NvdH
Nicki von der Heyde

1 reviews | Active since Oct 2014

07 Aug 2020, 09:31

TERRIBLE SERVICE

I submitted a claim for a specialist doctor on 8 July, and it was rejected because it was not pre-authorized. However, I had emailed your pre-auth department prior to my treatment and received no response from them. This happened again in August, when I requested pre-auth and had no response from you other than an automated mail. This claim was again rejected because it hadnt been pre-authorized. THIS IS SHOCKING SERVICE FROM THE WORST MEDICAL AID SCHEME EVER! Membership number Med Aid No 217689 Option name Aspire Principal member’s name and surname Nicola von der Heyde

0
Replies (8)
Health Squared Medical Scheme
Health Squared Medical Scheme's reply07 Aug 2020, 13:35
Official
Hi Nicki we are so terribly sorry to hear of your unfortunate experience.  You may rest assured that we will escalate your query immediately, and as such you may expect a call from one of our senior client service consultants.  Best Regards  The HEALTH SQUARED Team

NvdH
Nicki von der Heyde's update10 Aug 2020, 09:18
Reviewer Update
Promises but no action. I received a phone call offering to rectify matters and apologizing for the pre-auth department that is apparently " backlogged". However, the consultant promised to send me an email, to which i could reply with my proof of payment. I am still waiting to receive this mail!!
Health Squared Medical Scheme
Health Squared Medical Scheme's reply10 Aug 2020, 14:31
Official
Hi Nicki we will most certainly escalate this for urgent attention, and as such you may expect a call tomorrow morning, when our consultants are back in the office.  Best Regards The HEALTH SQUARED Team

NvdH
Nicki von der Heyde's update12 Aug 2020, 09:26
Reviewer Update
I have not received the promised phone call. More terrible service from Healthsquared. Promises and no action.
Health Squared Medical Scheme
Health Squared Medical Scheme's reply12 Aug 2020, 10:47
Official
Hi Nicki we will absolutely ensure that your query is dealt with as a matter of priority.  Best Regards The HEALTH SQUARED Team
NvdH
Nicki von der Heyde's update14 Sept 2020, 04:47
Reviewer Update
The matter above is STILL unresolved!
NvdH
Nicki von der Heyde's update14 Sept 2020, 04:48
Reviewer Update
This is stilll unresolved and the consultant ignores my emails
Health Squared Medical Scheme
Health Squared Medical Scheme's reply14 Sept 2020, 07:33
Official
Good Morning Nicki we have escalated this matter as per our comment on your additional post.  We will ensure that this is dealt with as a matter of urgency.  Best Regards The HEALTH SQUARED Team