1 reviews | Active since Dec 2016
Liers, Liers, Liers
<p>Medicall sels you this 'astounding, wonderfula and unique' product tha is a Medical Insurance. It is not a Medical Aid so I understand that part.</p> <p>To be admitted to a approved service provider of Netcare or Carecross hospitals one has to obtain an approval prior to admission.</p> <p>The Insurance is underwrittend by Africa Assist who gies the approval and guarrantees payment - this is the thery so far.</p> <p>I have been to 7 hosiptals in Pretoria who refuses to accept any guarrantee supp**** by AFRICA ASSIST EVEN IN WRITING. All the hospitals claim that a service is rendered to the patient but ins spite of the GUARRANTEE by AFRICA ASSIST the do not pay their creditors.</p> <p>Patients are turned away based on this pathetice *********** handling of creditors by AFRICA ASSIST.</p> <p> </p> <p>Medicall rolls over and plays dead and refers all queries to AFRICA ASSIST.</p> <p>In spite of numerous call on Friday 2016-12-09 from 13:00-15:00 there was no person with more that 2 brain cells on duty.</p> <p> </p> <p>The names I spoke to as well as confirmed by the accent makes me believe this is anothe Nigerian **** or ruthless selfish, moneymaking idots who think that the solution to the problem is telling you "PLEASE HOLD ON" after 30 seconds the call is dropped. On returning the call you could could never speak to the ***** who tried to assist you before rarther than repeating the story to a bigger *****.</p> <p> </p> <p>People this should make wornderful material to Cart Blanche.</p> <p>When you hear about MEDICALL or AFRICA ASSIST be assured you are ****med and not a word in their contract is worth the paper it is written on.</p>
Good day Theodore,
Thank you for your above review. Medicall Healthcare strives to touch the lives of every one of our members in a positive and sustainable way.
Please rest assured that we are inspecting every detail stated in your review and will be in touch with you soon.
Thank you for trusting us to resolve this matter for you.
Kind regards
Medicall Healthcare
www.medicallhealth.co.za
Good day Theodore,
Thank you for your above review. Medicall Healthcare strives to touch the lives of every one of our members in a positive and sustainable way.
Please rest assured that we are inspecting every detail stated in your review and will be in touch with you soon.
Thank you for trusting us to resolve this matter for you.
Kind regards
Medicall Healthcare
www.medicallhealth.co.za
Dear Mr Van Zyl
We acknowledge your query and have taken the time to investigate thoroughly.
You are indeed correct in respect of certain elements of our pre-authorisation process. Pre-authorisation is granted or declined by Africa Assist. Such a decision is dependent on detailed medical reports furnished by the relevant medical professionals.
In response to your claim that Africa Assist has a poor payment record with their creditors, would you be able to provide, in writing, a list of these 7 hospitals that you refer to so that we may address them individually.
To date we have not experienced payment disputes, provided that protocol was followed by the member. Further, Africa Assist has always honoured payment for the maximum amount allowed by the guarantee of payment issued.
In respect of your experience with us, we have examined all of our call recordings and the following was discovered:
You had called in to find out about the process for obtaining hospital authorisation. You had been advised to see your doctor and obtain a medical report and treatment plan and send to Africa Assist as soon as possible. Following the receipt of the relevant documentation case managers would assess whether you would have benefits for hospital admission and assist you further.
At the time of your second call to us you had obtained the documentation but had proceeded directly to Kloof hospital. Kloof hospital subsequently declined to admit you since you did not obtain pre-authorisation and a guarantee of payment. The break in protocol resulted in Kloof hospital not wanting to grant you admission in any event.
We suggested other private hospitals in your vicinity which you had refused, after much negotiation with you, you finally agreed to be admitted to Groenkloof hospital where we issued a GOP for treatment.
Mr Van Zyl, like every other member on Medicall Healthcare, being able to offer a service of optimum quality efficiently is always of paramount importance. However it is imperative that protocol is followed by our members in all instances. Going forward, please be in contact with our relevant support departments as and when required so that we may offer you assistance in every regard.
Kind regards
Medicall Healthcare
www.medicallhealth.co.za
Dear Mr Van Zyl
We acknowledge your query and have taken the time to investigate thoroughly.
You are indeed correct in respect of certain elements of our pre-authorisation process. Pre-authorisation is granted or declined by Africa Assist. Such a decision is dependent on detailed medical reports furnished by the relevant medical professionals.
In response to your claim that Africa Assist has a poor payment record with their creditors, would you be able to provide, in writing, a list of these 7 hospitals that you refer to so that we may address them individually.
To date we have not experienced payment disputes, provided that protocol was followed by the member. Further, Africa Assist has always honoured payment for the maximum amount allowed by the guarantee of payment issued.
In respect of your experience with us, we have examined all of our call recordings and the following was discovered:
You had called in to find out about the process for obtaining hospital authorisation. You had been advised to see your doctor and obtain a medical report and treatment plan and send to Africa Assist as soon as possible. Following the receipt of the relevant documentation case managers would assess whether you would have benefits for hospital admission and assist you further.
At the time of your second call to us you had obtained the documentation but had proceeded directly to Kloof hospital. Kloof hospital subsequently declined to admit you since you did not obtain pre-authorisation and a guarantee of payment. The break in protocol resulted in Kloof hospital not wanting to grant you admission in any event.
We suggested other private hospitals in your vicinity which you had refused, after much negotiation with you, you finally agreed to be admitted to Groenkloof hospital where we issued a GOP for treatment.
Mr Van Zyl, like every other member on Medicall Healthcare, being able to offer a service of optimum quality efficiently is always of paramount importance. However it is imperative that protocol is followed by our members in all instances. Going forward, please be in contact with our relevant support departments as and when required so that we may offer you assistance in every regard.
Kind regards
Medicall Healthcare
www.medicallhealth.co.za