rK
radhia K

1 reviews | Active since May 2016

19 May 2016, 08:46

DISAPPOINTED CLIENT / TERRIBLE SERVICE

<p>Hi</p> <p> </p> <p>My family and I have been with Hosmed for over a year now.</p> <p> </p> <p>The broker Yusuf has been unreliable and unhepful. We have provided him with documents which we were advised has been submitted however was never sent. Luckily we did not attempt to use any services or else the hefty bill would have been for my account!</p> <p> </p> <p>The claims call centre has been unhelpful and provided me with incorrect information.</p> <p> </p> <p>I called the call centre and requested the process to claim back. I was given an email address to foward the invoice and proof of payment, to which a response would be received. So, i emailed the required documentation immediately and received an automati c response advising that the matter would be resolved within 7 days. 4 days later i called the call centre spoke to an agent who took a moment to confirm that the documents were received however was advised that the claim could not be processed as there was no proof of payment. I was abit upset but helped her out by informing her that there was a paid stamp on the invoice and a receipt which in bold states PAID BY (THE MEMBERS DETAILS) IN CASH!!! She then acknowledged receipt and advised that this wil be paid in 7 Days from then. </p> <p> </p> <p>My Husband then followed up afew days later and was advised that the claim would only be paid inpart as a referral letter was needed to pay in the balance, which we have in our possession and could have sent through if we were notified. He requeted to speak to the Team Leader/Manager /Supervisor who then notified us that even if the referal letter was mailed the claim still would not be paid in full....... Contradiction of information.</p> <p> </p> <p>Seems as if the matter was only attended to when we called. Further to this the 7 day turnaround period definately has been exceeded. The callcentre agent dealing with cliam or rather hired to deal with claims cannot identify a RECEIPT / PROOF OF PAYMENT. </p> <p> </p> <p>The unhelpfullness and inconveinece caused has now given me the motive to change my entire medical aid. </p> <p> </p> <p>My claim has still not been finalised even though my many calls (loads of airtime) has been wasted and my very precious time........ PATHETIC SERVICE as for the broker- sells a product then dissappears what about after sales? Keeping your client? Submitting important information when you say you did?</p> <p> </p> <p>Good luck to the Hosmed Members and Extra Goodluck to the Hosmed Team!</p> <p> </p> <p>Regards</p> <p>Radhia</p>

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Replies (1)
Hosmed Medical Scheme
Hosmed Medical Scheme 's reply25 May 2016, 12:55
Official

Thank you for valuable comment.

Our CRM team will contact you shortly to obtain the necessary information to investigate the matter.

Kind regards

Hosmed - Care for Life