MC
Maureen C

1 reviews | Active since Nov 2020

23 Nov 2020, 11:27

Where were you?

Where were you when i needed you?? My daughter is coming home tomorrow from a "state hospital" because you wouldn't cover her for her hospital stay after 1 day, nor would you cover an operation. Where were you when she was diagnosed with diabetes and it was a septic appendix?Where were you when i had to pay another doctor for a 2nd opinion whom you don't cover to tell me to get her to a hospital asap?Where were you when i had to sit and listen how they worked on my child for 3 hours in a state hospital? Where are you for the more than R2700 that has to be paid to a Lawyer because you don't cover all the blood test we need for both of us? Where are you? You don't cover us for what we need when our lives are in danger. You are not there when we need you the most. I once asked one of the people at the call centre "Why do i pay you money every month if you cant pay for the basics of blood test" and she rep**** "You forget we not a medical aid we are an Insurance" The hard part is You are Not there for me nor my family.

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Replies (2)
Getsavvi Health
Getsavvi Health's reply23 Nov 2020, 16:00
Official
 Good day Mrs Chambers, 

Thank you for the feedback. 
 
We hereby confirm receipt of your Hello Peter review, we are  investigating the matter and will provide feedback soon.
 
 Regards
 GetSavvi Team 

Getsavvi Health
Getsavvi Health's reply26 Nov 2020, 16:59
Official
Good day Mrs Chambers 

Thank you for the review received.

Kindly note, as mentioned in the relevant sales call at point of sign up and the respective GetSavvi Health Policy document, Hospitalisation benefits are limited to accidental and trauma related instances, benefit is not available for planned procedures and/or pre-existing conditions that require admission for surgery, this is made clear upon sign up as GetSavvi Health is an affordable option that provides basic day to day cover and emergency Hospital cover to members.

The relevant Pathology claims were shortpaid as the blood tests performed do not form part of the formulary list, it is therefore important to confirm benefits prior to proceeding with treatment to ensure benefits are available. Once more, GetSavvi Health provides cover for basic Pathology treatment and the list of codes covered can be found in your policy document which can also be used to confirm if the treatment will be covered, the same applies for Radiology treatment.

We apologise should there have been any miscommunication at any point however the above information is made clear at point of sale as well as in the policy document supp****.

We trust you find the above in order, please advise should you require anything further.

Regards
GetSavvi Health Team