Mom wins court battle against medical scheme over Hunter Syndrome medication

[Grant]

An Alberton mom has won a significant court battle against her medical aid scheme forcing it to pay for an expensive drug that her three-year-old son needs to treat a rare inherited genetic disorder. Michaney de Wet’s son, Zachary, was diagnosed with Hunter syndrome a year ago. She applied twice to Medihelp Medical Scheme to authorise the use of Elaprase, an enzyme replacement therapy, which is the only registered treatment for the condition in South Africa. The medical scheme turned her down on both occasions.

GROUNDUP CHRONIC ILLNESS: Mom wins court battle against medical scheme over Hunter Syndrome medication

Medihelp refused to cover cost of treating three-year-old’s rare medical condition.

www.dailymaverick.co.za

 

[Howdy]

GROUNDUP CHRONIC ILLNESS: Mom wins court battle against medical scheme over Hunter Syndrome medication

Medihelp refused to cover cost of treating three-year-old’s rare medical condition.

www.dailymaverick.co.za

Medihelp, using terminology in the regulations, then argued that it was not used “prevalently”.

Maybe is was not used "prevalently" because Hunter syndrome is not prevalent.

Judge Millar said this was not surprising, given that the condition was so rare.

Yay for the judge and common sense, which is becoming more uncommon by the day.

 

["D"]

Who else was reading this thinking the thread was about Hunter Biden Syndrome medication?

 

[ToxicBunny]

Who else was reading this thinking the thread was about Hunter Biden Syndrome medication?

Only you it seems.

 

["D"]

Only you it seems.

So far, yes.

Early days.

 

[obs]

Now I need to downgrade my insurance yet again . . . .