KR
Keagan R

1 reviews | Active since Jun 2019

24 Jun 2019, 23:00

A medical out of touch with reality

I am on the network choice. I paid R7800 per month for me and 3 dependents.

My daughter (4) became very sick on 28 October 2018, Sunday afternoon. With no doctors open and without using the emergency room in a year. I rushed her to hospital and the doctors attend to her. Did stomach scans etc. months later I received laywers letters for two separate bills amounting R1600. Apparently the medical aid rejected the claim because we did not get a referral from a network doctor before we went to the hospital. All logic and circumstances ignored. It’s a Sunday, doctors do not “trade” Sunday and I could not wait for a Monday...

In response to my complain via a rep, camaf is now making provision for these circumstances and will cover it in future.

I would like to hear from them... I am going to use every medium possible.

0
Replies (1)
Camaf
Camaf's reply25 Jun 2019, 10:58
Official
Good day Keagan,

Thank you for bringing this matter to our attention. 

We are in the process of investigating this matter for you and one of our senior consultants will contact you to discuss.

Kind Regards, 
Wentzel Maistry 
Client Relations Team Leader