Medihelp Complaint
 SUPPLIER |
Medihelp |
 INDUSTRY |
Medical Aid |
| BRANCH / AREA | PRETORIA | COUNTRY | South Africa |
| TIME / DATE | 11:56 Wed 1 Feb | PERSON RESPONSIBLE | |
| CUSTOMER | Hussle | View all reports by user |
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1
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| PROBLEM | Billing / Accounts |
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| INCIDENT | Wed 1 Feb | ||
| HEADLINE | MEDICAL AID RIP OFF |
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Good day! Please assist as I am now at the breaking point with the incompetency of the helpdesk of Medihelp. It started the beginning of Jan/Feb2011 when I called them to get pre-authorisation for myself as I was involve in an accident and there was NO -Answer whatsoever from the call centre.When I phoned to query I got so many stories.as I end up paying cash for Everything,as they then said that the medical aid is exhausted.So I called again today as to find out why they are debiting R1062 from my account,Yes!I did not supply them with proof of income but what right do they have to just but me in HIGH Income category,where as I was paying R822 last year 2011,now I have to pay R1062 AND WHEN I SPOKE TO MANAGER AMANDA I asked her so if I do send proof will they reimburse me all said is NO!Then I requested to speak the CEO her reponse was and I 'QUOTE NO YOU CAN'T AND WE DON'T GIVE OUT HIS NUMBER THAT'S IS WHY THE CALL CENTRE IS HERE TO HELP WITH THESE QUERRIES , AND HE IS A BUSY MAN SO IF YOU DON'T GET ANY JOY FROM THEM WHT IS THE NEXT!!SPEAK TO SOMEONE HIGHER THEN HER.What happened to `Customer Service` absolutely DISGUSTING why pay for something your not getting.Enough is Enough |
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| SUPPLIER'S RESPONSE | Medihelp | Time and Date | 14:52:35 | Wed 1 Feb 12 |
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Hello Hussle, 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 | 15:14:08 | Wed 8 Feb 12 |
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Hello Hussle, Services related to your accident during February 2011, did not qualify for Prescribed Minimum Benefits (PMB) according to Medihelp's PMB protocols and payment in respect of these accounts was subjected to the applicable limits. You therefore remain liable for payment of the outstanding accounts, since the available benefits were depleted. Medihelp notified you per SMS on 15 December 2011 to request your proof of your monthly income. An SMS was also sent on 24 January 2012, informing you that no proof of income was submitted and as a result, the Scheme had no choice but to calculate your subscription for January 2012 according to the next higher income category, which amounted to R1,062.00. Medihelp requested you per letter on 25 January 2012, to submit acceptable proof of income before 21 February 2012, in order for the Scheme to adjust your subscription according to your monthly income, with effect from 1 February 2012. Although Mr Rijnen is unable to personally attend to your complaint, it is important to note that all enquiries are dealt with by competent trained personnel, as Medihelp values you as a member. Kind regards Medihelp Customer Care |
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