Condition not registered for chronic benefits: what to ask
Your medical scheme says your condition was not registered for chronic cover. What that means, and the questions to put to the scheme in writing.
The scheme says the condition was not registered with it for chronic cover when the claim was made.
The wording to look for
- “the condition is not registered”
- “not registered for chronic benefits”
- “chronic application was not received”
Questions to put to your scheme in writing
- What is required to register this condition for chronic benefits, and where is that requirement published?
- Please provide the record of any chronic application received for this condition and the date it was received.
- Where a condition on the Chronic Disease List is registered late, from what date does the scheme fund it?
- Can registration be backdated to the date of diagnosis, and what does the scheme require to consider that?
Only you can answer these
- The date your condition was diagnosed.
- Whether you or your doctor sent the scheme a chronic application, and when.
Paste your rejection notice and build the letter. It is read on your own device and never uploaded.
See every reason a South African medical scheme gives.
Pryse is not a law firm and does not act for you. Nothing here is a determination of your rights or legal advice, and no registered scheme rule is quoted. The questions ask your scheme to provide its own.