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Theresa G

1 reviews | Active since Oct 2020

28 Sept 2022, 14:12

Medihelp Medmove plan! Hopeless!

My Daughter is on the medmove! plan. We started phoning for authorisation for a hospital procedure about 3 weeks ago. I was told that the sytem does not pull through correctly. They would come back to me. In the meantime they sent my daughter a sms with an auth nr and a notice of a R 4000 co-payment because it is a no- network hospital. They emailed us a new auth yesterday. According to the authorisation there were no co-payment. When Medihelp phoned me back yesterday ( a day before the procedure) they said that even though the authorisation stated no co-payment, there is actually a co-payment of R 4000 plus R 10 000. Because we use a no-network hospital. I thought you only get Penalised once. But no!! When we arrived at hospital this morning the hospital told us that we had a co-payment of R 28 000. I said it is impossible and they need to phone the medical aid again. She phoned them and Medihelp said there is no co-payment because it is a day procedure and they waved the penalty. I was so relieved. 5 Minutes later Medihelp phoned the hospital again and wanted to speak to me. They told me that unfortunately there was a glitch on their system and i need to pay the R 28 000. I explained that i have been trying for almost 3 weeks to get an authorisation. I was given 3 different amounts. How is this possible??? On the day of the procedure i need to pay an addition R 14000 more than what I budgeted for!!

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Replies (1)
Medihelp
Medihelp's reply29 Sept 2022, 05:32
Official
Dear Theresa G

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