http://www.hellopeter.com/industry/medical-aid/feed This feed lists the latest reports under 'Medical Aid' as listed on Hellopeter.com en-gb Thu, 24 May 2012 15:09:07 +0200 http://www.hellopeter.com/images/logo.png http://www.hellopeter.com 208 47 Report on the service you receive from any supplier - anywhere
I have now contacted Profmed telephonically and how convenient for the ENTIRE accounts department to be in a meeting and completely unavailable.

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]]> http://www.hellopeter.com/profmed/complaints/suspended-my-account-huh-807625 http://www.hellopeter.com/profmed/complaints/suspended-my-account-huh-807625 Thu, 24 May 2012 14:35:16 +0200 Discovery even have a letter from the Nero Surgeon stating it was an emergency PMB, and the codes on his invoice is correct!!!!
Every time we call, they open a NEW call, and does not keep working on the initial reference number, which means they get another 3 working days added every time, and our query never gets solved!!!!
On 17 April I started taking down these call centre reference numbers, as this is ridiculous.
On one of them the lady even went ahead and closed the call on the system under an irrelevant reason!
Here are some of the reference numbers:
2415773319;2428359808;2409485626;2409527726;2428815685;2428815250
Raldia Williams (Credit control) at Christiaan Barnard Hospital is our hospital contact who gave us the feedback that it is loaded correctly from their side - 021 480 6512.
PLEASE can someone take responsibility?

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]]> http://www.hellopeter.com/discovery-health/complaints/4-months-and-still-passing-the-buck-807577 http://www.hellopeter.com/discovery-health/complaints/4-months-and-still-passing-the-buck-807577 Thu, 24 May 2012 13:54:25 +0200 Initial Report
On the night of 2/5/2012 I was admitted to Netcare hospital in Pmb. I was NEVER informed of the changes to Bonitas Boncap patients re hospitals. On the 3/5/2012 I was sent an sms(while lying in hospital seriously suffering) that I have to pay R5000 as Netcare is a non-DSP hospital. I was shocked!! I really thought they had made a mistake, so when I was home I phoned primecure. I am a government pensioner and recieve R1140.00 per month. My children pay for my med aid. I fully agree with Dylan12 in Pretoria who had a similar problem. It is really not fair to us. I cannot pay R5000, unless I starve for five months!!

Please sort this out asap, thankyou, WendyR

Company Response
24th May 2012, 1:34pm

Hello wendr,

Thank you for submitting a comment to us through Hello Peter.

This is to confirm that we have received your comment and that we are currently investigating this matter.

Our representative will be in touch with you shortly to discuss this matter and ensure that it is speedily resolved.

Kind regards
Bonitas team

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]]> http://www.hellopeter.com/bonitas/complaints/springing-surprises-of-change-to-patients-807524 http://www.hellopeter.com/bonitas/complaints/springing-surprises-of-change-to-patients-807524 Thu, 24 May 2012 13:18:49 +0200 Initial Report
Bankmed has just gone to a all time low as I have always had good service. They sent me from pillar to post for the past three weeks now. I had a shooting accident in 2004 and needed surgery then. Now due to that my back has been giving me problems whereby my disk collapsed and pinched my spine on calling them and giving them the authorisation number they said it is a non PMB condition (prescribed minimum condition) and rudely advised I should go to the state hospital then I explain to one lady and she said I need to fill in a pmb form which I did but on the form there is nothing to assist me and all the time I am in agonizing pain and this is a big joke to them I ask for them to put it in writing they didn't I wanted to speak to a manager but they busy ,so please tell me why they are compulsory and why am I paying over R3000 pm for if I cannot even go to a decent hospital.

Company Response
24th May 2012, 11:32am

Hello Treylin,

Thank you for your comment.

Your enquiry will be investigated and feedback will be provided to you within 3 working days.

Please do not hesitate to contact our Customer Services Department on 0800 226 5633 should you require further assistance.

Kind regards

Nazley Solomons
Customer Liaison Officer
Bankmed

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]]> http://www.hellopeter.com/bankmed/complaints/bankmed-please-help-807345 http://www.hellopeter.com/bankmed/complaints/bankmed-please-help-807345 Thu, 24 May 2012 10:58:32 +0200 Initial Report
At around 17h20 on 23 May I call the Vitality contact centre with a client's query. I call Vitality on average around 10 times a week and usually receive great service. Joe Maharaj, the "customer service consultant" was extremely rude. I was in a noisy area and asked him to repeat himself. He raised his voice to a condescending tone and responded to me as if I were dumb. He continued to handle my query in the most insulting manner with sarcastic questions and insulting comments. I do not appreciate being spoken to like that. I am a member of Discovery Health and Vitality and the aforementioned should urgently investigate the quality assurance because clearly there is a problem. I have experienced better service from the street vendor outside my building! I NEVER WANT TO DEAL WITH JOE MAHARAJ EVER AGAIN.

Company Response
24th May 2012, 12:10pm

Hello kurtferreira,

Thank you for your comment.

I have forwarded your concern to our Vitality team for further investigation. They will be in contact with you directly.

I'm pleased to let you know that Vitality and Discovery Card have subscribed to Hello Peter and are responding to all comments posted about them. You can find them under "Companies who respond : Discovery Vitality & Vitality Mall".

Kind regards
Danita

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]]> http://www.hellopeter.com/discovery-health/complaints/bad-bad-attitude-807303 http://www.hellopeter.com/discovery-health/complaints/bad-bad-attitude-807303 Thu, 24 May 2012 10:14:54 +0200 Initial Report
I submitted 2 claims on 7th May from 1st May and i have been struggling almost every day since then to get this paid back to me. It was about R800 worth of claims and its a lot of money to dish out and fight back for. I have spent so much money on contacting Discovery already its becoming worhtless to chase this money as im just spending it to try and get it!!!! I was initally told that i needed to submit additional information so i gathered all of the info required and emailed it over again to the escalations team, never heard back!! I called again was told i would get a call that day with reference number as they will need to open an enquiry becuase it was never done the previous day. Did not get a call back. I am not sure why on EARTH i changed my medical aid to you people. I have been with you for less than a month and i am already having these issues. WHY MUST I CHASE YOU!! TOday i get an email saying they havent paid the claims AGAIN becuase they are missing the paperwork!! WTF????? I sent it ALL OVER! i try to call AGAIN today but no one can tell me anything new, they dont want to open more enquirys and will call me back... YEA WONT HOLD MY BREATH!!!!!

Company Response
24th May 2012, 2:14pm

Hello 121girl,

Thank you for your comment.

As discussed telephonically, in order for us to assess any claim, your claims statement must include the following details:

o Your membership number
o Patient's name
o Healthcare provider's name
o Healthcare provider's practice number
o Account number
o Treatment date
o Tariff/Procedure/NAPPI codes
o Amount claimed
o Diagnostic code (ICD-10 code per line billed).

The reason for the delay in processing your claims for the 01 May 2012, was due to the fact that your provider had captured your details as a private patient and therefore did not include your membership details on the claims statement.

I have confirmed that I have received your amended claims statements from your providers and our claims assessors have assessed your claims accordingly. Your refund will be paid to you within the next two to three days.

I would also like to apologise for the frustration you have experienced in trying to get your query reviewed and resolved. I have addressed the matter with the respective consultants involved in your query, to ensure that going forward there are no recurrences of this nature.

Kind regards
Anusha

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]]> http://www.hellopeter.com/discovery-health/complaints/i-submit-claim-on-7th-may-still-waiting-807225 http://www.hellopeter.com/discovery-health/complaints/i-submit-claim-on-7th-may-still-waiting-807225 Thu, 24 May 2012 09:17:00 +0200 Initial Report
I took a photo of the check out counter at Pick n Pay Northgate and would be happy to send it to you. It says everything that you need to know about this filthy store. Discovery should really consider partnering up for healthy foods with a more reputable food store. Spar and Woolworths are not the grimy germ fest that the Pick n Pays are.

I just thought that this should be brougt to your attention as the only reason we use Pick n Pay is because they were you Healthy Foods partner of choice.

Company Response
24th May 2012, 11:15am

Hello Carynl,

Thank you for raising the hygiene concerns witnessed at Pick n Pay Northgate.

I have referred your complaint to our Partner Relations team to address with the relevant dept. within the Pick n Pay group.

You can expect to see changes soon

Kind Regards
Muhammed Loonat

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]]> http://www.hellopeter.com/discovery-vitality-vitality-mall/complaints/pick-n-pay-is-filthy-807207 http://www.hellopeter.com/discovery-vitality-vitality-mall/complaints/pick-n-pay-is-filthy-807207 Thu, 24 May 2012 09:10:48 +0200
Earlier this month my five year old daughter needed underwent an in hospital dental procedure to have five filling and two root treatments done.

Before the procedure we contacted Discovery for authorization. Discovery informed us that they do not do pre-authorization for dental procedures but assured us that the claims would be paid from hospital benefit and not savings due to the fact that Siena was five years old.

I submitted the claims and received notification that the the claims had been paid from savings. When I contact Discovery they told me that the reason for this was that the incorrect procedure codes has been used by the anesthetist and dentist. After chasing both of them down they assured me that they had used the correct codes.

This morning I contacted Discovery and am now being told that the codes are not the problem but that they do not pay from hospital benefit for that type of procedure. Really this is ridiculous. Discovery are clearly so desperate not to pay for these procedures that they will come up with any story to avoid paying.

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]]> http://www.hellopeter.com/discovery-health/complaints/discovery-determined-not-to-pay-claim-807200 http://www.hellopeter.com/discovery-health/complaints/discovery-determined-not-to-pay-claim-807200 Thu, 24 May 2012 09:06:40 +0200
What I do have an issue with is that I filed a doctors claim last week Thursday and calling in today, there's absolutely NO reason why the claim has not been processed yet.

I had the same issue about 2 / 3 months ago...

This is definitely not the service I expect from Discovery and...now I have to wait another 2/3 days before the claim is paid.

It really feels that no one takes accountability of the issue and does something extra-ordinary to make the customer experience better.

GREAT ADS - DELIVERY, DEFINITELY NOT IN LINE WITH BRAND YOU SELL!

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]]> http://www.hellopeter.com/discovery-health/complaints/2nd-time-laaate-payment-on-claim-with-no-reason-807133 http://www.hellopeter.com/discovery-health/complaints/2nd-time-laaate-payment-on-claim-with-no-reason-807133 Thu, 24 May 2012 07:24:56 +0200 Initial Report
This is the THIRD day in a row that your website has been F'd up!!! How on earth do you expect us to earn any f'n Vitality Points if the site doesn't even work at all!!! You people are very quick to cancel our membership, should there be even the smallest requirement that isn't met!!! Stop wasting our time and our hard-earned cash and fix your f'n website!!!! I'm sick of this sh!t!!!

Company Response
24th May 2012, 11:05am

Hello eldiablo,

Thank you for taking my call and specifying the issue's experienced on the Discovery website.

I have brought your complaint to the attention of the Websupport team who will investigate from their end and advise shortly of any occurring queries related to your complaint above.

I will contact you shortly

Kind Regards
Muhammed Loonat

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]]> http://www.hellopeter.com/discovery-vitality-vitality-mall/complaints/fd-up-website-806904 http://www.hellopeter.com/discovery-vitality-vitality-mall/complaints/fd-up-website-806904 Wed, 23 May 2012 15:44:02 +0200