LT
Lynnsey T

1 reviews | Active since Jun 2016

04 Oct 2021, 10:36

Underpaid specialist and radiologist

I had to go for a scan on Friday and received a R2000+- bill from the radiology practice for scans that were taken while I was in hospital. I see the comment says I reach the limit for the year. I am unaware of this yearly limit when you in hospital. When my husband phoned bankmed on the 24th of June he was told that everything would be covered while in hospital. You can look up the call recording. I also see that my specialist was underpaid and your comments were that you paid according to the daily scheme rate, that doesn't make sense because I was in hospital and they have certain fees that should have been paid. I want these costs to be paid correctly. I went through absolute hell and now I am been thrown with different hospital bills that you as a medical aid should have sorted out.

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Replies (4)
Bankmed
Bankmed's reply04 Oct 2021, 10:50
Official
Hi Lynnsey, we are terribly sorry to hear about your poor experience. We will ask our teams to urgently look into this matter, and get in touch with feedback as soon as possible. Regards. 
LT
Lynnsey T's update04 Oct 2021, 11:20
Reviewer Update
Please do as the specialist is now saying I owe R23 000+- and I dont have that kind of money. seriously how does the medical decide what they will pay for a specialist fee. I also see that my surgeon was also not paid a number of times and when he was, you only paid R444 when his fee was R888. This is shocking!
Bankmed
Bankmed's reply04 Oct 2021, 14:07
Official
Hi Lynnsey, thank you for the additional information. Our teams are looking into this for you. Regards.
Bankmed
Bankmed's reply12 Oct 2021, 12:38
Official
Hi Lynnsey, thank you so much for taking our call on 2021/10/08 and allowing us to provide you with interim feedback. We are still awaiting certain information from the providers. Once received, we’ll further review the processing of your claims. Telephonic feedback will be provided as soon as possible. Have a wonderful day further and take care.