AB
Arina B

1 reviews | Active since Apr 2014

16 Apr 2018, 19:49

Passing the bug - No service at all

Resolution stop paying some of my mom's chronic medication, when I ask why, Salina Nesongozwi, requeste blood test with the chronic code, to start paying the medication again. The test was send to Salina on 6 February, with a received request. She never rep****. It was followed up with Salina on 9, 14 and 15 March, still no reply. I phoned this pathetic medical scheme on 28 March, I spoke to Kholi, Jackie, Mpho and finally Busi (Ref ********** ). According to Busi, the code on the claim was wrong. The service provider, updated the code to the correct code, Busi gave, and send it again to Resolution on 29 March. I phoned Busi again on 11 April she was not avaible and she phoned me back on 13 April According to her, she could not assist me, it was at the claims department. After I spoke to 6 people at claims, 13 April I send another email, to request when the payment will be done, again, no reply from resolution. I phoned again on 16 April, and spoke to a nameless person (Ref ********** ), according to him, they never received the claim. The service provider send the claim, to client services at Resolution. I send it several times to client services, to pharmacy@ resomed, and to ********** The mail was every time send to all of them. I have send it again today, to all the email adresses. It seems to me that they refuse to pay for chronic test, they forced us to do, in order to pay the chronic medication. They playing for time, by passing the bug. Every time you phone, you speak to at least 6 people, and need to repeat the story again. You never get the same person even if you ask for him. While they playing around, the service provider want the payment from me, for services, Resolution forced us to do. They are one of the most pathetic medical aids. They are very quickly to take your monthly payment, but very slow to pay your claims

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Replies (2)
Health Squared Medical Scheme
Health Squared Medical Scheme's reply17 Apr 2018, 10:15
Official

We acknowledge receipt of your concerns and thank you for bringing them to our attention. 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 and wellness,

The Resolution Health team.

Health Squared Medical Scheme
Health Squared Medical Scheme's reply20 Apr 2018, 14:09
Official

Thank you for taking the time to speak to our dedicated consultant. We trust that your query has been suitably resolved and 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