Durban hospital group at war with medical aid schemes
If matter is not revolved in court, the patients may be sued for the money owed to hospital
A Durban-based private hospital group is in a legal war with 13 medical aid schemes which it claims are refusing to pay R27m it is owed for hundreds of “pre-authorised” hospital visits. If this is not revolved, the patients could be sued for the money. City Hospital Pty Ltd, which owns City Hospital and Ascot Park Hospital, both near the city centre, claims that administrator Medscheme is behind the payment ban because it raised “anomalies” in admission patterns at the two hospitals. It says Medscheme claims that certain directors of the group, who are doctors, are enriching themselves through admissions. The group has also claimed Medscheme refused to provide full details of the allegations. The two biggest debtors are Bonitas, which owes R14.5m, and Polmed, which owes just under R10m. The hospital group says it is being financially crippled by the non-payment and wants a court to direct that the registrar and the Council for Medical Schemes (CMS) undertake an urgent inquiry into t...
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