PG Medical Scheme Complaint

SUPPLIER	PG Medical Scheme	INDUSTRY	Medical Aid
BRANCH / AREA	Durban	COUNTRY	South Africa
TIME / DATE	20:25 Sun 8 Jan	PERSON RESPONSIBLE	Francois Swanepoel
CUSTOMER	NoBS	View all reports by user	5 11
PROBLEM	Claims rejected	Post this report to your Facebook page Post this report to your Twitter page
INCIDENT	Tue 3 Jan
HEADLINE	What Momentum Health did not tell you!!!
What a joke - in my opinion - are these just for profit medical aid schemes. If you contribute R 50 400.00 per annum that is R 4 200.00 per month - for a family of two - Momentum will only allow R600 per year at the optometrist. The reality is the optometrists consultation will be R380 and I wonder what we can buy for the balance of R240? What they also do not tell us: What proportion of claims do they reject? For example they rejected 75% of my optometrist claim. What proportion of contributions is actually paid in claims? What administration fee is Momentum charging per member per month? How much does Momentum pay their directors? How much profit is Momentum health making per member per year? Momentum created their own conflict of interest - If they a have a profit objective how can members benefits - expenses - be a priority to them? I guess this complaint will not be answered, what definitely will happen is my contributions will be in their bank account at the end of the month. Momentum - Stop wasting money on cycling and start looking after members benefits. (Supplier name changed from Momentum Health to PG Medical Scheme) Add a new PG Medical Scheme Report Inappropriate report?
SUPPLIER'S RESPONSE	PG Medical Scheme	Time and Date	14:56:45 \| Tue 10 Jan 12
Hello NoBS, Please note the following as per our telephone conversation this morning. The scheme (PGG) design the benefits for their members and not Momentum Medical Scheme Administrators. Kind Regards Ravi Naidoo
UPDATED RESPONSE	PG Medical Scheme	Time and Date	15:57:10 \| Mon 5 Mar 12
Hello NoBS, Further to your response posted yesterday, kindly note I have listened to the call when Ravi Naidoo phoned you the 10th January 2012 and has answered all your questions that were raised. Kind Regards Priscilla Moodley
CUSTOMER'S FEEDBACK	NoBS	Time and Date	20:33:44 \| Wed 29 Feb 12
Utterly Disgusted: The problem is still unresolved