1 reviews | Active since Jul 2018
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My Wife is the principal member of Med way Heritage GAP cover. I went for a procedure in Feb this year which was authorized by my Medical Aid . There was a short payment made to the specialist, which I have processed a claim to Med way. They have not fulfilled their obligation to pay the short fall in full, they claimed that the medical aid should pay for the short fall as it fall under the PMB, the medical has settled their account within their tariff guidelines to the specialist and not the short-payment . Their service and feed back is much to be desired , I have spent numerous calls and emails very very sad of their response. They sent me a settlement letter of R10.00 WHICH I DECLINED TO ACCEPT AND FURTHER TO THIS WRONG a DIAGNOSE procedure HAS BEEN SENT WITH SETTLEMENT , WHICH I NEVER WENT FOR February 9 2018. how is it possible that an Insurance company becomes a medical expert on this matters .This a rip -off. The broker that sold us this policy is shying away .tells you a lot about Medway. What suprises me I have declared my health status upon registration.
Dear Mr Moodley
We acknowledge receipt of your complaint and wish to advise that the insurers apologise for the incorrect information on your settlement letter.
I have e-mailed you a copy of the letter of apology from the insurers.
I have also e-mailed you a breakdown of the claim and the reason for the short-payment of the claim.
We apologise of any inconvenience this has caused you and assure you of our best intentions always.
I trust you are happy with the feedback provided.
Kind regards,
Tracey
Medway Complaints Department
Dear Mr Moodley
We acknowledge receipt of your complaint and wish to advise that the insurers apologise for the incorrect information on your settlement letter.
I have e-mailed you a copy of the letter of apology from the insurers.
I have also e-mailed you a breakdown of the claim and the reason for the short-payment of the claim.
We apologise of any inconvenience this has caused you and assure you of our best intentions always.
I trust you are happy with the feedback provided.
Kind regards,
Tracey
Medway Complaints Department