Active since Aug 2021
This is so disappointing, submitted claim in October 2025 and is still being processed. I have called back numerous times, and all consultants say it's still being processed. Like after 6months, patient is still waiting. What sort of care is this?
As a healthcare professional, I am extremely disappointed in my experience with Imperial Motos Medical Aid. I recently managed a patient who presents with normal hearing thresholds but significant auditory processing difficulties that impact daily functioning and quality of life. Following a full audiological assessment, the patient demonstrated clear and measurable benefit from hearing aids. Despite this, the claim was declined by Imperial’s “medical advisors,” who determined that the patient does not require hearing aids. This raises serious concerns about how clinical decisions are being made. As the treating Audiologist, I conducted comprehensive assessments and documented functional impairment and benefit, yet this appears to carry little to no weight in their decision-making process. I also engaged with a consultant, Janine, who advised that an ENT referral alone is insufficient and that additional reports must be submitted, despite no clear formal guidance or request for such documentation even feedback via email. This creates unnecessary delays and barriers to patient care. It is concerning that funding decisions seem to prioritise rigid criteria over patient outcomes and quality of life. Hearing healthcare is not limited to pure-tone audiograms, and modern clinical practice recognises functional hearing difficulties that significantly affect communication and wellbeing. Patients deserve better. Healthcare providers deserve to have their professional assessments respected. I hope Imperial Motos Medical Aid re-evaluates its processes to better align with patient-centered care and current clinical standards.
I would like to bring an urgent matter to your attention regarding my client’s hearing aid authorisation. After waiting a full month for authorisation, we called in on 31 October to confirm the status. We were informed by the consultant that authorisation had been granted, and we were provided with an authorisation number for two hearing aids. Based on this confirmation, we submitted the claim on the same day. However, we are now being told that the authorisation was only for one hearing aid, despite the client clearly needing two, and despite the available benefit. I also have the call recording where the consultant confirms the full authorisation amount of R30,000 for a pair. We have tried multiple times to get assistance to correct this matter but have received no resolution. Unfortunately, this is not the first time we have experienced this issue with Sizwe, which is extremely concerning. Kindly assist in rectifying this urgently, as the client is waiting and this delay is unnecessary given the clear information provided at the time of authorisation. I look forward to your prompt response.
Authorization documents for hearing aids was sent on the 30th March, Feedback was sent to provider on the 05th April and we promptly rep**** with relevant documents. Denied again but this time feedback was sent to the patient not the practice. Practice called in today, spent over 30minutes on the phone with a consultant that had no idea about how it will be resolved. Patient is leaving weekend and now what do we do! Absolutely disappointing customer and client service.
Authorization documents for hearing aids was sent on the 30th March, Feedback was sent to provider on the 05th April and we promptly rep**** with relevant documents. Denied again but this time feedback was sent to the patient not the practice. Practice called in today, spent over 30minutes on the phone with a consultant that had no idea about how it will be resolved. Patient is leaving weekend and now what do we do! Absolutely disappointing customer and client service.
I am a huge fan of Nike. Purchased my Pegasus 40 in May 2024 from Totalsports. Only used it gently at gym and it tore in the front. For a shoe that cost R3000 I expected more especially from Totalsports. According to their store, there’s only a warranty for 6 months. However this a product defect by Nike. Yet other leading brands differ with their customer service. So extremely disappointed in both. The manager at Totalsports didn’t even bother to attend to our query, merely just printed the store slip and told us to read the policy. Oh well. Guess we won’t be returning to Totalsports for shoes.
As a practitioner, I submitted a claim with all relevant information and authorization. However, since October 2024 we have not yet been paid. Every time we call in to query, the consultant explains that the claim is still open, and they are escalating the Matter. It is almost the end of January and nothing still. How are businesses meant to function when the medical aid is non-responsive yet holds on to the money. Disappointing.
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