NB
Nomzamo B
Active since Feb 2017
12
Reviews
0
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Reviews
12 reviews49 months ago
7 months later they fail to settle a claim and come with an excuse of not paying because Dr practice is under investigation.... Rubbish medical aid
I thought my previous complaint on this medical aid would be the last that's the reason I decided to continue with them for year 2022. So on the 29/09/2022 I was rushed to Unutas ER then admitted, the Dr who was on call or on duty wasn't on my medical aid network doctors. So the money was deducted from my savings at first then when I queried it was when the partial was paid from RISK. Then I queried why was it partially paid then i was told that because Dr is not on their Network, I then said but the hospital is on Network and in the ER I cannot choose which doctor attends to me then they advised me to get motivation from the Doctor. I paid for that motivational letter then send it to Fedhealth. And they have been promising to pay after 3 days every time i queried as it was now approved to be fully paid from risk. I then escalated again and i was told it's a technical issue they're attending to because when they try paying it gets deducted from savings and they'll sort it out. So for five months same story, on the 15th of March 2022 i get an email that the practice is under forensic investigation now they cannot pay them. How is this my problem because they've confirmed and promised to pay from risk. So suddenly they cannot anymore?
148 replies
56 months ago
Medivault savings are utilized for in-hospital claims
On the 8th of August 2021 I was admitted to Unitas Hospital up until the 20th of August. My issue is that i picked up that some of the claims were settled from my Medivault savings and not from the in-hospital benefit. And i always had to contact them to query that's when i was told that Authorization for hospitalization was not yet updated. Got hold of the hospital case manager who then said it will be updated. My problem is that I now have to query each claim for Fedhealth to settle from hospital instead of savings. Isn't there a consultant who has to check each and every claim that it is settled from hospital benefit for the duration of my stay and not from savings, instead of me querying each and every claim? Because now my Medivault savings is utilised and I'm unable to pin point each and every claim.
53 replies
60 months ago
Regret ever moving to Fedhealth
It's actually not a pleasant afternoon to be honest because of the stress that I'm under because of this Option Change Rejection without even providing me with reason of rejection. I am going to state the events of what took place to initiate the option change. 6 April 2021 - Did an option change online and then attached the Dr Confirmation Letter 13 April 2021 - Followed up with the customer service agent online because I hadn't received feedback then I'm told there's no attachments I should actually send it directly on email. SENT IT IMMEDIATELY. 14 April 2021 - An email detailing what I should send through (060421QJ0WK2) 17 April 2021- I sent through the attachments as per requested email on the 14 April 2021. 19 April 2021- Another requirement not mentioned above is required LAB RESULTS. I tried to save up because didn't wanna access my medi vault. I then went to the Dr for bloods only to find out money saved not enough, had no choice but to activate it. 26 April 2021 - Did the bloods with my Dr and send them to the email address as soon as received. 28 April 2021 - Sent to Fedhealth 30 April 2021 - Another email requesting the previously sent Dr Letter and another addition the employer confirming that they allow the option change. To my surprise my employer HR was surprised because with other employees Fedhealth never followed this route of requesting them to confirm. Then it was sent to Sanlam head of HR to assist, then HR submitted directly to relevant parties. I followed up with them because this was the missing puzzle and I was told it was sent to the membership department. 4th to 7 th May 2021- Elmarie (Business Development Officer) and Andiswa(HR) communicates that it is received and under review. 7 May 2021 - follow up, and then I'm told of docs already submitted told the agent that it is submitted and my HR confirmed by sending email. 13 May 2021 - An email from Fedhealth to say that option change is rejected, without even providing reason. I still had to contact them again to ask why and I was told I didn't request within 30days. So they should provide their timelines.
159 replies
64 months ago
Debited my account on a cancelled contract
I was advised that my account won't be debited because the contract is canceled, however it has been. I expect Mondo and MTN to Credit the amount back to my account ASAP. THE SIM WAS NOT ACTIVATED I CANCELED CONTRACT WITHIN THE 10 DAYS GRACE PERIOD.
280 replies
65 months ago
Beyond Excellent Service from Kimona!
Thank you so much to Kimona "Kim" who ensured that my query was resolved, and always did a curtesy call to reassure that my matter is getting urgent attention.
56 replies
65 months ago
No value for money deal and you guys wanna push stupid sim only deals.
So I applied for a 100GB+router Black Friday deal for R299, but unfortunately I qualified for a SIM only deal (MY MTNChoice 80GB) of the same amount R299. The consultant persuaded me to take it because it also included Video streaming data for (Netflix, showmax and DStv now). The SIM was delivered today by DSV so before I started activation I went online to double check the offer, then I saw that Video streaming is only limited to Showmax and DStv now only. queried online (live chat) and consultant (Thandeka) took her time to answer this question and she finally did and confirmed according to MTN website. So I decided to cancel as I have 10 days to cancel contract . Because why doesn't Video Streaming data include Netflix and when I took the contract the consultant confirmed Netflix.
784 replies
65 months ago
False advertising, they just wanna push their SIM only deals.
So you apply for an online 100GB anytime deal + router (Black Friday special) then you don't qualify for this deal but a SIM only of (80GB night and day) with the same amount of R299, how do you guys come to a conclusion of that? is this a hoax and you want to push the sim only deals. This is just pointless to put it on (advertise) knowing that you want us to take the MTN myChoice 80GB.
0 replies
87 months ago
SHORTFALL COVER that I've been PAYING but cant COVER when NEEDS BE
So on the 7th of February 2019 i was involved in a car accident. Followed procedure of loading the claim online, Then later received a call from the a claims Advisor . Send through all the relevant information and documents that were asked. Car was assessed and declared to be beyond repair. I was advised that the once it is approved they'll settle the car with the bank (retail value) and they'll be a shortfall. And i told the lady that i have a Shortfall cover with them. On the 14th of February 2019 i was then told that the claim was approved and unfortunately they wont PAY the SHORTFALL because i don't qualify. I was SHOCKED because I've been paying for that SHORTFALL COVER for over a year with them. She explained in detail how the calculation is done and what quantifies for it to be paid. To my surprise when i took the cover they didn't explain all that. I requested a telephone conversation when i first took cover with them to hear if it was also explained in that manner and detail what she has said. I followed up with MiWay telephonically (19/02/2019) because i haven't received any feedback with that regards via email or any kinds of communication. Today (20/02/2019) i did another follow up with the Claims Advisor (Via email) and then a minute later i received a call from her stating that she has listened to the conversation and the contract was read to me (AGAIN I"VE ASKED HER TO SEND IT THROUGH TO ME SO THAT I CAN LISTEN AND HEAR IF THE SHORTFALL COVER WAS EXPLAINED AS SHE DID)
420 replies
92 months ago
DSTV Delicious FEST "FRAUDULENT" "PREPAID CARDS" that ABSA can't trace on their records
On the 22nd of September 2018 i attended your event DSTV Delicious Festival and the event was CASHLESS event, so there was a facility where we got prepaid cards by VISA and it is an ABSA card. We loaded money on them and then were told that we can even utilize it around South Africa. The problem is that the speed points were often offline and when we used it at an ABSA ATM the cards were not activated. We went to an ABSA branch in Atteridgeville yesterday and they couldn't help us because they know nothing about the "Prepaid Card". I then contacted VISA but they also cant help us. i sent out a query to ABSA via email and its 3 Days now nobody came back to us. We just want our MONEY that was loaded on those cards that's all.
0 replies
92 months ago
ABSA "FRODULENT" Prepaid CARD from the DSTV Delicious Fest
On the 22nd of September 2018 i attended the DSTV Delicious Festival and the event was CASHLESS event, so there was a facility where we got prepaid cards by VISA and it is an ABSA card. We loaded money on them and then were told that we can even utilize it around South Africa. The problem is that the speed points were often offline and when we used it at an ABSA ATM the cards were not activated. We went to an ABSA branch in Atteridgeville yesterday and they couldn't help us because they know nothing about the "Prepaid Card". I then contacted VISA but they also cant help us. i sent out a query to ABSA via email and its 3 Days now nobody came back to us. We just want our MONEY that was loaded on those cards that's all.
105 replies
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5 Star
1 (8.333333333333334%)
4 Star
0 (0%)
3 Star
0 (0%)
2 Star
1 (8.333333333333334%)
1 Star
10 (83.33333333333333%)