sT
sheeya T

1 reviews | Active since Jul 2017

16 Apr 2019, 14:33

MOTOHEALTH WORST MEDICAL AID

This medical aid is not even worthy of a 1 star! that's how pathetic they are. Since we have been on this medical aid we have been having endless problems with bills not being paid, no response from the claims dept. The worst medical aid we have ever been on. We get told to only go to certain contracted doctors and certain hospitals, which is all fine, but then we do just that, go to the hospital we get advised to go to by the medical aid, and then the claim does not get paid because the doctor that attended to my son at the hospital is not contracted to the medical aid, how is that! this was the hospital you were advised to go to but then the doctor is not approved by the medical aid!! ****************! How do you in an emergency situation go to the hospital they sent you to and say please get a doctor on site that is approved by the MOTOHEALTH! really what are we paying for???

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Replies (7)
Moto Health Care
Moto Health Care's reply29 Apr 2019, 11:57
Official

Kindly note that I tried contacting you, and reached your voicemail.

Please provide your medical aid number and a convenient time to contact you, in order for me to assist you with your Hello Peter complaint. 

kind regards
Priscilla Moodley


Moto Health Care
Moto Health Care's reply29 Apr 2019, 15:25
Official
Further to our discussion we will continue liaising telephonically until the get the feedback you require from CareCoss.


Kind regards
Priscilla Moodley


Moto Health Care
Moto Health Care's reply03 May 2019, 13:57
Official
I tried calling you on numerous occasions to explain the process related to your chosen option, however to no avail.

 

Kindly note your day to day claims must be submitted to Carecross. 

 

Following my previous email, I sent you the claim form that you were required to complete and attach the proof of payment thereafter submit this directly to: *** – please submit this accordingly.

 

Please note that the claims claiming period is 4 months, in lieu this we regret to inform you that your claim for the 23rd December 2018 falls out of the claiming period and will therefore be considered as stale. 

 

Also note that statements will only be sent to you when an amount is refunded to you. 

Kind regards
Priscilla Moodley

sT
sheeya T's update05 Jul 2019, 16:07
Reviewer Update
Priscilla Moodley you are such a *********! yes you did try to phone me, I sent you an email and told you that I was available you could call me and you NEVER did. Thereafter I sent you numerous emails explaining to that the hospital we went to was on the network list but we were still liable to pay the hospital and the doctor, you were supposed to check and come back to me, but then you have just ignored all my emails, yet making it seem on hellopeter as if you were resolving the query, which you did not!!
Moto Health Care
Moto Health Care's reply08 Jul 2019, 10:03
Official
I tried calling you, however to no avail.
sT
sheeya T's update08 Jul 2019, 11:37
Reviewer Update
When did you call me as I do not have any record of this on my phone??
I sent you numerous emails that you did not respond to either??

Just be an upright person, as your company is taking money and not provided the medical service

Moto Health Care
Moto Health Care's reply08 Jul 2019, 14:03
Official
Kindly call Care cross as discussed with you telephonically. You may also email me directly.