ON
Odette N

1 reviews | Active since Jan 2013

26 Jul 2018, 10:47

Resolution Health - UNWILLINGNESS to assist in Operational Procedure/operation

1st complain: After requesting authorisation for a 'L 3/4 Laminotomy & decompression / NO PROSTHESIS' procedure/ operation.... NO response was received from this medical aid after they said they will give feedback within 72 hours....after 6 days I have not heard a thing from them and had to phone them.... My mothers op was moved to tomorrow ( 27 July 2018) - medical aid response is that she needs to go to some or other clinic for "alternative methods" .... what alternative methods???!!!! I have a motivational report from a QUALIFIED Neurosurgeon... with all relevant procedure numbers etc... My mother cant move for 5 weeks now, and they suggest she travel to some or other clinic for alternative methods... what don't they understand about the situation that she has a never pinched and that it can only be relieved by doing an operation....!!!! I have requested to know the qualifications of the "clinical review panel" .... and STILL awaiting a manager to phone me back with answers....

My parents have been on this medical aid for YEARS...top plan, might 'n add..... 12 years ago my mom had to go for a back operation... which they also preferred not to approve, and my dad had to pay cash for that operation

Seems it is the same case this time!!!! Ridiculous

We will Definitely change their medical aid to a provider that cares about their members....

So please note all members.....compare your aid to more qualified and helpful schemes

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Replies (2)
Health Squared Medical Scheme
Health Squared Medical Scheme's reply30 Jul 2018, 10:02
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 reply17 Aug 2018, 08:45
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