1 reviews | Active since Dec 2021
BAD MEDICAL AID
This is not an easy medical aid when it comes for hospital authorizations. I have submitted a pre authorization for a operation due on the 4th of March for myself ( lapse date is the 28th of february the waiting peroid ). I have had endometriosis in 2013, all doctor reports was submitted with the application. Today I have received emails for non disclosure, and I must submit all my and my dependents medical history for the last 2 years. Even for the visit to the dentist, bloodiest ect. Casualty visits, paid by discovery and all. Doctors reports was send, letters and all. How many times must I send the documents and reports, and they are quick to respond that they haven't received the documents. Now I must get reports from doctors I visit during the holidays, of a broken tooth. Doesn't keyhealth know doctors and dentists doesn't provide the patient with a report with the consultation, they do make notes in the file. This is up and down, they are playing with people's emotions and rights to medical care. Quick to debit the premium, but seeking every opportunity not to authorize hospital admissions. If all is under investigation and non disclosure, the membership is useless because you can't make use of an ambulance or hospital nothing. I havent had any issues with discovery, the paid everything, expect we didn't have an over the counter benefit. This is a concern I am the main member, I must go for the operation, not my spouse or child. So you have to get a report from the doctor saying *** has visit me on this day with diarhee, and went to the bathroom 8 times, and now *** is given smecta and scopex. How must a dentist gave a report on cleaning, extract of tooth and filling. They Question all your personal information. Why did you get cough syrup ok, nou you have an waiting period for bronchitis, oh you got mybulens, waiting period for headaches and back pain. My female reproduce system report with pathcare reports was send with application. You are wasting my time to get all the reports in order to Hope that I will be assit, no wait, you will came up with another non disclosure and new waiting periods
We will investigate the comment and respond to you soon.
We will investigate the comment and respond to you soon.
Your comment has been referred to the Clinical department.
Your comment has been referred to the Clinical department.
We can assure you that we operate in accordance with the Medical Schemes Act 131 of 1998 and are regulated by the Council for Medical Schemes.
Our Clinical department (non-disclosures) informed us they will respond back to you as soon as all the information received has been reviewed.
For any questions/enquiries kindly contact the non-disclosure department only via e-mail on ***. For any other enquiries kindly refer your
e-mails to ***
We can assure you that we operate in accordance with the Medical Schemes Act 131 of 1998 and are regulated by the Council for Medical Schemes.
Our Clinical department (non-disclosures) informed us they will respond back to you as soon as all the information received has been reviewed.
For any questions/enquiries kindly contact the non-disclosure department only via e-mail on ***. For any other enquiries kindly refer your
e-mails to ***
All documents was resend, and mistakes from your consultant that helped me , is highlighted
I have attached my written completed application with my documentation to disclose, and the electronic version compiled by the consultant which is wrong, together with the emailed received from the consultant
She did not completed the electronic version correctly, who is responsible for that ?
All documents was resend, and mistakes from your consultant that helped me , is highlighted
I have attached my written completed application with my documentation to disclose, and the electronic version compiled by the consultant which is wrong, together with the emailed received from the consultant
She did not completed the electronic version correctly, who is responsible for that ?
We take note of your comment,
Thank you for the new information, it will be referred to our NDC department.
Sincerely,
We take note of your comment,
Thank you for the new information, it will be referred to our NDC department.
Sincerely,
