WO
Wessel O

1 reviews | Active since May 2018

18 May 2021, 16:48

Why not back up your claim?

After a medical procedure, my medical aid left me with an amount of R2 739 balance. Three times I wrote to our GAP cover and three times they responded "the medical aid did not settle the full amount as the healthcare provider has an agreement with your medical aid and you are not liable for the shortfall" Twice my docter denied that he has such an agreement. I cannot get Zestlife to answer, or supply me with a proof of my docter's "agreement".

0
Replies (3)
Zestlife
Zestlife's reply18 May 2021, 20:12
Official
Dear Wessel O
This is the description on your medical aid statement . The best party to provide the evidence would be the medical aid as they are the source of the information.
We will contact the medical aid tomorrow and request proof for their reason code.
Kind regards
Noleen
WO
Wessel O's update19 May 2021, 21:53
Reviewer Update
After struggling to get answers from Zestlife, one Margie Leonard from the company rad my corrspondence and immdiately solvd the problem to my satisfaction. Thank you margie, you restoed my faith in Zestlife.
Zestlife
Zestlife's reply20 May 2021, 06:01
Official
Morning Wessel,
Thank you for the compliment for Margie and I am pleased you are a happy customer again. 
Best regards
Noleen