AS
A S
1 reviews | Active since Jun 2012
31 May 2017, 21:57
Appalling service
<p><span style="color: #555555; background-color: #ffffff;">The service that a professional organisation renders to professionals is totally appalling. I have been denied a claim as a result of lies stated by PPS in wrotten communication saying that a doctor said I'm in remission in his report. However upon request of the doctors report no such thing was stated by the doctor but instead that my treatment needs to be optimised. I have been trying to get fair treatment regarding this and have even escalated the matter to the PPS Arbitrator and the matter still remains unresolved after 4 months of my complaint. During this time however PPS has insisted that monthly premiums be paid and for a service that I haven't been receiving for almost a year now. The undue stress caused by their unprofessional behaviour is exacerbating my health condition. Am on the verge of getting legal assistance to deal with this as I'm so tired of this.</span></p>
Helpful (0)
Replies (7)0
Replies (7)
PPS's replyOfficial
01 Jun 2017, 15:58Hi Arusha. We take note of you unhappiness with regards to the attendance of your complaint. We are however not at liberty to discuss the detail of your complaint, which includes personal information of a medical or sensitive nature, on a public platform such as this. We are mindful of the time lapse since lodging your complaint, but it was necessary to fully investigate the matter, which investigation has now been concluded. Please bear in mind that the Occupational The******s report was only recently received where after it was assessed by PPS’ Medical Officers Committee, and queried by our Independent Arbitrator. We are assured by the Internal Arbitrator that they are in a position to make a final decision in this regard and their determination will be issued by end next week. The determination will also address the complaints and allegations you raise in this complaint. Mosa@PPS
Best regards,
PPS's reply01 Jun 2017, 15:58
Official
Hi Arusha. We take note of you unhappiness with regards to the attendance of your complaint. We are however not at liberty to discuss the detail of your complaint, which includes personal information of a medical or sensitive nature, on a public platform such as this. We are mindful of the time lapse since lodging your complaint, but it was necessary to fully investigate the matter, which investigation has now been concluded. Please bear in mind that the Occupational The******s report was only recently received where after it was assessed by PPS’ Medical Officers Committee, and queried by our Independent Arbitrator. We are assured by the Internal Arbitrator that they are in a position to make a final decision in this regard and their determination will be issued by end next week. The determination will also address the complaints and allegations you raise in this complaint. Mosa@PPS
Best regards,
AS
A S's updateReviewer Update
07 Jun 2017, 09:28Good day
Please, I would like to know what details cannot be discussed which is of a medical or sensitive nature.
As from the look of other complaints, complainants were contacted regarding their complaints posted on this platform but no one contacted me regarding my complaint.
Also if a determination can be made why is it only going to be issued by the end of this week? I do not understand the reasoning for further delays considering the amount of time it has take already.
AS
A S's update07 Jun 2017, 09:28
Reviewer Update
Good day
Please, I would like to know what details cannot be discussed which is of a medical or sensitive nature.
As from the look of other complaints, complainants were contacted regarding their complaints posted on this platform but no one contacted me regarding my complaint.
Also if a determination can be made why is it only going to be issued by the end of this week? I do not understand the reasoning for further delays considering the amount of time it has take already.
AS
A S's updateReviewer Update
08 Jun 2017, 09:06Good day
Please, I would like to know what details cannot be discussed which is of a medical or sensitive nature as I don't have a need to keep this private.
As from the look of other complaints, complainants were contacted regarding their complaints posted on this platform but no one contacted me regarding my complaint.
Also if a determination can be made why is it only going to be issued by the end of this week? I do not understand the reasoning for further delays considering the amount of time it has taken already.
This was published privately almost 24 hours ago but sadly no response was received.
AS
A S's update08 Jun 2017, 09:06
Reviewer Update
Good day
Please, I would like to know what details cannot be discussed which is of a medical or sensitive nature as I don't have a need to keep this private.
As from the look of other complaints, complainants were contacted regarding their complaints posted on this platform but no one contacted me regarding my complaint.
Also if a determination can be made why is it only going to be issued by the end of this week? I do not understand the reasoning for further delays considering the amount of time it has taken already.
This was published privately almost 24 hours ago but sadly no response was received.
AS
A S's updateReviewer Update
08 Jun 2017, 09:07Good day
Please, I would like to know what details cannot be discussed which is of a medical or sensitive nature as I don't have a need to keep this private.
As from the look of other complaints, complainants were contacted regarding their complaints posted on this platform but no one contacted me regarding my complaint.
Also if a determination can be made why is it only going to be issued by the end of this week? I do not understand the reasoning for further delays considering the amount of time it has taken already.
This was published privately almost 24 hours ago but sadly no response was received.
AS
A S's update08 Jun 2017, 09:07
Reviewer Update
Good day
Please, I would like to know what details cannot be discussed which is of a medical or sensitive nature as I don't have a need to keep this private.
As from the look of other complaints, complainants were contacted regarding their complaints posted on this platform but no one contacted me regarding my complaint.
Also if a determination can be made why is it only going to be issued by the end of this week? I do not understand the reasoning for further delays considering the amount of time it has taken already.
This was published privately almost 24 hours ago but sadly no response was received.
PPS's replyOfficial
08 Jun 2017, 17:09Hi Arusha. We are informed that the Internal Arbitrator’s determination has just been sent to you. We maintain that medical information pertaining to your case constitutes Personal Information as defined in the Protection of Personal Information Act and therefore do not wish to divulge same on a public platform such as Hello Peter. We suggest you contact PPS directly with regards to the content of the determination and the way forward. Mosa@PPS
Best regards,
PPS's reply08 Jun 2017, 17:09
Official
Hi Arusha. We are informed that the Internal Arbitrator’s determination has just been sent to you. We maintain that medical information pertaining to your case constitutes Personal Information as defined in the Protection of Personal Information Act and therefore do not wish to divulge same on a public platform such as Hello Peter. We suggest you contact PPS directly with regards to the content of the determination and the way forward. Mosa@PPS
Best regards,
AS
A S's updateReviewer Update
08 Jun 2017, 18:54Good day
Thank you I have received the determination that has denied my claim.
I will be taking this up with the ombudsman as well as legally as I have written documentation proving PPS as *****.
Totally disgusted by the unprofessional treatment, lies and deceit.
AS
A S's update08 Jun 2017, 18:54
Reviewer Update
Good day
Thank you I have received the determination that has denied my claim.
I will be taking this up with the ombudsman as well as legally as I have written documentation proving PPS as *****.
Totally disgusted by the unprofessional treatment, lies and deceit.
AS
A S's updateReviewer Update
09 Jun 2017, 10:28Also, the query about where the doctor (appointed by PPS for an assessment) obtained my previous blood results that are probably more than a year old was never addressed by PPS as raised in my complaint.
Further, I was never provided with the occupational the******'s report despite numerous attempts to obtain it. However it was stated in the Arbitrators report that I have it.
Totally disgusted by the unfair treatment by a so called professional organisation.
AS
A S's update09 Jun 2017, 10:28
Reviewer Update
Also, the query about where the doctor (appointed by PPS for an assessment) obtained my previous blood results that are probably more than a year old was never addressed by PPS as raised in my complaint.
Further, I was never provided with the occupational the******'s report despite numerous attempts to obtain it. However it was stated in the Arbitrators report that I have it.
Totally disgusted by the unfair treatment by a so called professional organisation.