Disappointed after years with Compcare.

I’ve been with this medical aid for many years and until now I’ve always had good things to say about them. Even at this point, I am still thankful for the support I received during my cancer journey.

The problem is a radiologist claim that was rejected because the invoice did not include the correct oncology ICD codes. At the time, the diagnosis had not yet been confirmed by the lab.

I queried the rejection in March 2025 and was asked to submit the lab diagnosis once it was available, which I did. I never received any feedback. I then received an account again from the medical practitioner.

I raised the query again on 21 July 2025 and was told that the claim was now considered stale because it was older than four months. This makes no sense, as my first query was raised well within the four-month period. The delay was not on my side.

I sent through all correspondence and was told the matter had been escalated to the Scheme Fund Manager. It has now been 14 months and I have still received no outcome, despite multiple follow-ups and emails confirming that the issue was escalated.

In the meantime, I am left sitting with the account and the risk of being defaulted, while waiting for my medical aid to at least update me on what is happening. This level of delay and lack of communication is unacceptable.