ZN
Zandile N

1 reviews | Active since Nov 2019

25 Jun 2024, 12:52

FRUSTED HOSPITAL PLAN CLIENT

I am so frustrated with FNB. I have a hospital plan with them and I was recently admitted in hospital via Netcare, it wasn't the first nor the second time being admitted at a Netcare brunch. Now, the other times when I was admitted and discharged I never filed any paper work for my claims it was done automatically via the system because of the relationship FNB has with Netcare, the frustration began last week after being discharged for my recent stay at the hospital, FNB Claims department asked me to submit 2 documents which were my pathology report and hospital statement. I had to physically go back to hospital from those documents and I sent them.

From Friday (21 June 2024) till today (25 June 2024) I have been trying to call the claims department to ask if they have received my documents and also enquire about the status of my claim, I was on hold for such a long time (on all occasions) I had to drop the call. Not long after trying to contact them today, I get an sms saying that they now need a medical report from my doctor. Really? When I've been expecting to get notified if my claim went through or not. I have to again, physically go back to my doctor to give him that report to fill and wait for 6 to 8 weeks for it to be filled (since his a very busy doctor) come back to fetch the report and pay R1000? Is this a delay tactic on the assessors behalf?

If this is how everything happened the first few times I wouldn't have a problem. It seems to me that FNB assessors each have their own policies when it comes to assessing a claim and they do not work according to FNB policies. I even lodged a complaint through the app, no one has really contacted me yet. I need answers. You can not have the same company work differently everytime you try to make the same claim, it makes no sense.

0
Replies (0)