CH
Chantall H

1 reviews | Active since Dec 2015

26 Feb 2024, 16:41

Be careful of medical schdmes/aid

I have been a part of Essentialmed for more than 5 years, but when I needed them most they disappointed me. The minute I was diagnosed with Diabetes they had the one excuse after the other. My medical bills (from a state hospital) was submitted immediately after receiving them and now according to the account section I did not send it to them within 120days. (How do I tell a hospital when to send my bill?) So they are not going to pay. And after being diagnosed with Diabetes they took more than 3 weeks to authorise my medication (after constantly having excuses when I phoned) and that left me with pankreatitus and in a state of DKA almost losing my life. How can one person fight against a big company. So I will have to warn people to be careful when they choose a medical scheme/aid.

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Replies (1)
EssentialMED
EssentialMED's reply06 Mar 2024, 10:46
Official
Thank you for bringing this matter to our attention.
 
We would like to apologise for any inconvenience caused.
 
Although our policy rules stipulate that you must have authorisation before admission to hospital,  we understand the circumstances with regards to your admission.
 
We would like to advise that we have been in contact with you and that the matter has been resolved.
 
Should you need any further assistance, please do not hesitate to contact us.
 
Kind Regards,