1 reviews | Active since Mar 2020
Outstanding amount : Dr R D Mauermann
I have been a been a member of Cure Med/Total Risk for many years and have only claimed for a payment to be made once. I had an operation for Varicose Veins on 18/10/2019 by Dr M D Mauermann, Vergelegen Clinic, Somerset West. My Medical Aid, Discovery has paid a shortfall of R7763.02. All the necessary documents have been submitted to Total Risk but was not 'successful' for payment to be made due to a certain code. After numerous conversations and emails of documents to you I was told that Total Risk cannot settle the outstanding amount. Why do I have a Gap Cover then if I can't depend on them to settle/fight with Discovery for a solution?? I herewith want to mention that Zandile Radebe from Total Risk has gone out of her way to assist me in this matter, but to no avail. We have corresponded all the way and she can supply you with a detailed summary of our circumstances as senior citizens who live on a social grant. Therefore I urge Total Risk to please settle the outstanding amount. Waiting in anticipation. Athol Lionel Wood
We have investigated your complaint and came to the following conclusion. The Doctor has an agreement with your medical aid to charge a rate as agreed between your medical aid and the Doctor. You are not liable for the difference between the charged amount and what the medical aid paid due to the contract between the doctor and your medical aid.
Zandile has escalated this to the Doctor's accounts department. They are currently investigating the account and we will provide you with feedback as soon as the practice has concluded their investigation. Thank you for the compliment regarding the service that you have received from Zandile, I will forward your compliment to her.
Please accept our sincerest apology for the inconvenience but I can assure you that we are busy with your claim. We strive to provide all our members with the best service possible.
TRA Management
We have investigated your complaint and came to the following conclusion. The Doctor has an agreement with your medical aid to charge a rate as agreed between your medical aid and the Doctor. You are not liable for the difference between the charged amount and what the medical aid paid due to the contract between the doctor and your medical aid.
Zandile has escalated this to the Doctor's accounts department. They are currently investigating the account and we will provide you with feedback as soon as the practice has concluded their investigation. Thank you for the compliment regarding the service that you have received from Zandile, I will forward your compliment to her.
Please accept our sincerest apology for the inconvenience but I can assure you that we are busy with your claim. We strive to provide all our members with the best service possible.
TRA Management