PB
Phillip B

1 reviews | Active since Apr 2011

30 Jan 2020, 14:17

CompCare the most pathetical medical aid

I am really disappointed in CompCare. Firstly I was send for xrays of my knee because of chronic knee pain that is just getting worse and worse. According to CompCare or previously Selfmed the only requirement was that your GP needs to refer you for xrays which was the case. CompCare refuses to pay for the bill reason unknown. I am suffering from arthritis and gout which I use chronic medication for, that caused damaged to the knee that leeds to the knee pain. After the xrays I was refered to a specialist by my GP. The specialist needs to do aarthroscopic surgery. Guess what CompCare again refuses to pay for anything, because its not a pmb condition according to them. I am was a member of Selmed which CompCare took over for the last 5 years and till today nobody can give me a list of the pmb conditions they cover which is apparently only 26 while all other medical aids cover up to 256 pmb conditions. In 5 years I only had my gallbladder removed so I am not a liability to the medical scheme for often being admitted to hospital, but now that I have a need they refuse to assist me. This condition is currently influencing my ability to do my work as an employee in the transport industry and the possibility exist that I can loose my job just because my medical aid refuse to assist me. I will in future recommend no person to even think about supporting CompCare since they are only there to collect premiums but when it comes to pay they refuse everything.

0
Replies (5)
CompCare Medical Scheme
CompCare Medical Scheme's reply30 Jan 2020, 14:26
Official
 Good day Philip 

Thank you for bringing this matter to our attention. We were most concerned to receive your message and fully understand your concerns. Please give us the opportunity to look into this matter and we will revert with an update for you within one business day. 

Kind regards 
The CompCare Wellness Medical Scheme customer experience team 

PB
Phillip B's update30 Jan 2020, 14:32
Reviewer Update
One standard generated message that is send as reply to all complaints on Hello Peter and from there no further response from CompCare, just give proof as to their level of unprofessionalism
CompCare Medical Scheme
CompCare Medical Scheme's reply30 Jan 2020, 14:33
Official
Dear Philip,

One of our consultants are trying to get in touch with you with the number provided. Kindly provide us with your surname?

Warm regards
The CompCare customer experience team
PB
Phillip B's update30 Jan 2020, 16:37
Reviewer Update
Bronkhorst
CompCare Medical Scheme
CompCare Medical Scheme's reply31 Jan 2020, 08:49
Official
Thank you Phillip, if you are on Facebook please send us your contact number and membership number via this link https://www.facebook.com/CompCareWellnessMedicalScheme/ to our inbox in order for us to help you as soon as possible. 

Kind regards
The CompCare customer experience team.