LH
Lavisha H

1 reviews | Active since Nov 2021

16 Aug 2022, 16:35

How do you lose call logs???

If there were zero stars I'd give that!

I phoned their call centre late April or early March to register for maternity benefits only to be told by the call centre agent that I needed to go the registered network hospital I was to deliver at and they would phone in for authorization.

In the meantime I found myself a gynaecologist ( I called the call centre for authorization and was not informed by Anthony that this specific gynaecologist was not under their network list of specialists - I found this out when I was sent a bill from Kaelo informing me of this gynaecologist not being on their list) and have been paying cash for my blood tests and visits on a monthly basis since March actually.

I've emailed them on numerous occasions only to be given a ticket number, and claims that they handle complaints within 8 to 24 hours. To date, I have not received any other feed back from Kaelo.

I emailed again early July to confirm if all was in order with regards to going to the hopsital or must i register with their call centre as their website claims. Again, no respnse from Kaelo.

On July 27, 2022 my gynaecologist informed me that he was bringing my delivery date forward and I went to my network hospital to pre book only to be told I'm not registered for maternity benefits.

I've been calling ever since, literally begging them to check their call logs which prove I was given wrong information and this misinformation has now lead to me not being registered to deliver.

So far, Kaelo cannot find their call logs which is pretty suspicious as they claim to record all calls.

I am on the phone almost daily and all I get from them is that their supervisors are in meetings and will call me.

I am now 32 weeks pregnant with 6 weeks away from my delivery date with no help from Kaelo.

They've been having a meeting with their clinical team since July 27 and I have had no feedback.

Ncamsy, Zanele and Anthony have been no help.

Their call center agent are so clueless with regards to how to handle phone calls and which relevant departments to contact.

How do you work like this? This medical scheme has been app**** through my employer and perhaps Sun international also needs to look into another more competent scheme.

As of today, there was a meeting held with the maternity department again and I was supposed ro be given feedback over 4 hours ago!

0
Replies (3)
Kaelo
Kaelo's reply16 Aug 2022, 19:55
Official
Dear Lavisha, 

We are so sorry to hear about your most recent experience and will ensure our team makes contact with you as soon as possible.

The Kaelo Team 
LH
Lavisha H's update28 May 2023, 09:21
Reviewer Update
Your team never got back to me and I've taken this further with the medical aid ombudsman!
Kaelo
Kaelo's reply29 May 2023, 07:49
Official
Hi Lavisha, we sincerely apologise for the delayed communication. 

We will ensure that our team contacts you as soon as possible. 

The Kaelo Team