1 reviews | Active since Aug 2024
Not a very reliable Medical aid they will leave you wherever you are with no assistance
This medical aid is making me so furious, What are we paying for. We are paying almost R5500 PM and the medical aid is already exhausted. Besides this, last Month i just received severe abdominal pain could not walk or anything i was in so much paid so a normal GP referred me to a Gynaecologist on the 26th of July 2024. He said he will have to do a Laparoscopy to have a look if it is maybe cysts or endometriosis that is causing all this pain. So i could not afford the Gynae because even with the medical aid i had to pay in almost R15K. So i received another Gynae who saw me today as the pain is continuing and it comes and goes and he said he needs to do the laparoscopy on the 13th of September 2024 to get to the bottom of this as I'm in constant pain and i did not had any problems before. They gave me the procedure codes to get Authorization from the medical aid only for them to tell me they don't think the medical aid will cover this as I'm not a year on the medical aid, I mean really this is not something i asked for to happen it just happened recently i told her they can look on the claim list i went to the first gynae last month that is when he first told me this procedure needs to be done.. SO are you telling me if we get into an accident or any unforeseen accidents or whatever happens you are going to tell me you are not going to pay because the medical aid is not a year old. The day you guys said that our benefit date starts on the 01/05/2024 means anything that happens after that date we get covered. I want answers, i need to go for this procedure or if any thing else happen i will take things further because i think this medical aid is ripping people off. WHAT AM I PAYING FOR... My benefit date STRICTLY says from the 01/05/2024... No waiting periods etc. so i don't see why the medical aid won't cover. You guys are first in line to debit our bank but if it comes to assistance there are stories.
Thank you for notifying us of your complaint. We are so sorry to hear about this, we are glad that you brought this to our attention to resolve.
Kind Regards
Thank you for notifying us of your complaint. We are so sorry to hear about this, we are glad that you brought this to our attention to resolve.
Kind Regards
