JVDH
JOEY VAN DEN HEEVER

1 reviews | Active since Apr 2015

20 Oct 2019, 21:04

VERY BADLY TRAINED CALL CENTRE AGENT.

I have submitted a claim at the beginning of September for dr. Klevansky, and have receipt a confirmation e-mail for the claim.

To date the claim has not been paid.

I phoned on Friday, and was told that the claim has not been received and I need to re-send it.

I also asked the callcentre if he can tell me how many doctor's visits I do have left for the year. He could not tell me and said that he could not tell me, but that he would send me an e-mail. I had to give him my e-mail address a couple of times before he eventually got it right.

Up to now I still have not received the e-mail.

By this time I have already spent a lot of time using my airtime. I then asked the employee if he could tell me if I have any fund available for physiotherapy, as my daughter has injured her neck and needed some physio.

TO MY ASTONISHMENT, I WAS THEN TOLD BY THE AGENT THAT I HAVE CANCELLED MY MEDICAL AID!!!!

How on earth do you train your employees?

I AM SO FED UP WITH HEALTH SQUARE MEDICAL AID. SINCE MY FIRST CLAIM I HAVE HAD PROBLEMS WITH YOU.

Please let me know what is going on here, as I still do not know why my claim has not been paid, how many doctor's visits I have and if I have any funds available.

0
Replies (2)
JVDH
JOEY VAN DEN HEEVER's update21 Oct 2019, 20:43
Reviewer Update

I have submitted a claim at the beginning of September for dr. Klevansky, and have receipt a confirmation e-mail for the claim.

To date the claim has not been paid.

I phoned on Friday, and was told that the claim has not been received and I need to re-send it.

I also asked the callcentre if he can tell me how many doctor's visits I do have left for the year. He could not tell me and said that he could not tell me, but that he would send me an e-mail. I had to give him my e-mail address a couple of times before he eventually got it right.

Up to now I still have not received the e-mail.

By this time I have already spent a lot of time using my airtime. I then asked the employee if he could tell me if I have any fund available for physiotherapy, as my daughter has injured her neck and needed some physio.

TO MY ASTONISHMENT, I WAS THEN TOLD BY THE AGENT THAT I HAVE CANCELLED MY MEDICAL AID!!!!

How on earth do you train your employees?

I AM SO FED UP WITH HEALTH SQUARE MEDICAL AID. SINCE MY FIRST CLAIM I HAVE HAD PROBLEMS WITH YOU.

Please let me know what is going on here, as I still do not know why my claim has not been paid, how many doctor's visits I have and if I have any funds available.

Health Squared Medical Scheme
Health Squared Medical Scheme's reply25 Jan 2020, 16:14
Official
Hi Joey may we firstly apologise for your unfortunate experience and secondly for the unacceptable delay in response.  Please would you  supply your contact details and membership number so one of our Client Service Consultants may assist you. Best Regards The HEALTH SQUARED Team