1 reviews | Active since Nov 2011
Hosmed Medical aid bad service
Hi, we have been Hosmed members for years now. Had to hospital admittances in March 2018. Apart from the hospital claim, all of the service providers in hospital, where paid from 'out-of-hospital' benefits, which reached the limits very quickly and most were not paid in full. After these providers submitted to medical aid for 120 days with no payment, we started receiving these bills to pay. I started following up with medical aid in July 2018 and were informed that the practices for services were apparently not linked to hospital authorisations. After numerous calls to Hosmed, emails to customer services at Hosmed, we are now placed on ITC due to non payment of these accounts by Hosmed. I have a list of dates and reference numbers for call to their offices. After numerous calls, they informed me that they are experiencing technical problems linking practice numbers to hospital auths. Really for more than 2 months, still not managing to sort this 'technical' problems and no feedback when I request this from complaints department regarding ITC and payments. I merely received an email from their department on 2/09/2018 stating that these accounts are being re-submitted to IT department on their side and another one later that they apologise for the inconvenience. When I phoned again yesterday, some of the payments were reversed to Pathology providers, leaving account now more than initially. The result of this bad service, is apart from ITC listing, we are not able to make any specialist appointments as the funds are depleted, however, if the 'in-hospital' benefits were used, this would not have been a problem at all. I have sent the complaints department 2 emails yesterday informing them that they leave me no choice as to make use of a public forum to try and get these issues resolved. They did not even respond to this email. Please please please assist
Hosmed - Care for Life
Hosmed - Care for Life
