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 Medihelp Complaint

SUPPLIER

Medihelp

INDUSTRY Medical Aid
BRANCH / AREA Pretoria COUNTRY South Africa
TIME / DATE 11:50 Tue 24 Jan PERSON RESPONSIBLE Medihelp
CUSTOMER BelindahL View all reports by user
PROBLEM

Billing / Accounts

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INCIDENT Tue 24 Jan
HEADLINE

Co-payments at Pharmacy

I would like to know if the co-payments for chronic medicine has increased for 2012. I went to buy chronic medicine for Hypertension i.e. Prexum plus and Adalat 30mg and was charged co-payment of R227.00 and Medihelp paid less than R200.00. what's going on?
SUPPLIER'S RESPONSE Medihelp Time and Date 13:27:08 | Tue 24 Jan 12
Hello BelindahL,

Thank you for writing to us. Your complaint was referred to our client service department for investigation and a consultant will contact you in this regard.

Kind regards

Medihelp Customer Care
UPDATED RESPONSE Medihelp Time and Date 10:09:52 | Thu 26 Jan 12
Hello BelindahL,

As telephonically discussed on 24 January 2012, a co-payment was applied to your claim for medicine because the prescribed medicine is not listed on Medihelp's medicine formulary. To avoid co-payments in the future, please ensure that your doctor prescribes medicine that is listed on Medihelp's formulary. The formulary is available on Medihelp's website and we also sent you a copy for ease of reference. Please bear in mind that medicine prices may vary depending on the pharmacy and price changes during the year, which might affect your co-payment.

Kind regards

Medihelp Customer Care

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