NJ
Nirasha J

1 reviews | Active since Jan 2018

11 Apr 2018, 15:55

Hosmed - Medscheme double membership numbers

This has been an ongoing issue since we decided to re-join Hosmed in 2018. Our old medical aid number is still causing endless troubles for us and i cant understand why your authorization department demands that we must give them this number instad of the bew one. Despite hospital authorizations, we then sit with the problem of health care providers calling us because claims have been on teh old membership number. We the. Have to ask them to try the new one. I have been complaining to you for three monyhs hoping that you would sort this out. Once again health care providers are demanding in excess of R5000 for treatment that was authorized by you !! We cannot be expected to keep working with two bumbers. Only the new number is on our membership cards. Your decidedly dismissive reactions to my complaints have resulted in us receiving numerous calls from service providers. What if we are unable to explain this ridiculous situation in the case of an emergency? How will we receive emergency treatment? I contacted Zanele on her email address last week and indicated that if this issue wasnt sorted out by the end of the week, I would escalate the matter to the Council for Medical Schemes. I hve received no emails or phone calls in reply to this. I have therefore emailed a complaint to CMS. Please note that sevice providers are charging us interest on the accounts that you refuse to pay because of your mess up with membership numbers- we will mot be held liable for those charges die to your negligence.

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Replies (1)
Medscheme
Medscheme's reply20 Apr 2018, 12:49
Official

Good day Ms. De Jager

Thank you for submitting a comment to us through Hello Peter.

This is to confirm that we have received your comment and that we are currently investigating this matter.

Our representative will be in touch with you shortly to discuss this matter and ensure that it is speedily resolved.

Kind regards
Medscheme Team