HC
Hermann C

1 reviews | Active since Aug 2017

04 Jun 2025, 13:12

Refusal of health care orthorisation

In monday i Hermann Heinrich Friedrich Calvert deoendant code 01 went to Eugene marais hospital,at 11:39 was booked in at reception for intense leg pain,i was previously at my GP Dr Douw de Jong from medicross pretoria west.i was not referred,i had excruciating pain waited untill after16:00 when i was seen by a doctor,in a office room ,due to all rooms was full,i was told it's from my back,u was send to wait another hour before i was seen properly,by another fisision,i had been given a drip and was told im going to be admitted,the hospital said that they are going to admit me ,but could not fet authorisation due to its after 16:00 and the keyhealth is not abswering phonecalls at all after 16:00,how de hel ?uf i get in an accedent at night or day cant go to any hospital due to i have to phone and get othorisation during business hours,before ican get any treatment,why did keyhealth not Inform us about this,if this is the case ,i must plan im going to get sick and do a request to see a dr or wait a few days before going to emergency care,this is so not fair ,we are paying so much and we are no assisted,ok so my case manager came to tell me ,that this procedure us excluded from Key health,all references,evidence necessary documents was sent through from Eugene marais hospital,to hosmed,my wife also sended xrays etc,now im sitting outside the hospital,due to i was informed that keyhealth us refusing to authorise my admittance on Monday the 2 nd of June 2025 untill today the 4 th of june 2025,this is unacceptable,im stuck with this huge bill ,its so embarrassing being told you're medical aid refuses to othorise or pay for my treatment.and has to leave the hospital.

0
Replies (2)
Key Health Medical Aid
Key Health Medical Aid's reply04 Jun 2025, 15:39
Official
Dear Hermann C
 
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
HC
Hermann C's update06 Jun 2025, 12:04
Reviewer Update
If you decide to get Keyhealth medical aid,be careful due to they do not cover or assist in any injuries to youre neck,back or spine,they do not pay for anything,this i experienced last week,i went to the er for excruciating pain in my leg,i did not know it was related to my back,due to the dack that keyhealth administration stop working after 16:00 in the afternoon and authorisation can be received ,eugene marais hospital booked me in to the hospital by their decision,to retry getting authorisation the next morning ,which never happened ,no xrays ,scans was sended to the mefical aid,from Eugene marais hospitaal,so im stuck with the bill,Eugene marais hospitaal procedure if pain admittance failed me ,due to staff not trained well.at that moment i could not get any medication to help me with this pain,and accordingly to key health if you can treat any condution with normal pain medication you are not allowed to be admitted or go to a emergency care for help .im at home limping still my pain is worse,and i actually did not help going through this hell experience ,for nothing just to get a huge bill because of this medical aid,my wife pays more than R9000 a month for bull**** treatment.keyhealth services are limited.please ask you're medical aud what they assist with when something happens.