NM
Ntladi M

1 reviews | Active since Jan 2021

29 Dec 2021, 12:46

Bad service experienced from staff to panel SP

On the 2nd December 2021 my daughter visited Bankmed panel dentist since we are somehow forced to use their panel SP but to my surprise I was then left with a shortfall, I called bankmend and Chad who was the consultant helping me to resolve this matte, he took the query before management and all was sorted that all claims recieved from Dr Rheeders for my daughter and myself were going to get settled accordingly without a shortfall but this morning I once again recieved an invoice from the dentist again stating I owe them and I called Bankmed again spoke to Rishad who transferred me to some lady within the dentist department and the lady was not interested in resolving my query and dropped my call which excuse will be network as usual...bankmed please speak to Chad who assured me that no shortfall since they loaded all claims to be paid.

Bankmed is forever making it difficult to use as they never want to pay for claims even when process is followed.

My question is why would I be left with a shortfall if I followed your entire process? Is it my fault that the doctor decided to overcharge me even after you guys agreed on the rates to be charged on bankmed clients?

Momentum is still the best so far and bankmed is just expensive for nothing cause I really don't see peace of mind but I am paying a premium with 3 dependents which you can imagine the premium monthly

I am willing to take this matter before Ombudsand happy to copy Teddy Mosomothane on the email for the team to start realizing that this matter is an issue for me and must be resolved soonest.

Perhaps it is also about time to leave you and go to Momentum to enjoy cover cause with bankmed you visit the doctor and have to call Bankmed to now discuss shortfalls which I didn't ask for this...the dentist is your panel member and you have an agreement with him to charge us as per scheme rate so why am I now being penalized cause clearly the doctors are not in agreement with what you paying them and it's time to review your charges if that's the case

0
Replies (5)
Bankmed
Bankmed's reply30 Dec 2021, 21:20
Official
Hi Ntladi, we sincerely apologise for your poor service experience with us. We will ask our teams to look into this, and we will revert with assistance as soon as possible. Regards. 
NM
Ntladi M's update03 Jan 2022, 11:45
Reviewer Update
Hi Bankmed/Discovery

Thanks for your response.

Is there any TAT as to my complaint? As there response I recieve is as soon as possible as possible which can be in the next couple of months.

Will appreciate your response by close of business latest tomorrow 4th Jan'22, failure to do so, I will be left with no choice but to send matter before Ombudsman and copy in Mr Teddy with all the evidence that I followed the internal process then hellopeter and now ombuds proving the experience I am having with the organization.
Bankmed
Bankmed's reply04 Jan 2022, 11:20
Official
Hi Ntladi, apologies for the delay. We confirm that you've been contacted, and given an update on this matter. Your healthcare provider was also contacted, and final feedback will be provided as discussed.
Regards.
NM
Ntladi M's update07 Jan 2022, 13:00
Reviewer Update
Good day

It's now the 3rd day promised feedback just wonder if Bankmed takes their clients serious

The manager buzzed me yesterday then claims to have called and I didn't pick up the phone..it's about time I escalate this to the CEO and better you respond him than me because atleast I will have feedback on my side than to wait and allow people to promise me lies

I will be drafting my email this weekend and should have it by Monday 10th January 2022
NM
Ntladi M's update10 Jan 2022, 08:47
Reviewer Update
Good day

Any resolution regarding this matter?