MS
Michelle S

1 reviews | Active since Aug 2020

03 Dec 2021, 17:49

Health Squared , How many times must we put up with bad service from your call centre?

My Father needed Cataract surgery. I phoned on his behalf and got authorization from Pre-auth, , and I received the authorization schedule from health squared with all the tariff codes on and the amounts that they authorised to pay the practise and the doctors. However when the claim was submitted , a lesser amount was paid, to the doctor. Yes, a lesser amount was paid to the doctor. So I phoned your call centre, guess what? An unhelpful call centre person, just said, well thats just the way it is, you just have to accept it. When I asked to speak to a a manager , guess what he said? "There are no managers available." Just accept it. When I wrote a complaint letter to your head office to say what happened , guess what happened? A consultant phoned me back today , and she said they are putting me thru to the very same unhelpful person who helped me yesterday. ! WHATS THE POINT OF THAT HEALTH SQUARED ?? I told her that was unreasonable and I asked her to speak to a Manager, guess what happened? I was put on hold, until I eventually had to put the phone down. Health squared do you think we can hold on until maybe one day you put us thru to a manager?? So Health Sqaured, no body has answered my question, or helped me . . Why do you promise to pay one amount, and then pay a lesser amount? Is it because you promise to pay one amount and pay a lesser amount, hoping that the customer does not see ? And are you telling your call centre, to send the customers round in circles, so that they get tired , and eventually pay in , what you have promised to pay, and dont pay? Health Squared, I have the authorisation tariff codes and the amounts from you, , and if you dont respond by tomorrow morning telling me exactly why you have paid a lesser amount , I will submit the authorisation with all the tariff codes and amounts you have authorised to the Medical Ombudsman, to show them what you Health Squared as a medical aid are doing, is *********.

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Replies (1)
Health Squared Medical Scheme
Health Squared Medical Scheme's reply07 Dec 2021, 14:13
Official
Dear Michelle, 
 
Thank you for sharing your feedback with us. 
We’re sorry your experience didn’t match your expectations and we apologise for the inconvenience caused.
We understand that one of our dedicated consultants has been in touch with you regarding the matter and will keep you up to date on the progress. 
Thank you for taking the time to engage with us.
 
Regards, 
The HEALTH SQUARED Team