The short answer
The panel's decision can be taken on review within 30 days, although the process is unclear.
The whole question
Dear Athalie
The Tshiamiso Trust's doctors said that I have no silicosis, even though my doctor found, through a nuclear exam, that there was a very high probability that I have pulmonary embolic disease. I provided all the information from my doctor to the Tshiamiso Trust but when they examined me they said they found no silicosis.
The long answer
The 2020/21 Annual Report of the Tshiamiso Trust says: “We have completed the establishment of a Medical Certification Panel, made up of 12 doctors who sit on four panels to check the validity of medical records and benefit medical examination results to determine whether claimants have a compensable disease and, if so, the level of impairment.”
It says that the Trust has made “communication, transparency and an expedited claims process central to our approach.”
In Step 5 of the Tshiamiso Trust’s 8 Step Claims Process, where a Certificate of Medical Findings is issued by the Medical Certification Panel, it says that the panel’s decision can be taken on review within 30 days.
They do not set out how the review process works, but you could contact the Trust on its call centre’s toll-free number 080 1000 240 and ask how to set the review in motion. You can email the Trust at info@tshiamisotrust.com. You can also contact the Stakeholder Relations and Communications Unit at communications@tshiamisotrust.com or 060 890 1080.
If you do not receive the help you are looking for, you can submit a complaint via email to complaints@tshiamisotrust.com. You need to provide your name and surname, contact number, AP Number / ID Number / Passport Number / Industry Number and a description of your complaint with as much detail as possible. Tshiamiso Trust will investigate your complaint and give you a response within 5 working days setting out how the complaint will be dealt with.
Perhaps you could also ask the doctor who first examined you to help you in getting the panel’s decision reviewed.
Wishing you the best,
Athalie
Answered on Jan. 31, 2022, 9:42 a.m.
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