JM
Jessie M

1 reviews | Active since Nov 2019

22 Nov 2019, 08:28

GOOD SERVICE BUT COULD BE BETTER

I have seen more bad than good reviews on Flexicare Medical Insurance.

My family and I have been with Flexicare for a year now and so far so good. Although I also had to do a number of follow ups to get our actual cards, but that was not an issue for me. I have visited a general practitioner, been able to get over the counter drugs, had our first dental visit which went well and just visited an optometerist a few weeks ago.

So the visit to the optometrist is where I have a bone to chew with them.

The eye tests for me and my family went well until we got to choosing the frames and lenses. I know this is an insurance scheme but we were only allowed to choose from the lowest range which in my opinion is the lowest in quality and choice. You actually have very little choice and end up with frames that do not suit your face at all. Please Flexicare look into this.

Second thing was this - I have had multifocal lenses for the last 5 years, and my test conclusion was that I needed stronger lens. I was told Flexicare only pays for bi-focal. I asked the Optometrist to put in a claim for bi-focal and I pay the difference for multi-focal, but Flexicare outrightly refused and said they will NOT pay for the bi-focal if we took that route.

I thought that was unfair as they do not lose anything if they pay the bi-focal and I top up.

I am not sure whether Flexicare need to review their codes or something because the answer when the service provider called was "We do not have a code for that"!

Is it that the customer care personnel are limited in their knowledge of what can be done or not? Is there no kind of compromise?

My experience at the optometrist left me wondering whether I need to move to another medical insurance or things will improve.

Generally though, I think you scheme is good.

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Replies (1)
Flexicare
Flexicare's reply22 Nov 2019, 08:46
Official
hi Jessie,thank you for the feedback you have provided us with.We will ensure this is looked in to and investigate the codes you have mentioned to understand exactly what the confusion might be. Can you please email your policy number  - blaked @ tihsa.co .za so we can take it further 
Flexicare