AP
Anuschka P

1 reviews | Active since May 2016

31 May 2016, 08:41

Liberty Medical Scheme the worst

<p>I have been a member of Liberty for 5 years nw. Its a lovely Medical aid if u never claim . But heavens as soon as u have a claim, well then the wheels come off. I had a procedure done on 20 April 2016 . Called liberty for authorisation. Also called to ask what my returns would be on each code as i needed to pay doctor upfront. I knew that the doctor i was using charges at a 300% rate and i was only covered by liberty 100%.</p> <p>I was comfortable in the difference of the scheme. However the back payment that i would receive when i claimed would soften the blow. This did not happen Liberty only payed out 40% of what was promised , they justified it with a 0005 code . This is a multiple procedure code in wich your payment miraculously become less. Nw to my understanding or how they explain . A member will be paid out what they deserve if they went into a operation once every day for a week to do one little thing. Instead of doing a procedure all at once. How ridiculous </p> <p>I have been battling for a month with this scheme. Its the worst. I will b opening a Facebook page for every one to submit thier horrid experience with this Scheme. Hope we get heard ........</p>

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Replies (1)
LMS Medical Fund
LMS Medical Fund's reply31 May 2016, 09:12
Official

Dear ****chka

I am sorry to hear that you are not happy with the service you have received and will be in contact with you soon.

Thank you for taking the time to post your dissatisfaction with our service. I would like to discuss the matter with personally so that we can resolve it quickly. I will look into your complaint and be in touch to provide you with feedback within the next 2 days at the latest but sooner if possible.

Again, I apologise for your unpleasant experience and guarantee that i will do my very best to resolve the issue so that Liberty Health can continue to provide you with better service in future.

Yours sincerely

Gillian Solomon

Liberty Medical Scheme

Escalations Officer