Medihelp Complaint
Medihelp |
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 |
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| PROBLEM | Billing / Accounts |
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| INCIDENT | Tue 24 Jan | ||
| HEADLINE | Co-payments at Pharmacy |
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| 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 |
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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 |
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| UPDATED RESPONSE | Medihelp | Time and Date | 10:09:52 | Thu 26 Jan 12 |
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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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