SM
SABC Medical Scheme
Unclaimed Business
SM
SABC Medical Scheme
Unclaimed Business
0 Reviews (last 12 months)
Does not respond to reviews
Performance(last 12 months):
TrustIndex
0
Ranking
#14
in Health & Medical
NPS Score
0
Recommended: Unlikely
Recent reviews (0)
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BP
BruceHP P
1 reviews | Active since Jan 2020
21 Jul 2023, 08:19
SABC Medical Aid Make Right Fulse Accusation
It was with great surprise that the CDE had finally done the payment of my medical account. Which the SABC Medical aid went the extra mile to facilitate, they did not have to do this but did as I was wrongly led to believe that they (SABC Med Aid) had to pay. I must therefore humbly apologize for all the inconveniences, extra work, as well as the false accusations that I made on Hello Peter. I now write to Hello Peter to change my rating of the SABC Medical Aid. I want to also thank the medical aid, Monique Evans, for her perseverance in settling this matter and making sure that my outstanding accounts were paid. They really have impressed me, and I now know where I can place my trust. You deserve five stars. Thanks, must also go to Hello Peter. Thank You without you this would not have happened.
Helpful (0)
|Replies (0)BP
BruceHP P
1 reviews | Active since Jan 2020
21 Jul 2023, 08:19
SABC Medical Aid Make Right Fulse Accusation
It was with great surprise that the CDE had finally done the payment of my medical account. Which the SABC Medical aid went the extra mile to facilitate, they did not have to do this but did as I was wrongly led to believe that they (SABC Med Aid) had to pay. I must therefore humbly apologize for all the inconveniences, extra work, as well as the false accusations that I made on Hello Peter. I now write to Hello Peter to change my rating of the SABC Medical Aid. I want to also thank the medical aid, Monique Evans, for her perseverance in settling this matter and making sure that my outstanding accounts were paid. They really have impressed me, and I now know where I can place my trust. You deserve five stars. Thanks, must also go to Hello Peter. Thank You without you this would not have happened.
0
Replies (0)TM
Tebogo M
1 reviews | Active since Jan 2020
16 Aug 2022, 09:27
Poor management
I had a sinus operation last year September and medical aid authorized and approved for my operation. Months later I was shocked to receive a statement that I owe almost R40 000 for a sinus operation. I have done this operation many times and always medical aid paid. Now medical aid says I owe them money for an instrument that my Dr used during the operation. So I must pay for instruments used during the operation? Medical requested that my Dr writes them a motivation explaining to them why he used the instrument and also asked for Dr's codes. My Dr emailed them all the medical aid requested but until today, they have not paid the claim. Everytime I speak to an agent at the call center they fail to assist and they refer me from one agent to another without a solution.
Helpful (0)
|Replies (0)TM
Tebogo M
1 reviews | Active since Jan 2020
16 Aug 2022, 09:27
Poor management
I had a sinus operation last year September and medical aid authorized and approved for my operation. Months later I was shocked to receive a statement that I owe almost R40 000 for a sinus operation. I have done this operation many times and always medical aid paid. Now medical aid says I owe them money for an instrument that my Dr used during the operation. So I must pay for instruments used during the operation? Medical requested that my Dr writes them a motivation explaining to them why he used the instrument and also asked for Dr's codes. My Dr emailed them all the medical aid requested but until today, they have not paid the claim. Everytime I speak to an agent at the call center they fail to assist and they refer me from one agent to another without a solution.
0
Replies (0)LK
Lorraine K
1 reviews | Active since Jan 2020
23 Aug 2021, 13:37
SABC Medical Aid Scheme - Poor Service
Good day I have been given authorisation by my dad to assist with the claims. Both our parents unexpectedly fell ill and were hospitalised in Kenya in November 2020. Mum sadly passed away on November 24th, 2020. We came together as a family to cover hospital costs, doctors' bills and funeral expenses. On our return to SA my sister logged a claim with the medical aid only to find out 4 months later that she was liaising with the wrong department. No one picked up this even though she did regular inquiries during the 4 months. I then took over the follow ups and my inquiry were intercepted by someone who was kind enough to direct me to the correct department and he also outlined the whole process. I then wrote a detailed email explaining the situation, with dates, order of events and the relevant invoices attached. A very small portion was paid out and I have been requesting for detailed information with an explanation as to why certain amount were denied, only to be giving codes that does not satisfy my inquiry. I have been calling numerous times, and every call takes about 45mins bearing in mind that my inquiry could not answered. The lady that normally assist me has been trying to get feedback from the various departments, but she does not seem to be making headway as she must rely on the relevant departments to provide the feedback. The below are a few reference numbers for my inquiry and some of the times they were offline, so they were unable to provide a reference number. This is my dads medical aid and he has been paying towards this for years. Being a pensioner, I cannot imagine what would have happened if he had to do all these inquiries. This has been rather exhausting. My experience with this Medical Aid Provider has been long and tedious and I still do not have closure on my dad’s claim. 210121QDBMH9 120421QJ8MJD 210421QJR2T4 280421QJYXX1 070521QKFV3Y 110521QKK04M 030621QLMZ9V 300621QMWWZS 260721QP02M3 280721QPSSWT 050821QPKPNN Kind Regards Lorraine
Helpful (0)
|Replies (0)LK
Lorraine K
1 reviews | Active since Jan 2020
23 Aug 2021, 13:37
SABC Medical Aid Scheme - Poor Service
Good day I have been given authorisation by my dad to assist with the claims. Both our parents unexpectedly fell ill and were hospitalised in Kenya in November 2020. Mum sadly passed away on November 24th, 2020. We came together as a family to cover hospital costs, doctors' bills and funeral expenses. On our return to SA my sister logged a claim with the medical aid only to find out 4 months later that she was liaising with the wrong department. No one picked up this even though she did regular inquiries during the 4 months. I then took over the follow ups and my inquiry were intercepted by someone who was kind enough to direct me to the correct department and he also outlined the whole process. I then wrote a detailed email explaining the situation, with dates, order of events and the relevant invoices attached. A very small portion was paid out and I have been requesting for detailed information with an explanation as to why certain amount were denied, only to be giving codes that does not satisfy my inquiry. I have been calling numerous times, and every call takes about 45mins bearing in mind that my inquiry could not answered. The lady that normally assist me has been trying to get feedback from the various departments, but she does not seem to be making headway as she must rely on the relevant departments to provide the feedback. The below are a few reference numbers for my inquiry and some of the times they were offline, so they were unable to provide a reference number. This is my dads medical aid and he has been paying towards this for years. Being a pensioner, I cannot imagine what would have happened if he had to do all these inquiries. This has been rather exhausting. My experience with this Medical Aid Provider has been long and tedious and I still do not have closure on my dad’s claim. 210121QDBMH9 120421QJ8MJD 210421QJR2T4 280421QJYXX1 070521QKFV3Y 110521QKK04M 030621QLMZ9V 300621QMWWZS 260721QP02M3 280721QPSSWT 050821QPKPNN Kind Regards Lorraine
0
Replies (0)