RF
Ruan F

1 reviews | Active since Feb 2011

31 Mar 2020, 10:37

Doesn't Pay Even With Pre-Authorisation

My wife had to go to hospital so we got 21 days pre-authorisation from Health Squared. We did everything by the book.

Now after the stay we got a bill from the medical aid for close to R60 000.

I was fuming. Went to the hospital to find out what's going on and they gave me all their correspondence with Health Squared. Where Health Squared just never rep****.

Took all of that to the Health Squared offices and spoke to a woman there. We went through everything and she agreed with me that we got pre-authorisation and we went through all the claims and in the end the bill was going to be about R5000. I can live with that.

I went home thinking I sorted out the problem.

Then we got bills from the doctors. So we phoned Health Squared to ask for the updated bill and lo and behold, nothing changed! That after I went there.

I did everything by the book. Made sure we did everything right and we still get *****ed. Health Squared does not care for its customers. The purpose of having a medical aid is so that they will pay for these unexpected medical things.

But Health Squared has been taking my money for years and when I finally need them they let me down.

I phoned again. I really hope they can sort it out. The papers from my previous visit is lying at work and due to the lockdown I can't access it.

It's all just so much extra stress that I don't need in my life.

Shame on you Health Squared. I've been with you for so many years. When you were still called Resolution Health. I did everything I was supposed to do and you didn't do your part.

0
Replies (4)
Health Squared Medical Scheme
Health Squared Medical Scheme's reply31 Mar 2020, 13:23
Official
Hi Ruan we are enormously distressed to hear of your unfortunate experience, and thank you for bringing this to our attention so that we may assist you in rectifying this promptly.  We will escalate you matter to a senior member of our client services team, who will be in touch shortly.  Best Regards The HEALTH SQUARED Team

Health Squared Medical Scheme
Health Squared Medical Scheme's reply01 Apr 2020, 13:23
Official
HI Ruan

Following on from a call from our senior client service consultant, and the successful resolution of your query, we trust that you are completely satisfied with the outcome.  We thank you once again, for bringing this matter to our attention and giving us the opportunity to assist you.  Please do not hesitate to contact us, should you require any further assistance.  Best Regards The HEALTH SQUARED Team

RF
Ruan F's update01 Apr 2020, 13:40
Reviewer Update
Thank you. I must say it helped dealing with a senior consultant. The new statement will be sent next week. Hopefully then it will be correct.
Health Squared Medical Scheme
Health Squared Medical Scheme's reply01 Apr 2020, 18:03
Official
Hi Ruan we're so glad to hear that your matter has been dealt with promptly.  We look forward to ensuring that you are covered from every angle in the future.  Best Regards The HEALTH SQUARED Team