SA
Sabeeha A
1 reviews | Active since Jul 2023
03 Jul 2023, 11:54
Worst medical aid ever!!!!!!
Worst medical aid ever! It is very unfortunate that I am stuck with KeyHealth due to a condition that I have and they refuse to cover me for it. First it was a case by case story and then my Dr presented my case and then no they just won't cover for the prosthesis at all but IF I have an accident then yes they will cover for it!! An accident and a condition are both unplanned events so I do not understand why KeySTUPIDhealth will not cover!!! I have to cough up almost R100K because my medical aid who is meant to have me covered, does not! I HATE KEYHEALTH for all the **** they are putting me through. I hope that no one ever falls for the lies they tell you when joining with them!!!
Helpful (0)
Replies (21)0
Replies (21)
Key Health Medical Aid's replyOfficial
03 Jul 2023, 12:21Dear Sabeeha,
We regret to hear about your negative experience, and we appreciate you bringing this matter to our attention. We will be in contact with you soon.
Sincerely,
The KeyHealth team
Key Health Medical Aid's reply03 Jul 2023, 12:21
Official
Dear Sabeeha,
We regret to hear about your negative experience, and we appreciate you bringing this matter to our attention. We will be in contact with you soon.
Sincerely,
The KeyHealth team
Key Health Medical Aid's replyOfficial
03 Jul 2023, 12:23Dear Sabeeha,
Kindly allow us time to investigate you comment.
The comment has now been referred to our clinical department for review as the comment is related to an authorization.
The comment has now been referred to our clinical department for review as the comment is related to an authorization.
Sincerely,
The KeyHealth team
Key Health Medical Aid's reply03 Jul 2023, 12:23
Official
Dear Sabeeha,
Kindly allow us time to investigate you comment.
The comment has now been referred to our clinical department for review as the comment is related to an authorization.
The comment has now been referred to our clinical department for review as the comment is related to an authorization.
Sincerely,
The KeyHealth team
Key Health Medical Aid's replyOfficial
03 Jul 2023, 15:20Dear Sabeeha,
Thank you for allowing us time to investigate the comment.
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.
It should be noted that your chosen option does not have a prosthesis/Internal implant benefit, therefore will the scheme not fund the cost thereof and it will be member's liability to cover the cost.
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.
It should be noted that your chosen option does not have a prosthesis/Internal implant benefit, therefore will the scheme not fund the cost thereof and it will be member's liability to cover the cost.
Member's benefits are awarded according to the chosen benefit option.
Should you have any further enquiries regarding the matter, kindly contact our clinical department on Telephone number on *** or forward an e-mail to ***.
KeyHealth will no longer be engaging on the issue on Hellopeter as all the relevant information has been provided to you.
Sincerely,
The KeyHealth team
Key Health Medical Aid's reply03 Jul 2023, 15:20
Official
Dear Sabeeha,
Thank you for allowing us time to investigate the comment.
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.
It should be noted that your chosen option does not have a prosthesis/Internal implant benefit, therefore will the scheme not fund the cost thereof and it will be member's liability to cover the cost.
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.
It should be noted that your chosen option does not have a prosthesis/Internal implant benefit, therefore will the scheme not fund the cost thereof and it will be member's liability to cover the cost.
Member's benefits are awarded according to the chosen benefit option.
Should you have any further enquiries regarding the matter, kindly contact our clinical department on Telephone number on *** or forward an e-mail to ***.
KeyHealth will no longer be engaging on the issue on Hellopeter as all the relevant information has been provided to you.
Sincerely,
The KeyHealth team
Key Health Medical Aid's replyOfficial
03 Jul 2023, 15:20In future for a quicker response time kindly send your compliments and complaints to https://www.keyhealthmedical.co.za/comments/
Key Health Medical Aid's reply03 Jul 2023, 15:20
Official
In future for a quicker response time kindly send your compliments and complaints to https://www.keyhealthmedical.co.za/comments/
SA
Sabeeha A's updateReviewer Update
13 Jul 2023, 11:17Like mentioned in my first message that KeyHealth is prepared to provide prosthesis if I have an accident regardless of the option I am on. In this case it is my jaw which needs to be replaced and when I asked a consultant if my jaw collapses will KeyHealth then cover and I was told yes!! Why the hell wait for more damage to happen and paying more then damn sorting the issue out now. KeyHealth does not make any sense so I still stand to say to others- PLEASE DO NOT GO WITH KEYHEALTH as you will only sit with heavy bills each and every time!!
SA
Sabeeha A's update13 Jul 2023, 11:17
Reviewer Update
Like mentioned in my first message that KeyHealth is prepared to provide prosthesis if I have an accident regardless of the option I am on. In this case it is my jaw which needs to be replaced and when I asked a consultant if my jaw collapses will KeyHealth then cover and I was told yes!! Why the hell wait for more damage to happen and paying more then damn sorting the issue out now. KeyHealth does not make any sense so I still stand to say to others- PLEASE DO NOT GO WITH KEYHEALTH as you will only sit with heavy bills each and every time!!
Key Health Medical Aid's replyOfficial
13 Jul 2023, 12:10In future for a quicker response time kindly send your compliments and complaints to https://www.keyhealthmedical.co.za/comments
Key Health Medical Aid's reply13 Jul 2023, 12:10
Official
In future for a quicker response time kindly send your compliments and complaints to https://www.keyhealthmedical.co.za/comments
SA
Sabeeha A's updateReviewer Update
13 Jul 2023, 12:13Omg and now that I got the funds for the prosthesis you guys are coming back and telling me now the surgery and hospital is not covered!!!!! I am so so sick and tired of KeyHealth. Initially the surgery was authorized and now it is not!! I want someone higher from Keyhealth to call me immediately. I cannot take this stress anymore with Keyhealth!!!!!!
SA
Sabeeha A's update13 Jul 2023, 12:13
Reviewer Update
Omg and now that I got the funds for the prosthesis you guys are coming back and telling me now the surgery and hospital is not covered!!!!! I am so so sick and tired of KeyHealth. Initially the surgery was authorized and now it is not!! I want someone higher from Keyhealth to call me immediately. I cannot take this stress anymore with Keyhealth!!!!!!
Key Health Medical Aid's replyOfficial
13 Jul 2023, 12:33Dear Sabeeha,
Kindly note, leadership at our clinical department made several attempts to call you to discuss your comments.
Sincerely,
Kindly note, leadership at our clinical department made several attempts to call you to discuss your comments.
Sincerely,
The KeyHealth team
Key Health Medical Aid's reply13 Jul 2023, 12:33
Official
Dear Sabeeha,
Kindly note, leadership at our clinical department made several attempts to call you to discuss your comments.
Sincerely,
Kindly note, leadership at our clinical department made several attempts to call you to discuss your comments.
Sincerely,
The KeyHealth team
SA
Sabeeha A's updateReviewer Update
13 Jul 2023, 12:39***- please get them to call me!
SA
Sabeeha A's update13 Jul 2023, 12:39
Reviewer Update
***- please get them to call me!
Key Health Medical Aid's replyOfficial
13 Jul 2023, 12:54Thank you for the information, it has been relayed to the clinical department.
Key Health Medical Aid's reply13 Jul 2023, 12:54
Official
Thank you for the information, it has been relayed to the clinical department.
Key Health Medical Aid's replyOfficial
13 Jul 2023, 15:25Dear Sabeeha,
According to the feedback received from our clinical department, they were in contact with you.
The authorization has now been released.
KeyHealth will no longer be engaging on the issue on Hellopeter, as the matter has now been finalised.
Sincerely,
According to the feedback received from our clinical department, they were in contact with you.
The authorization has now been released.
KeyHealth will no longer be engaging on the issue on Hellopeter, as the matter has now been finalised.
Sincerely,
The KeyHealth team
Key Health Medical Aid's reply13 Jul 2023, 15:25
Official
Dear Sabeeha,
According to the feedback received from our clinical department, they were in contact with you.
The authorization has now been released.
KeyHealth will no longer be engaging on the issue on Hellopeter, as the matter has now been finalised.
Sincerely,
According to the feedback received from our clinical department, they were in contact with you.
The authorization has now been released.
KeyHealth will no longer be engaging on the issue on Hellopeter, as the matter has now been finalised.
Sincerely,
The KeyHealth team
SA
Sabeeha A's updateReviewer Update
15 Sept 2023, 10:46Good day,
I did not think that I would need to come back here but as usual I am getting no joy over the phone! Your last comment clearly states about authorization and per telephonic conversation on the 13/07/2023, KeyHealth would be covering my Dr as per the rates given so PLEASE explain why I keep receiving an email saying that KeyHealth IS NOT PAYING!!!!!!!!!!!! FRUSTRATED AND STRESSED THE HELL OUT YET AGAIN WHILE RECOVERING. WAY TO GO KEYHEALTH!!
SORT THIS OUT TODAY BECAUSE I HAVE ALREADY PAID EVERYTHING THAT I NEEDED TO ON MY SIDE!
I did not think that I would need to come back here but as usual I am getting no joy over the phone! Your last comment clearly states about authorization and per telephonic conversation on the 13/07/2023, KeyHealth would be covering my Dr as per the rates given so PLEASE explain why I keep receiving an email saying that KeyHealth IS NOT PAYING!!!!!!!!!!!! FRUSTRATED AND STRESSED THE HELL OUT YET AGAIN WHILE RECOVERING. WAY TO GO KEYHEALTH!!
SORT THIS OUT TODAY BECAUSE I HAVE ALREADY PAID EVERYTHING THAT I NEEDED TO ON MY SIDE!
SA
Sabeeha A's update15 Sept 2023, 10:46
Reviewer Update
Good day,
I did not think that I would need to come back here but as usual I am getting no joy over the phone! Your last comment clearly states about authorization and per telephonic conversation on the 13/07/2023, KeyHealth would be covering my Dr as per the rates given so PLEASE explain why I keep receiving an email saying that KeyHealth IS NOT PAYING!!!!!!!!!!!! FRUSTRATED AND STRESSED THE HELL OUT YET AGAIN WHILE RECOVERING. WAY TO GO KEYHEALTH!!
SORT THIS OUT TODAY BECAUSE I HAVE ALREADY PAID EVERYTHING THAT I NEEDED TO ON MY SIDE!
I did not think that I would need to come back here but as usual I am getting no joy over the phone! Your last comment clearly states about authorization and per telephonic conversation on the 13/07/2023, KeyHealth would be covering my Dr as per the rates given so PLEASE explain why I keep receiving an email saying that KeyHealth IS NOT PAYING!!!!!!!!!!!! FRUSTRATED AND STRESSED THE HELL OUT YET AGAIN WHILE RECOVERING. WAY TO GO KEYHEALTH!!
SORT THIS OUT TODAY BECAUSE I HAVE ALREADY PAID EVERYTHING THAT I NEEDED TO ON MY SIDE!
SA
Sabeeha A's updateReviewer Update
15 Sept 2023, 11:01It has been a month since my surgery so I want my Dr paid TODAY!!!!
SA
Sabeeha A's update15 Sept 2023, 11:01
Reviewer Update
It has been a month since my surgery so I want my Dr paid TODAY!!!!
Key Health Medical Aid's replyOfficial
15 Sept 2023, 11:17Dear member, for a quicker response time kindly send your compliments and complaints to https://www.keyhealthmedical.co.za/comments/
Key Health Medical Aid's reply15 Sept 2023, 11:17
Official
Dear member, for a quicker response time kindly send your compliments and complaints to https://www.keyhealthmedical.co.za/comments/
Key Health Medical Aid's replyOfficial
15 Sept 2023, 11:18Dear Sabeeha A
We will investigate the comment and respond to you.
We will investigate the comment and respond to you.
Sincerely,
The KeyHealth team
Key Health Medical Aid's reply15 Sept 2023, 11:18
Official
Dear Sabeeha A
We will investigate the comment and respond to you.
We will investigate the comment and respond to you.
Sincerely,
The KeyHealth team
Key Health Medical Aid's replyOfficial
15 Sept 2023, 15:29Dear Sabeeha A
The claims for Dr E Rabie have been referred to the claims department for review.
We will respond to you as soon as they responded back.
The claims for Dr E Rabie have been referred to the claims department for review.
We will respond to you as soon as they responded back.
Sincerely,
The KeyHealth te
Key Health Medical Aid's reply15 Sept 2023, 15:29
Official
Dear Sabeeha A
The claims for Dr E Rabie have been referred to the claims department for review.
We will respond to you as soon as they responded back.
The claims for Dr E Rabie have been referred to the claims department for review.
We will respond to you as soon as they responded back.
Sincerely,
The KeyHealth te
SA
Sabeeha A's updateReviewer Update
15 Sept 2023, 18:45Please explain why it's gone for review? There's no review required. This is what I was told over the phone and then I get an email saying Keyhealth is not paying. I don't want to hear about not paying as Keyhealth had to keep to their word that was given on the 13/07 that they will be paying their part. Like I said I paid Dr Rabie the difference of what Keyhealth was not covering. I paid for my prosthesis. So Keyhealth needs to pay Dr Rabie what they promised to pay. That's it. I will not be paying a single cent further to Dr Rabie as I've paid enough from my own pocket!! My Dr needs to be paid ASAP! it's been a month already and it's unacceptable that he needs to wait so long!! Keyhealth likes to be paid on time so please give others the same treatment!!!
SA
Sabeeha A's update15 Sept 2023, 18:45
Reviewer Update
Please explain why it's gone for review? There's no review required. This is what I was told over the phone and then I get an email saying Keyhealth is not paying. I don't want to hear about not paying as Keyhealth had to keep to their word that was given on the 13/07 that they will be paying their part. Like I said I paid Dr Rabie the difference of what Keyhealth was not covering. I paid for my prosthesis. So Keyhealth needs to pay Dr Rabie what they promised to pay. That's it. I will not be paying a single cent further to Dr Rabie as I've paid enough from my own pocket!! My Dr needs to be paid ASAP! it's been a month already and it's unacceptable that he needs to wait so long!! Keyhealth likes to be paid on time so please give others the same treatment!!!
Key Health Medical Aid's replyOfficial
16 Sept 2023, 11:23Dear Sabeeha A
KeyHealth will respond to you on Monday during office hours.
Sincerely,
The KeyHealth team
Key Health Medical Aid's reply16 Sept 2023, 11:23
Official
Dear Sabeeha A
KeyHealth will respond to you on Monday during office hours.
Sincerely,
The KeyHealth team
Key Health Medical Aid's replyOfficial
18 Sept 2023, 07:27 Dear Sabeeha A
Thank you for allowing us the time to investigate your concern.
Thank you for allowing us the time to investigate your concern.
KeyHealth can confirm that the account in question (Dr E Rabie), has been processed for payment on the payment run dated 17/09/2023 (yesterday).
The reason why the claim was initially not paid (as our consultant confirmed to you 29 August) is that the provider sent the claim incorrectly to DENIS (3rd Party).
The provider should refer to their next remittance for the payment information.
For any other enquiries, kindly refer your e-mails to *** or log into the chatlines on www.keyhealthmedical.co.za.
Sincerely,
The KeyHealth team
Key Health Medical Aid's reply18 Sept 2023, 07:27
Official
Dear Sabeeha A
Thank you for allowing us the time to investigate your concern.
Thank you for allowing us the time to investigate your concern.
KeyHealth can confirm that the account in question (Dr E Rabie), has been processed for payment on the payment run dated 17/09/2023 (yesterday).
The reason why the claim was initially not paid (as our consultant confirmed to you 29 August) is that the provider sent the claim incorrectly to DENIS (3rd Party).
The provider should refer to their next remittance for the payment information.
For any other enquiries, kindly refer your e-mails to *** or log into the chatlines on www.keyhealthmedical.co.za.
Sincerely,
The KeyHealth team
SA
Sabeeha A's updateReviewer Update
18 Sept 2023, 10:01Thank you. Yes, I know about the DENIS story and my DR was informed and resubmitted and was then rejected but anyway thanks.
SA
Sabeeha A's update18 Sept 2023, 10:01
Reviewer Update
Thank you. Yes, I know about the DENIS story and my DR was informed and resubmitted and was then rejected but anyway thanks.
Key Health Medical Aid's replyOfficial
18 Sept 2023, 18:57 Dear Sabeeha A
Thank you for your response.
Thank you for your response.
KeyHealth apologize for any inconvenience you experienced during the submission/process of this account.
We already confirmed to you that it was processed for payment.
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 e-mails to *** or log into the chatlines on www.keyhealthmedical.co.za.
We already confirmed to you that it was processed for payment.
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 e-mails to *** or log into the chatlines on www.keyhealthmedical.co.za.
Sincerely,
The KeyHealth team
Key Health Medical Aid's reply18 Sept 2023, 18:57
Official
Dear Sabeeha A
Thank you for your response.
Thank you for your response.
KeyHealth apologize for any inconvenience you experienced during the submission/process of this account.
We already confirmed to you that it was processed for payment.
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 e-mails to *** or log into the chatlines on www.keyhealthmedical.co.za.
We already confirmed to you that it was processed for payment.
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 e-mails to *** or log into the chatlines on www.keyhealthmedical.co.za.
Sincerely,
The KeyHealth team