National health care/Generic health/ Old Mutual health

I am extremely dissatisfied with the service I am receiving from my medical insurance.

My plan clearly provides unlimited GP consultations, yet in practice, I am being denied proper access to a doctor. Instead of being allowed to physically consult a GP, I am often directed to remote channels where I simply describe my symptoms and get prescribed medication via WhatsApp. This is not acceptable. A proper GP consultation should include: Physical examination Vital checks such as blood pressure, heart rate, etc. Proper diagnosis before medication is prescribed Prescribing medication based purely on messages, especially when I am experiencing serious pain, is not proper medical care and puts my health at risk. On top of this, I have had claims worth R7,000 rejected because I could not obtain prior authorisation due to lack of airtime/data and delayed responses from your side. This is unfair and beyond my control. Your processes are: Denying me access to proper in-person GP consultations Replacing real consultations with inadequate remote assessments Delaying care through authorisation requirements Rejecting valid claims due to system failures This completely contradicts the benefit of “unlimited GP visits” that I am paying for. I believe this requires urgent attention and may warrant escalation to the and the . I am requesting: Immediate access to proper, in-person GP consultations Payment of the rejected R7,000 claims Removal or review of barriers preventing physical doctor visits Clear explanation of how this aligns with my plan benefits If not resolved urgently, I will escalate this matter formally. Access to healthcare should include proper examination—not shortcuts.

I have been with flexicare before with the previous company I have never struggled like this, pity current company i will have to administer medical on my own, which is not a problem but since you arerecommended i chose you.