Essential Med
Claims not going through at GPs and Pharmacies

We are new Essential Med clients and must say that the service we are receiving is not up to par with what I expected.

Firstly, I had to consult a General Practitioner. After contacting your offices in this regard, confirming cover and requesting a list of GPs in my area, I decided on a Dr. A. Fouche. Not only did I have to pay cash for the consultation because the doctor could not process the claim on her side, which I was okay with (okay NOT happy)

Secondly, when I visited Clicks to collect my prescription, they were also unable to process the claim for me and I had to pay around R700 cash.

What are paying for exactly? My premiums are up to date (First premium paid on 2013-07-02 and latest premium paid 2013-08-05). In fact, I actually provided banking details for a Debit Order but when I contacted you before making the second payment because the DO did not go off, you informed me that I was an EFT client. Luckily I was proactive in this regard otherwise the policy would have lapsed! Oh, and in both instances I have used my policy number as reference.

Company: Essential Med
Country: South Africa
City: Head Office

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