Medical Aid Complaints

My husband was admitted to hospital during February and March 2017. Now we are having trouble to find out why there are short payments on certains accounts. Some of the accounts of February still have not been paid. My emails stay unanswered, all I receive each time I send an email is a reference number, which I have received dozens of. The service providers are also complaining that they cannot get hold of Transmed. If they get hold of them, then they have striked the jackpot....

Category : Medical Aid

(0) Replies

Country : South Africa

Savings payout not paying after 5 months.E mail recieved saying it takes 4 months to payout but get mails saying its with the relevant department.

Category : Medical Aid

(0) Replies

Country : South Africa

Bonitas promised to refund me & the payment was supposed to be done on the 1st of March 2017.After this date I informed them that the payment was not done & they refused that till I sent them my bank statement as a proof but still they continued to say they did the payment. I've wasted my time by sending emails to explain that it's not done,I even called them several times spending almost an hour every time over the phone until the other lady told me that after she checked she noticed that...

Category : Medical Aid

(0) Replies

Country : South Africa

Since bonitas took over from liberty we have had nothing but problems with Chronic Medication delivery from Pharmacy Direct, they say they will call back never do, fail to deliver, we never had a problem with Clicks but being forced to use Pharmacy Direct and the disgusting service they provide just about sums up South Africa at present

Category : Medical Aid

(1) Replies

Country : South Africa

Good day I am a member of momentum,when i took this cover it was for day to day doctors visits and accident cover only and i asked them if it covers pregnancy i was advised no but if i fall pregnant i can switch to another option which will cover pregnancy with no hustle since i am already with them.Today at work a momentum adviser came to work i went to her to change my plan and advised her that i am 4 weeks pregnant to my surprise she said she cant assist me i was suppose to change...

Category : Medical Aid

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Country : South Africa

It seems like Momentum Health have joined the rest of the bandwagon of hiring useless consultants to service customers. I have been struggling to put my 21year old daughter onto her own medical aid since Nov last year. After numerous calls and emails , I get a letter on 16 March with a new membership number for her but low and behold it has been backdated to January. I have had to pay all the backdated installments even after I had no membership for her for those interim months. Then they...

Category : Medical Aid

(0) Replies

Country : South Africa

Brother had fall and lost memory, could not ask Discovery for auth as he did not even know where he was. Had to pay upfront as hospital( Arwyp Kempton Park ) do not help unless there is money in the bank. I eventualy got access to his account and submitted the claim. Olny getting about half back as the hospital and Discovery have a deal. The case is now with ex-gratia in Discovery as no auth was given. He was taken by ambulance, now in a institution since Oct last year. His kids overseas and...

Category : Medical Aid

(0) Replies

Country : South Africa

I have been struggling with Bonitas/Pharmacy Direct for my chronic medication since January 2017. every single time I query this, I get a automated response confirming that feedback will be provided within 7 working days. Last week a claim was submitted by Pharmacy Direct for my Chronic Medication. strangely enough, I didnt receive any medication from as yet, so how can they submit a claim for chronic medication that I didnt receive. this is pathetic service. I get emails from Bronwyn...

Category : Medical Aid

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Country : South Africa

My daughter had a wellness screen at the end of the year and then opted to use those extra funds for a biokineticist. When making enquiries regarding this benefit, no-one mentioned that it only covered a consultation. I was under the impression that a consultation did not include any assessments etc done at the time of this appointment. “ Consultation” is very misleading. Especially as there is R1400 available for the year. I now have to pay in R600 which I was under the impression would...

Category : Medical Aid

(1) Replies

Country : South Africa

We were previously with Libmed. The merge with Bonitas has been a total nightmare. My son has refractory Epilepsy. Meds are vital to him being seizure free. We requested delivery to be received on the 21st of each month. Our first month we simply didnt receive any meds, we had to get it from another source. This month the 21st came and went. When I called them I was told it has been dispatched and we will receive it on Thursday. Lo and behold Thursday still no meds. Another phone...

Category : Medical Aid

(1) Replies

Country : South Africa

Hi, my name is Hennie. I used discovery medical aid from 04/07/2012 until 14/07/2016 while I was in service of a gold mine (compulsory). When I left the mine my services was terminated by the mine as is policy, although I still had to pay the full subscription for that month. About three months later DISCOVERY started harassing me for not paying my subscription. I explained to to them that I am no longer working at that mine or having the medical aid. They still handed me over to Shapiro...

Category : Medical Aid

(0) Replies

Country : South Africa

I joun genesis medical aid, my sister did the form thing on the internet for me because she is paying for my medical aid. I use to have back pains that is normal i believe everyone gets that from time to time. One morning i got it so bad that i find it difficult to walk, sit or sleep at night. Because i wasnt on the medical aid for a year but only for a month they refuse the let me get an mri on the medical aid. According to them i didnt tell the truth on the form but like i said my sister...

Category : Medical Aid

(1) Replies

Country : South Africa

I HAVE SUBMITTED AN APPLICATION AUGUST 2016 FOR A WHEELCHAIR FOR MY MOTHER WHO IS DEPENDANT 04 ON MY MEDICAL AID, I HAVE MADE SEVERAL FOLLOW-UPS BY EMAIL TO THEM EVEN TELEPHONIC. DECEMBER 2016 I WAS TOLD THAT THE QUOTATION THAT WAS SUBMITTED DID NOT HAVE A NAPPI CODE. I THEN RESUBMITTED ANOTHER QUOTATION WITH A NAPPI CODE ON THE 19TH DECEMBER 2016. I MADE FOLLOW-UP AGAIN JANUARY 2017, I WAS THEN CALLED BY A LADY CALLED FAREEDA ON THE 01 FEBRUARY 2017 AND SHE CITED THAT THEY HAVE NOT RECEIVED...

Category : Medical Aid

(0) Replies

Country : South Africa

discovery says that chest pains not an emergency so they wont pay

Category : Medical Aid

(0) Replies

Country : South Africa

I am working for the government and was a member of GEMS medical aid scheme for the entire duration of 2016. Due to some financial constraints I decided to terminate my membership and look for a cheaper option. I then received a quote from Medihelp on 3 November 2016. I accepted the quote and became an active member on 1 January 2017 after my termination with GEMS came into effect on 31 December 2016. I am also a chronic patient and goes for regular visits with my monitoring doctor. During...

Category : Medical Aid

(0) Replies

Country : South Africa

I am waiting for payment of acc.inv14-55699 I keep on getting I will send it in for payment I have been ringing for the last 2-1/2 months and getting the same thing. I keep getting emails from Diagnostic Radiological Services inc. that they are going to hand me over. Is there anything that you can do for me.I have been with them since 1998 and had no trouble before. My membership no. 04300306266 Sizwe medical aid full benefit

Category : Medical Aid

(0) Replies

Country : South Africa

My father received an emergency single chamber pacemaker on 23 OCTOBER 2015 at Wilgers hospital. It seems from documentation I have that the claim was approved by 1 JUNE 2016 but up-to-date it has not been paid. When the hospital re-submitted the claim in JANUARY 2017 GEMS disapproved it saying it was stale! Now the hospital wants to blacklist my father at the credit bureau. We feel so helpless. All communication to GEMS seems to fall on death ears and at the end of the day my father...

Category : Medical Aid

(0) Replies

Country : South Africa

We tried to get hold of Sizwe via phone for quite a while now but without success. You get trough but then get cut of before you can speak to an agent? I also have emailed some queries but without success. There is PMB conditions that has not been paid??? Please assist us on this URGENT matter. Regards Elma

Category : Medical Aid

(1) Replies

Country : South Africa

I sent an quotation to Transmed on 31 January 2017 with a request that they must please let me know how much of the quotation will be covered by them as I must get the information back to the doctor's office and request them to send all necessary info for authorization to Transmed. Gave them time until 10h00 this morning without any success. All you receive when you send an email is a reference number each time. I have about 10 of them. Transmed is quick to accept your premium but slow to...

Category : Medical Aid

(0) Replies

Country : South Africa

After posting a complaint on hellopeter.com this afternoon I received two phone calls and one email from GEMS. The first caller said she was reading my letter of complaint (as we spoke) and was putting me through to her supervisor. Her supervisor told me not to repeat my story as he has it in front of him. He said GEMS had emailed me a letter of reply but did not attach the letter to their email. I therefore did not get it. The second caller said they could not trace my complaint because my...

Category : Medical Aid

(1) Replies

Country : South Africa

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