PM
Portia M

1 reviews | Active since Jun 2018

14 Jun 2018, 14:56

Unpaid bill

They are not looking after they're client's all they interested on is money that comes in when they supposed to pay out they have issues. I have situation where by they refusing to pay a doctor with an excuse of a structured plan. Aren't medical aid supposed to be there for you as their client when you need them the most. Bankmed sucks it's just we are forced to choose them by employers as our medical aid

0
Replies (3)
Bankmed
Bankmed's reply14 Jun 2018, 17:13
Official

Hi Portia

As a healthcare funder, we manage carefully planned funding guidelines to ensure the Scheme is able to cover claims now and into the future. Our role is to ensure members of the Scheme enjoy access to quality healthcare in a way that remains affordable and sustainable. Some of the ways we achieve this is in our plan and benefit design, the creation and application of funding policies and clinical protocols which are developed using a rigorous, evidence-based decision-making process. This process also helps us make decisions regarding which procedures and treatment to exclude from cover. We are not insensitive to your plight in dealing with the situation, but hope that we have gained your understanding why it is unfortunately not possible to provide the outcome you were hoping for. We can assure that the Scheme is acting within the rules and regulation on your specific chosen plan type.

Should you require further details on this matter please contact ***3 alternatively email ***

Regards

Bankmed Service Team

PM
Portia M's update14 Jun 2018, 17:48
Reviewer Update
I take what you saying is that your funding guidelines are more important than the well being of a person.
Bankmed
Bankmed's reply18 Jun 2018, 10:07
Official

Hi Portia

We are really sorry we could not provide you with the outcome you sort however we can assure that the Scheme is acting within the rules and regulation on your specific chosen plan type.

Regards

Bankmed Service Team