JD
James D

1 reviews | Active since Aug 2015

30 Jul 2020, 10:41

Prescribed Minimum Benefit Not Covered.

Really disappointed in Bankmed.

They do not cover a Prescribed Minimum Benefit. They keep rejecting my claims for Hypertensive (High Blood Pressure) Treatment at a GP. They do not pay for the pills even though the generic is not available.

The claims assessor rejects the claims multiple times and they do not give any feedback as to why it was rejected. Is that not bad customer service. I had to phone in twice to get feedback.

Should a PMB not be automatically covered? Is that not what the law states? Or the Council for Medical Schemes?

0
Replies (2)
Bankmed
Bankmed's reply31 Jul 2020, 09:13
Official
Hi James, thanks for bringing this to our attention. We will investigate your claims query and revert with feedback. Regards.
Bankmed
Bankmed's reply24 Aug 2020, 17:42
Official
Hi James, thanks for speaking with us, and allowing us to provide clarity on your plan benefits. Please feel free to reach out to a broker should you need assistance with financial advise relating to a new plan, or you're welcome to contact us should you need clarity on benefits available on each plan. Have a great evening, and take care. Regards.