Medical Aid Complaints

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

(0) 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

(0) 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

(0) Replies

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

(0) 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

(1) 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

(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

(5) Replies

Country : South Africa

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