SW
Shariefa W
Active since Dec 2015
5
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5 reviews1 month ago
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just received my care plan for chronic that i hv no idea when i was diagnosed by whome? when? where? how? what is my signs and symptoms? this care plan us supposed to be for my husband but now im being diagnosed by the mefical scheme not a doctor. what is going on here? no man y cant you get it right .. why now all the confusion? after 3 yrs? cnt u think for yourselves??? .. so now u going to deplete my savings for your stupidity. can u not read the info on the script??
53 replies
1 month ago
incompetence
for 3 yrs my husband has been receiving chronic meds and now this month with the renewal script all of a sudden the medication is processed on my bane and my husband's name, now the meds is being processed from savings. we hv asked y is this so but no1 can give us answers. i do no have any health issues and now this medication being issued is processed on my name and no reason given as to y !!!!! now i received a sms stating the meds is under review and sent to medical advisor.. for wat? wen its been issued for 3 yrs no problms..
53 replies
2 months ago
bad service
sanlam gap cover looking to delay claims process by requesting documentation that was attached to original email sent when i initiated the claims process. the invoice is attached from the radiology dept but they now requesting they give us a more detailed invoice although we phoned the provider prior to starting the email process and we were assured this is the only invoice they issue clients..so now sanlam gap wants us to get a different invoice that we r gonna get where???then also noted at the same time they emailed us 3 mins earlier to this request and stated the claims processing has started so are they paying or not??? and this request of the more detailed invoice is now going to delay the whole process as the turn around time is 10 business daysfrom the email.adress the request has come from...y is this specific gap cover always an issue!!!!!!!!!! been like this for years !!! and wednt hv a choice as the company i wrk for only uses this company for gap cover and we need to go through this everytime
112 replies
25 months ago
3rd partyclaim that is being delayed on purpose
ur client banged into me ...u are sorting her car out and from the word go i am an after thought but yet im the person that was minding my own business wen ur client banged into me.. now u want to come with lies about u phd me on 20 march 2024 and i never picked up meanwhile i spoke to lorraine.. you are now changing the incident to your version as if u were there.. wat is this now? and y is it sucha big issue that i dont have insurance.. is that ur business? how is that relevant here? more likely you dont want to pay out for damages ur client caused! now its a tat of 30days.. but by then the perpotrators car will be fixed and im still going to be driving around with this bang on my car and unable to go shopping etc as my boot cannot open but because my car is not a gti its gettn overlooked.. and im still waiting for the documentation you supposed to send me... my word! you dont care about the inconvenience!
56 replies
42 months ago
worse med definitely not bestmed
auth declined for a pmb condition of which they knew my husband suffered from... we attached all the documentation for them to review but they decline the auth and say no benefit. no benefit but its a pmb icd 10. so they are above the medical schemes act and they do as they se fit. i thought medshield was bad but this is worse!!!!
132 replies
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