No value in having medical aid from Bankmed

Good day

My medical aid has let me down once again. For the second time this year my wife was hospitalized, she has back problems and this time injured herself. In February she needed an MRI which was done and was covered. Needless to say that follow up doctor sessions as a result of the hospitalization were not covered for and various medication thereafter. We had to fit that bill.

Now, this week my wife was hospitalized again. She has injured her back as opposed to last time where her back was just causing her pain.

The medical refused to cover another much needed MRI. Essentially the MRI can better inform the doctor in terms of whether a. Operation is required or not.

To compound the matter, because it's back related, and she used some of the days in hospital within the year, Bankmed is saying they can't cover more than one day there ????? I need this urgently attended to, as in yesterday. Otherwise it's ombudsman.

I pay near on 10 0000 a month for medical aid. It's become ridiculously expensive especially if Bankmed isn't going to actually do what they say they will do. My wife is lying in hospital now and we don't know where this is going to be covered from .

Whether the hospital is using wrong codes or whatever , the admin is not on me to sort out, why do I pay so much if consultants can't make the necessary queries and help customers to get what they pay for. I'm not on a basic benefit, and these things are being requested as in hospital requests This must be resolved asap.

Sagren ***