CN
Carolyn N

1 reviews | Active since Oct 2012

18 May 2015, 10:32

Refusing to Refund my money!!!!!!

I contacted the Hosmed client care call centre to enquire about a circumcision for my new born son. I was told by the operator that I needed to ensure he was an active member on the medical aid before the treatment took place. I asked if I needed a pre authorization as the Dr performing the procedure requested I settle the bill in cash and then request a refund from my medical aid. The operator informed me that since I am on the Plus option, circumcisions are covered and it was not necessary for a pre authorization. I called back a week later to confirm my son had been added as a member and spoke to a different operator who again confirmed that a pre authorization was unnecessary. <br> <br> I then received a statement from Hosmed stating that they rejected the claim as I did not get pre authorization! This is just pathetic. <br> <br> All calls are recorded. So I want my calls to be retrieved from their data base and I want my refund to be processed immediately. It's not my problem if their staff are ***********!!! <br> <br> I am so sick and tired of Hosmed always finding excuses to reject my claims!!! I am on the highest option and pay a high premium and expect better service than this!

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Replies (1)
Hosmed Medical Scheme
Hosmed Medical Scheme 's reply18 May 2015, 13:37
Official
Hello Carolyn123,

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