MT
Matthys T
1 reviews | Active since May 2016
09 May 2016, 06:16
Authorization
<p>We have been on medical aid since 2005, Discovery, Bestmed and then recently moved to Medihelp for a more affordable option, with the idea of having the same hospital benefits. 100% cover with no additional costs involved. We have been on uniterupted medical aid for over 10 years, but now that my husband urgently need an operation we are told we are new members and an investigation is required before they can give us authorization. We didn't have any issues with Discover or Bestmed before, why is Medihelp any different. We are not new on medical aid, we did not take out medical aid because of him having an operation, we had medical aid before so it shouldn't be an issue. We only moved to Medihelp because we wanted a more affordable option. My husband is in so much pain he can barely walk and now to put more stress on him, because we have to wait for authorization and a possible by payment that we don't have is so unneccessary. He might even have to go in earlier because of his severe pain, but cannot before we get authorization for you. </p>
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Replies (2)
Medihelp's replyOfficial
09 May 2016, 07:25Dear mccdt
Thank you for taking the time to bring your complaint to our attention.
You are within the first year of membership and it is Medihelp’s policy to investigate all benefit requests during the first year of membership, to ensure that all information was declared on the application form. Authorization is subject to investigation for possible pre-existing conditions
Your husband's pre-authorisation request for his proposed hospital admission of 16 May 2016, has been referred to our risk management division and one of our consultants will contact him in this regard.
Kind regards
Medihelp Customer Care
Best regards,
Medihelp's reply09 May 2016, 07:25
Official
Dear mccdt
Thank you for taking the time to bring your complaint to our attention.
You are within the first year of membership and it is Medihelp’s policy to investigate all benefit requests during the first year of membership, to ensure that all information was declared on the application form. Authorization is subject to investigation for possible pre-existing conditions
Your husband's pre-authorisation request for his proposed hospital admission of 16 May 2016, has been referred to our risk management division and one of our consultants will contact him in this regard.
Kind regards
Medihelp Customer Care
Best regards,
Medihelp's replyOfficial
09 May 2016, 07:36Dear mccdt
Following my earlier response, I wish to confirm that the investigation as previously explained, was completed this morning and an email, confirming the authorized hospital admission, was sent to yourself, the treating doctor and the hospital.
We wish Mr du Toit a speedy recovery and want to assure you of Medihelp’s continuous support in the future.
Kind regards
Medihelp Customer Care
Best regards,
Medihelp's reply09 May 2016, 07:36
Official
Dear mccdt
Following my earlier response, I wish to confirm that the investigation as previously explained, was completed this morning and an email, confirming the authorized hospital admission, was sent to yourself, the treating doctor and the hospital.
We wish Mr du Toit a speedy recovery and want to assure you of Medihelp’s continuous support in the future.
Kind regards
Medihelp Customer Care
Best regards,