nC
natalie C

1 reviews | Active since Oct 2024

07 Oct 2024, 12:54

BAD SERVICE DELIVERY

I have been with Medihelp from 2023, Last year I went in for a procedure and I had to fight and call up and down to get everything sorted but I had alot of pay ins. On the 30th of September 2024 I submitted a claim for a procedure that I have to go for on the 14th of November 2024. The medical aid advised that the plan I am on doesn't cover the procedure that I need to go for, they then advised that I need to change my plan, I immediately sent the request and asked them to assist me with changing my plan, not once Medihelp gave me different options that I was able to upgrade to (Medical aids knows which plans covers which options and they are able to advise which plans I can upgrade to) they only sent my broker a mail on the 3rd to assist with option plans, and which plans covers which procedures, I feel that I PAY MEDIHELP MOTNHLY FOR MY MEDICAL AID AND THEY KNOW WHICH PLANS COVERS WHICH PROCEDURES, so why should this first go to my broker and then back to you? This is a waist of time and this matter could have been sorted already. WE PAY MONTHLY FOR MEDICAL AIDS AND ALWAYS FACE SITUATIONS WHERE THEY CANT ASSIST.

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Replies (3)
Medihelp
Medihelp's reply07 Oct 2024, 13:28
Official
Dear Natalie C

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 
nC
natalie C's update08 Oct 2024, 11:00
Reviewer Update
Good day, this is the most pathetic service I have received in a long time, every time I have to submit a claim or do something on my medical aid there is always issues. I logged a request on the 30th of September and ever since I have to call each time to get a update aswell as hear how far my request is. I get told different stories each time and this is not acceptable. Each Month my premium gets paid without any issues but when I need assistance I do not receive any joy. I called in once again Today and a consultant with the name of Gerrie Potgieter assisted with the call, after I explained the life threatening situation that I am in he rep**** with '' I dont know what you want me to do about the situation" I find this unprofessional as Medihelp is my Medical aid and they should assist where needed. " he then rep**** to me that he hasnt got the time to talk to me and he put me through to his superior with the name "Addie Coetzee" she then told me that my enquiry was only attended to from Yesterday, what happened from the 30th until Today? she told me that ''I MUSTNT CALL EVERYDAY AS THEY HAVE ALOT OF QUERIES THEY WORK WITH AND I MUST JUST WAIT" THIS IS NOT CUSTOMER SERVICE AT ALL. FAST TO TAKE MONTHLY PAYMENTS BUT WHEN ASSISTANCE IS NEEDED ALWAYS STORIES!!!!!! PATHETIC IF YOU ASK ME!!!!!
Medihelp
Medihelp's reply08 Oct 2024, 11:59
Official
Dear Natalie C Your complaint is currently being investigated, and you will receive feedback upon completion. Kind regards Medihelp Customer Care