1 reviews | Active since Aug 2018
**** and *****
medipos medical scheme is a **** and all they do is talking advantage of people.
i am a member of the scheme and my medical aid number is ********** 447 and ever since i have been a member on this medical aid i have receive nothing but bad and poor service as they nothing but all *****. they claim that they the best and they say the have 2.something hospital cover and a lot of benefit like chronic,dental and all this and that cover but that all lie. i am paying 6029 every month as my premium and all i get is disaster serviced from them and no one know anything and they will transfer you from one person to the other. *in 2017 i was admitted at famine to deliver my baby and they said they cover 100% and to my shocking surprise i had to pay 2700 outstanding that was not paid. *last year around December my son was admitted at muelmed and the medical aid did not ever pay cent and i had to arrange for debit order which even today i am still paying for that debt. and now this year i was admitted for psychiatrist issue as we had family issues and needed professional help, i was admitted and the DR is the one who how to treat me and who decide when to discharge me, to this date i am currently harassed by DR telling me that i have to pay as my medical aid did not paid and hen i speak to them they claim all my Drs are paid and i even went to Drs room to tell them that but the Drs even showed me that he was never paid and now i have to paid that. then my husband was admitted for Psychiatrist issue as well as this a issued affected all of my household and they allowed him to be admitted and decided to put his authorization number ********** 6 on pending status and decided to pay his Drs from my day to day and when i realize that my day to day fund are finishing without my knowledge i then decide to call the and they all send me from one consultant to the other and they below are people i have been talking to and even one single person could assist as they all 'DON'T KNOW' that was their answer. spoke to Bulelani,Veronica (claims manager)the worst one who could not even answer one of my question,Zanene,Busi and others forgot their names.
they claim that my fund are depleted but they allowed the admission of the patient and how is that. i then asked them why is the authorization pending and where is my day to day fund and they excuse was that Dr was paid on my day to day because i don't have hospital fund 'i guess we have depleted the 2.something million on what i really don't know as my other Drs were not paid on my hospital admission. and then they told me they need this and that forms and motivation from the hospital which was submitted but kept claiming the did not received and i decided to forward it myself and that when they said they received it and they then decide to approve admission for patient from the 27 July to August 2018 and that was only done on the 14.08.2018 a day before the patient is discharged and now the claiming that they will only pay for 7 days and who is going to pay for the rest of other days?
my question is that to a normal person how do you grand authorization for 7 days on the 20th day of his admission and only inform people on the day of his discharge?????
who is suppose to pay for your poor bad service? because clearly it will not be me. the patient was there for 21days and you only approved authorization a day before his discharge!!! how was the patient and Drs suppose to know about that as you did not communicate with any of us.
i want this matter resolved and i want my 3500 day to day revered period.
and all hospital bills for me and my husband settled.
