EG
Eugene G

1 reviews | Active since May 2023

18 Mar 2024, 13:52

Only a heart attack. Inhumane service.

I had a SEVERE heart attack a month ago. Authorization was delayed while I was in a critical condition. I was then transferred to a Public Hospital as they were not prepared to pay for the angio. I was not even given the option to pay cash. None of this was disclosed in the policy documentation. Thus they are guilty of non disclosure. I was then discharged and then the accounts came piling in. They ended up paying only a small portion of the bill R4240 and to make matters worse the payment was made to the incorrect bank account. This morning I received a email saying it was "only a heart attack" and that they require staging. Yet no request was put forward to the doctor and they expect me after a SEVERE heart attack to sort out this mess for them. I just received a email with a document the attending doctor must complete, after begging them for a month to supply me with the requirements. This claim process is a nightmare and I advise anyone to seek cover elsewhere.

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Replies (1)
EssentialMED
EssentialMED's reply18 Mar 2024, 16:54
Official
Thank you for bringing this matter under our attention. We would like to apologise for any inconvenience you received. Hereby we confirm that one of our consultants are in contact with you regarding your case.  Should you need any further assistance please do not hesitate to contact us.

Kind regards,
EssentialMED Team