Resolution Health Medical Scheme
Still no feedback after a week!

Problem 1: I spoke to a Resolution Health consultant last week Friday to follow up on a claim I sent through several times since January! He promised to call met back the same day, which he did not. I am still waiting for some kind of response regarding this claim, which is absolutely rediculous! I have phoned Resolution Health at least 5 times regarding this issue en no one seems to have an idea how to do their job!!!
Problem 2: A Resolution Health Consultant told me on Thursday 18 April that the medical aid paid the account for bloodwork done in Unitas Hospital on 5 March out of my day to day benefits as I did not get pre-authorization for the emergency. (Reference number for the call: 475712). She said that the only way the medical aid will pay a bigger amount is if I get a motivation letter, which I emailed through. The information on your website alos reads: "Progressive Flex and Prestige: pathology and radiology tests excluding specialised radiology will be reimbursed without prior authorisation; specialised radiology such as MRI and CT scans need authorisation. Note that where applicable PMB rules will apply." How does this work?
Please give me feedback on both these issues!

Company: Resolution Health Medical Scheme
Country: South Africa
City: Gauteng

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