RE: *** Claim rejection

To whom it may concern

I would like to express my frustration and disappointment in this matter. Ever since I we have joined Compcare it was the one issue after the other.

My husband was advised to get a colonoscopy on the 14th of November 2021. This was a traumatising experience as we thought it might be cancer. We did the responsible thing and agreed to the procedure. I contacted the medical aid and eventually obtained a pre athorisation letter. This in itself was a hassle as I had to write a few "Hello Peter" reviews before finally getting any feedback from Compcare. It is ridiculous that you respond to a "Hello Peter" complaint, but do not answer any emails and have a phone number on your website that does not exist when one tries to call.

To our surprise we received the hospital bill and saw that our medical aid did not contribute a cent towards the hospital bill even when this procedure was pre authorised. How do you preauthorise a procedure when you do not pay for it and why were we not informed of your unwillingness to pay. We had to pay three quarters of the hospital bill as a co-payment which is questionable in itself. We also have questions in terms of the reason that was supp**** on the mini statement. It stated that our annual limit was exceeded. This is the only time anyone of us has been in hospital during 2022. How is the limit exceeded? It does not even make sense as we have a day-to-day benefit and a hospital-benefit.

We do have gap cover but since Compcare does not pay anything towards the hospital bill, they are not paying the shortfall as the whole hospital bill is a shortfall. Not funny.

We are responsible adults and take care of our health when and where necessary. It is really hard to work with a medical aid that is not supportive and does not have good communication in place.

We tried for two years and there has been one bump in the road after the other and apart from that very rude employees as well. So we really are giving up at this point. Using your medical aid is similar to having no medical aid.

Effective immediately we would like to cancel our medical aid. It is not worth the stress anymore. We always kept payments up to date and did our part.

Kind regards