1 reviews | Active since Jul 2015
POOR SERVICE!!!
I ADDED MY SPOUSE AND DAUGHTER TO MY MEDICAL AID AND I WAS TOLD THAT THEY WOULD BE COVERED IMMEDIATELY WITH NO WAITING PERIODS AFTER A FEW WEEKS WE DISCOVERED THAT MY SPOUSE WAS PREGNANT WE THEN CALLED TO CONFIRM OF SHE IS COVERED BECAUSE THEY WERE RECENTLY ADDED THEY CONFIRM THAT EVERYTHING WOULD BE COVERED BY THEM AND SO IT WAS FINE, THEY PAID FOR ALL THE VISITS AND EVERYTHING UNTIL ABOUT A WEEK AGO WHEN MY SPOUSE RECEIVED A CALL THAT THERE WOULD BEEN A WAITING PERIOD PUT ON HER PREGNANCY BENEFITS, AFTER THEY HAVE COVERED ALL THE PREVIOUS BENEFITS, I'VE BEEN WITH THEM FOR A VERY LONG TIME AND I'M PAYING A TON OF MONEY FOR THIS UNACCEPTABLE SERVICE, ITS NOW GOING FOR THE SECOND WEEK AND I STILL HAVE NO FEED BACK SINCE I FIRST PUT IN A QUERY FOR THIS PROBLEM AND I HAVE LITERALLY NO IDEA IF THEY HAD EVEN LOOKED AT IT I CALL EVERYDAY AND I HEAR THE SAME THING EVERYDAY 48 HOURS FOR FEEDBACK, BUT ITS GOING ON WEEK 2 ALREADY AND I HAVEN'T HEARD ANYTHING....AND I MUST BE INVESTIGATED FOR LIKE I HAVEN'T BEING PAYING OR AS IF I AM BEING DISHONEST!!! POOR SERVICE IS NOT THE WORD TO DESCRIBE WHAT I AM EXPERIENCING
Thank you for your comment.
When a member joins the Scheme, we process the application according to the information disclosed on the application. Once your membership is activated and we receive a request for either in or out of hospital authorisation within a certain period of time our system will automatically pend the request. We will then request further clinical information from your provider. This process is necessary to ascertain whether there were any pre-existing conditions of which we were not aware.
We confirmed the Standards Team is in contact with you to discuss this further, you may contact them directly for any further queries.
Regards
Jashvir
Thank you for your comment.
When a member joins the Scheme, we process the application according to the information disclosed on the application. Once your membership is activated and we receive a request for either in or out of hospital authorisation within a certain period of time our system will automatically pend the request. We will then request further clinical information from your provider. This process is necessary to ascertain whether there were any pre-existing conditions of which we were not aware.
We confirmed the Standards Team is in contact with you to discuss this further, you may contact them directly for any further queries.
Regards
Jashvir
