1 reviews | Active since Aug 2012
Look for another provider before considering Camaf
Long story short, we took our son to hospital because of high fever.<br> We had 1 casualty claim for treatment which was supposed to be covered at this hospital.<br> The hospital confirmed that they do accept Camaf and directed us to the CASUALTY EMERGENCY WARD.<br> He was treated by nurses and doctor.A few weeks later we received a bill for the treatment.<br> We contacted CAMAF and they responded that this was a GP visit and since we've used allocated visits they would not pay. A few to and fro mails/calls trying to get an explanation(more like casual responses) from CAMAF came to them blaming the hospital for not explaining to us that the casualty ward is actually considered a GP visit and that we should've contact them to understand the difference between casualty and GP.<br> Few Notes:<br> -Expect to hold and be cut-off on calls, bottom of the barrel quality.<br> -Responses sound like they're being read from the brochure, SENIOR consultants contact you without getting context on the problem. Basically, you'll have to repeat the story. No sense that you're a valued client.<br> -Prepare to be the one to follow up on your queries i.e. you'll have to chase them.<br> -Shop around if possible, there's better out there.
The Network Choice option elected by the Principal member primarily caters for treatment at a network doctor.
However this option also caters for one emergency visit at a non-network doctor or casualty per beneficiary. This information was communicated to the Principal member on more than one occasion.
We note that the person logging this complaint is not a member nor a beneficiary of CAMAF. We consider this matter closed and will engage the principal member further on this.
Yours Sincerely,
Tertia Louw
CAMAF
Client Relations Supervisor
The Network Choice option elected by the Principal member primarily caters for treatment at a network doctor.
However this option also caters for one emergency visit at a non-network doctor or casualty per beneficiary. This information was communicated to the Principal member on more than one occasion.
We note that the person logging this complaint is not a member nor a beneficiary of CAMAF. We consider this matter closed and will engage the principal member further on this.
Yours Sincerely,
Tertia Louw
CAMAF
Client Relations Supervisor
