GL
Gregory L

1 reviews | Active since Sept 2020

28 Dec 2023, 08:39

Zero Service and Resolutive Skills

I visited a network dentist who referred me to a specialist as the procedure that needs to be performed can not be performed by him. I saw the specialist for the necessary consultation which i paid for only to find that the whole procedure and specialists is not covered by the scheme according to the dental department. I reached out to the dental department with the necessary motivations etc from the specialist and the previous rejection emails are just being copied and pasted as a response by your consultants so I do not feel that my requests are reviewed on merit as I have requested what the alternatives are within scheme tarriffs and providers in order to not waste my time and money and no answers are given on my questions to resolve my medical issue. In turn your consultants just copy and paste previous correspondence to put emphasis on the fact that there is no cover / rejection. I have never even received a call from a consultant

I do not feel the medical aid is focussed on the consumer's health but rather focussed on profits and rejections.

Please have a member of management to contact me

0
Replies (6)
Universal Healthcare Administrators
Universal Healthcare Administrators's reply28 Dec 2023, 08:51
Official
Dear Gregory,

Our sincerest apologies for your experience, we can understand how frustrating this must be for you. 

A consultant will be in touch with you to assist. 

Kind regards, the Universal Healthcare customer experience team 
Universal Healthcare Administrators
Universal Healthcare Administrators's reply28 Dec 2023, 10:19
Official
Dear Gregory 

The customer experience team has been informed by the online team.

Kind regards
Universal Healthcare
GL
Gregory L's update08 Jan 2024, 15:51
Reviewer Update
I am still waiting to speak to someone . 10 days later , This is Unacceptable. This literally Proves my point mentioned in the initial complaint no intentions to solve a customer's problems or health care needs
GL
Gregory L's update19 Jan 2024, 12:32
Reviewer Update
19/01/2024 - Still waiting on universal's reply call/reply I think i will complain at the ombudsman instead while they are reluctant to respond.
Universal Healthcare Administrators
Universal Healthcare Administrators's reply29 Jan 2024, 13:16
Official
Good day, Gregory, 

We would like to extend our sincerest apologies for the experience you had. We understand how frustrating this must have been for you. A consultant from our team will be reaching out to you to provide assistance. 

Thank you for bringing this to our attention and we hope to make it right for you. 

Best regards
The Universal Healthcare Customer Experience Team

Universal Healthcare Administrators
Universal Healthcare Administrators's reply30 Jan 2024, 13:08
Official
Good day Gregory 

Please see below from our escalation department, please assist with contact details for our team to reach you. 

Please note that we have tried contacting the member to no avail, we have also sent an email communication providing an e-mail address and contact number to contact us to enable us to assist him accordingly.

Kind regards
The Universal Healthcare Customer Experience Team