NS
Nelis S

1 reviews | Active since Feb 2019

18 Feb 2020, 16:11

"We are just medical insurance" - Unity Health Elixi health plan

Talk sure is fast to sell products especially when it comes to health and affordable medical aid. I took out the Elixi health plan from them as the medical aid I had at the time did not cover certain privileges and currently i am only with talksure as I need my Chronic meds and can't wait for a period again. It takes almost an addtional R600 per month extra out of my income . I am on their highest plan and nowhere is stipulation that a person must pay in with a normal doctor's visit that is listed with them. As it was admitted to me that prices are discussed before hand and fixed. I have recently been given an outstanding account due to a "short fall in payment received" . And the excuse? "We are just a medical insurance". Any problem i have had with them their first words to me is "We are only a medical insurance". Now my question stand why do you have us using your so called "network doctors" if they, according to the telefonic discussion with the claims department, are overcharging the customers? Why then have an agreement with them in the first place?

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Replies (3)
Talksure Sa
Talksure Sa's reply18 Feb 2020, 18:30
Official
Dear Nelis

Thank you for reaching out to us.

Your query has been forwarded to our customer support team for urgent attention on the matter and they will be in contact with you shortly to assist you further.

Regards
Talksure team
NS
Nelis S's update19 Feb 2020, 15:47
Reviewer Update
Thank you Sarika for your fast reply and assistance. Hopefully Talksure can put more pressure on their underwriters to keep customer service up to standard and they will have much less complaints
Talksure Sa
Talksure Sa's reply20 Feb 2020, 12:44
Official
Dear Nelis,

Thank you for your feedback and we are glad to hear you are receiving the support you deserve. 

We have liaised with the Claims department and who in turn was in contact with the doctor's practice. It appears that the staff member at the practice had in error billed the incorrect amount and therefore led to you being liable for the shortfall.

The  doctor's practice has since acknowledged the error and has further confirmed that they will reimburse you the monies paid by yourself.

We trust that we have been of assistance to you and we apologize once more for any inconvenience that may have been caused.

Regards
Talksure team