HB
Hlatse B

1 reviews | Active since Sept 2023

29 May 2025, 12:10

Falsely listed

So my story goes back as far as 2018.

I was on a medical aid as a main member and had my wife and kids on the medical aid,we worked at the same company at that moment and my wife was pregnant.

So what happened is that we booked a bed 2 months before at akasia netcare for my wife to give birth there,everything was done according, even got Authorized on my medical aid number.

A month before I was told they gonna cancel my medical aid at my work place as I was on special leave,they then said since we'll I am working with my wife at the same company they will just swap us and make her the main member there wont be any waiting period, that took effect on the 1st of November 2018.

Come 28th November 2018,we go to the hospital because my wife was about to give birth,when we get to the hospital, I explained to the reception that our medical aid number has change due to the swap of main members, still the same medical aid scheme,plan and benefits are the same just the medical aid number has changed,mind you that's before she got admitted, them she did the new application using the new information and my wife got the new Authentication number,also the receptionist got it.

Everything was fine according to me as I have updated everything, until a year or 2 later I get a an email saying I am owing R15K for that day,apparently my medical aid didn't pay,I then contacted my medical aid, they said the hospital is billing on the wrong medical aid number,which was my then closed medical aid, they tried to talk with the hospital on my behalf asking them to show that they actually did try to claim on the new medical aid number I provided and git Authentication number for,they failed to do that.

Then they listed me "judgement " on my credit profile, I've been trying to fix this to a point we're the hospital was pointing fingers to the medical aid scheme, the medical aid scheme was pointing fingers to the hospital, mind you I am the one with a bad credit score now.

Eventually I managed to get both the medical aid scheme and hospital on a call,since we'll they were playing the pointing of fingers game,the outcome was for the hospital to provided the evidence so that the medical aid scheme can pay the debt even though it's an old one ,that was last year,the hospital still failed to provide the information.

As we speak the judgement is still on my profile and the medical aid scheme issued a letter saying they tried but failed, which is true as I was part of the conversation, so now netcare doesn't want accept they did admin error and resolve the issue, they want me to pay for a mistake they did.

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Replies (1)
Netcare
Netcare's reply29 May 2025, 12:16
Official
Hello Hlatse. I'm sorry to hear about this. I will forward to the relevant managers so that they can follow up on this. Take care, Lynne.