APPALLING SERVICE

APPALLING SERVICE I WOULD NOT ADVISE ANYONE TO TAKE A POLICY WITH FLEXICARE. ALL THE CONSULTANTS I HAVE SPOKEN TO TELL YOU A DIFFERENT STORY, I STILL HAVE NOT RECEIVED MY CARD. BELOW IS A MAIL I SENT THEM IN WHICH MY QUERIES HAVE STILL NOT BEEN RESOLVED TO WHOM IT MAY CONCERN SINCE I HAVE SIGNED UP WITH FLEXICARE I HAVE RECEIVED PATHETIC SERVICE, I AM AT A POINT WHERE I WANT TO CANCEL THIS POLICY. WHEN I RECEIVED A SALES CALL FROM THE AGENT I WAS TOLD YES IT IS MEDICAL INSURANCE BUT IT COVERS PRACTICALLY AS MUCH AS A NORMAL MEDICAL AID HENCE I DECIDED TO TAKE THE POLICY BUT SINCE THEN IT HAS JUST BEEN A NIGHTMARE WITH YOU PEOPLE. YOUR CONSULTANTS ARE ABSOLUTELY CLUELESS ON WHAT THEY’RE DOING AND SOUND VERY *********** TO BE COMPLETELY HONEST! FIRSTLY I WAS SO HAPPY THE DAY I SIGHNED UP WITH FLEXICARE THAT I EVEN REFFERED MY FRIEND TO FLEXICARE, WE TOOK THE POLICIES ON THE SAME DAY. WE STILL HAVE NOT RECEIVED OUR ACTUAL CARDS FOR POLICY NUMBERS *** AND ***. SECONDLY I E-MAILED AND CONTACTED FLEXICARE REGARDING BLOOD TESTS THAT I NEEDED IN WHICH THE CONSULTANT SAID TO ME IT WOULD BE COVERED UNDER THE PATHOLOGY BENEFIT, UPON GETTING TO LANCET WITH MY REFFERAL FORM FROM DR.ILLUNGA IN ALBERTON (JOHANNESBURG), THE GENTLEMAN THAT ASSISTED ME COULD NOT PICK UP THE TEST I NEEDED ON FLEXICARES ONLINE AUTHORIZATION, I HAD TO LEAVE THE LAB AS I COULD NOT AFFORD TO PAY CASH. I WENT TO MY CAR TO CONTACT FLEXICARE AND SPOKE TO A LADY, I EXPLAINED THE SITUATION TO HER AND SHE TOOK MY DETAILS AND INFORMED ME THAT THERE IS A PROBLEM ON LANCETS SIDE AS MY POLICY DOES COVER THE TEST I NEED TO DO, I HAD ASKED HER IF I COULD ASK THE GENTLEMAN AT LANCET TO CONTACT FLEXICARE AND DO A TELEPHONIC AUTH AND SHE SAID YES. I WENT BACK TO LANCET AND ASKED THE GENTLEMAN TO CALL, A MALE ANSWERED THE CALL AT FLEXICARE WHO ACTUALLY DID NOT SEEM INTERESTED IN ASSISTING US AT FIRST, ALL HE SAID IS THAT HE CANT HELP US BECAUSE WE NEED A CODE IN WHICH HE DIDN’T BOTHER ASKING FOR ONE I HAD TO SAY TO HIM WE DO HAVE THE REQUIRED CODES AS I WAS WITH THE GENTLEMAN FROM LANCET. THE GENTLEMAN FROM FLEXICARE THEN TELLS ME THAT THE POLICY DOES NOT COVER THE TEST. I ASKED TO SPEAK TO A MANAGER AND HE WAS HESITANT TO ALLOW ME TO SPEAK TO HIS MANAGER, HE SAID THE MANAGERS NAME IS BERCUS OR SOMETHING LIKE THAT AND THAT SHE WAS IN A MEETING. I LEFT THE LAB ONCE AGAIN LOOKING LIKE A COMPLETE IDIOT. A SHORT WHILE LATER I WAS SO ANGRY I CALLED AGAIN TO SPEAK TO THE MANAGER AND STILL SHE WAS NOT AVAILABLE. TO AVOID ALL THIS I E-MAILED FLEXICARE BEFORE GOING TO THE DOCTOR TO FIND OUT EXACTLY WHAT DOES SMALL IN ROOM PROCEDURES THE POLICY REFERS TO UNDER THE UNLIMIITED GP VISITS BENEFIT AND RECEIVED A RESPONSE FROM NIKSHA ****EE THAT SHE CANNOT FURNISH ME WITH THAT INFORMATION AND THEREAFTER I PHONED FLEXICARE AND SPOKE TO A WOMEN WHO TOLD ME THE TEST WILL BE COVERED. BELOW ARE THE TELEPHONE NUMBERS I CONTACTED FLEXICARE FROM 011 *** ****; 060 *** ****; 060 *** ****; 011 *** **** SINCE ALL CALLS ARE RECORDED I BELIEVE YOU CAN LISTEN TO THEM AND SHED SOME LIGHT ON WHETHER I SHOULD CANCEL THIS POLICY OR PROVIDE ME WITH WHAT YOU ACTUAL COVER AS THE DOCUMENTS I HAVE RECEIVED PREVIOUSLY ARE NOT VERY IN DEPHTH. TO MAKE IT SIMPLER I HAVE ATTACHED THE FORM FROM LANCET WITH ALL THE TESTS THEY DO INCLUDING THE MARKED TEST I NEED BUT APPARENTLY NOT COVERED FOR, IF SOMEONE CAN BE SO KIND AS TO TICK ALL THE TESTS THAT ARE COVERED UNDER MY POLICY IT WILL BE MUCH APPRECIATED; I WOULD LIKE TO KNOW EXACTLY WHAT SMALL IN ROOM PROCEDURES THE POLICY REFERS TO UNDER THE GP VISITS BENEFIT; WHAT EXACTLY DOES THE MATERNITY BENEFIT COVER, IS IT JUST THE TWO SONAR SCANS AND THE HOSPITAL PLAN (FLEXICARE-PLUS) WHAT DOES THAT COVER. ANY HELP AT THIS POINT WILL BE REALLY APPRECIATED, ALL I WANT IS TO KNOW WHAT I AM COVERED FOR AND WHAT I AM NOT. I UNDERSTAND THIS IS HEALTH INSURANCE NOT AN ACTUAL MEDICAL AID AND IT IS MUCH CHEAPER THAN A MEDICAL AID WHICH MEANS IT COVERS A LOT LESS BUT I NEED TO KNOW WHAT I CAN AND CANNOT DO PRIOR TO BEING IN THOSE SITUATIONS AND THEN FIND OUT IM NOT COVERED