BG
Brandon G

1 reviews | Active since May 2021

22 Jul 2025, 14:18

KEYHEALTH let me down

It started last year December2024 when I was experiencing back pain alot I then went in February 2025 to go see the GP he proceed to examine me as laid on the bed he told me I have sciatica and carpet tunnel syndrome and that he would give me medication and injection to help with it he also explained if the medication isn't helping I must come back so I took the medication and it wasn't helping me I then went back to the Dr and he then said I will need to go for a x ray and he referred me for an x-ray i did the x-ray on the 16th February 2025 which the report showed a narrowing of my l5 and s1 vertebrae i then went back to the Dr and then referred Me to a neurosurgeon for further assistance i then went to Dr he then said he needs to admit me the adminsson was then declined saying it was scheme exclusion. i then called keyhealth call center to assist me with getting a neurosurgeon from there database i was then advised to call a when I called the Dr he told me he retired and no longer practices i then called the room and was told a new Dr is now there i then made a appointment and was told it was cash only i then went to see the Dr and was told that he wants to try first Therapy and pain medication for 6 weeks to see if its going to work he referred me to physiothe****** I called Keyhealth to advise on a Physiothe****** in the network and was told they dont have one I can go to anyone I then made an appointment with a physiothe****** at medicross on the 17th March 2025 and went for my first appointment when I asked about the rates I was told it was gonna be 800 per session and when I looked at my medical saving left I was that I would run out of medical funds for the physiothe****** i paid for 2 sessions using my medical aid funds which is now finished yI then called the neurosurgeon to tell him I dont have so much funds in my medical aid to pay for all the sessions he then advised me to ask my medical aid if they have DBC progamme I then called Keyhealth to enquire about it and told yes they do have and that they would need a motivational letter and and my x Ray and in order to process it i then sent it to the preauth email address after a week no feedback was received i then called keyhealth again and was told now I have to go to A DBC centre to get an assessment then from that report they would be able to approve the DBC programme i called a DBC center and told i have to pay for the first session and that Keyhealth told me they would pay for the first session. I proceed to pay for the session myself when I went i did the assessment the Dr at the DBC center said that my condition is bad and I would need about 12.sesisons and she would send the report to Keyhealth after a few days I received an email regarding the authorization when I saw it I was declined saying member does not meet criteria When I called keyhealth I was told the medical advisor declined it saying my condition is not severe I then called the Neurosurgeon to get advise on it and he said that he ddnt understand why they declined it and that he would get back to me.since January I have been unable to do certain things due to my back issue I have constant pain and leg numbness I rely on pain medication which doesnt help much. my condition has just gotten worse. since I dont have funds in medical aid and afraid to go to the ER as it also might be declined i dont know where to go from here i made my own appointment with another neurosurgeon at Flora hospital for the 4th August as I am concerned for my health.

I feel Keyhealth has let me down with the DBC progamme which could of helped me significantly and my condition wouldn't of gotten worse.

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Replies (4)
Key Health Medical Aid
Key Health Medical Aid's reply22 Jul 2025, 15:47
Official
 
Dear member, you are welcome to post your comment on https://www.keyhealthmedical.co.za/comments/ 
Key Health Medical Aid
Key Health Medical Aid's reply22 Jul 2025, 15:49
Official
Key Health Medical Aid
Key Health Medical Aid's reply22 Jul 2025, 15:50
Official
 
Dear Brandon G
 
We regret to hear about your negative experience, and we appreciate you bringing the matter to our attention. 
 
We will be in-contact soon. 
 
Your reference:  wf_***
 
Sincerely, 
The KeyHealth Team 
 
Key Health Medical Aid
Key Health Medical Aid's reply25 Jul 2025, 07:25
Official
 
Dear Brandon G 
 
Kindly refer to the feedback e-mailed to you today.
 
KeyHealth will no longer be engaging on the issue on Hellopeter as all the relevant information has been provided to you. 
 
For any other enquiries, kindly refer your comments to *** or log into our live chats on www.keyhealthmedical.co.za, or you may call our Client Services on ***.
 
Your reference:  wf_***
 
Sincerely, 
The KeyHealth Team