NM
Nokulunga M

1 reviews | Active since Feb 2018

17 Jun 2021, 15:29

Paying for medical aid which I can't use when I need it the most

Its so mind boggling to me that I pay for a medical aid every month (expensive at that) but when I am sick and I need it the most, I don't get to use the benefits that I have been paying for every month. I recently went through an operation, had to get medication for recovery and had an emergency stomach infection that I needed to treat to get better. I had to pay for all of these costs cash which is absurd to me when I have medical aid. I feel ****** and put under stress that is in humane which I believe I shouldn't be going through while recovering. What is the point of paying for a service I can't use when I need it? Also what is very frustrating is the fact that pay about R30 - 40k a year on medical aid and don't ever use most of that. Medical aid schemes should be reimbursing members some of the unused contributions paid.

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Replies (2)
Camaf
Camaf's reply23 Jun 2021, 08:32
Official
 
Dear Nokulunga, 
Thank you for raising your concerns. 

One of our senior consultants has made contact with you to discuss these concerns. 
The details around your selected Benefit Option, and it’s structure were discussed. 
 
Whilst we understand that the outcome of this query may not have been the most desirable, we trust that the necessary clarity has been provided in this regard. 

Kind Regards, 
Wentzel Maistry 
Client Relations Team Leader 
Camaf
Camaf's reply23 Jun 2021, 08:32
Official
 
Dear Nokulunga, 
Thank you for raising your concerns. 

One of our senior consultants has made contact with you to discuss these concerns. 
The details around your selected Benefit Option, and it’s structure were discussed. 
 
Whilst we understand that the outcome of this query may not have been the most desirable, we trust that the necessary clarity has been provided in this regard. 

Kind Regards, 
Wentzel Maistry 
Client Relations Team Leader