RR
Reshika R

1 reviews | Active since Jan 2019

13 Sept 2022, 10:39

A Medical aid that simply doesn't care!

My husband has been on Discovery medical aid for many years. He changed to Medi help in Jan 2022 in an effort to cut costs. My broker did advise that any admission in the first year will be investigated. My husband fell ill with extreme pain in the left leg which was excruciating and had to be taken to hospital via ambulance. This was on 6 August. Till this date the medical aid has not released authorisation saying that they are still "investigating" They insist that out GP did not fill in a form that was mailed to him, but as per the rooms, they only received the form last week. The medical aid refuses to provide proof of the initial email to the GP. My husband is still very ill and saw a neurologist yesterday who wanted to immediately admit him. The bed was booked in the hospital and the reception called the medical for auth but once again it was declined pending "investigation" We had to bring him home in pain and we are still waiting for an auth. My husband has never been admitted to hospital in his life and never had this pain before hence it’s the first time he is being treated for it...but this medical aid expects him to suffer whilst they investigate! Being in the medical field, I will never recommend this medical aid to anyone within or outside my organisation. There was only one sympathetic lady...Mrs Gouws that is trying her best to assist my husband. These people treat you like you are guilty until proven innocent

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Replies (1)
Medihelp
Medihelp's reply13 Sept 2022, 11:26
Official
Dear Reshika R

Thank you for taking time to bring your complaint to our attention. The contents have been noted and we are currently investigating the matter.
 
The complaint will be responded to by one of our consultants.
 
Kind regards
 
Medihelp Customer Care