JV
JC V

1 reviews | Active since Nov 2012

22 Jun 2021, 11:07

I have nothing good to say about this company.

In my opinion this is the worst medical aid in South Africa. They just don't care. I have been phoning since February for the same claim. I admit there was issues from Amphath's side with the incorrect correct code, but they have fixed it and submitted the correct invoice on 2 March 2021. I have been calling regularly every month to make sure that this claim will be paid. It gets escalated every time and still nothing is happening. There is cover and hospital stay was authorization. Now today is already the 22nd June and it has not been paid. I have spoken to a supervisor in May out of frustration for the lack of urgency. Promised to call back, never did. I spoke to one again on 1 June, he said he will phone me back the afternoon or the following day. Never did. I phoned on the 4th of June where the consultant send him an email to call me. Never did. On 21 June I phoned again and an email was yet again send to him and no call again. Today I phone again and was placed on hold for over 30 minutes by a consultant. I dropped the call. You are wasting my time and money. I am over your pathetic excuses. Even the chairperson call line for complaints don't phone back.

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Replies (1)
Health Squared Medical Scheme
Health Squared Medical Scheme's reply01 Jul 2021, 08:56
Official
Dear Ciska, 
 
Our sincerest apologies for the frustration and inconvenience caused with the delayed processing of your claim. 
We will investigate as a matter of urgency the delay in response and processing of your claim. One of our dedicated consultants will be in touch to update you on the matter as soon as possible. 
Again our apologies and thank you for your patience.
 
Regards,
The HEALTH SQUARED Team