Medical Aid Complaints

COMPLAINT - false advertising - cover is not there when you need it (Member number 553324980) To those who think they are helping members who faithfully pay expecting to receive cover when you need it most My son tried to get a comprehensive medical aid on his meagre earnings He took out the Smart Plan and Vitality with the understanding (as detailed in the brochure) that in an emergency, trauma, accident his medical treatment would be covered and that his medicines after doctors...

Category : Medical Aid

(0) Replies

Country : South Africa

I have given notice with Momentum Health Saver and was In the Credit, they then responded and said I would have to wait 6 months, then when I queried this knowing full well that any claims received after the termination date would be rejected and also notified them that there were no claims forthcoming and I would be prepared to sign an affidavit to that effect, they have now sent me another letter stating there would be a 4.5 month waiting period unless I gave them a motivation? And at a...

Category : Medical Aid

(0) Replies

Country : South Africa

Dear MMI Holding, I have sent several e-mail to an e-mail address that was given by one of your chronic consultants, just to discover on Monday that it was incorrect. I have resent the prescription to [email protected] and she has promise to mark it as URGENT as indicated in my several e-mails sent to the chronic department. I've received a prescription in 18 August 2017 which was just not recognized by OCSA Care or Clicks Direct. I have mentioned to Ms Celastine...

Category : Medical Aid

(0) Replies

Country : South Africa

Dear Bonnitas you are very quick to deduct my contribution every month but when it comes to claiming for a pair of glasses I still have to pay in..not only that I can only claim glasses every 2 years and I have special lenses which they call surface lenses you pay R170 per lense and if I need a non scratch and a tint I have to pay out of my pocket and the frames are the cheapest on the market not even name brand like Diesel, Police or Carrera frames. 2 Years ago I didn't have to pay anything...

Category : Medical Aid

(0) Replies

Country : South Africa

I have been trying to add an email address for a week now so that we can access the online function. Ref no 131017QFFHMV and 161017QFH7YP remain unattended to and/or ignored!!! This is really pathetic service from Bonitas

Category : Medical Aid

(0) Replies

Country : South Africa

Bonitas... Oh Bonitas... I dont even know what to say... As stated many times before no words can describe how bad your service is and how bad my feeling towards your company is. It is not a case like Adele would say "I wish nothing but the best for you..." on the contrary. You make me so naar dat ek op julle wil kom kots! I have honestly not had 1 pleasant experience with you. When I joined your pathetic medical aid I advised everything regarding my bipolar disorder should be...

Category : Medical Aid

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Country : South Africa

My wife belonged to this medical aid because her employer would have contributed. We thought that this would save us money and therefore I agreed to it. Eventually we payed more for her to be on this medical aid than what we used to. In addition we had to make ridiculous co-payments because the benefits of this medical aid was insufficient. This only lasted a few months before we decided that something has to change. I moved my wife back to my medical aid. After a month we received an...

Category : Medical Aid

(0) Replies

Country : South Africa

Good Day. I have been struggling to get my husbands medical aid reinstated, as it was terminated imidiately while my husband was in Empangeni life care hospital waiting for test to be done and was told I can bring my husband to the hospital everything will be ok as I felt in my heart something was wrong and was not a stroke, we did the CT scan on the 20 September 2017 and the Radiologist saw something was wrong and called me and said he has to do an MRI as there is something, the results came...

Category : Medical Aid

(0) Replies

Country : South Africa

Good Day. I have been struggling to get my husbands medical aid reinstated, as it was terminated imidiately while my husband was in Empangeni life care hospital waiting for test to be done and was told I can bring my husband to the hospital everything will be ok as I felt in my heart something was wrong and was not a stroke, we did the CT scan on the 20 September 2017 and the Radiologist saw something was wrong and called me and said he has to do an MRI as there is something, the results came...

Category : Medical Aid

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Country : South Africa

I Have been with Audi Center Springs For four years and left the company. In that time I was with Bestmed medical aid.The new company Auto Alpina medical aid is Discovery. As from 1st of May 2017 the debit order at Audi Center was stop and I went over to Discovery. In August Bestmed to a debit order on my name from my private account without my permission 3 mounths later. I am trying to get a letter from Bestmed for a wail with no response I just ask for a letter on a letterhead to say my...

Category : Medical Aid

(0) Replies

Country : South Africa

I am a client at Discovery Health and have been for a some time. Without doubt, Discovery Health has been providing with good service and very happy with them generally. I am a diabetic and have been part of the CDE until I changed my plan from Classic Comprehensive to Classic Priority and hence had to leave CDE. At the CDE I received all my medication without limitations on spend. At the time of changing to the new plan I was advised by a discovery consultant (Jocelyn Pakiri) that the...

Category : Medical Aid

(0) Replies

Country : South Africa

I am a client at Discovery Health and have been for a some time. Without doubt, Discovery Health has been providing with good service and very happy with them generally. I am a diabetic and have been part of the CDE until I changed my plan from Classic Comprehensive to Classic Priority and hence had to leave CDE. At the CDE I received all my medication without limitations on spend. At the time of changing to the new plan I was advised by a discovery consultant (Jocelyn Pakiri) that the...

Category : Medical Aid

(0) Replies

Country : South Africa

What i dont understand i have been filling medical aid applications like non stop and now that i have the medical aid it cant be active i have to wait 3 months but they deducted my money so fast another guy who jst filled once an application has his medical aid active and laying in hospital right now which i dont see any fairness in this i wasted my airtime and time calling in if i never saw the deduction on my payslip i would not know i must say discovery is unprofessional in they service...

Category : Medical Aid

(0) Replies

Country : South Africa

My youngest daughter was taken in to emergancy for broncospasm on saterday evening after she could not breath earlier the day and the paramedics nubulized her at the school. Then i took her to my gp and gave her the medisine he pridcribed she started vomating later and her eys and face swole up. Then i took her to dalview hospital where they treated me as a private patient because discovery refused to take her in because im on a 3 months probation period. Me and my daughters has been on a...

Category : Medical Aid

(0) Replies

Country : South Africa

Hi There, please kindly assist me as I have made an arrangement with Discovery Medical Aid to help me with having a medical aid. Fine all went well not till i went to a personal financial crisis. First i asked them to amend the selected scheme to a lower and affordable one. I had to submit endless documentation, I had to call and email 2/3 times a day, I was still ignored and told it will take some time. I wait patiently and still received mail that it was not changed. I asked a lady to...

Category : Medical Aid

(0) Replies

Country : South Africa

Hi there I try to solve this account for nearly 1 year now. I want to know why the medical aid did not paid the acc.Since Dec 2015 The amount is R7379.67 to Glynnview Hosp. My medical aid no is 65063192694. I email the statements to them but they said it is paid. I was at Glynnview Hosp. and they gave me the inv. to say it is not been paid. It is nearly 2 years now the hosp. said they going to put us on I.T.C. Thanks CJ Coetzee

Category : Medical Aid

(0) Replies

Country : South Africa

i have medical aid with Bonitas for the past three years, never logged a claim before the 15 th May 2017 after an accident , i was admitted to hospital on the 15 May 2017 and discharged on the 17th, i queried 1 bill that was not Paid to the Hospital , Ref no 060717QD2y6R on the 6th july 2017 which still has not been paid to date, i am now receiving call from Attorneys regarding the claim which has not been paid.

Category : Medical Aid

(0) Replies

Country : South Africa

I'm a government employee using Gems Medical Scheme now my baby has been admitted on Saturday due to Acute Tonsillitis and she has fever,diarrhoea,oral thrush,she cnt swallow so she nxt take oral medication she needs iv medication says the main reason for admission now Gems declined to pay for admission now I already owe Akasia hospital R13 000 excluding the Dr and Lab.So what's the use of paying a medical aid if you can't get help when you need it.I have 2 go 2 provincial hospital whereas I...

Category : Medical Aid

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Country : South Africa

My mom had total hip replacement surgery in July.Bonitas medical aid refuses to pay the hospital,claiming that Hip replacement is not a PMB condition.It baffles me how a medical-aid can refuse payment for a chronic, degenerative condition where x-rays clearly indicate the osteo-arthritis in the joint,can be considered a 'non-pmb' condition.Bonitas also decided not to oay for 1 day in hospital stay while their authorisation quite clearly indicated 7 days.I am disgusted by the pathetic,...

Category : Medical Aid

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Country : South Africa

I submitted my forms by email for reinstatement of my Dependets that I renew every year as my dependent because they are over 21years of age. I submitted the forms on the 02 June 2017. I enquired 13th of June about the status of my request the consultant that I spoke to said nothing was received on the same day I resent forwarding the same email. There was no response for another two weeks I called again the consultant I spoke and said there were no attachments, I then requested to speak to...

Category : Medical Aid

(0) Replies

Country : South Africa

Good day, First off all they steal your money out of you bank account when you cancel the policy, they ignore emails then someone answers and lie and cheat, they took money out of my account without signing up etc, upon telling them to cancel it, they say they will refund and put in writing when etc, and then nothing happens, when you phone them each one in the call center has a different answer, they all a bunch of bullshitters, it is the worst service I have ever experienced in my 43yrs,...

Category : Medical Aid

(0) Replies

Country : South Africa

I cancelled the medical aid from Bonitus around 2012 according to their records. They are now stocking me as from July 2017 saying I am owing them monies dating back to 2001 and or 2012. I had to go through the trouble of going to my Bank to draw bank statements dating back to 2001. I have found that all monies that were owing to Bonitus were paid in full. They have referred me to an incompetent company called Creditworx debt collection for monies that were paid long time ago. I have gone to...

Category : Medical Aid

(0) Replies

Country : South Africa

Good day, Pharmacy Diect delivered my medication x 3 months supply, the medication is changed, this ok d by doctor. I have tried 15 different ones and Lypogen gives me no side effects. I took the med they sent me and it had bad side effects, I stopped. I am 62, high cholesterol, and no medication thanks to inefficient Bonitas Crum Pharmacy Direct. Should something occur Bonitas will be sued. I have written, begged and am being ignored. I will be laying a formal complaint with the medical...

Category : Medical Aid

(1) Replies

Country : South Africa

A month ago i asked my medical aid Siswe for my medical tax certificates and when i got it all my personal details was wrong! Phone them about it and they said that they will correct it and notify me its done! They send me mgs that its been corrected but when they send me the certificates all details was still wrong!! Up until today i phoned them and its over a month now!!! Please help becauae i urgently need to sort out my tax!! Thank U!

Category : Medical Aid

(1) Replies

Country : South Africa

medical certificate

Category : Medical Aid

(0) Replies

Country : South Africa

How can i get my Tax Certificate?

Category : Medical Aid

(0) Replies

Country : South Africa

In March 2015 I lodged a complaint against Medshield at the medical board for not allowing a medical procedure for my son in June the contacted me and informed me that they want to send my son to another doctor for a second opinion at their costs I agreed and they made an appointment firstly they made the appointment with a doctor in Pretoria and I stay in Johannesburg and secondly they made the appointment with a orthopedic surgion where my sons doctor is a neuro surgion surely apples needs...

Category : Medical Aid

(0) Replies

Country : South Africa

My wife was hospitalised on 2/3/2017 for an heart operation. Medical costs which was supposed to be covered under the hospital plan was taken from my Medical Savings Account which resulted it been depleted completely. I was also send letters stating that I have to pay the medical aid back for doctors accounts. when I queried this I was promised that my account will be rectified and it is still not done even after many e-mails.

Category : Medical Aid

(1) Replies

Country : South Africa

I was admitted in hospital from 03/04/2017 to 07/04/2017 and got authorisation from the medical. they paid the claim from day to day benefits which my whole family not to consult the GP because of insufficient funds and other DR's sending me final message because of GEMS taking their own time to resolve this even after I made several calls. I applied for a CHRONIC MEDICATION on the 06/07/2017, made a follow up on the 19/07/2017 and was told it was approved and they will deliver the...

Category : Medical Aid

(3) Replies

Country : South Africa

medical PMB condition an emergency admission to local Medi-clinic after a fractured femur, the medical aid Fedhealth refuses to pay the emergency doctor who was on duty at 3am and attended to the patient. Good grief if this is not a PMB condition and should the medical aid not be taken to book? In an emergency you cannot start asking stupid questions like are you with Fedhealth?? or please wake up a doctor who is.

Category : Medical Aid

(0) Replies

Country : South Africa

To cover possible medical expenses, I 66 (and my wife 65 as dependant) joined Bestmed (Beat 3) in July 2016. Not having been a member of a medical aid in the past 15 odd years, I have to pay a very high premium. This I excepted for the peace of mind of being covered at least. I have had no prostate problems or symptoms, and checkups with my GP showed no problems as well. In May my GP sent me to a urologist after my PSA count increased. The urologist also found no physical problem but...

Category : Medical Aid

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Country : South Africa

I have been using sizwe medical aid since last year 2016 paying R4325.00 every month and I cancel the medical aid in may 2017. so all the doctors that I consulted with from January to April they did receive they payment now their billing me. saying I should pay the remain amount of bill. while the medical aid should have covered the bill. when I call sizwe medical aid they say I should pay as I have cancelled the medical aid but I told them those DR I consulted them before I cancel the...

Category : Medical Aid

(0) Replies

Country : South Africa

I am a cancer patient with a Classic Comprehensive medical aid scheme with Discovery. To date this year and for the past 3 years not one of my blood tests, oncology requested tests or pills have ever come out of my R400 000 oncology allowance per annum. It is all deducted from my medical savings and my "Gap" which in effect means I am paying for the lot including the higher rate for my medical aid scheme!!! I am a 73 year old lady which now means I am now unable to afford to have any more...

Category : Medical Aid

(0) Replies

Country : South Africa

Xelus Gap Cover. I phoned the company to ask for quotes for Medical Aid in 2015. I now find there has been a debit order for Gap Cover been put through on my account, to the value of over R3000.00. I didnt pick up on it as it started at the same time as I took out house insurance, and I thought it was that. On phoning the company they told me that the lady who had worked with it was gone, but that they would follow up and get back to me. I spoke to Emanuel Jura (Manager) who promised to come...

Category : Medical Aid

(0) Replies

Country : South Africa

Last year September my son completed forms to join the medical aid as from the 1st November 2016. Nothing happened. Made contact with the broker – the broker advised that it was an oversight from their side but would definitely add him on from the 1st December 2016. Once again nothing happened. Completed new forms and sent them off for effective 1st January 2017. Now on medical aid. Then completed forms to add a dependent onto his medical aid as from 1st February 2017. Nothing happened....

Category : Medical Aid

(0) Replies

Country : South Africa

I have a serious complaint regarding Gems. I requested to add dependents on my medical aid. I contacted Gems regarding the waiting period stated in the application forms to confirm whether it stand for dependents moving from their medical aid to mine without any break in medical coverage. The consultant assured me that there would not be a waiting period and I received a reference number (MH 82077410). I contacted Gems once I submitted the application to follow up. The consultant then...

Category : Medical Aid

(0) Replies

Country : South Africa

Good day My son was in an emergency where he cut his finger open. I phoned the medical aid for authorization number which I did get. I asked the consultant that if my son had to go for a follow-up, must I phone again for authorization and her answer was no. The medical bill was paid, he got stitches. My problem now is that he had to go for follow-ups because they had to take the stitches out. But now, I had to pay R621 out of my own pocket. They just don't come back to me. I mailed...

Category : Medical Aid

(1) Replies

Country : South Africa

I have several issues with Fedhealth. I am attempting to upgrade my scheme for 3 weeks and have logged a number of complaints with them - ZERO respnonse. I am at the stage of reporting them to the medical board and the media. their online helpers are also unqualified to communicate at a level needed and the total Fedhealth package is a scam as far as I am concerned

Category : Medical Aid

(2) Replies

Country : South Africa

my name is Carol Sibanda, I received a call from platinum life about 3 weeks ago regarding a ladies medical package I was suppose to get. I spoke to a Llyod but I cannot recall his surname. He was on the phone with me for about 30 minutes taking down my personal details for me to receive my package. I have not heard anything from this guy or the company. I'm not sure what the whole point was seeing that they took almost 30 minutes with me on the phone asking about my address and other...

Category : Medical Aid

(0) Replies

Country : South Africa

I was diagnosed with cancer in October 2016. I received treatment from thereon after bilateral mastectomy. All together 4 chemo's and again 4 chemo's with herceptin. The oncologist needs to give me another 14 treatments of herceptin. The medical aid declined the treatment. Is there a way that you can help me? Mollie Swart 084 5555 167

Category : Medical Aid

(0) Replies

Country : South Africa

My husband & I applied for Debt Review in January 2017. Being a FedHealth member & knowing my Debit order will be sent back as we had to change banks & did not have funds at that stage, I called Fedhealth to make an arrangement after whcih the consultant advised me to send an email to Fedhealth to arrange. No response was received & when the debit order was sent back, I called to find out why my query wasn't attented to & the response I received was that the accounts department saw that the...

Category : Medical Aid

(0) Replies

Country : South Africa

I cannot complain about discovery’s service as there is no service Once again I complain about Bankmed/ discovery health. Discovery health did not want to pay my antibiotics and at that stage I did not have the cash to pay for it. At that stage I had over R 5000 in my Medical Savings Account. The chemist advised me that the message that they get is that I am over my daily limit. The result of that I did not get my medication is that I landed up in hospital and that cost even more. I...

Category : Medical Aid

(0) Replies

Country : South Africa

My husband was due for a back op on the 20th of January 2017 (He had been going for physio for over 8 months and it was not working) Medshield declined the op saying he needs to first go for more treatment. He went for more treatment with a chiropractor, got inner soles made for his feet and still nothing relieves his pain of a pinched nerve in his back. He now has no feeling in his right leg and foot, he does not sleep and he cannot walk without being in terrible pain. I have give all this...

Category : Medical Aid

(0) Replies

Country : South Africa

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

(1) 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

(4) 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

(1) 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

(5) 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

(4) Replies

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