Medical Aid Complaints

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

On 23 August 2016 my doctor Dr.brent Roodtman accounts lady phoned bestmed after authorisation was obtained and send to me as member about outstanding claims for pr0065188, service dates 25/07/2016, 11/08/2016, 14/09/2016 and 10/11/2016 that was not paid. She spoke to Elizabeth at their call centre with reference nr.10421308 and she said that she will look into it why the claims is not being paid. On 15/11/2016 she phoned again and kgonkse Makopa with ref nr. 10780762 and he confirmed that...

Category : Medical Aid

(1) Replies

Country : South Africa

After contacting Sizwe Medical Aid, via telephone and e-mail, only to be met with non-existent service, not even poor service! The average telephone call to their customer service inbound centre will take approximately 20 minute, they obviously don't pay the bill, not to mention the rude person, who's training does not include listening to the customer's query, but rudely speaking over the customer, with a learnt verbal response. As for their email site queries, I have come to realize they...

Category : Medical Aid

(0) Replies

Country : South Africa

PEOPLE DONT BOTHER WITH DISCOVERY, THEY HAVE A BAD SERVICE. ONE SAYS THIS AND THE OTHER SAYS SOMETHING ELSE. MANAGEMENT IS OFF NO HELP AT ALL. ALMOST 9 YEARS AND THIS IS THE SERVICE I GET FROM THEM. I'M DONE. NO ONE CAN GIOVE ME A PROPER ANSWER. SO DONT WASTE YOUR TIME AND MONEY PEOPLE GO TO A MEDICAL SCHEME THAT IS INTERACTIVE AND LOOKS AFTER THEIR CLIENTS. AS DISCOVERY DEFINTELY DON'T CARE AS LONG AS THEY GET THEIR DEDIT ORDER EVERYTHING MONTH THEY ARE FINE. THEY BIG SO WHY MUST THEY WORRY...

Category : Medical Aid

(0) Replies

Country : South Africa

I have been with discovery for 8-9 long years, every year they increase my premium without notification and I never complained because it was standard. Well I discovered in Sept that I am no longer a member due to non payment. No sms no email no call from them, service just suspended then too top it all off this is not the first time that this happened. However they always contacted me and I was always able to remedy the situation. Found out by accident that I am not covered then the mission...

Category : Medical Aid

(0) Replies

Country : South Africa

Hi i would like to know when are you guys going to pay the account as its months over due, i no longer belong to get savvi .the dental company is now sending me letters and calls me consistently for things get savvi was spouse to deal with and pay. i have also tried calling i cant get through to them

Category : Medical Aid

(0) Replies

Country : South Africa

I want to complain about the unlimited/ african unity healths easimed medical insurance Since I joined it has been an impossible mission to get what I am paying for two days ago I went to the doctor with bad flu and throat and chest infection.please note this is one of their service provider doctors and when I went to pick and pay pharmacy the chemist struggled endlessly to find my profile on the system.i gave her my membership number.she called the unlimited who told het she must call...

Category : Medical Aid

(0) Replies

Country : South Africa

According to the Bankmed Basic plan Preventative and basic dentistry are covered 100% of cost unlimited via Bankmed Dental Network Subject to Scheme-approved formulary. This to me refers to the amount they will pay.NO WHERE does it state that some of the basic procedures needs to be pre-approved. I had partial dentures made and according to a quote from Bankmed they would pay for the basic work done. Now after the work is done they refuse to pay the "Imprints" becauase we did not get...

Category : Medical Aid

(0) Replies

Country : South Africa

Good day. I have a problem when trying to make a client see attach document and the code that the doctor referred me to hospital to do scan my code id D48.0 is on the document as well but the claims department keeps on asking for the same code. Please see the attached document

Category : Medical Aid

(0) Replies

Country : South Africa

I need creditworx to forward me via e-mail statement amount of the alleged amount owned to my previous Medical aid.Which I terminated membership. They keep saying they will send me an e-mail of the statement, they keep saying e-mail was sent. At this point No one answers calls their phone keeps ringing.

Category : Medical Aid

(0) Replies

Country : South Africa

Received a call from Creditworx claiming of an outstanding amount not paid from my previous cancelled medical aid Bonitas. Requested them to forward me statement of the amount .As I had never received any communication from the medical aid.

Category : Medical Aid

(0) Replies

Country : South Africa

I phoned to enquire about a process information regarding a pharmacy account. It was dealt with by an employee who considered he was more important than the client. He accused me of being rude and insulting when I questioned the information he gave me. I asked to be connected to a supervisor - this did not happen so I had to phone again and my query was dealt with by a helpful lady. People working in the service industry should learn to treat the customer with respect, after all without us...

Category : Medical Aid

(0) Replies

Country : South Africa

I was asked to go for a blood test for Cholesterol by Momentum Health Returns because Health Assessment reading said Cholesterol was high. I did the test but to date Momentum cannot tell me if they received the report. Furthermore if you call then you must hold on the call gets cut and there is no follow up call to say they are sorry and then they want us to rate their service. BUT I STILL DID NOT GET THE ANSWER VERY FRUSTRATED MEMBER AFTER MAKING 4 CALLS FOR THE SAME THING

Category : Medical Aid

(0) Replies

Country : South Africa