1 reviews | Active since Aug 2018
SELFMED MEDICAL AID. A TOTAL *******
I have been paying for my mom's medical aid for over a year. She had never used the medical aid. When she does fall ill and really need to be in hospital to get treatment, they find every reason not to authorize hospital admission. From wrong codes to accusing us of not filling in the forms correctly. She has 3 conditions that fall within the Pmb but still no authorization. She spent an entire day waiting for admission only to be told that she needed more motivation from the doctor. Then get sent home as they close at 5pm. DO NOT EVER USE THIS MEDICAL AID. It's easy to take people's money but so very hard to give them the treatment they pay for. I did the stupid thing of also signing my dad onto this medical aid a year ago as well. AGAIN THIS IS NOT A MEDICAL AID THAT ONE SHOULD RELY ON.
Dear Y Maharaj
Thank you for bringing this case under our attention and allowing the Scheme an opportunity to investigate your complaint. The Selfnet option provides hospital cover for PMB conditions. The Scheme can unfortunately not approve an admission if the diagnosis code supp**** by the provider is not a PMB condition.
The Scheme contacted the provider and requested additional information. On receipt of the additional information the authorisation was released.
An Expert from the Excellence Centre liaised with you on this matter.
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 Y Maharaj
Thank you for bringing this case under our attention and allowing the Scheme an opportunity to investigate your complaint. The Selfnet option provides hospital cover for PMB conditions. The Scheme can unfortunately not approve an admission if the diagnosis code supp**** by the provider is not a PMB condition.
The Scheme contacted the provider and requested additional information. On receipt of the additional information the authorisation was released.
An Expert from the Excellence Centre liaised with you on this matter.
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
Our deepest condolences for your loss. Our thoughts are with you during this difficult time.
Thank you for taking the time to post the compliment. Selfmed strives to deliver excellent services to all our members.
Regards,
SELFMED MEDICAL SCHEME
Our deepest condolences for your loss. Our thoughts are with you during this difficult time.
Thank you for taking the time to post the compliment. Selfmed strives to deliver excellent services to all our members.
Regards,
SELFMED MEDICAL SCHEME
