HORRIBLE SERVICE AND UNINFORMED INFORMATION

MY MOTHER IS A MEMBER OF BANKMED COMPREHENSIVE. THE IS ENTITLED TO LIST OF EXTRA CHRONIC CONDITIONS. SHE HAS OSTHOATRITIS AND NEEDS TREATMENT BANKMED IS NOT ABLE TO PROVIDE A FORMULARY FOR MEDICATION FOR THIS CONDITION AS THIS IS NOT A COMMON CONDITION AND DOCTORS ARE NOT CLUED UP WITH THE FORMULARY FOR THIS CONDITION TO AVOID DECLINING OF MEDICATION THE DOCTOR AND MEMBER PREFERS A LIST OF MEDICATION TO CHOOSE FROM RATHER THAT HAVING MEDICATION DECLINED AND RESUBMITTED.

THE MEMBERS SAVINGS ARE DEPLETED HOW SHOULD THE DRS FEES FOR FILLING OUT THE FORM BE COVERED AND THE MEMBERS FUNDS ARE DEPLETED AND THIS CONDITIONS IS CHRONIC.

HOW SHOULD MEMBERS REGISTER A CHRONIC CONDITION LIKE HYPERLERPEDIMIA WE DO HAVE THE LIPOGRAM RESULTS ANS ICD 10 CODES WITH THE DRS PRACTICE NUMBER AND MEDICATION DETAILS. I AM CONFUSED BECAUSE YOUR CALL CENTRE ALL CANNOT PROVIDE CLARITY. I AM AWARE THAT MANY OTHER MEDICAL AID PLANS WITH COMPREHENSIVE OPTION ALLOWS THE MEMBER TO REGISTER THE MEDICATION TELEPHONICLY. PLEASE INFORM WHAT IS THE CORRECT METHOD.

LASTLY AS A MEMBER OF BANKMED AND AFTER HAVING MADE NUMEROUS CALLS TO THE CALL CENTER I AM DISGUSTED BY THE LEVEL OF SERVICE I RECIEVE FROM THE HOLD TIME TO THE INFORMATION THAT THE CONSULTANTS ARE ABLE TO RENDER AND THE INABILITY TO GET TO THE CORRECT DEPARTMENT ON A CONTINOUS BASIS BEING TRANSFERRED TO OTHER DEPARTMENTS. CONSULTANTS ARE NOT EQUIPED TO HANDLE ALL MEMBERS QUERIES.

PLEASE SET THE MATTER CORRECT REGARDING THE ABOVE COMPLAINTS