1 reviews | Active since May 2014
UNPAID ACCOUNTS
So this is what has been happening. I got authorisation for Orthodontic Treatment. Full payment will be made. I then started my treatment. A few months down the line they stopped paying. It was a major struggle to get them to pay again, but they finally did. Now once again they stopped paying. When I confronted the situation they said that there is no more available funds, but it is a new year, so new funds should be available. With their authorisation they promised payment. So now I am responsible for the amount they have not paid, even though I pay them a large amount of money each month. For all the people reading my complaint, please be smart and never register with Netcare Medical Aid. You will run into non-stop problems.
Dear Tracey
Thank you for drawing our attention to your concerns .We would like to take this opportunity to apologise for any miscommunication with regards to the benefit.
Netcare's Orthodontic Treatment Plans are subjected to your annual Dental benefit ,should your benefit run out prior to the year ending you as the member remain liable for the outstanding account ,unfortunately due to scheme rules you may not use a new years benefit to pay for a previous years claim .
However the scheme will assist you in making payment from your available savings benefit should you wish to do so .
If this is the proccess you would like to follow please contact our correspondence department on ***
Trust you find the above in order.
Kind Regards
Primemed Administrators on behalf of (NETCARE MEDICAL SCHEME)
Dear Tracey
Thank you for drawing our attention to your concerns .We would like to take this opportunity to apologise for any miscommunication with regards to the benefit.
Netcare's Orthodontic Treatment Plans are subjected to your annual Dental benefit ,should your benefit run out prior to the year ending you as the member remain liable for the outstanding account ,unfortunately due to scheme rules you may not use a new years benefit to pay for a previous years claim .
However the scheme will assist you in making payment from your available savings benefit should you wish to do so .
If this is the proccess you would like to follow please contact our correspondence department on ***
Trust you find the above in order.
Kind Regards
Primemed Administrators on behalf of (NETCARE MEDICAL SCHEME)