JP
Jomar P

1 reviews | Active since Apr 2021

26 Nov 2021, 09:39

Medihelp is Pathetic

After being a member for 8 years they never fail to dissappoint. This is the most pathetic medical aid i have came across and its time for me to move my service.

Covid was declared as national health disaster world wide. Newsletters were sent out to inform patients that covid will be covered. After almost loosing my life to covid they now refuse to pay for the medication that was administered to me i hospital. I am now held responsible for the amount not paid because according to them they notified the hospitals prior that certain medications are not covered and the hospital gave me the medication knowing my medical aid will not cover it and without advising me that i need to take accountability for this. I have been asking for proof of communication by the scheme to the hospitals so that i can have the proof to take the matter up with the hospital but they can not provide this to me they just come out with excuses. If Medihelp think that i am 1 of the members that will take this laying down you are in for a huge surprise. I can not be held responsible for medication being administered because i am no health practitioner as well as not part of the hospital procurement that needed to make sure this medication is not used or communicated to the patient.

Please people never sign up with Medihelp their scheme rules are pathetic. Yes they have some awesome employees always going put of their way to help but most of the time patheticness is their goal. If here is any one on this platform that is qaulified with the Medical Boards structures and rules can you please give people who is struggling with the same issues assistance. We pay alot of money for medical aids to be disgarded everytime.

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Replies (2)
Medihelp
Medihelp's reply26 Nov 2021, 10:08
Official
Dear Jomar
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 
JP
Jomar P's update26 Nov 2021, 10:16
Reviewer Update
Good day,
I have asked Medihelp & Melomed to provide me with the proof of communication that was sent to the Hospitals prior to this event that Medihelp said the Medical Scheme board has issues to advise of medication that was not covered. Also in your mail you said the hospital and myself was informed on the 24th which is a lie. You might of informed the hospital 4 days after authorisation was requested for this medication but no one informed me. I have no written proof nor call advisory of anyone commicating this to me. I will not stand back and allow Medihelp to inconvenience me anymore you have done enough damage in the 8 years of me being a member. I am reporting this to the Medical Board, Medical Scheme board as well as finding myself an attorney that can take this matter to court. Because no patient can be held responsible for a National Health crisis especially one fighting for their lives who is also not a qualified health practioner. So by the information i received both the medical aid and hospital did not act in accordance with the CMS Scheme or the HPCSA act.
Regards