VV
Vanessa V

1 reviews | Active since Dec 2017

18 Dec 2017, 11:39

Extremely dissatisfied member

I have been a member for almost two decades and not a single claim lately is ever processed without issue or in full. I am stuck with a R17k dentist bill and they will only pay R2k when I am on one of the highest plans, am supposed to have unlimited normal dentistry and still have over R10k special dentistry available for the year. Plus one procedure even had pre-authorisation which they are now not covering. Even my dentist sent a motivation and documentation. I have been calling about this weekly for two months and nobody is willing to help/explain. I finally got hold of someone who seemed as though they were going to assist, but have heard nothing back in two weeks (was promised same day feedback) and now she is on leave. The staff are exceptionally rude and short and unwilling to look into anything to give you answers or to put you through to someone more senior.

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Replies (2)
Health Squared Medical Scheme
Health Squared Medical Scheme's reply04 Jan 2018, 09:59
Official

We acknowledge receipt of your concerns and thank you for bringing them to our attention. We apologise for the delayed response.

Resolution Health 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 Resolution Health team

Health Squared Medical Scheme
Health Squared Medical Scheme's reply05 Jan 2018, 12:01
Official

Thank you for taking the time to speak to our dedicated consultant. We have escalated your query to the relevant department and will keep in touch with you to provide feedback. We look forward to continuing to provide you with quality healthcare that enables you to fully embrace life.

Should there be anything in addition that you would like to discuss, please don't hesitate to get in touch.

Yours in health and wellness,

The Resolution Health team