Horrible service

Admed GapCover is a joke.

I had a shoulder operation on 22nd October 2024 and there were some shortfalls from the medical aid.

I logged 3 claims (one was eventually paid by medical aid) on the 9th December. I received an SMS stating they received the claim, then received SMS stating that the claim cannot be finalized as there is outstanding documentation and that they were going to get in touch with me via email.

They didn't get in touch and I had to send emails (1st email email on 16th December) to ask for an update. Eventually got an update with a generic response. Had to ask for clarification mulitple time before I got a proper response. Then in January I received an SMS that the SAME claim cannot be finalized. I asked multiple times again for clarification and got no response yet.

So: claim 1 : cannot be finalized. claim 2: rejected understandably, the medical aid paid it. claim 3: not even started processing, or maybe it has and I have not received any communication regarding this claim.

This whole process has been frustrating to say the least. This is by far the WORST service I have ever received . I've been paying my fees on time every month for years and this is my first claim ever. I'm put off by this company.

I don't know if they are deliberately trying to make this process as frustrating as possible.

So disgusted with the service I'm getting I'm contemplating just handing this over to my legal representative. If I could give them zero stars, I would.