EE
Estelle E
1 reviews | Active since Mar 2009
17 Jan 2024, 15:17
No payment for healthcare professional visits in hospital
I had a hysterectomy on the 1st of December 2023. I was visited by Orthopaefic services in hospital to measure my legs and provide me with compression stockings for the prevention of Blood clots. The provider did not claim from the medical but forwarded the account to me. I submitted the claim to the medical and was informed that the consultation fee for the orthopaedic the****** will not be paid as it is an exclusion. So, the compression stockings are being paid but not the the****** that came to measure and provide me with the stockings??? Ive suffered from blood clots before, so these stockings are necessary for the prevention of blood clots.
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Replies (4)0
Replies (4)
Sizwe Hosmed Medical Scheme's replyOfficial
17 Jan 2024, 15:36Dear Estelle,
Thank you for submitting the query, we sincerely apologise for the inconvenience caused.
We will be in contact with you to resolve your complaint.
Sizwe Hosmed team
Thank you for submitting the query, we sincerely apologise for the inconvenience caused.
We will be in contact with you to resolve your complaint.
Sizwe Hosmed team
Sizwe Hosmed Medical Scheme's reply17 Jan 2024, 15:36
Official
Dear Estelle,
Thank you for submitting the query, we sincerely apologise for the inconvenience caused.
We will be in contact with you to resolve your complaint.
Sizwe Hosmed team
Thank you for submitting the query, we sincerely apologise for the inconvenience caused.
We will be in contact with you to resolve your complaint.
Sizwe Hosmed team
Sizwe Hosmed Medical Scheme's replyOfficial
17 Jan 2024, 16:16Dear Estelle,
Thank you for the provided information.
Kindly note that the query has been escalated to the relevant department and feedback will be provided as soon as it is available.
Sizwe Hosmed.
Thank you for the provided information.
Kindly note that the query has been escalated to the relevant department and feedback will be provided as soon as it is available.
Sizwe Hosmed.
Sizwe Hosmed Medical Scheme's reply17 Jan 2024, 16:16
Official
Dear Estelle,
Thank you for the provided information.
Kindly note that the query has been escalated to the relevant department and feedback will be provided as soon as it is available.
Sizwe Hosmed.
Thank you for the provided information.
Kindly note that the query has been escalated to the relevant department and feedback will be provided as soon as it is available.
Sizwe Hosmed.
Sizwe Hosmed Medical Scheme's replyOfficial
18 Jan 2024, 08:41Dear Estelle,
Kindly note that the claim has been reprocessed for the next payment run.
Both the member and the provider will receive statements as soon as they are available.
Sizwe Hosmed team.
Kindly note that the claim has been reprocessed for the next payment run.
Both the member and the provider will receive statements as soon as they are available.
Sizwe Hosmed team.
Sizwe Hosmed Medical Scheme's reply18 Jan 2024, 08:41
Official
Dear Estelle,
Kindly note that the claim has been reprocessed for the next payment run.
Both the member and the provider will receive statements as soon as they are available.
Sizwe Hosmed team.
Kindly note that the claim has been reprocessed for the next payment run.
Both the member and the provider will receive statements as soon as they are available.
Sizwe Hosmed team.
EE
Estelle E's updateReviewer Update
09 Feb 2024, 14:32The R300 has still not been paid to the provider who came to measure my legs. Sizwe Hosmed indicated that the account will be paid, but its still outstanding.
EE
Estelle E's update09 Feb 2024, 14:32
Reviewer Update
The R300 has still not been paid to the provider who came to measure my legs. Sizwe Hosmed indicated that the account will be paid, but its still outstanding.