Terrible at handling claims

My husband was recently diagnosed with a chronic illness which is a PMB. I received an email listing the PMB basket of benefits. I paid cash for consultations with the specialist and submitted my claim through to Medihelp as i was advised telephonically. They then pay out ONLY R48 from day to day, and this was paid TO THE DOCTOR - even though i have paid the doctor myself and even though i have explicitly stated in my claim that it should be paid form the PMB basket of benefits.

I had to call in again! Only for the consultant then to say he has no idea why it was paid to the doctor, and that i should email the EFT i made and it will be resolved in 10days!

Because of this terrible claims process, it now wastes both my time and medihelp's time!

I previously sent through a claim, it was also just rejected even though i explained exactly where i was claiming from. i left it as it was a small amount and didn’t have the energy to go through all the effort.

I dread claiming from medihelp. Such an inefficient process. I have claimed form other medical aids such as Genesis & Discovery. And would be refunded shortly. It seems Medihelp pays no attention to the contents of emails, and that is the method they request you make a claim in.

Totally unhappy.