GB
Ghil B

1 reviews | Active since Sept 2017

25 Nov 2021, 12:10

Stratum Benefits/Unity Health - WORST SERVICE EVER

So where do I even begin.. Stratum/Unity Health really have NO Idea what customer service is. Never in my life have I EVER had to follow up with a company so many times and still just get no response. The staff promise to call or email you back but never do. How does such a big reputable company operate like this? I was admitted into Mulbarton Casualty ward about 3 months ago. As per my plan I am covered in a private hospital in casualty. I was rushed to Mulbarton as I had gastro and I couldn't even walk/talk. I was unable to contact unity for authorisation however the hospital did on my behalf. They wouldn't take me in without getting authorisation. What I thought would be a smooth sailing experience has actually turned out to be the worst experience ever. The Hospital to date have still not been paid.. I am going to get handed over because Unity/Stratum are to damn lazy to do anything. I have numerous emails/ calls from the staff at Stratum to say that everything will be sorted and they will forward me the POP to show that the hospital has been paid. Well guess what, almost 3 months later and I am still waiting for the POP and the hospital has still not been paid. I have all of this in writing and I am ready to go and post this all over social media and take this further if need be. Every month they get my premium EFT without fail. They quick to take your money but when it comes to them paying out there is always an Issue. This is my 2nd issue in 2 months. If I can give anyone some advice, DO NOT sign up with them. Their service sucks to say the least and its just causes more stress in ones life.

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Replies (3)
Stratum Benefits (Pty) Ltd
Stratum Benefits (Pty) Ltd's reply26 Nov 2021, 08:11
Official
 Good morning Ghil 
 
Thank you for reaching out to us again. 
 
Your health insurance policy provides cover for emergencies and accidents in a private hospital, subject to specific qualifying criteria. 
 
It’s important to note that an emergency is defined as a medical event that requires immediate medical treatment, where failure to provide medical treatment would result in serious impairment to bodily functions, dysfunction of a bodily organ or body part, or would place an insured person’s life in jeopardy. 
 
According to the account submitted to the health insurance administrator for processing, your medical event wasn’t an emergency and will therefore not be covered. 
 
We’re sorry for the disappointment this will undoubtedly cause. 
 
One of our consultants has been in touch to explain your cover but will gladly call again if your have any further questions or concerns. 
 
Best regards, 
The Stratum Benefits Team on behalf of Unity Health. 
GB
Ghil B's update26 Nov 2021, 09:42
Reviewer Update
Funny thing is that your consultants for the last month have been promising me the POP, and advising that this would be sorted. Now all of a sudden there is another story. Surely if you still needed clinical information a consultant should have advised that this is the procedure and should it not be life threatening then it would be for my own account. Clearly no one has a clue as to what they are doing. I have no issue paying my bill, but your consultants surely need a bit more training on how to respond to clients and handle a situation. You cant say one thing and do another. Not only have I been fed the wrong information which I have all on email, but I was continuously promised calls and emails which I never received and kept having to follow up myself. The service is some what to be desired.
Stratum Benefits (Pty) Ltd
Stratum Benefits (Pty) Ltd's reply29 Nov 2021, 13:09
Official
Hi Ghil

Thanks for responding. 

We look forward to receiving the documents as per our email request.

Kind Regards
The Stratum Benefits Team