NR
Nay R

1 reviews | Active since Nov 2018

30 Aug 2022, 11:55

KEY HEALTH IS TRASH

DEALING WITH JOHAN AND KEYHEALTH HAS BEEN THE WORST EXPERIENCE OF MY LIFE, HE SAYS WHEN I SIGNED U WITH KEYHEALTH I GAVE THEM AUTHORIZATION TO GIVE MY BANK INSTRUCTIONS TO DOUBLE DEBIT ME IF A PAYMENT IS MISSED, SO I ASKED FOR THIS CONTRACT WHERE IT STATES THAT, HE SAYS I MUST GO READ THE T & C MYSELF HE DOESNT KNOW WHERE EXACTLY THAT IS

I LET THE DEBIT ORDER FALL THROUGH BECAUSE I ASKED A QUESTION, WHY ARE MY DAY TO DAY FUNDS DEPLETED AFTER ONLY 1 CONSULTATION, AND TO DATE NO ONE HAS GIVEN ME AN ANSWER,

I THEN PAID THE ARREARS AMOUNT ON THE 25TH BECAUSE I HAVE A VERY YOUNG BABY AND CANNOT BE WITHOUT MEDICAL AID, I GET A TEXT NOW 30/08/2022 saysig keyhealth has not recieved my payment and will be double debiting, even after i got a letter of reciept from Key health acknowledging they received my payment. WHY AM i BEING BUL**** BY A MEDICAL INSTITUTE and then be told just reveres it , there are chargers when you reverse it ,

I have now been on a call with Johan for exactly 54:59 MINUTES becasue his manager Teresia is still not available,

0
Replies (9)
Key Health Medical Aid
Key Health Medical Aid's reply30 Aug 2022, 12:10
Official
 
Dear Nay R,

We regret to hear about your negative experience, and we appreciate you bringing this matter to our attention. We will refer it to leadership at membership department, who will come in contact with you soon.

Sincerely, 

The KeyHealth team 

 

Key Health Medical Aid
Key Health Medical Aid's reply30 Aug 2022, 12:59
Official
Dear Nay R,

I was informed by Teresa that she was in contact with you just now.  

Teresa will respond to you as she discussed with you, as soon as she finalized your concern. 

Sincerely, 

The KeyHealth team 
Key Health Medical Aid
Key Health Medical Aid's reply01 Sept 2022, 11:16
Official
Dear Nay R,

Thank you for allowing us to investigate your concerns.

A communication will be sent to you soon regarding the e-mail submitted to KeyHealth yesterday, on the membership application questions.

The Clinical department confirmed that our Non-disclosure department will provide you a response soon, regarding the authorization(s) in pending status.

  • For any further enquiries on the membership issue, you may forward your e-mail to *** attention Teresa
  • For any enquiries on the hospital authorization in pending status, you may forward your e-mail to *** attention non-disclosures.
  • For any other enquiries you may forward your e-mail to *** 
 
Sincerely, 

The KeyHealth team 
NR
Nay R's update02 Sept 2022, 12:03
Reviewer Update
thank you for replying, i am now being told that the claim is pending to pay @life flora hospital not becuase the first rejection of my claim was done whike the account was suspended( WHICH I EXPLAINED WHY I WITHHELD PAYMENT) MY DAY TO DAY WAS DEPLETED IN 1 GP VISIT and i asked why and was told its because i joined mid month , now im asking for the recoerding or transcript and you guys are sending me forms to fill out to get confirmation.

Your department has now got the status on pending approval based on checking if my 15 month old had previous medical history , why would LIFE FLORA HOSPITAL HAVE THIS INFO WHEN IT WAS MY 1ST TIME EVER GOING THERE, WHY HAS NO ONE CONTACTED ME FFS. I HAVE ALL HIS MEDICAL DOCUMENTS, I NEED MY BABIES RESULTS TO ENSURE THIS FEVER AND SEIZURE DID NOT harm him and to understand where it came from , but i cant get this until keyhealth pays the hospital. :-( .


Key Health Medical Aid
Key Health Medical Aid's reply02 Sept 2022, 12:08
Official
Dear Nay Rhylie

Your follow up comment received, refers.

The comment will be referred to the clinical department for a response.

Sincerely, 

The KeyHealth team 
NR
Nay R's update02 Sept 2022, 12:28
Reviewer Update
its clear after reviewing keyhealths profile that there is a massive issue within your company and current processes , i shouldve investigated keyhealth before signing up, reading all the reviews is now starting to makes sense that you guys are out to frustrate and definetly not assist . my 15 month old needs these results. i want someone to call me and stop sending me long emails and actually resolve the issue, WHY ARE YOU GUYS NOT TAKING THIS SERIOUSLY. YOUR BUSINESS IS HELPING PEOPLE WITH GOOD HEALTH CARE, BUT IT SEEMS LIKE ANOTHER ****.
Key Health Medical Aid
Key Health Medical Aid's reply02 Sept 2022, 12:36
Official
Dear Nay Rhylie

We take note of your 2nd comment submitted.

As mentioned in my previous response on your comment posted today. it has been referred to the Clinical department.

Sincerely, 

The KeyHealth team 
NR
Nay R's update02 Sept 2022, 13:29
Reviewer Update
Some additional info for keyhealth to review

Email sent to medical Ombudsman

My desperation to get Keyhealth to take my matter seriously has now come down to this.

I have attached a reply I received from them regarding The admission of my 15 month old.

1. Took my baby to a pediatrician for a rash and when I got my statement I find out my day to day funds have been depleted all in 1 doctors visit for the year. I called and asked what the reason for this is and no one called me back. So I withheld payment hoping to get their attention this didn't work. So while that happened my baby got sick and had a really high fever and he started having a seizure I took him to hospital not knowing keyhealth has just suspended all services. No phone call no notification.
So I call them and ask if this can be u suspended they said no. I needed to pay half of the installment or the amount in full. ( STILL NOT ACKNOWLEDGING WHY WR GOT TO THIS POINT) I PAID THE amount due and advised them of the pop. The hospital calls me and says I need to make payment in order for me to get my babies results. I then find out keyhealth rejected the claim due to the account being suspended at the time even though I already had an agreement with them I would pay the outstanding amount. A few days later I asked again what the status of the claim was. And if I can get the transcript or recording of the call where the consultant told me I would only have partial benifts because I joined mid year. So they send me some forms to fill out for their review. The info on that form is info they already have. I'm guessing they doing this to frustrate me. Next thing their medical department sends me a lengthy email ccing in the doctors at life Flora Hospital asking for babies medical reports and any previous information for them to make a decision on whether they will assist me or not. Now I'm asking why all of a sudden the rejection reason has changed and why did they not ask me for any of his previous medical history which will be none. His only been on this earth for a year and never been admitted into hospital other Then when I gave birth.

Keyhealth team then sent me a text saying they going to double debit me for the 2 months. I call them and reiterate that I already made payment for the previous month from the instruction of one of the consultants. They saying there's nothing they can do and it cannot be reversed. So I ask who gave you permission to tell my bank what to do. The consultant Johan says I agreed to it the day I signed up with keyhealth. I ask them to show me where in the contract it states that. They just resent the contract and said section D6.
No manager avaialbe the consultant leaves me on the call for 55:60 minutes while they keep talking and I'm holding on. I drop and call again and ask for the manager. Get through to Teresa who tells me the same thing the debit order cannot be reversed and the instruction to the bank is already in play.
She says she needs to know what I'm going to do about this month's contribution I tell her I already made a manual payment because I never gave keyhealth authorization to double debit or tell my bank on my behalf. ( It's the pricinpal)

I currently have anxiety and sleepless nights because I need to know if my baby has any allergies that caused the fever and to date I'm not sure if they will resolve this with urgency.

I mean must my child first die before they take this seriously. They did a brain scan because he had a seizure I think this needed to be done to rule out causes.

Please can I get some helo
Signed a very desperate mom
Key Health Medical Aid
Key Health Medical Aid's reply02 Sept 2022, 13:49
Official
 Dear Nay Rhylie

We take note of your 3rd comment submitted.

As you mentioned in your comment, you lodged a complaint to the Council for Medical Schemes. 

The process will now be, KeyHealth will wait for the official complaint from the Council for Medical Schemes and respond back to the Council for Medical Schemes.

Sincerely, 

The KeyHealth team