SM
Stephen M

1 reviews | Active since Dec 2013

24 Jun 2020, 13:10

Pathetic Service

Was referred to Podiatrist due to the infection on my foot on the 12th of May 2020 however I was told I ,do not have benefits under my option and had to pay R500.00 cash for consultation .I was advised by the doctor I need to do a minor procedure to get rid of the infection and will cost me R1600 +_.Contacted the Imperial med customer service for regarding my situation and was also informed I don't have Podiatrist benefits however I can write a motivation letter for medical aid to consider my situation .Email motivational letter on the 20th of May 2020 and this was the responds i(Dear Mr Mokotong Your email dated 20 May 2020 CLAIM ENQUIRY Please note that we require a detailed claim for processing your refund for the consultation. The following information is required on the detailed claim: · Member contract number · Practice number · Date of service · Patient · Tariff code(s) and or nappi(s) · ICD 10 code(s) · Amount · Proof of payment The detailed / fully specified claim can be submitted to ***. You will receive an e-mail notification when your claims have been processed and will indicate the claims run date on the notification. Regarding the procedure to follow kindly submit an authorisation request, the service provider will the mention that you will require wound care treatment, which will be subject to the approval by the case manager.

The reference number for the enquiry is *** .) Spoke to the Dr regarding the responds he then contact the medical and was told to sent a quotation. In June details quotation was email through and a week later other request for pictures also forwarded .On Monday the 22nd of June receive an e-mail from the medical aid advise the claim has been rejected . What I need to understand is why I was given such false pretences ,going to extend of requesting all this details ,quotation and pictures from doctor fully knowing my option does not have benefits. All along I have been following up with customer service through Whats App and landline ,spoke to different consultant Zama and Mabunda . Why can I also be refunded amount I paid for consultation from my Day to Day benefits since I never even used benefits since the beginning of the year. Member no:***

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