LZ
Lauriza Z
1 reviews | Active since Jun 2015
09 Jun 2015, 18:50
when i asked for medical aid cover
i app**** for medical aid and asked for dental cover and theatre now my son needs to go to theatre no the medical aid dont pay in hospital cover. as up till now i did not recieved any medical aid cards and my son cant go to theare i need to pay R16 000. abd still waiting for the type recording from hippo
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Flexicare's replyOfficial
15 Jun 2015, 12:12Hello lauriza,
Thank you Ms. Zeelie, we acknowledge receipt of your complaint. According to our records, we were not informed of your requirement for dental cover, nor was there any specific questions regarding dental benefits. If this was a pre-existing condition, the scheme have informed us that they would have imposed a waiting period based on the fact that there was a 90 day break of cover between your previous scheme and applying to join the new scheme. This is a standard underwriting rule across all medical aid plans. The plan you joined does offer some dental benefits and these are outlined in the benefit brochure which has been sent to you. The scheme also notified us that you have cancelled your cover therefor no benefits are currently available. Our consultant will contact you to arrange collection of the call recording as it is too large for email purposes. We sincerely regret this situation and are more than willing to assist with alternative scheme options however, please note that all scheme's reserve the right to impose waiting periods.
Complaints Team
Jenus Health
Thank you Ms. Zeelie, we acknowledge receipt of your complaint. According to our records, we were not informed of your requirement for dental cover, nor was there any specific questions regarding dental benefits. If this was a pre-existing condition, the scheme have informed us that they would have imposed a waiting period based on the fact that there was a 90 day break of cover between your previous scheme and applying to join the new scheme. This is a standard underwriting rule across all medical aid plans. The plan you joined does offer some dental benefits and these are outlined in the benefit brochure which has been sent to you. The scheme also notified us that you have cancelled your cover therefor no benefits are currently available. Our consultant will contact you to arrange collection of the call recording as it is too large for email purposes. We sincerely regret this situation and are more than willing to assist with alternative scheme options however, please note that all scheme's reserve the right to impose waiting periods.
Complaints Team
Jenus Health
Flexicare's reply15 Jun 2015, 12:12
Official
Hello lauriza,
Thank you Ms. Zeelie, we acknowledge receipt of your complaint. According to our records, we were not informed of your requirement for dental cover, nor was there any specific questions regarding dental benefits. If this was a pre-existing condition, the scheme have informed us that they would have imposed a waiting period based on the fact that there was a 90 day break of cover between your previous scheme and applying to join the new scheme. This is a standard underwriting rule across all medical aid plans. The plan you joined does offer some dental benefits and these are outlined in the benefit brochure which has been sent to you. The scheme also notified us that you have cancelled your cover therefor no benefits are currently available. Our consultant will contact you to arrange collection of the call recording as it is too large for email purposes. We sincerely regret this situation and are more than willing to assist with alternative scheme options however, please note that all scheme's reserve the right to impose waiting periods.
Complaints Team
Jenus Health
Thank you Ms. Zeelie, we acknowledge receipt of your complaint. According to our records, we were not informed of your requirement for dental cover, nor was there any specific questions regarding dental benefits. If this was a pre-existing condition, the scheme have informed us that they would have imposed a waiting period based on the fact that there was a 90 day break of cover between your previous scheme and applying to join the new scheme. This is a standard underwriting rule across all medical aid plans. The plan you joined does offer some dental benefits and these are outlined in the benefit brochure which has been sent to you. The scheme also notified us that you have cancelled your cover therefor no benefits are currently available. Our consultant will contact you to arrange collection of the call recording as it is too large for email purposes. We sincerely regret this situation and are more than willing to assist with alternative scheme options however, please note that all scheme's reserve the right to impose waiting periods.
Complaints Team
Jenus Health