1 reviews | Active since Jun 2021
Bad Experience
I am really ashamed to be associated with Medihelp at the moment. My member number:***. I have been a member since 2017 and this is the time that i really need my medical aid to step in for me for maternity, however, it has not been a smooth ride so far. I am on Prime 2 Network. I had to start my consultations with my Gynae and realized that I had to pick a doctor and a hospital from the network group. I did that, even though I was not happy that all the hospitals provided are more than 15km away from me. I called in on the 21st on May to confirm which specialist or hospital i can go to. An agent by the name Amanda Bloom sent me a list and i chose a doctor from Garden City Hospital. I went for my first consultation on the 27th May 2021. Only to find out that when I am 32weeks, I need to pay R3000 because that Dr. charges 300% meanwhile Medihelp pays 100%. I then phoned Medihelp again to try understand. The lady I spoke to said she will phone the doctor's practice and give me feedback. She phoned back and said there was no answer, however, she noticed that the doctor I picked was removed from the Network list on the 31st May 2021. When we spoke, first week of June the doctor's name was still on the website as I checked with another agent. So I phoned back again, I got hold of a different agent named Emil whom i asked what was a way forward as I have already started consulting with that doctor, i have registered giving birth at that hospital with an authorisation number *** from you guys. My second consultation is tomorrow 22 June 2021. I asked him why do you guys put a name of a Doctor that charges 300% on your list meanwhile you know that you pay 100%. He said he will do further investigation with the network team and get back to me. I asked does this mean I need to change doctors and the hospital I chose, he said I can change the option plan so I can go to any hospital. I said I would rather go to a different medical aid than to do that at the moment. Right now I am sitting here not knowing what to do, concerned that there might be even more payments that I have to make from my pocket meanwhile I have been paying for medical aid for all this while. I did not choose to go to that far hospital nor that doctor. Your Network list provided his details to me, now I have to pay extra because no one decided to advise that he had been removed from the list. Is this what I need to go through during my maternity period with Medihelp, this is not the time where getting help and understanding from you guys should be difficult. I regret cancelling KeyHealth and moving to Medihelp and I certainly will cancel it. Till today I have had no feedback from that agent Emil. He even tried to check with me another doctor closer to me, Dr. Matambo in Morningside Sandton, I told him that the number of the practice is not going through. He said it's because the doctor's practice originates in New Castle not Morningside as stated on your network list. You even keep incorrect details of doctor's there. What must I do now? Your agents are even impatient sies...
Thank you for taking the 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
Thank you for taking the 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
