GM
Gaynor M

1 reviews | Active since Dec 2024

12 Dec 2024, 08:02

Useless!!! Full of lame stories and excuses!!

Motohealth is ****!!!

Guys please don't join this *******!!!

When it's time for autherisation for procedure, they have 1000 excuses or stories why they can't authorize, so I injured my knee sometime June, which I honestly did not think it was serious, but after few days it started really hitting me, and I realized I have very little mobility in moving my leg, that's when I followed protocols, as you first have to go see a GP than the GP should, give you a letter to go see the specialist, all good they gave us authorisation to go see him, now the doc goes through everything tells me I need an operation, now the sh*t starts, oh the doc that has been in his field for 30+years gave the WRONG ICD CODES... okay lol clearly he doesn't know what his doing, but motohealth do... They are the experts I guess... fast-forward we had to relocate to a different Province.. We called them to find out cN we start the whole process over seeing we in a new province,they assured us yes we can that's what we did.. had to go see a gp again that specialist, etc... What was the outcome I need an operation, so guess what another lame storie, lol they need to speak tobthe the first doc the GP I went to go see to get ICD codes from him??? Uhm okay so he specializes now in orthopedic procedures, and because it's been 6months they can't help me?? so tuff luck I'm stuck like this?.. We pay 1000's of Rands to this useless aid... For what??? But b assured this is just my 1st step I will dispute this and will also take it further.

Just to list their contradicting excuses 1st we were told because we have not been long on the medical aid they can't authorize 2ND-ICD Codes are not correct 3rd-your plan does not cover wait for Dec to change And now the last we exceeded the time frame of 6montjs to get autherisation for the op??? Please help me make sense of it all??

0
Replies (5)
Moto Health Care
Moto Health Care's reply12 Dec 2024, 08:47
Official
Dear ***nor Mara

Thank you for bringing this matter to our attention. We will contact you to discuss. 

Kind regards
Priscilla
GM
Gaynor M's update12 Dec 2024, 09:08
Reviewer Update
I hope we still get contacted today...
Moto Health Care
Moto Health Care's reply12 Dec 2024, 13:46
Official
Hi ***nor Mara

Kindly note that feedback was provided to Mr Mara this morning.

Regards
Priscilla
GM
Gaynor M's update12 Dec 2024, 15:59
Reviewer Update
I have been told, and he informed me he submitted the codes you asked for, and has not yet had any response from you yet.
GM
Gaynor M's update17 Dec 2024, 09:53
Reviewer Update
And here we are still waiting for cameshleigh pillay to respond to our emails, we have forwarded the codes you have requested from us, as you assured my husband that once we send the codes, autherisation will be granted, but now there is no communication from anyone we have called the call center when they put is through to pricssila or cameshleigh, we don't get through. So can someone please contact us regarding our situation.

Thank you.