PB
Pieter B

1 reviews | Active since Jan 2011

01 Feb 2016, 18:30

Come back Momentum

First, on the 1st of Jan they remove one of my dependents from my policy.. finally got that sorted out after a bunch of emails and calls.<br> <br> On the 25th of Jan, I get a claims email that states that my 10 week old's vaccinations were paid from savings (the same vaccinations that were paid in full out of insured at 6 weeks under Momentum in December). I phone Bankmed and log my query with Babongile who sais he'll phone me in two to three days. I'm still waiting for him to phone me back, so I phoned after 3 days and got hold of Eugene (2 days late) the answer: Sorry it's paid out of Savings because the provider used the wrong Nappi codes. The same provider that was approved with the same Nappi codes in December? No sir - it's a new benefit year, and if you read the schedule it sais \100% of the Scheme's medicine reference price \", Did you provide me with price list, to which the answer is \"No\" - why was it approved and taken off my savings if the \"wrong\" Nappi code was used? As a patient, I don't control that - and there is a reasonable expectation that if the same claim was successful from insured for the same vaccine at the same provider - that it would be the case a month after."

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Replies (1)
Bankmed
Bankmed's reply02 Feb 2016, 17:22
Official
Hello pharaoh,

Thank you for your comment.

We'll look into this matter for you and will be in contact shortly to assist.

Regards
Bankmed Servicing