LE
Letitia E

1 reviews | Active since Aug 2018

20 Aug 2018, 10:57

Bad medihelp medical aid

Beware and becareful of Medihelp Medical Aid. I was on this medical aid for 6 months, hurt my shoulder doing gym and needed a procedure done, then Medihelp unjustifiably decided to remove us from the medical aid. The Council of Medical Schemes ruled for us to be reinstated 2 months ago and Medihelp has refused to do anything. I have been suffering for 3 months and cannot work while trying to sort this out.

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Replies (2)
Medihelp
Medihelp's reply20 Aug 2018, 11:48
Official

Dear ***

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

Medihelp
Medihelp's reply21 Aug 2018, 11:25
Official

Dear ***

In terms of the Council of Medical Schemes (CMS) ruling dated 29 June 2018 as referred to in the above complaint, it is stipulated that:

This decision is binding on both parties save when an aggrieved party appeals against the decision to the Council in terms of the provisions of Section 48 (1) of the Act. An appeal contemplated in terms of subsection (1) shall be in the form of an affidavit directed to the Council and shall be furnished to the Registrar not later than three months, or such further period as the Council may, for good cause shown, allow, after the date on which the decision concerned was made. The notice and grounds for appeal should be sent to appeals@medicalschemes.com.

Kind regards

Medihelp Customer Care