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Nondumiso N

1 reviews | Active since Feb 2021

23 Feb 2022, 09:01

Bankmed really knows how to fail its customers

I am so frustrated with Bankmed. They seriously do not value their customers. On the 27th of January I went to an ENT specialist, and for further examination they requested that I go for a CT Scan. I contacted Bankmed to get an authorization code and I spoke to Craig Hicks ref ***. He mentioned that because of my plan I can not get a pre authorization and mentioned that I would need to do the scan and see if the medical aid will cover. I asked him that what if the medical aid does not cover, he mentioned that I would need to get a motivational letter from the specialist as to why I needed the scan done (to get this letter was a further fee that I needed to take out from my own pocket). Well days later Bankmed did not pay for it. I contacted Bankmed and told them the full story. I was advised to submit the motivational letter which I did on the 10th of February. The doctor clearly did not make me take a scan just for the fun of it. The scan needed to be done for correct diagnosis. 2-3 days later, bankmed sends feedback that they need the results for the test conducted. The results were provided and they gave feedback saying that the claim was declined as I did not need the test to be done ref ***. The specialist could have diagnosed me according to their observations during the consultation. I believe this is extremely ridiculous and Bankmed knows nothing about treatment customers fairly. How was the doctor supposed to give me accurate results with further checks being conducted. After the results the specialist came back stating that he needs to perform an operation. An operation is not something light and I don't understand, if Bankmed feels that the scan did not need to be done how could the doctor have know what needed to be done. I need this to be resolved now or I am taking this further. Medical aid number: ***

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Replies (3)
Bankmed
Bankmed's reply23 Feb 2022, 09:59
Official
Hi Nondumiso, thank you for reaching out to us. Apologies for the frustration caused. We'll look into this matter and revert with feedback. Regards. 
Bankmed
Bankmed's reply28 Feb 2022, 13:57
Official
Hi Nondumiso, we tried calling you on the mobile number you provided however, were unsuccessful. Kindly provide us with a convenient time to reach you. Regards.
Bankmed
Bankmed's reply11 Mar 2022, 15:17
Official
Hi Nondumiso, we can confirm that you have been contacted regarding your query, and the outcome of the investigation also communicated to you.

We wish you a lovely day, and take care. Regards.