To whom it may concern, We have a medica...

Asked by the Customer on 29-10-2015 12:51:30
Question posted in the General Law category relating to Western Cape

To whom it may concern,

We have a medical aid that pays for a pshycologist (up to a certain amount) In December 2013 I got a bill to say that the medical aid has only paid half and I owe them an amount. (They have charged more than what I was allocated) At this point, my husband fell and broke both his heels and we needed all available funds for him.

I was concerned as we did not have enough money and our savings was used up. I contacted them to tell them about our situation and what could be done? Could it be resubmitted or can I pay it off or what? They told me they'll look into it and come back to me. I have not heard from them again and thought that they had settled the account.

Today, two years later I received a bill from them. I phoned today (the person responsible for the accounts are off sick) and ask how this is possible. The lady that assisted me said the last note on the account is that the account needs to be discussed (this was in 2013) and that they will only be able to get back to me on Monday.

I have never received any contact from them, and I have not received any bills in the two years since the last one has been sent in 2013. They've never resubmitted the bill to the medical aid or let me know that the monies were outstanding. After numerous calls to them in 2013 and them letting me know they would get back to me, I really thought that they sorted out the situation.

I would like to know what my legal right is here? Can they not inform you for two years and then suddenly slap you with a bill?

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