DK
Deon K

1 reviews | Active since Mar 2015

03 Mar 2015, 21:53

No communication for 10 weeks & unpaid claim

When my wife needed to go to the dentist (after 1year on policy)we realized no dentists in the area is on the network list. we therefore contacted Essential Med who advised if we go to the one of our choice they will reimburse what is covered at medical aid rates.Cust care said I must state on claim form Ess Med Management aware no network dentist in the are. Fair enough if the consultation is R500 they cover around R400.00 no problem. My wife went to to the dentist close by we swiped the credit card and submitted the claim to [Email Removed] 7th of Dec14. no reply was given. I reminded them via email a second time on 14 Jan that I did not receive any correspondence through the same email. No reply again. <br> When I emailed a 3rd time on 22Feb a reply came back they will contact me after I threatened to publish the complaint here. Since then no contact. I cancelled the policy. At least I have leanred this lesson with a lousy couple of hundred rand claim. Imagine I had to learn this the day I incurred a medical expense that I can not subsidise myself. If you do not want to pay say so. This is on contrast with the slogan Essential Med strives in the best service delivery...

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Replies (1)
EssentialMED
EssentialMED's reply05 Mar 2015, 10:04
Official
Hello d30N$@y,

Thank you for bringing your concerning matter to our attention.

The HOD of Medical Support has been in contact with you regarding the account in question, the matter has been resolved and proof of payment has been sent to you.

We do apologise for the inconvenience caused.

Should you have any further questions please do not hesitate to contact us.

Kind regards,

Essential Group