poor service

Good day

I am very disappointed with the service from this insurance. I sent through a claim for reimbur*****t after my mother had her cataract operation . I paid R24000 for one eye to be operated and the insurance only reimbursed me R8500 of which to date I have not received any communication with regards to the payments. If the doctor felt there was no need for admission because the procedure was only for few hours, any other medical aid/ insurance would have reimbursed us fully. We did not receive even half the amount I paid and worse, I had to call in today to find out the outcome of my reimbur*****t and i was told it was put on hold and no one could tell me why. 3 week later and if I had not called I still would be in the dark with regards to this issue .

You call customer service they put you through to another department and that department cant assist. Mind you I pay for my mothers medical insurance every month . I have not missed a single payment yet this is the kind of service we are offered.

mind you this is not the first time I have had problems with this insurance. Her chronic medication has also been a problem to authorize where I had to pay cash for a few months . Now this R24000 I resently paid put which you refuse to reimburse me with.

Some situations just need common sense. why must the doctor admit a patient when there is no need? Mind you this patient is a grandmother and is a caretaker of her grandchildren. I have had enough of this insurance. I can NEVER advise anyone to join this insurance.

Regards N Mchunu