Medical Aid Complaints

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

(0) 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

(0) 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

(0) 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

(0) Replies

Country : South Africa

I am a member of the Government Medical Aid Scheme. I have been undergoing long term treatment with an educational psychologist for seven years. I was referred to her by a clinical psychologist. GEMS have previously covered my treatment. However my most recent claim statement was rejected as GEMS will no longer fund the services provided by educational psychologists. GEMS have forced me into a situation where I have to terminate my treatment. This negatively impacts my health. According to...

Category : Medical Aid

(0) Replies

Country : South Africa

I am really pissed off by medscheme polmed .Their service is really falling apart.I went to the chemist the other day they refused to pay for my medication.moreover i am called by pathcare and radiologist that i must pay their money .why is polmed so incompetent .month end they deduct their money in full but i cannot be helped in full .Since this med scheme took over its a disaster .They pay what they want to pay .if they refuse they refuse

Category : Medical Aid

(0) Replies

Country : South Africa

During 2016 I enquired about transferring my medical aid plan from a coastal saver option to a classic core option. I was told by a call centre operator that this would be an upgrade and I would have to wait till the end of the year (open period) to change. At the end of last year (31/12/2016) I successfully change my plan to a core option. However, In the first week of 2017 I decided the saver plan suited my needs best and wanted to transfer back. On the Discovery website it clearly...

Category : Medical Aid

(0) Replies

Country : South Africa

I am suppose to get health returns from Momentum health. According to them they have not receive my health assessment to activate my health returns. On multiply side I got my points for health assessment. Since 13 November 2016 I have tried to get the information to health from Multiply, I have called in 8 times and every time was promised that it would be fixed also send 5 emails with reply from Multiply and health that they are busy fixing it. On 23 December there was results for health...

Category : Medical Aid

(0) Replies

Country : South Africa

What a company to deal with. I am struggling to get my claims for almost a year now and every time a different call centre agent ask different questions. I have spoken to a very arrogant call centre agent who did not give me a chance to speak. There is not communications allowed to any other department and must you as client try to work with incompetent staff, misrepresent themselves as managers.If you serious about your health so not join Bonitas. Discovery has a cheaper rate and excellent...

Category : Medical Aid

(1) Replies

Country : South Africa

I left bankmed on 31 July 2016. When I left this medical aid scheme I had an Rx amount of money that were my savings. Early December 2016 I made a call to bankmed to enquire about these funds and when would they be paid out. The consultant advised me about the balance and that it was subject to change should there be any claims before it gets paid out and THE DATE IT WILL BE PAID OUT WOULD BE 12 DECEMBER 2016. This date went passed and no payment was made. I called in again 17 December 2016...

Category : Medical Aid

(0) Replies

Country : South Africa

I now have submitted my claim for a 3rd time as claims just aren't paid. I have also included my Chronic Treatment Plan with the claim as 6 months ago I had the same issues. They just can’t get a claim paid out correctly the first time. I have asked advice on what I should do different to get the claims paid out correctly the first time but also no response on this. (Shame, they probably also don't have a solution to this, what a shame I have to belong to such a medical aid)

Category : Medical Aid

(0) Replies

Country : South Africa

ON 24 NOV 2016 WE DOWNLOADED FORMS FROM THE BONITAS MEDICAL FUND WEBSITE IN ORDER TO REGISTER MY WIFE AS A DEPENDANT ON MY MEDICAL AID. AFTER HAVING MY HR DEPT FILL IN STAMP THEIR PART OF THE FORM I FAXED ALL DOCUMENTS TO THE NUMBER ON THE TOP OF THE APPLICATION FORM - I HAVE PROOF THE FAX WENT THROUGH. ON THE 29TH NOV 2016 MY WIFE PHONED BONITAS TO FIND OUT WHETHER ALL WAS RECEIVED AND HOW LONG IT WOULD TAKE, SHE WAS TOLD THAT THE FAX HAD NOT BEEN RECEIVED. SHE SCANNED THE DOCUMENTS...

Category : Medical Aid

(0) Replies

Country : South Africa

Since beginning of September 2016, to date. Medshield has failed to deduct subscriptions from my salary (Stop Order). I have been a member since 2001, just because I resigned and tried to re instate my membership, it's not a struggle but a nightmare, which not only has inconvenienced me with continuous suspensions but my credibility as a reliable and good payer. Medshield has now turned me into a bad payer. Totally unacceptable, unethical, unprofessional, inefficient service. The HR manager...

Category : Medical Aid

(0) Replies

Country : South Africa