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Thread: Miracles do happen ...

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    lilythepink's Avatar
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    Default Miracles do happen ...

    At the beginning of December 2011 I had an op in Cape Town. Although the surgeon is "contracted out" I managed to negotiate medical aid rates with him and paid his account up front.

    I duly submitted it to our medical aid for a refund at beginning of January 2011 and there our troubles began ... medical aid insisted he had not charged medical aid rates and only refunded us about 50% of the cost. Daily emails to the surgeon's bookkeeper and medical aid have kept me very busy (and with a continually rising blood pressure). Decided to go to the "top" at our medical aid and, voila, they realised their data capturer had put in the "contracted out" rates - which were mentioned on the account - and not the actual charges.

    For the first time, to our knowledge, a medical aid has apologised most profusely for their error (they had been getting progressively more cheeky when I suggested to them that the error was on their side!)

    It feels so good to have been right!
    Last edited by lilythepink; 25-01-12 at 10:46.
    "I have learnt in life that almost anything you say is just your opinion.
    It's not a fact."

    Alan Bean at 80: Apollo 12 astronaut, the 4th man to walk on the moon



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    You are right Lilly, miracles (still) do happens! I'm so glad for you!
    “When you ask G od for a gift, Be thankful if he sends, Not diamonds, pearls or riches, but the love of real true friends.”
    Helen Steiner Rice

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    Great news Jan & yes, miracles do still happen.
    At the end of last year we found out that Jade was granted a bursary of R10 000 for this year so on Friday we went to UCT to find out the outstanding balance, when it needs to be paid etc etc etc and we were told that due to Jade's performance, making Dean's List 4 years in a row, academic results etc Jade has bn granted another bursary from UCT........A FULL BURSARY & WE PAY NOTHING
    Still can't believe that such good things can happen, and yes, we are still dancing around for joy
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    “You have enemies? Good. That means you’ve stood up for something, sometime in your life.” - Winston Churchill

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    SJOE!!! Voldermort. I am so glad for you. Miraculously Wonderful!
    “When you ask G od for a gift, Be thankful if he sends, Not diamonds, pearls or riches, but the love of real true friends.”
    Helen Steiner Rice

    http://www.bidorbuy.co.za/seller/1147551/MiemsJewels

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    lilythepink's Avatar
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    Gosh, Sam - I am so very, very happy for you and Jade.

    What a wonderful daughter!

    Now - let us hear from others about their miracles in 2012!
    "I have learnt in life that almost anything you say is just your opinion.
    It's not a fact."

    Alan Bean at 80: Apollo 12 astronaut, the 4th man to walk on the moon



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    booksallsizes's Avatar
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    Brilliant V!!! And brilliant daughter too!

    Lily - glad you didn't let up and let the medical aid win. I sometimes think they just remain stubborn hoping that a person will just give up!
    When I had surgery in CT, we paid the hospital in full (sjoe!!) because we were told we had to as the medical aid would then refund us. Then the medical aid paid the hospital too. Bloody two years to get the money back from the hospital because the medical aid made the mistake of paying them instead of us. And they never lifted a finger to help until they got sick of me and demanded the hospital pay them the money back, which they then paid me... Really - such a simple thing and sooooooooo dragged out!
    “You know how it is in the children's book world; it’s just bunny eat bunny.”


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    ATOMICSQUIRREL's Avatar
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    So, you got all your money back already?
    Numismatics: "A pursuit involving a veneer of scholarship hiding a core of greed."

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    Quote Originally Posted by lilythepink View Post
    Gosh, Sam - I am so very, very happy for you and Jade.

    What a wonderful daughter!

    Now - let us hear from others about their miracles in 2012!
    Maybe.....If all your prayers are with me. I will get my miracle on Friday.
    “When you ask G od for a gift, Be thankful if he sends, Not diamonds, pearls or riches, but the love of real true friends.”
    Helen Steiner Rice

    http://www.bidorbuy.co.za/seller/1147551/MiemsJewels

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    geewhizz's Avatar
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    Quote Originally Posted by booksallsizes View Post
    Brilliant V!!! And brilliant daughter too!

    Lily - glad you didn't let up and let the medical aid win. I sometimes think they just remain stubborn hoping that a person will just give up!
    When I had surgery in CT, we paid the hospital in full (sjoe!!) because we were told we had to as the medical aid would then refund us. Then the medical aid paid the hospital too. Bloody two years to get the money back from the hospital because the medical aid made the mistake of paying them instead of us. And they never lifted a finger to help until they got sick of me and demanded the hospital pay them the money back, which they then paid me... Really - such a simple thing and sooooooooo dragged out!
    If that was me I would have sorted them out so quickly.
    When hubby cant get joy out of someone I say"Let me deal with it"
    If it means a phone call he will hide away out of hearing.
    I am laughing at myself now

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    voldermort's Avatar
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    Thank you all. Dimitri & I are so incredibly proud of her she has just today received 2 emails from law firms (one of them in Houghton) stating they have seen her name on the Dean's List, seen her results and would be very pleased if she would do her articles with them. Jade is completely dumbfounded that companies are actually tracking her down and asking her to do her articles with them
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    “You have enemies? Good. That means you’ve stood up for something, sometime in your life.” - Winston Churchill

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    Wonderful start to 2012 for both of you Lil and V.

    Congrats to Jade, Sam. I've never met her, but even I'm feeling proud ... LOL.
    Items I have for sale.

    Why do today what you can put off till next year?


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    Congratulations Jade and Samantha.
    Parenthood has its rewards.
    Now you can celebrate with an expensive dinner after all the fees you have saved.
    Good luck for this year Jade and your future career.

  13. #13
    lilythepink's Avatar
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    Geewhizz - I wonder why Francis and Terry are such similar minded men? Good grief. Where would they be without us?
    "I have learnt in life that almost anything you say is just your opinion.
    It's not a fact."

    Alan Bean at 80: Apollo 12 astronaut, the 4th man to walk on the moon



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    Quote Originally Posted by lilythepink View Post
    Geewhizz - I wonder why Francis and Terry are such similar minded men? Good grief. Where would they be without us?
    Hehehe.
    “When you ask G od for a gift, Be thankful if he sends, Not diamonds, pearls or riches, but the love of real true friends.”
    Helen Steiner Rice

    http://www.bidorbuy.co.za/seller/1147551/MiemsJewels

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