jJ
jessicavdw J

1 reviews | Active since Aug 2017

06 Apr 2023, 09:30

Useless even when your a good paying customer!

I am a member of Keyhealth and up until this week we haven't had an issue. But now that my partner has a life threatening problem and needs to be admitted urgently they dont want to give authorisation , we apparently didnt disclose this problem when we joined ,but it was not a pre excisting condition. Now they want to investigate first? Please explain to me why we pay over R4000 each month to you to just not be covered even when a Dr writes PMB motivations? How does this make sense? So if something happens to my partner because this is life threatening then you discover no it wasnt something that needed to be disclosed then how would i get her back? Explain this logic to me... dis is ridiculious!!!

0
Replies (18)
Key Health Medical Aid
Key Health Medical Aid's reply06 Apr 2023, 09:38
Official
 
Dear Jessica van der Westhuizen, 

We regret to hear about your negative experience, and we appreciate you bringing this matter to our attention. 

We will investigate your comment and respond back to you soon. 

Sincerely, 

The KeyHealth team 

Key Health Medical Aid
Key Health Medical Aid's reply06 Apr 2023, 09:43
Official
 
Dear Jessica van der Westhuizen, 

Your comment has been referred to the Clinical department (non-disclosures).  The non-disclosure department will respond back to you, as soon as they investigated and finalized your comment.

Sincerely, 

The KeyHealth team 
jJ
jessicavdw J's update06 Apr 2023, 09:50
Reviewer Update
The investigations takes forever ,what do you people not understand of the term life threatening.. the dr even send through a motivation and PMB codes this is ridiculious and if something happens to her I promise you this will be taken further!
Key Health Medical Aid
Key Health Medical Aid's reply06 Apr 2023, 09:56
Official
Dear Jessica van der Westhuizen, 

It should be noted the matter was referred to the leadership at the non-disclosure department, from the start.

Sincerely, 

The KeyHealth team 
Key Health Medical Aid
Key Health Medical Aid's reply06 Apr 2023, 12:43
Official
Dear Jessica van der Westhuizen, 

Thank you for allowing us the time to investigate your concern. 

According to our Clinical department they already responded to you via e-mail today, 06/04/2023 @ 12h04.

For any further enquiries regarding this matter, kindly refer your correspondence to ***.  

For any other enquiries, not related to this matter, kindly contact our client services on Tel *** or log into the chatlines www.keyhealthmedical.co.za or send an e-mail to ***.

Sincerely, 

The KeyHealth team 
jJ
jessicavdw J's update06 Apr 2023, 13:13
Reviewer Update
Thank you
Key Health Medical Aid
Key Health Medical Aid's reply06 Apr 2023, 13:16
Official
Dear Jessica 

You are welcome.

Sincerely, 

The KeyHealth team 


jJ
jessicavdw J's update12 Apr 2023, 16:11
Reviewer Update
Good day

Please could i get a manager or supervisors contact details or email adress as this matter has still not been resolved since last week the 6/04/2023 even after us co-operating with all the requested paperwork. This person is extremely sick and its like no one cares?

Please we do understand you have procedures but we have been more than co-operating and we would appreciate a managers contact number or email adress for further esculation as this treatment we are receiving is not fair.

Thank you.
Key Health Medical Aid
Key Health Medical Aid's reply12 Apr 2023, 16:22
Official
Dear Jessica 

Kindly note, the office hours are until 16h00.  

Only our Client services and Pre-authorization department's skeleton staff are on duty now until 18h00.

Your comment will be forwarded to Leadership at the Clinical department to come in contact with you tomorrow.

Sincerely, 

The KeyHealth team 
jJ
jessicavdw J's update12 Apr 2023, 16:24
Reviewer Update
Thank you, becaude i have made many calls during working hours .

Will be waiting for the call.

Thank you
Key Health Medical Aid
Key Health Medical Aid's reply12 Apr 2023, 16:35
Official
Thank you for your patience!

jJ
jessicavdw J's update17 Apr 2023, 08:28
Reviewer Update
You guys are just giving empty promises ,ill never recommend you still waiting for the leader of the clinical departments call?
How is this service? Waiting from the 6/4/2023 for an answer? This is not fair we haven't skipped one payment we are loyal to you but clearly your not loyal to your customers... cannot beleive this!
Key Health Medical Aid
Key Health Medical Aid's reply17 Apr 2023, 15:38
Official
Dear Jessica

Kindly note, Kathleen from our Clinical leadership department already spoke to Mr. de Koker (father of the patient) this morning, they discussed the NDC.

Currently the matter is with the Scheme for a final recommendation, unfortunately we have to wait for their response.

Our NDC department will respond to you with the outcome. 

As we mentioned here above in the previous comments, should you wish to forward an e-mail correspondence it should be sent to ***

Sincerely, 

The KeyHealth team 
jJ
jessicavdw J's update17 Apr 2023, 15:39
Reviewer Update
Thank you i was notified by her father.
Key Health Medical Aid
Key Health Medical Aid's reply18 Apr 2023, 08:41
Official
 
Dear Jessica 

Thank you for the response.

Sincerely, 

The KeyHealth team 
jJ
jessicavdw J's update18 Apr 2023, 17:44
Reviewer Update
Good day
As per our previous correspondance the Clinical leader Kathleen promised to give Mr MJ de Koker ( The patient's father) Feedback today. As Mr de Koker made numerous phone calls today and still no feedback. The people spoken to today was more concern about authorisation of a gastroscopy that was done and paid for by the patient already. We are awaiting urgent feedback on hospital authorisation as this admission is for a new diagnosis ( Hernia's) which is life threatening and not something from the past as per your non- declarations. You keep focusing on the gastroscopy authorisation which is not what we are waiting for ,we are waiting for hospital authorisation.

Kindly please stop giving us false promises that someone will contact us regarding this matter and then no one ever does.

Your speedy feedback will be appreciated.

Thank you
Key Health Medical Aid
Key Health Medical Aid's reply19 Apr 2023, 11:41
Official
 
Dear Jessica 

I refer to your new comment received.

Your comment has been referred to the Clinical department (Kathleen's department). 

We were informed by the Scheme that they will provide us with feedback before the end of today.

Kindly refer to the e-mail which were sent to the principal member's e-mail address today, and you were cc in the e-mail. 

Sincerely, 

The KeyHealth team 

 
Key Health Medical Aid
Key Health Medical Aid's reply26 Apr 2023, 17:11
Official
Dear Jessica 

The non-disclosure process has been closed on your membership. 

Although the outcome was not a positive one, we want to thank you for the allowing us to finalize the matter.

For any enquiries kindly refer your e-mail to ***

Sincerely, 

The KeyHealth team