AB
Arnetia B

1 reviews | Active since Jun 2021

29 Jun 2021, 13:50

Disappointed and out of pocket

I had been a member of CAMAF for 3 years and have a chronic condition which required surgery. When I called to get authorization for the surgery, codes were given and I received approval, following that I asked if they need anything else from me and I was told no in no uncertain terms. Post surgery, I have received a 14K invoice from my doctor due to the massive shortfall and CAMAF refusing to pay for my full procedure. When asked and much back and forth and I was told they paid the standard amount and I am liable for the rest. There is no way to calculate the standard charge for this procedure due to the procedure lasting for various times for various patients. I am extremely disappointed in CAMAF and being held liable for a massive bill for something I should have been fully covered for. I escalated the matter and to this day have not received a call from a manager.

For the amount of money I paid being a member I should not have such dissatisfaction. There should processes in place to ensure they receive documentation and I should not be responsible to ask THEM what they need for me to be fully covered.

Highly disappointed and unsatisfied former client

0
Replies (1)
Camaf
Camaf's reply29 Jun 2021, 15:58
Official
Good day Arnetia

Thank you for taking my call earlier.

As discussed, I will send an email to you regarding the final outcome of this enquiry.

Kind Regards
Caleb Brownley
Customer Care Team Leader