LH
Lizel H

1 reviews | Active since Jun 2021

04 Nov 2025, 08:48

Specialist Benefit & Refund Process

What a lovely insurance to have, until you have to go see a specialist! I paid out of pocket on the 15th of September R2500.00, after which I sent through for refund, claim rejected due to Doctor not being on the network. I was advised to resubmit due to Flexicare apparently not knowing that I already paid myself. It took them another 22 days to advise me that the procedure code was incorrect. I hade the procedure code changed as advised and resubmitted again on the 22nd October. Followed up again on the 11th November to be told again it was rejected again but an error was made on Flexicare side and it would now be manually resubmitted by them and I should call back in one week as they have a backlog. Day 49 now of attempting to get a refund

0
Replies (8)
Flexicare
Flexicare's reply04 Nov 2025, 09:17
Official
Dear Lizel H
 
We’ve noted your concerns and we’re investigating the matter. We’ll contact you with feedback as soon as possible. Regards Flexicare Servicing Team

Best regards,

Flexicare
Flexicare's reply04 Nov 2025, 10:48
Official
Dear Lizel H
 
We have been in touch with you to answer your comments.  Regards Flexicare Servicing Team

Best regards,

LH
Lizel H's update04 Nov 2025, 11:46
Reviewer Update
Thank you Onke for your swift response & explaining the matter around the new specialist benefit, awaiting your soonest response.
Flexicare
Flexicare's reply04 Nov 2025, 12:14
Official
Dear Lizel H
 
It is an absolute pleasure. Regards Flexicare Servicing Team

Best regards,

LH
Lizel H's update10 Nov 2025, 13:02
Reviewer Update
Good day Onke, is there any new update please
Flexicare
Flexicare's reply10 Nov 2025, 13:16
Official
Dear Lizel H

We will contact you shortly with an update.

Regards
Flexicare Servicing Team 

Best regards,

LH
Lizel H's update15 Nov 2025, 10:32
Reviewer Update
Thank you Onke for resolving my refund so swiftly! You are a star!!!
Flexicare
Flexicare's reply17 Nov 2025, 09:52
Official
Dear Lizel H
 
It is an absolute pleasure. Regards Flexicare Servicing Team

Best regards,