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aletheapandor A

1 reviews | Active since Mar 2017

20 Mar 2017, 09:01

WORST MEDICAL AID EVER

<p>so i posted a review about bankmed, i asked about wether my kid would be covered for OT and speech therapy, they responded:</p> <p> </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> </p> <p>so i went and got my GP (which also makes no rational sense a gp does not pick up when a child needs occupational and speech therapy so why has bankmed made it mandatory that the gp is the one who referes it BUT WAIT THIS GETS EVEN MORE RIDICULOUS !!!!!!!!!!!!!</p> <p> </p> <p>after my complaint on hello peter bank med responds:</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>Please be advised that the below information is correct and valid.</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>Psychiatry, clinical psychology and related occupational therapy - Hospitalisation and in-hospital consultations<br />100% of contracted rate for Bankmed Network Specialists (DSPs)</p> <p>100% of Scheme Rate for non-DSPs<br />Limited to PMBs and subject to preauthorisation and referral by a Bankmed Entry Plan Network GP (DSP)</p> <p>21 days for in-hospital treatment or up to a maximum of 15 days out-of-hospital sessions as per PMB regulations<br />If you have any more questions, please call us on 0800 Bankmed (0 ********** ) or e-mail ********** /> <br /> Yours in good health<br /> Zweli Daweti <br /> Bankmed Medical Scheme</p> <p> </p> <p>LOOK AT ALL THE EXTRA BLOCKS THAT WERE LEFT OUT OF THE INITIAL RESPONSE!!!!!</p> <p>i would not have bothered to go through the trouble of going to my gp for a referel had i know my kid needs to be IN HOSPITAL TO GET SPEECH AND OT OR MY MISTAKE TO QUALIFY FOR IT !!!!!!</p> <p>AND WHO BENEFITS FROM 15 SESSIONS</p> <p>AND WHO WOULD BE IN HOSPITAL FOR 21?/ THIS IS SO CRAZY IT BLOWS MY MIND!!!!</p> <p> </p> <p>1. HOW WOULD MY GP BE ABLE TO REFER MY KID IF THEY WERE IN HOSPITAL?</p> <p>2. HOW WOULD THE GP EVEN KNOW THE KID IS IN HOSPITAL TO EVEN BE ABLE TO DIAGNOSE AN ISSUE AND THEREFORE NECCESITATE A REFERAL?</p> <p>3. WHO WOULD ONLY BENEFIT FROM 15 SESSIONS ?</p> <p>4.AND WHAT CONDITION WOULD YOU HAVE TO BE IN IN ORDER TO STAY IN HOSPITAL FOR 21 DAYS FOR SPEECH AND OCCUPATIONAL THERAPY</p> <p> </p> <p>THIS IS THE WORST MEDICAL AID IVE EVER DEALT WITH IAM SURE I WOULD GET A FAR BETTER SERVICE FOR LESS MONEY.</p> <p> </p> <p>IF I DIDNT HAVE TO TICK A START I WOULDNT BECAUSE IT DESERVES NO STARS WHAT SO EVER</p>

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