.

Keith and his wife have been members of Momentum Health (previously National Medical Plan) for 40+ years and say they hadn't claimed much until he was diagnosed with a form of cancer four years ago.

From September last year Keith had to undergo weekly chemotherapy, covered under a code which should pay for anything to do with his cancer treatment.

RELATED: Medical aids must now pay for Covid-19 tests under new regulations

However, Momentum baulked at covering the cost of the Covid blood test required each time he entered the hospital.

Over the course of six months, this would amount to around R15,000.

But I’m being told, tough luck, even though a Letter of Motivation has been sent to the Medical Aid from the haematologist explaining it should be covered under his C90 cancer code.

Wife of cancer patient

Only after consumer ninja Wendy Knowler followed up did Momentum agree to cover the cost of the tests performed so far.

As the health care industry adapts to the pandemic scenario "there will be instances like this where we come across a process that needs to be revisited and refined” it said.

Knowler questions the following statement from Momentum:

"We would also like to point out that the results of a Covid-19 test conducted weekly would not be accurate (as the test is done almost every 5 days)."

So did they decide not to cover the tests because they doubted the accuracy of the results? How does that support the member who's been told: you have the test, or you don't have the chemo!

Wendy Knowler, Consumer journalist

Knowler has asked for more clarity from Momentum.

For more detail on the case, take a listen:


This article first appeared on CapeTalk : Med scheme covers chemo treatment but not weekly Covid test required by hospital




24 February 2021 7:39 PM
Tags:
The Money Show
Bruce Whitfield
Medical aid
Wendy Knowler
chemotherapy
medical claims
Momentum
medical schemes
COVID-19
Covid-19 testing
consumer issues
Momentum Health
hospital costs

More from 947 COVID-19 updates, tips, & information

SA records 744 COVID-19 cases and 21 more people succumb to virus

20 April 2021 6:37 AM

The Health Department says these fatalities has pushed the death toll up to 53, 575 since the beginning of the pandemic.

Share this:
Read More arrow_forward

SA records 1,372 COVID-19 infections, 73 more people succumb to virus

16 April 2021 6:41 AM

The Health Department says these fatalities have brought the death toll up to 53,571 since the beginning of the pandemic.

Share this:
Read More arrow_forward

1,599 COVID-19 infections and 75 fatalities recorded in SA

15 April 2021 6:36 AM

The Health Department says these fatalities have pushed the death toll to 53, 498 since the beginning of the pandemic.

Share this:
Read More arrow_forward

SA records 847 new COVID-19 infections and 67 succumb to virus

14 April 2021 6:32 AM

The Health Department says these fatalities have pushed the death toll to 53, 423 since the beginning of the pandemic.

Share this:
Read More arrow_forward

SA records 34 more COVID-19 related deaths and 655 infections

13 April 2021 7:27 AM

The Health Department says the fatalities have pushed the death toll up to 53, 356 since the beginning of the pandemic.

Share this:
Read More arrow_forward

Should you keep working from home after the pandemic?

12 April 2021 6:48 PM

Will doing so affect you negatively in the long term? Bruce Whitfield interviews Linda Trim, Director at Giant Leap.

Share this:
Read More arrow_forward

[LISTEN] How to claim for home office tax

11 April 2021 8:54 AM

Certified financial planner Paul Roelofse explains how you can claim tax back from working from home.

Share this:
Read More arrow_forward

[LISTEN] Why sitting all day is not good for your health

10 April 2021 9:45 AM

Physiotherapist and author Lesley Meyer says our bodies are not designed to be in one position for a longer period of time.

Share this:
Read More arrow_forward

SA COVID-19 fatalities surpass 53K and 437 infections have been recorded

7 April 2021 6:45 AM

The Health Department says the infections in the last 24 hours have pushed the country's known caseload to 1, 552, 853.

Share this:
Read More arrow_forward

SA has signed COVID-19 vaccine deals but when will the rollout begin?

6 April 2021 12:44 PM

Bhekisisa Health Journalism Centre director Mia Malan reflects on the latest on country's vaccine rollout plan.

Share this:
Read More arrow_forward