No Shame in Declining Claims

Was hospitalized for day surgery. After discharge I was given medication and when bill arrived, my Medical Aid did not cover medication. Registered a claim with Insuremed together with all documents requested, only to be informed that the claim has been declined. Tried calling Nolubabalo Tsaka, no answer, voicemail, pls leave a message. No response. I phoned the company 9 times with these switchboard operators who does know nothing about client service, how to responds to calls and then some of them sitting with a hearing problem. Long story short, eventually some one assisting me, with all type of excuses that this claim will not be successful and it will not be paid. As he has said, claim declined and nothing will change the decision. I then Informed him that this company has more exclusions then benefits and that they actually *****ing from us, the clients. This Is also how they approach Unions like PSA to have members signed up. Surely, kickbacks somewhere along the line, using our monies / monthly contributions. Be sure, once taking out GAP Cover that Insuremed is not to be approach as there services sucks and they not ashamed, *****ing indirectly from you the client.