JH
Judy H

1 reviews | Active since Jan 2021

11 Jun 2024, 10:41

Keyhealth medical aid Penny pinching

My husband and I have belonged to this medical aid in all its guises for 52 years. In recent years they have become increasingly difficult, getting anything from them is a mind blowing experience. My husband needs a partial knee replacement and is in a lot of pain. When we asked for authorisation the refused,needed additional information which is fair enough. But then a consultant informed me that the procedure is not essential!!! Subsequently we have contacted them on numerous occasions trying to get them to pay, sadly, despite paying them the equivalent of my husband's salary every month they will only pay a tiny portion, they just don't care much for their clients. We have been forced to postpone the procedure until next year when we will be able to afford it. At the same time they have paid all my oncology costs for which I am grateful.

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Replies (3)
Key Health Medical Aid
Key Health Medical Aid's reply11 Jun 2024, 15:06
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 reply11 Jun 2024, 15:10
Official
Dear Judy H

 We regret to hear about your negative experience.
 
The comment will be investigated, and we will respond back to you. 
  
Reference: | ***
 
Sincerely, 
The KeyHealth team 
Key Health Medical Aid
Key Health Medical Aid's reply11 Jun 2024, 16:46
Official
Dear Judy H

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.

Factors such as legislation / Scheme protocols/benefits and rules will always be app**** on all authorizations requested. 

Kindly refer to the e-mail which were sent to you this afternoon, regarding your comment as well as the outstanding requirements which KeyHealth was waiting for; to enable the clinical department to finalize the authorization requested. 

According to the information received from our Clinical department they received a request to cancel the authorization requested.

KeyHealth will no longer be engaging on Hellopeter regarding this matter, as we communicated to you with all the relevant information. via e-mail.

Reference: | ***
 
Sincerely, 
The KeyHealth team