1 reviews | Active since Mar 2024
UNHAPPY CLIENT FLEXICARE DISCOVERY
I am a loyal client of Flexicare as from 2018. I am well aware that this is not a full medical aid but it sure helped me out On occations where i needed a dr to assist with a cold and fleu. My Dr are aways helful and from inception i had one claim that was not paid and thia was due to no authorisation. In short Kaelo attended to the product with no hassle at all. In December i was informed that the scheme will be taken over by Discovery. One will think for a big brand like they are one will receive good and honest service, but to my dissapointmend there is jus NO service. When with Kaelo i opted for the flexicare plus and this included accidental cover. When toe scheme was taken over by Discovery they chenged the product to how they wanted it to look like. I was submitted wit a certificate fir this and no premiums was didcussed with me. I mean as far as the FSp goes a policy remains unchanged for a year and only after this amendments can be made. My premium went up with over R200 with NO explenation AT ALL. When i phoned thet informed me that i must be patient as there is still some problems to sort out. The excuse they used was that Kaelo did not send the policies to them. Now how do you take over something and without schedules and still increase a premium with R200??. After complaing over and over my Desember premium went of with a still high premium increase if over R100. Again i phoned and was told i dont need to worry thet will refund me all me over paid premiums and that they are still busy with investigating. February my premium was again over R200 more. I was livid. In that month i had to go to the dr and my medication was rejected due to it no longer was on the discovery list of medications. I had to pay all my medications ou of my pocket. I was very upset logged a FB complaint. A lady phoned me back with a one track mind set and i felt she was controlled by repeating her self over and over and over. Worse call ever as i had to repeat myself s9 many times. I mean i dont even have to explain tlstufc more then once to a 4year old. She said my mesication list will be send to the mediacl team to see what they should have paid and come vack to me. We already almost in April and still no call back. Also again my premium went off for over R200 causing my debit order to be unsuccessful and my plan suspended. I only pay over enough money into that account foe Debit orders. Again. My premiums was once more not corrected. 😡😡😡 my question is and i want to report this to the Ombudsman as when Discovery took over flexicare whybwas or is it now the clients problem to pay more for a plan where we had cover we wantes. The consultant told me discoverys accident cover was not made for the flexicare product thus now forcing all their client to take something that not all of us can afford. This is a scheme not a medical aid. The accident premiums are so high that one can almost take out a full medical aid and this for a plan that only vovers for burns, accidents drowning but nothing for major illness that is also unforseen. Theybwant R200 more to up their premiums but covers nothing. I want what i had. Discovery must change their producy to fit the clients that was taken over. I want to repoty this to ODTI as i get no joy.. i need help
Best regards,
Best regards,
