BM
Bongiwe M

1 reviews | Active since Feb 2021

10 Feb 2021, 13:56

Dissapointed

I had a terrible experience with bankmed for the past 2 months. I called Bankmed to enquire about my son to attend OT sessions, they informed me my plan(Basic Plan) does have the benefit and my son is entitled for 15 sessions a year provided that I fill in the out of hospital Management form. My son had ADHD and has a learning disability, however it was recommended by the psychologist that my son requires to see an OT first, they declined my application stating that the codes that where used to approve the benefit is incorrect, none the less I understood the reason behind the decline, I further added that when I was applying for the out side of hospital plan I attached the report from the psychologist clearly stating the recommendation with regards to my my sons condition, my argument was that can't they use the report to approve the OT sessions, please bare in mind that my son has already repeated 2 grades and we need him to be enrolled in a special school, but before doing that we need to find out what is the root cause of his learning disability. My argument now is that why is it so difficult for bankmed to provide me with the correct code, seeing that the report from the approved clinical psychologist was attached initial with my application. I am so disappointed with the level of service that I have received from this Medical aid, I have been paying every month without a fall, I so wish that we can have an option to opt to other medical aid that put the needs of their clients first, clearly Bankmed does not see the sense of urgency from the clients perspective, This is just one of the incidents out of many, not to mention having to pay extra costs. I regret having this medical aid, it is just a useless Medical aid I have ever came across with, please bare in mind that I have had other Medical Aids, Bankmed is just pathetic!!!!!

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Replies (2)
Bankmed
Bankmed's reply10 Feb 2021, 16:23
Official
Hi Bongiwe, we're sorry for the situation you find yourself in. We'll investigate this matter and revert with feedback. Regards.
Bankmed
Bankmed's reply12 Feb 2021, 13:50
Official
Hi Bongiwe, thank you for taking our call today. We are sorry that we could not provide you with the outcome that you sought, and we assure you that we have explored all possible avenues to ensure fair administration of your benefits. Regards.