CM
C. Mer

1 reviews | Active since Jul 2011

28 Nov 2017, 15:01

No feedback on Hospital Authorisation for 2 months and counting...

We are on the most expensive plan at this Medical Scheme and I have been waiting for 2 months after submitting the final documents that they asked for. Multiple phone calls later I still have no answer...it varied between 'still under revision' to 'no authorisation request logged' to 'you'll have an answer in 15 min' - which obviously never happened. What are we paying for?

0
Replies (3)
Hosmed Medical Scheme
Hosmed Medical Scheme 's reply28 Nov 2017, 16:06
Official

Dear Carin,

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 reply29 Nov 2017, 14:11
Official

Dear Carin,

As discussed via telephone, 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

CM
C. Mer's update11 Dec 2017, 10:08
Reviewer Update
'Your query has been resolved' - yes, resolved if you count the rejection of a con******* condition that is specifically mention and NOT excluded in your terms and conditions. The reason being offered now is that it's not cancerous and not a PMB. What?! So you have to have the condition and actually dying when trying to get authorisation for treatment once in 22 years? Hypothetically speaking- if you break your arm, make sure you're bleeding to death...