1 reviews | Active since Feb 2014
CIRCUS OF A SCHEME/
I AM ON THE MEDHELP NECCESE OPTION. AND RECENTLY BEEN ASKED BY FRIENDS AND FAMILY AS IF MY OPTION COVERS LAPAROSCOPY PROCEDURES...AS THERE PLANS HAS STOPPED PAYING FOR IT.
I THEN RELOOKED MY BROCHURE AND FOUND NOTHING. I CALLED THE CAL CENTRE AS A MEMBER AND THEY TOLD ME I NEED A PROCEDURE QUOTE AS THERE IS NOTHING ON THE SYSTEM THAT IS CLEAR. I CALLED AGAIN AND THIS TIME USED OPTION 4 TO JOIN THE SCHME AND I ASKED ABOUT THE NECCESE OPTION BENEFITS DOES IT COVER LAPAROSCOPY THE CONSULTANT SAID THEY DO NOT SEE ANY INDICATION I SHOULD EMAIL HOSPITAL AUTHORIZATION. AND HAVE THE HOSPITAL DR AND PRACTICE NUMBER WITH PROCEDURE CODES SO I WAS WONDERING HOW DOES A NEW POTENTIAL MEMBER GET ADVISED WHEN ASKING ABOUT THE PLAN OFFERING DO THEY ALSO NEED TO GET AUTH FIRST.
THEN YOU CONSULTANT WILLIEM IN CALL CENTER THREATENED TO DROP THE CALL BECAUSE I DID NOT WANT TO HEAR HIM OUT WHEN ALL THAT HE WAS SAYING IS BULL**** AND NOT WHAT I WANTED TO HEAR.
CONSULTANTS SHOULD BE SENT FOR CLIENT RELATIONS I ADMIT I WAS FURIOUS BUT IT WAS THE CONSULTANTS DUTY TO CALM AND ADVISE THE CLIENT.
SO HOW THE **** IS LAPAROSCOPY PROCEDURES COVERED FOR EG GALL BLADDER REMOVAL OR OVARIAN CYST?
NO HOSPITAL OR DOCTOR COULD CONFIRM THIS AS WELL SO STRANGE.
I AM NOT GOING FOR A PROCEDURE NOR PLAN TO I JUST NEED TO KNOW MORE ABOUT MY OPTION BENEFITS.
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
