WY
William Y

1 reviews | Active since Feb 2012

29 Jan 2016, 15:37

Disgusting customer service whilst being ripped

I am appalled by the service I have received over the last 2 years from CAMAF. <br> <br> My doctor has submitted claims on my behalf which have been completely ignored, amounting probably to about R10 000, with not a word from CAMAF.<br> <br> This however, ironically, is not my main gripe. I have been PRESCRIBED MEDICATION by a DOCTOR which I have paid for over the last year. This medicine wasn't cheap either. At about R1000 per month, it starts to hurt one's pocket.<br> <br> So at the end of the last year, I upgrade my plan from Essential Plus, to Double Plus, so that maybe this time, my claims would be paid back to me. This was not the case. I am told that my R1000 per month PRESCRIBED MEDICATION is a \tonic\", and therefore not covered. What a shock, a medical aid trying to nail a client.<br> <br> I have received the most atrocious, arrogant and sarcastic customer service I have ever received. Cell C, eat your heart out, these guys have got you beat. I am very disappointed that CAMAF has dealt with my issue in this way. Now I get to be disappointed by paying an EXTRA R1500 per month too..."

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Replies (1)
Camaf
Camaf's reply01 Feb 2016, 15:17
Official
Hello willsyates,

Our Clinical Risk department have provided us with feedback with regard to your complaint.

In order for the tonic to be reviewed for payment, our Clinical Risk department will require a clinical motivation from a Neurologist. The clinical motivation may be emailed to ***

Yours Sincerely,
Tertia Louw
CAMAF
Client Relations Supervisor