SW
Shawn W

1 reviews | Active since Jun 2019

18 Jun 2019, 13:01

Medihelp Maternity Madness

We join Medihelp for the maternity benefits, I phoned Medihelp to authorize the normal birth at a local maternity clinic, which they approved and even payed two months before the estimated birth time, which according to them was not possible? The birth procedure turned out into a C-section cause baby was positioned wrong. The amount paid by Medihelp was not enough cause a normal birth was paid. I explained to them that this was now an in hospital procedure where my wife got rushed to a state Hospital. The amount to be claimed was now more due to hospital procedures. After more then 15 conversations with different consultants, they all had some reason of what was wrong with the doctors bill and most of them just sent the claim for re-processing, which did not help. One reason was that they logged the wrong date for my child's birth (note this date appears on the invoice) and I had to phone in and spend almost an hour on the phone to get to the right person so that she could change the date for me. Another reason was due to incorrect doctor codes, which was not the case because after all my conversations with Medihelp I resent the original invoice with the same doctor codes and now they paid out some of the procedure, whereas is the beginning they did not accept them. There are more reasons they gave, but I will not waste the readers time as Medihelp did mine. They now reversed payment (which I did not ask for) for normal birth procedure, and will be paying the doctor less for a C-section which costs more.

This is terrible, I am doing a study year without any income and I knew my medical aid is one expense I can not cut. I am starting to question my decisions.

0
Replies (2)
Medihelp
Medihelp's reply18 Jun 2019, 14:00
Official
Dear ShawnWill1

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

Best regards,

SW
Shawn W's update18 Jun 2019, 18:36
Reviewer Update
Medihelp contacted me the same day I wrote this review and they paid my claim. I am grateful Medihelp. I just don't know why it had to be such a hassle.