Medical Aid refusing to cover hip replacement
I am absolutely livid right now. My dad is on Bestmed, Beat 4 plan. It's not a cheap plan.
His orthopaedic surgeon recommended he get a hip replacement, as it will surely fracture soon due to arthritis. The medical aid is refusing to pay, stating it's wear and tear at this point and they only pay if it's fractured.
How does that make any sense? Once it breaks the complications and procedures will surely be much more expensive for them to cover? Or are they just hoping he breaks it and dies bleeding out so they don't have to pay?
I have never been so angry and heartbroken at the same time. He is a good man, he has always taken care of his family, we have never been without. Now the one time he needs something big, this is what he gets?
Guys, I hate the system. What can we possibly do? The surgeon says he can't write a letter of motivation, because there's no fracture yet.