SL
Sma L.

1 reviews | Active since Sept 2022

27 Sept 2022, 22:41

Appalling service.

My plan with BankMed requires that should I need to see a specialist, I should be referred by a doctor under their network. I was admitted to a hospital which is under their network in an emergency and the doctor that saw me referred me to a specialist. Now BankMed is refusing to authorize my visit to the specialist because there is a special referral form that GPs under their network sign for patients. Spoke to one of the consultants who told me that my referral letter is useless because it's not the BankMed letterhead one. My question is, should I have refused help from the doctor who saw me in the ER and requested a BankMed network doctor? I don't even know whether he's not on their network. The hospital confirmed when I called to enquire about the letter that they only issue the same letter to every patient regardless of what medical aid scheme they are under. The alternative I was given by BankMed was to see the specialist and request them to contact BankMed on that day and request for authorisation for my visit which they may or may not grant.

My question is why are they unable to grant authorisation with the letter provided by the doctor from their network hospital if they can also do it via being phoned by the specialist practice? I did not walk in to the hospital as in a GP's office, I was admitted in an emergency. But Im being told my referral letter is useless. Imagine. I don't know about helping others making an informed decision because anyone with this scheme did not take it out of their own free will.

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Replies (5)
Bankmed
Bankmed's reply28 Sept 2022, 09:38
Official
Hi Sma, we have noted your complaint. We are sorry to hear about your experience. We are looking into this matter and we will revert to you with feedback. Regards
SL
Sma L.'s update30 Sept 2022, 09:24
Reviewer Update
While you are at it please explain to me how an emergency referral letter is regarded as useless as your consultant Yolanda informed me. The specialist i'm going to see is also under your network. You have not even responded to my email which has the letter attached, sent on Monday. But you are quick to offer false sorry's since this compliant is in the public eye.
SL
Sma L.'s update02 Oct 2022, 18:44
Reviewer Update
I had a girl by the name of Shirley call me about my request to see a specialist. She said something about them seeing my blood pressure as it is written on the referral letter I sent Bankmed and that if it was an emergency I would not have waited to see the specialist this coming Monday and that the doctor who issued the letter would have made me see a Cardiologist then and there. You do not just walk in to a Cardiologist's office as in a GP'S. You make an appointment and they fit you in any available time slot which for me was this Monday. And I am treating this as an emergency before I have another episode. Are your consultants professional Doctors? For her to mention my blood pressure in a snarky manner and rate my situation as a non emergency? I don't know why we are forced to have this scheme. If there was an option I definitely would not choose BankMed.
Bankmed
Bankmed's reply04 Oct 2022, 08:08
Official
Hi Sma, we are sorry to hear about your experience. We have noted your complaint and we will look into it and revert with feedback. Regards
Bankmed
Bankmed's reply10 Nov 2022, 17:26
Official
Hi Sma, we have still not heard from you has your query been resolved, if not we would like to assist you with it. Please private message us your membership details. Regards