Non-existing service
<p>Beste Selfmed</p> <p> </p> <p>Ek was nog nooit so ontevrede oor diens soos by julle nie. Ek weet die grootste fout lê by Carecross, maar hulle word gekoppel aan julle naam.</p> <p>Letterlik geen van ons eise word betaal nie en elke keer is dit – not covered under option. Waarvoor betaal ons meer as R3000 per maand?</p> <p> </p> <p>Ek was laas week by die ortopeet, ek het ‘n meniscus skeur in my knie wat hy moet regmaak, weereens wil Carecross nie daarvoor betaal nie want my knie moet letterlik eers vergruis wees voor hulle dit sal dek.</p> <p>Indien ‘n meniscus skeur nie reg gemaak word nie, is dit die gevolg:</p> <p> </p> <p>Surgical treatment of symptomatic meniscal tears is recommended because untreated tears may increase in size and may abrade articular cartilage, resulting in arthritis.</p> <p> </p> <p>Ek loop elke dag met ongelooflike pyn rond en moet nou maar net verder so loop omdat Carecross nie wil betaal nie. En die Dr het my al met kortisoon gespuit direk in my knie in om te kyk of ons nie ‘n operasie kan voorkom nie maar dit het nie gehelp nie.</p> <p> </p> <p>Julle verkoopskonsultant was baie vinnig om hierdie medies aan ons te verkoop en af te smeer sonder om te verduidelik dat ons eintlik vir niks gedek is nie.</p> <p> </p> <p>En ja, ek verstaan dat hierdie toestand nie 'n PMB is nie, maar daar moet tog iewers 'n 'loophole' wees vir so iets? As ek geweet het dat hospitaal prosedures net gedek gaan word onder 'n 'PMB' voorwaard het ek nooit by hierdie mediese fonds aangesluit nie. Sal def ander mense hierteen moet waarsku. </p> <p>Ons gaan ons lidmaatskap by julle so gou as moontlik kanselleer sodra ons by ‘n ander mediese fonds aangesluit het.</p>
Dear Marlize-taljaard-volschenk
With reference to your complaint, please note the Scheme's response. Each benefit option is uniquely structured and the benefits that a member is entitled to is directly related to the level of the plan and therefore the monthly contribution. The Selfnet option is a network option that provides hospital cover for PMB conditions and limited out of hospital primary care.
While we fully understand your position, the Scheme can only provide benefits as per your chosen option.
We regret that you have not experienced the service we are renowned for and remain committed to providing excellent service to our members.
Regards,
SELFMED MEDICAL SCHEME
Dear Marlize-taljaard-volschenk
With reference to your complaint, please note the Scheme's response. Each benefit option is uniquely structured and the benefits that a member is entitled to is directly related to the level of the plan and therefore the monthly contribution. The Selfnet option is a network option that provides hospital cover for PMB conditions and limited out of hospital primary care.
While we fully understand your position, the Scheme can only provide benefits as per your chosen option.
We regret that you have not experienced the service we are renowned for and remain committed to providing excellent service to our members.
Regards,
SELFMED MEDICAL SCHEME
Thank you for your response, can you please mail me the necessary paperwork to cancel our membership with Selfmed.
Thank you for your response, can you please mail me the necessary paperwork to cancel our membership with Selfmed.
