MJ
Michael J
Active since Jun 2018
8
Reviews
0
Industries
Reviews
8 reviews2 weeks ago
Claim dispute
NETCARE alberton - Ive been trying since February to get my claim sorted.. Im a member of the dischem plan. And they advised me that there has been no communication from netcare.. The claim was supposed to have been done the morning. Instead i was told to pay first and then claim later. Due to this Dischem does not want to pay... The lady seemed very helpful but, now i realize that she did that to make her job easier.. Much easier making some one pay .. instead of picking up the phone and making the claim . As simple as that. and it would of been paid for : below email recieved from dischem Good day I trust this email finds you well. Please accept my sincere apologies for the inconvenience caused. Kindly note that a letter of motivation outlining the medical necessity and clinical justification for the services rendered is required. This will enable us to resubmit the claim for further review. We would appreciate it if you could forward the motivation letter at your earliest convenience. We apologise for any inconvenience caused. We trust the above is in order. Yours Sincerely Nokuthula Cindi The Escalations Team How satisfied are you with the way our escalations agent assisted you?
1 reply
3 weeks ago
Re-Instate Plan taken a month
Ive been trying to re instate a plan for my 67 year old mother since the 1st of MAY ... The policy is due to expire on the 31st. I was sent a mail on the 8 informing me of the re instatement , with policy a schedule attached. Two day after that my mother received a message expressing that the policy is due to end on the 31st ? After i received the confirmation email. She is 67 years old i please would like to avoid any gaps in her coverage. i have had her on this plan for a year and a half now .. Please can someone assist. I am the main member I HAVE A TOTAL OF THREE plans with dischem health.. its taken me a month to try and re instate ... And still no luck
1 reply
1 month ago
Bad service
Once again i have been disappointed by Dischem, This is to do with my claim.. I was contacted via email. Asking me exactly the same question asin the beginning of the process dont the departments communicate .Ive sent the same documentation 4 times . but have had no respsonse after that. Now that im cancelling, I have even sent a cancelation email on the 29th giving 31days Notice and even that process is painfull no confirmation on my claim or my cancelation. Really bad service
1 reply
1 month ago
Bad service
I was booked in emergency at netcare alberton on the 23rd of February, Lower R/hand side abdominal pain. I am on the Dichem Health Plan .. KAELO and gap cover. They did all the bloods. Apendix was cleared.. Dr ordered the scan at radiology. But Due to the time they were closed. Next morning first thing i had to be back.. Not knowing why in an emergency radiology is closed ??? is beyond my understanding at a private hospital ? I was told to pay and then do a claim later.. Only to find it was rejected because i dont have a refereal letter ? and i didnt do pre authorization ? Netcare did my authorization for the emergency, but failed to do authorization for the Scan .. Is this my responsibility when im in an emergency situation. In a nutshell Dischem thinks i referred myself for a scan, knowing fully that one cannot just do that. and netcare staff at dr krige and partners were simply to busy to get authorization. Made me pay and for some reason the file was closed on the 23rd knowing in still comming back as they still hadnt found whats wrong. I literally can go and work at netcare or Dischem as ive learnt so much about sources codes. pre authorizations etc. If i stayed there and it was done in one faul swoop it would of been paid for ??? I am really disappointed in Dischem and Netcare ...
2 replies
8 months ago
BAD SERVICE AT ALBERTON NETCARE RADIOLOGY DEP
I have recently visited Netcare Hospital ( Radiology DEP ) Alberton (Radiology SA) My wife went in to have a Sonar done. She arrived we filled out all the info .. We waited untill my wife went to the receptionist, to ask if there has been any luck, as numerous patients went in and out before and after as she needed to go to the toilet ( The procedure needs a full bladder from what im aware, and was advised ( Her response was to say, there are other patients she needs to wait ? ) But she can go to the toilet, but will have to wait to have her bladder full again ... First of all my wife had not eaten, and was clearly bleak.. My problem is the way (She said there are other patients as if we were blind to that and understand a queuing system and how it works ) - Ive been in service industries .. this is not a way to respond. the correct way would of been Hi mam, apologies you have had to wait, but due the the nature of your procedure unfortunaterly you will have to wait a little as the procedure requires a fuller bladder. But please would you mind having a seat and i will double check for you ? Im not in the medical industry but i would know how to respond in a better way. This is a hospital we need to be alot nicer and a bit more patient. She knows who she is im not going to mention her name as im not in the business of costing anyone in this climate thier job but perhaps she can reflect and work on her ppl skills at a hospital which requires slight more tender touch. What makes this even worse is the nurse came exactly seconds later to do the scan. of which now we couldnt go in as my wife now had to go and drink more liquids to aid the bladder. Was advised to wait min at 12 :30 which she did go in again just to be sent out as bladder was not ready.. we ended up sitting there till 13:30 or even later.. When i went to go and enquire I asked is anyone going to call us , as it was getting a bit ridiculous , her response was again abrupt - Saying to me my wife should of gone in at 12;30 ( which she did ) but due to her arrogance she did not even bother to check Or even know the time ? Once again just said she must go in... you cant just walk in ? There are procedures , ONE CANNOT SIMPLY WALK IN -Imagine we can all just go and walk into radiology, without being called ? She needs to learn what the procedures require ? - like not eating before bloods, for example. or before a scan, or have a full bladder... No one wants to spend the entire day at the hospital especially when a person is extremely ill havent eaten ? etc. Then they have to deal with this kind of service . To add to this the sonars were sent to the wrong Dr to add to the poor service Not impressed
1 reply
9 months ago
Misguided information on the network dr on the website and then they are not ?
This product is no good - My wife went to claim for the first time, for optometrist just to walk out the optometrist to be told they will only be covering 300 of a 2000 bill .. ????? she used the network guide on the site ? and phoned to confirm they said yes.. Please can discovery get back to her as this will result in her cancelling her plan altogether 072 702 9168. We even phoned to confirm one of them said they do not support the discovery plan but yet they are on the guide . very bad service.. And then the one that said they are on the network neither were they so what now .
1 reply
45 months ago
Bad service
I went to cash Crusaders in Alberton on Saturday I bought a generator for R3800 I was told it only had a 48 hour warranty /guarantee I took it home only to realise it wasnt the correct size. I wanted to return the item today and was told I cannot return ..I'm not sure of cash Crusaders stipulations and how they work ..but as far as I'm aware items have a 7day return policy if not altered broken or handed back in any less condition it was bought in .it is literally one and a half days later. I was at a cash converters that same day wen I bought a faulty unit and was not questioned at all ..seems thier policy is much better
1 reply
68 months ago
Bad Service
I have had quite a bad experience at Midas hiPerformance retailer.. I purchased one garden hose and a soap dispensing sprayer gun, of which I returned the hosepipe as the one I purchased didn't work, they gladly exchanged it.. But I returned with the sprayer on Sat 17 Oct, as I tested the sprayer and it did not spray as it should..it spayed not even a rulers length in front of the the gun, which to me means it doesn't work, as a normal hosepipe sprays further.. So I requested from the gentleman to simply show me how it works maybe I wasent using it right?. I was told that the pressure isn't Enuf, I then stated that I connected a pressure washer for more pressure.. Amd then was told it needs less pressure, I mean make up ure mind.. Was told it WAS meant for tap and hose application, but still doesn't work.. at the shop to make it spray, not my problem, and was told that if we were at his house becoz he has borehole water it would work, once again not my PROBLEM ..I had my slip with, but didn't have the original packaging, the item hardly had packaging when I purchased it.. To my knowledge if one purchase an item and it doesn't work, one should return it. No Solutions was offered to exchange item? and the gentleman was rather rude and told me there is nothing I can do.. And was told the item isn't guaranteed.. Do I need to ask Everytime I walk out of thier store if items are guaranteed? Is this how Midas operates? It's only R80 bucks hose but the principle remains, the service was bad and very argumentative and did not allow me to even speak.. Won't use them again, I run a business that needs items like these to work Wen I buy them.. Does Midas sell items that aren't guaranteed?
1 reply
Review Distribution
5 Star
0 (0%)
4 Star
0 (0%)
3 Star
0 (0%)
2 Star
0 (0%)
1 Star
8 (100%)