JC
Jean-Claude Conradie

1 reviews | Active since Aug 2014

05 Apr 2019, 07:50

Emergency - rejected- Not Paying

What an absolute joke of a medical aid. We were sent for an emergency procedure from casualty, now you reject my claim because I didn't have pre authorization. I mean come on. For **** sakes. It was 1 am in the morning, bleeding out. If this is how you treat you paying clients, then I think the ombudsman should be informed. ABSOLUTELY DISGUSTING. This has been escalated only to find out that you rejected in any case.

An email has been sent to client services as well - AGAIN. Never had issues like this with resolution. Only when it was merged with Health Squared.

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Replies (2)
Health Squared Medical Scheme
Health Squared Medical Scheme's reply05 Apr 2019, 08:58
Official
We acknowledge receipt of your concerns and thank you for bringing them to our attention. HEALTH SQUARED is committed to providing an unsurpassed level of service excellence to our valued members and would like to extend our sincere apologies if you feel that we have fallen short of this promise. We are assigning a dedicated consultant to your query and he/she will be in touch soonest to discuss your concern in further detail.
 
 Please rest assured that your query will be dealt with as a matter of urgency and that we are fully committed to resolving this as soon as possible.
 
 Yours in health,

The HEALTH SQUARED team.
Health Squared Medical Scheme
Health Squared Medical Scheme's reply08 Apr 2019, 09:13
Official
Thank you for chatting to your dedicated consultant.  We trust that your query has been suitably addressed and will confirm once the claims have been reprocessed..

Yours in health

The HEALTH SQUARED team