RJ
Riaan J

1 reviews | Active since Jul 2010

18 Feb 2019, 12:38

Either completely *********** or they don't like clients

In December they did the medical aid deductions earlier than they normally would, resulting in the payment not going through. A few days later we manually paid the account when we saw this.

In January my 2 boys went to the Doctor, but there we learned that the account is still suspended and I had to pay out of pocket for the appointment.

I phoned the medical aid and and sorted out the suspension, something which they should have picked up earlier that it was paid, but incompetence seems to run wild there.

I submitted the Dr account to them with the proof of payment of the account on the first page and also in the email stated that I paid for this myself and they should refund me. Once again they showed either that they are ***********, or just trying to see how to spiteful they can be to their clients. They paid the doctor instead of me.

This after I have sent two emails after the initial claim to indicate that they should make the payment to the patient and not the practice.

I am utterly upset about this treatment, as you are either completely ***********, or trying to make your clients life difficult?

I will be making a complaint to the council form medical schemes as well, I saw you made the top 10 complained about medical aids is South-Africa. Seems like the way you are treating your clients you are aiming to number 1.

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Replies (2)
Hosmed Medical Scheme
Hosmed Medical Scheme 's reply08 Mar 2019, 15:28
Official
 Dear Riaan, 

Thank you for your valuable comment. 

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

Kind regards
 Hosmed - Care for Life 

Hosmed Medical Scheme
Hosmed Medical Scheme 's reply15 Mar 2019, 10:39
Official
 Dear Riaan, 

As discussed via telephone and as per email sent, your query has now been resolved. Thank you for allowing us this opportunity to restore our relationship with you, as we value you as our client. 

Should you have any additional enquiries, please do not hesitate to contact our Call centre on ***or via e-mail: ***. 

Kind regards 

Hosmed - Care for Life