EN
Emmanuel N

1 reviews | Active since Apr 2014

29 May 2016, 11:04

Bankmed Discovery does not want to honour a necesary medical procedure

<p>I had a tooth extraction by a Dentist that went wrong; I think it was late January 2016. The tooth fractured and it is very near the sinuses. The Dentist then referred to the Dental Surgeon as he cannot assist further. I have been having a problem with Bankmed as they don’t want to authorise the procedure to surgically remove the rest of the fractured tooth, I have been pushed from pillar to post, told different process. It seems like Discovery does not know what they are doing after taking over Bankmed. Members lost most of the benefits that they had prior to Discovery taking over, I was told my claim will be referred to a panel that will decide if this will be covered or not, they refused, how can they refuse, this is not a nice to do procedure, I have been living in pain for months, this procedure is mandatory, my tooth was fractured upon extraction and I believe they should cover it. I don’t know why the administration was moved to Discovery if they just after profits and reduced the benefits.</p> <p> </p> <p>There is no one point of contact for quries, consultants dont want to to take on a query from begining to the end of the process, they keep sending it back and then reffering to other departments</p> <p> </p>

0
Replies (1)
Bankmed
Bankmed's reply31 May 2016, 10:13
Official

Dear Emm@nuel

Thank you for raising your concerns with us.

We've confirmed that you have been contacted and the details to your query discussed. Dental surgery is only covered on your chosen plan type if it is related to a Prescribed Minimum Benefit.

We understand that this is not the feedback you were hoping for but can assure you that this is in line with the Scheme Rules.

Regards
Annelize
Bankmed Servicing