1 reviews | Active since Jun 2011
Still no feedback
Went to dr Dec 2014 & asked them to submit my claim in Jan2015 which they did as per my request after 1st checking beforehand on available funds etc.I did not have MSA therefor asking them to only submit Jan2015.The dr submitted my request on 15/01/2015 of which I received an automated response on Tue2015-01-20 08:58 AM,claim *** for practice name: SANDLER MALCOLM from CAMAF to say that may claim submitted for R3192 has been received.I paid the dr directly on 15/01/2015 an amount of R2029 in order to claim it back from CAMAF.I submitted my refund to CAMAF claims department the same day on 15/01/2014 to be refunded into my bank account with doctor's bill and my POP.To date I have not received any confirmation as to when my refund will be paid back.Why pay R2687 pm?I am so sick and tired of bad/no service I receive when trying to claim for expenses paid.CAMAF is supposed to be one of the highest ranked service providers.My company forces me to use them though I find their premiums too expensive. Not to mention their lack of callcentre service.Please go to Discovery Health and let them teach you HOW service works.Contact me via e-mail and advise when my refund will reflect.
Your day-to-day and medical savings benefits are allocated to you at the beginning of the year for the benefit year, from January to December. The funds which are allocated to you, are for the coverage of your day-to-day medical expenses incurred during that specific benefit year.
Should your funds be depleted during the course of the year, you will be liable for shortpayments to the service providers.
According to your records, your msa has been depleted for 2014. Therefore the claims in question have been paid up to 80%CBT from your day-to-day benefits, as per your plan type. The balance could not be paid as your msa has been depleted for 2014. This means that you will be liable for the balance of the claims to the practices.
It is important to note that the scheme will be unable to pay for 2014 claims from your 2015 benefits as the services were rendered in 2014. Your claims are paid from the benefits available for the specific year that the treatment was rendered.
Yours in Health
Tertia Louw
Client Relations Supervisor
Best regards,
Your day-to-day and medical savings benefits are allocated to you at the beginning of the year for the benefit year, from January to December. The funds which are allocated to you, are for the coverage of your day-to-day medical expenses incurred during that specific benefit year.
Should your funds be depleted during the course of the year, you will be liable for shortpayments to the service providers.
According to your records, your msa has been depleted for 2014. Therefore the claims in question have been paid up to 80%CBT from your day-to-day benefits, as per your plan type. The balance could not be paid as your msa has been depleted for 2014. This means that you will be liable for the balance of the claims to the practices.
It is important to note that the scheme will be unable to pay for 2014 claims from your 2015 benefits as the services were rendered in 2014. Your claims are paid from the benefits available for the specific year that the treatment was rendered.
Yours in Health
Tertia Louw
Client Relations Supervisor
Best regards,