EP
Evaldi P

1 reviews | Active since Jan 2014

20 Feb 2015, 09:17

Response time not met

On 05/01/2015 @ 08:55 I e-mailed my \Day-to-day Reimbur*****t Forms"to [Email Removed] On this form it clearly says that all payments will be done within 30 working days from submission. I have asked Zelda Ferreira on 26/01/2015 to please follow up on the claim. She responded in saying she will do so. No response to date. On 02/02/2015 I again e-mailed claims department with all attachments asking when payment will be done. No response to date. Again on 04/02/2015 I sent an e-mail to Zelda Ferreira and copied Shanet Smith asking the outcome of the claim. No response to date. Today is 20/02/2015 and still I haven't received ANY feedback or MONEY in my account!!! This is not the first time I am having trouble with my day-to-day claims. Dr's accounts aren't being paid and by the time it gets through to me my 90 days are over and I have to pay the Dr cash. Why do we have a medical then? We make our monthly payments so that you can pay our benefits! I am very disappointed and really though that once you move over to African Unity Insurance Limited things will get better"

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Replies (1)
EssentialMED
EssentialMED's reply23 Feb 2015, 09:02
Official
Hello Evaldi01,

Thank you for bringing this matter to attention.

We would like to apologise for any inconvenience caused.

The manager of Medical Support has been in contact with you and the matter has been resolved.

We can assure you that this is not the way Essential Med operates.

Should you need any further assistance please do not hesitate to contact us.

Kind regards,

Essential Group

Best regards,