How to play by medical scheme rules to get the care you need

01 March 2020 - 00:00 By LAURA DU PREEZ

“This is an exceptional case and we do not have any other option,” an ophthalmologist wrote in her motivation for an alternative treatment for a man who was rapidly losing his vision as a result of glaucoma.

Despite this, Discovery Health Medical Scheme refused funding for a stent implant at less than the cost of the treatment for which the scheme was willing to pay...

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