mB
muhammed B

1 reviews | Active since Apr 2011

28 Nov 2016, 16:49

Absolutely useless administration

<p>My wife gave birth on the 25 October 2016. My claims for the paediatrician has still not been resolved due to the useless call centre staff who do not want to help and always give you the run around. I have been phoning everyday and the problem has still not been resolved. My son also had a circumcision and I paid cash and claimed back they put it under my name and took from my savings which was supposed to be covered from risk as it was in hospital FOR THE BABY NOT ME! And after numerous phone calls they still haven't put my savings back. I am utterly shocked as I have never experienced such horrible service before. The call centre staff don't know what is going on and can never help you! Today I got the phone cut in my ear when I called!</p>

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Replies (6)
Netcare Medical Scheme
Netcare Medical Scheme's reply29 Nov 2016, 06:40
Official

Dear Muhammed

We acknowledge receipt of you complaint.

In order for your complaint to be investigated, kindly provide us with your Netcare Medical Scheme membership number and the practice numbers for the two service providers referred to in your complaint.

We will be able to investigate and give you feedback as soon as you submit the requested information.

Kind regards

PrimeMed Administrators (on behalf of Netcare Medical Scheme)

mB
muhammed B's update29 Nov 2016, 08:37
Reviewer Update

My membership number is ********** and the practice number for Dr slowatek the paediatrician is ********** . And the paediatric surgeon Prof Peter Beale practice number is ********** . They approved Prof Peter Beale but took a portion of it from my savings as they got the me as the dependant instead of the baby and that still has not been sorted out after numerous phone calls!

Netcare Medical Scheme
Netcare Medical Scheme's reply29 Nov 2016, 15:42
Official

Dear Osama

Thank you for responding.

Your membership number and the practice numbers are however concealed - I suppose for confidentiality reasons.

I will refer you complaint to the relevant department to investigate and give feedback. You can expect a call from them on the number reflecting on this complaint in order to obtain the required numbers.

Kind regards

PrimeMed Administrators (on behalf of Netcare Medical Scheme)

mB
muhammed B's update30 Nov 2016, 14:57
Reviewer Update

I have still not heard anything from the medical aid! This is just ridiculous! My savings is still not back and the incorrect dependant is still there! The paediatrician is still not paid! This has got to be the worse service I have ever experienced in my life! Hopefully once discovery takes over the administration of netcare medical aid things will actually get done!

Netcare Medical Scheme
Netcare Medical Scheme's reply01 Dec 2016, 06:16
Official

Dear Osama

Kindly note that we are currently looking into your complaint and you will receive feedback in due course.

Regards

Netcare Medical Scheme
Netcare Medical Scheme's reply02 Dec 2016, 07:19
Official

Dear Osama

Kindly refer to the email that was sent to your email address yesterday morning. I trust the feedback will suffice.

Kind regards

PrimeMed Administrators (on behalf of Netcare Medical Scheme)