LB
Leilani B

1 reviews | Active since Oct 2012

11 Sept 2015, 14:36

The worst Service Ever

Our medical aid, Medihelp insists that I had a pre existing condition and did not disclose it. I disclosed all the pre existing conditions but failed/forgot to mention 1 incident that occurred, as it was not important to me thus I honestly forgot about. Medihelp cancelled the cover and did not even give us notice or a chance to explain. I truly and honestly forgot about that incident, and I also understand their concerns but I supp**** them with a letter from the Dr explaining that it was not a pre existing condition and there is no follow up procedures, nor will it affect me in future. I believe that as per Treating the client Fairly they could have given me notice and a chance to find another medical aid or at least put a waiting period for the same condition, I don't know but to call a client in the morning to say you have no cover as of now is rude and disrespectful. Where is the TCF in this company???

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Replies (1)
Medihelp
Medihelp's reply08 Oct 2015, 11:14
Official
Hello princessleila,

Medihelp's policy is to investigate all requests for benefits in respect of hospitalisation, medical procedures and chronic medicine received within the first 12 months of membership, to determine whether the member has possibly failed to disclose material information about the health status of any of the beneficiaries on the application form. The objective of such investigations is to safeguard the interests of the Scheme's members by preventing members from joining the Scheme solely to claim expensive benefits and then terminating their membership once the Scheme has funded the treatment.

Upon our investigation it was established that you failed to disclose certain information regarding your health status on your application for membership, which resulted in your membership being terminated by the Scheme. Medihelp liaised with you telephonically in this regard on 11 September 2015, during which the outcome of our investigation was explained to you as well as the reasoning behind Medihelp's decision to terminate your membership.

Kind regards

Medihelp Customer Care