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Taryn G

1 reviews | Active since Jan 2018

19 Nov 2018, 10:24

Bankmed continuously ripping customers off!!

I contacted Bankmed to obtain authorization for a procedure I was scheduled for, upon authorization Bankmed informed me that my Doctor and hospital did not fall within the Bankmed network. I therefore requested that Bankmed provide me with the details of a Doctor and a hospital that does fall within the network. I then schedule an appointment with the Doctor provided by Bankmed for a consultation and scheduled the procedure (even though i did not have a relationship with this doctor). I contacted Bankmed again to update the authorization, and was informed that the Doctor and hospital will be covered 100% by the medical aid. I have been for my procedure and now received a R1500.00 bill for the hospital which Bankmed is not willing to pay as they state the procedure could have been performed in a day hospital. Why did they not inform me that the procedure must be performed at a day clinic? Why did they then authorize Sunninghill Hospital? Always an excuse why they are unable to pay!!! If i had the procedure performed by my regular Doctor then i will be comfortable paying in as this would have been my decision, in the case i had consulted with Bankmed to ensure they would be no shortfall.

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Replies (1)
Bankmed
Bankmed's reply19 Nov 2018, 22:19
Official
Hi Taryn

We are sorry to hear of your frustration and are currently looking into the payment of your hospital claim.

We will be in touch to provide you with feedback.

Regards,
The Bankmed Service Team.