1 reviews | Active since Nov 2016

06 Jun 2018, 11:41

Disgusting service. Completely ********* company

I contacted Medihelp to query if I needed to get a GP referral to see the gynae (specialist) for my 12 week pregnancy scan. I was told that I do not need a referral for this. I went to see the gynae, and to my surprise received a bill for the specialist (which they said I need to pay the 20% co-payment as I did not get a gp referral, and also got the pathology bill which they did not cover at al, because I did not get the GP referral to the specialist.

Medihelp came back to admit they had made an error on their part, and paid for the 20% co-payment for the specialist, but now however say it is my responsibility to pay the pathology as I did not get a referral.

They stated the below: Please take note that pathology services requested by a specialist is subject to referral by a Necesse network general practitioner (GP) and pre-authorisation. No specialist referral was obtained prior to services rendering and therefore no payment will be made towards this account.

As mentioned before, if I got the initial GP necesse referral, the specialist as well as the pathology would have been covered without any problems.

They now will not take any responsibility.

I will be taking this further, as feel they are being completely *********. My husband and myself have been patients of Medihelp since 2009 (almost 10 years!), and all my accounts are in good standing. I cannot believe that a company of their stature can be this *********, and put me as a pregnant lady through this stress of having to pay unexpected costs which should in actual fact be covered by them.

0
Replies (2)
Medihelp
Medihelp's reply06 Jun 2018, 12:53
Official

Dear kristin-sutherland

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

's update17 Jun 2018, 19:56
Reviewer Update
Almost 2 weeks later, and still no proper contact made