1 reviews | Active since Mar 2017

18 Mar 2017, 09:27

terrible medical aid

<p>this is why people opt for discovery medical aid, why am i paying over 4k per month for a medical aid where every little thing needs to be preauthorised not to mention, one consultatnt replies on email that they will cover something and when i go and get the documenetation from the gp after he advises me that "this is bankmed and his history he has seen MANY IF NOT ALL UPSET parents who have sat infront of him have not been denied coverage even after filling in the said paperwork". not even an offer to cover PARTIAL PAYMENT, these things are medical conditions or does bank med decide whats medical and whats not.</p> <p> </p> <p>if it wasnt mandatory as an fnb employee to have bankmed.</p> <p>I WOULD DEFINATELY SWITCH MEDICAL AIDS AS IAM SURE I COULD PAY LESS AT A MEDICAL AID AND GET FAR MORE BENEFITS THAN THE S****S OFFERED BY BANK MED</p> <p>Dear Mrs Pandor <br /> <br /> Thank you for your recent contact with Bankmed Medical Scheme.</p> <p>Cover for occupational and speech therapy </p> <p>Occupational and speech therapy consultations are covered at 100% of the scheme rate, consultations are limited to Prescribed Minimum Benefits.</p> <p>This is subject to preauthorisation and referral by your chosen Entry Plan Network General Practitioner.</p> <p>Have a lovely day further. </p> <p>If you have any more questions, please call us on 0800 Bankmed (0 ********** ) or e-mail ********** /> <br /> Yours in good health<br /> Shanece Jack <br /> Bankmed Medical Scheme</p> <p> </p> <p>THEN I SEND THE PAPER WORK AND GUESS WHAT RESPONSE I GET</p> <p> </p> <p>Membership number: ********** 20 <br /> <br /> Dear Miss Pandor <br /> <br /> Your referral to an Al**** healthcare professional has been declined as this is subject to an out-of-hospital Prescribed Minimum Benefit application.</p> <p>If you have any more questions, please call us on 0800 Bankmed (0 ********** ) or e-mail ********** <p><br /> <br /> Yours in good health<br /> Cathrine Setlhodi <br /> Bankmed Medical Scheme</p> <p> </p> <p>THANK YOU BANK MED ***** IN BAD EXPENSIVE MEDICAL AID</p>

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Replies (1)
Bankmed
Bankmed's reply23 Mar 2017, 13:43
Official

Dear Mrs Pandor

Thank you for bringing your concerns to us to look into.

We have tried calling you on the number we have on records however, you were unavailable to take our calls. We have sent you an email, apologising for the incomplete information you were given and confirmation that the diagnosis code you requesting cover for is not a Prescribed Minimum Benefit (PMB) level of care.

Regards

Bankmed Servicing Team