tM
thembakazinjabulo M

1 reviews | Active since Sept 2009

22 Feb 2022, 12:56

Disgusting ****** behaviour that has ****** me of three months of my life and my resources

I did an eye test on the 29th of November 2021. The claim wasn’t put through until 29th December 2021 even though the receptionist said she would put it through the next day. There was a bit of a problem because my bill was more than what the medical aid normally pays, which would mean I would apply for exgratia. I app**** for exgratia who were the ones that kept on saying they could not make a decision cause nothing had been claimed. A month later I went in again and waited there until she processed the claim, but she put zeros on the extra items which I would need to claim from exgratia. I went back in and asked for her to correct it this was January now. The medical aid paid a portion and there was one document missing. When the person dealing with my case called me to forward that form she asked me if the spectacles were made which unfortunately they were not. She asked why not because deposit for the spectacles was paid in Jan already they just needed the extras to be claimed in order to finish this query as it has been long in the line and had negative impact on them because they have different files that they put together as this was a serious case. They said the extra were important to be noted on the medical aid as when I change spectacles they would refer back to it. The practice manager keeps speaking to call center agents who tell her gems will not pay for this, but gems says those people have no deciding powers all the required is that the practice follow the proper process. The practice manager calls me today in a very rude manner and tells me she will cancel everything I must find another optometrist. I asked her that according to the medical aid the fact that the deposit was done it meant the spectacles should have been on the pipeline, she said she was not going to do that and be stuck with spectacles lying the for a year. How does she know it would lye there for a year? Gems takes 48 hours to answer number 1 if things are done correctly. If they reject I would be liable how does she know my finances that I would not pay for them as I need them? Is it because I am black? Is because I app**** for exgratia? Did she maybe do a credit check. By the way on the 29th of Nov when the receptionist said she would put it through I told her I would pay. She is the one that did not claim she is also the one that put zeros for some items, these things registered with the medical aid also help for tax purposes. So now I am left stranded and fuming because this is three months of my life that I will never get back. The colour of my skin is not my bank balance and being rude and insisting on doing things your way does not help. I want my spectacles and sunglasses how? She will have to make a way. Because now I really feel like they just simply did not do it because she is ******. They did not even want to ask the doctor to fill in the form for me.

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Replies (3)
Spec-Savers SA
Spec-Savers SA's reply22 Feb 2022, 16:55
Official
  
Dear  Thembakazinjabulo 


Thank you for taking the time to bring your unfortunate experience at Spec-Savers Medicross Benoni to our attention. We have sent everything through to a Spec-Savers representative to step in and attend to your matter with the utmost of urgency. 


Warmest regards 
The Spec-Savers Team 

tM
thembakazinjabulo M's update22 Feb 2022, 23:45
Reviewer Update
Today I got a call from the practice manager and said she is cancelling everything after three months of this run around. She was so rude I had to hang up because I did not want to end up answering in foul language especially since I was around my Collegues. Then the owner called to tell he has made a call to cancel the deal, without any regard of me as patient first, a customer second and the time, efforts and resources I used. He says he is avoiding hello Peter. Firstly I need spec savers to deal with this at a head office level Frenchisers can not treat customers like this. I am not willing to go through this process all over again if their branch does not offer help to certain clients let them transfer the case to another branch with all the information down to the exact frames I chose. I am not the one who kept on not claiming correctly. I know they reached out to me today because I spoke to my medical aid and they wanted to know why the practice refuses to give an invoice with this years prices because they wanted to make judgement on the correct amount. They also asked why the spectacles were not made yet because the was a payment made in the 28th of January 2022 and they wanted to know the balance so that it goes with this months payment. The manager keeps on saying the medical aid won’t pay but they don’t know the case that’s in front of the committee, they don’t know what are mitigating factors that are making the committee want to settle this. So now I am stuck. Your website is not friendly I would have reported this with you in December already because it’s been a back and forth since then. Another question I was asked by the medical aid is why was a test done on the 29th of November 2021 and claim only processed on the 29th of December 2021. On the 29th of November 2021 she said she would put it through the next day. There was a bit of confusion about the free sunglasses which was cleared up, when I was there she showed and explained the invoice. I told her I would apply for exgratia but if they declined I would pay for them because I needed them, again she said she would put it through the next day. It didn’t happen I app**** for exgratia and I was called to say the invoice that was sent to them showed no charges for all the extras and that she needs to put in the claim and I was advices to go to the store as they had also spoken to them but it was not done. On the 29th of December 2021 she finally put through the claim and still put zeros for the extras. She asked me if the medical aid rejects would I pay I said yes. The manager said they wouldn’t start on the spectacles until there’s a deposit. The medical aid made a payment on the 28th of January 2022, which I took as a deposit since I was waiting for the reply from exgratia.The medical aid called and asked me to go in the store and ask them to put in a claim with the extras so that the system can reject it and then it can be moved to the exgratia department then they can make a judgement which would take them 48 hours. I went in and they fixed the claim using 2021 prices. It rejected but I was not told until today after I was asked to get an invoice with this years prices so they can pay the correct amount. The manager said she wouldn’t do she is cancelling everything because if she had made the spectacles it would have sat for a year gathering dust to which made me ask questions. How did she know it was going to stay there for a year when I had said if exgratia declined my request I would pay. I asked is it maybe the colour of my skin or does she have my financial information or did she do a credit check, because I didn’t go to the optometrist because I was bored I went because I needed the glasses. I am a lecturer and I work with all sorts information sources I was struggling to see and at times it makes me a bit dizzy when I am trying to make things out hence I did all the necessary tests to make sure I can service my employer and the nation correctly. Now I being told I have to start the process again I refuse and am willing to report it to the highest office possible I am not a toy. This is humans life that went through a 48 hour process for three months that has to count for something.
Spec-Savers SA
Spec-Savers SA's reply23 Feb 2022, 12:35
Official
Good day Thembakazinjabulo.

We will make sure that you are contacted regarding this. On behalf of Spec-Savers head office, we sincerely apologies for this unfortunate experience that you have been through. This is not the level of service that that we  strive for as a brand.

Thank you and Kind regards
The Spec-Savers Team