I have been a member with essential med for 2 months now. My spouse was diagnosed with Tunnel syndrome in her hands about a week ago. The Dr phoned essential med to find out if they do cover this illness or not. Now apparently because he did this before the 90 day waiting period my spouse's Tunnel syndrome was put up as a PRE-EXISTING condition and is now not covered. My understanding of a pre-existing condition is that it is a condition you had BEFORE you applied with a medical aid/insurance. I don't know of any other medical aid/insurance that works the way essential med does. Worst of all is that this WAS NOT EXPLAINED to me before I applied.
After contacting the call centre on 0861707070 I was put through to Shannon. On asking for an explanation I was told that "THATS JUST HOW IT WORKS WITH US". Thats not what a client wants to hear! I asked for an email address for a manager or someone that could actually help me and yet again I was just told "I CANT GIVE IT TO YOU.She was too happy to accept when I asked her what the cancellation process is!
If this is the service you get in the first 2 months, what will you get later? And will they actually help you when you REALLY need it?
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