1 reviews | Active since May 2017
WORST MEDICAL AID EVER
<p> <br /> <br />Dear Alethea</p> <p>Thank you for your application for funding. Kindly refer to the attached document for the outcome of your application.</p> <p>How to open the attached document</p> <p>You will need Adobe Reader installed on your computer. Should you not have it, please download the Adobe Reader software or copy and paste the following URL address in the address line in your web browser: http://www.adobe.com/products/ acrobat/readstep2.html</p> <p>Yours in Good Health</p> <p>Bankmed Medical Scheme</p> <p><br />Disclaimer</p> <p>This message and any attachments are confidential and intended solely for the addressee. If you have received this message in error, please notify Bankmed Medical Scheme immediately, telephone number 0 ********** . Any unauthorised use; alteration or dissemination of the contents of this email is strictly prohibited. In no event will Bankmed Medical Scheme or the sender be liable in any manner whatsoever to any person for any loss or any direct, indirect, special or consequential damages arising from use of this email or any linked website, including, without limitation, from any lost profits, business interruption, loss of programmes or other data that may be stored on any information handling system or otherwise from any assurance that this email is virus free even if Bankmed Medical Scheme is expressly advised of the possibility of such damages.</p> <p><br /> <br /> <br /> <br /> <br /> <br /> <br /> </p> <p> </p> <p>From: Pandor, Alethea <br />Sent: 17 May 2017 11:20 AM<br />To: ********** />Subject: FW: Your application for cover -MailRef# ********** 374#-<br /> </p> <p>I REFER BACK TO ALL MY PREVIOUS MAILS AND CALLS WITH BANK MED</p> <p>MY VERY 1ST EMAIL REGARDING THIS MATTER WAS</p> <p>DOES MY PLAN COVER OCCUPATIONAL AND SPEECH THERAPY FOR MY DAUGHTER I WAS TOLD YES BY BANKMED I HAVE THESE EMAILS</p> <p>1. I FILLED IN THE FORMS WITH MY GP (HE LAUGHED AT ME TOLD ME THAT BANKMED WOULD NOT COVER THIS REGARDLESS OF THE EMAILS AND FONE CALLS)</p> <p>2. SENT THE FORMS BANK MED RESPONDED THAT I FILLED IN THE WRONG FORMS AND THAT IAM COVERED AND THAT MY DOCTOR JUST NEEDS THE RIGHT ICD10 CODES</p> <p>3. WAS SENT NEW FORMS AND TOLD THAT MY GP MUST CALL BANK TO GET THE RIGHT CODES AS THE CODES CANNOT BE GIVEN TO PATIENTS</p> <p>4. AGAIN I TOLD THE CONSULTANT MJUST TELL ME IF IAM NOT COVERED HE INSISTED I AM COVERED</p> <p>5. TOOK THE FORMS TO MY GP AND HE CALLED BANKMED AND WAS GIVEN CODES BY BANKMED CONSULTANT</p> <p>6. I DONT KNOW TO LAUGH OR SCREAM</p> <p>7. HE AGAIN TOLD ME THAT THIS EXCERCISE WOULD BE FUTILE AND THAT BANKMED WILL NOT COVER MY CHILD.</p> <p>8. AND TRUE TO FORM BANKMED DECLINED THIS REQUEST AFTER INSISTING IAM COVERED AND THEN TELLS ME I CAN FILL IN A DISPUTE FORM ***</p> <p> </p> <p>MORE FORMS !!!!!!</p> <p>I WOULD NOT RECCOMEND BANKMED TO MY DYING GRANDMOTHER OR TO ANYBODY !!!!!!!</p> <p>WORST AND EXPENSIVE MEDICAL AID EVER</p> <p>I WOULD NOT BE SO UPSET IF i was told this from the very beginning(THAT MY KID IS NOT COVERED UNDER THIS PLAN) instead of being messed around by bankmed filling in forms FIGHTING WITH MY GP.</p> <p> </p> <p>From: alethea leeuw ********** ] <br />Sent: 15 May 2017 08:42 AM<br />To: Pandor, Alethea<br />Subject: Fwd: Your application for cover -MailRef# ********** 374#-<br />Show quoted text<br />To read FirstRand Bank's Disclaimer for this email click on the following address or copy into your Internet browser: <br />https://www.fnb.co.za/about- fnb/legal-matters/email- disclaimer.html</p> <p> </p> <p>If you are unable to access the Disclaimer, send a blank e-mail ********** co.za and we will send you a copy of the Disclaimer.<br /> <br /> </p>
From: Pandor, Alethea
Sent: 17 May 2017 12:55 PM
To: ********** />Subject: FW: Your application for cover -WRefNo# ********** 963#- -MailRef# ********** 150#-
Eugene Lapperts
BEFORE YOU RESPOND WITH THIS BS PLEASE READ MY GRIEVANCE PROPERLY
PLEASE RECHECK ALL MY PREVIOUS CORRESPONDANCE WITH BANKMED OF WHICH THERE HAS BEEN MANY.
MY 1ST QUESTION TO BANKMED MONTHS AGO WAS
“DOES MY PLAN COVER OCCUPATIONAL AND SPEECH THERAPY “
Because I KNOW this is a basic plan and therefore not all conditions would be covered. I JUST NEEDED THE TRUTH
INSTEAD
I HAVE BEEN MESSED AROUND BY BANKMED EMPLOYEES AND MY GP WARNED ME THAT THIS WOULD HAPPEN, FILLING IN TWO SETS OF FORMS AGENTS INSISTING IAM COVERED.
NOW IAM TOLD TO FILL IN A DISPUTE FORMS. TERRIBLE CUSTOMER SERVICE ********** THERE ARE NOT ENOUGH ZEROS
To read FirstRand Bank's Disclaimer for this email click on the following address or copy into your Internet browser:
https://www.fnb.co.za/about- fnb/legal-matters/email- disclaimer.html
If you are unable to access the Disclaimer, send a blank e-mail ********** co.za and we will send you a copy of the Disclaimer.
From: Pandor, Alethea
Sent: 17 May 2017 12:55 PM
To: ********** />Subject: FW: Your application for cover -WRefNo# ********** 963#- -MailRef# ********** 150#-
Eugene Lapperts
BEFORE YOU RESPOND WITH THIS BS PLEASE READ MY GRIEVANCE PROPERLY
PLEASE RECHECK ALL MY PREVIOUS CORRESPONDANCE WITH BANKMED OF WHICH THERE HAS BEEN MANY.
MY 1ST QUESTION TO BANKMED MONTHS AGO WAS
“DOES MY PLAN COVER OCCUPATIONAL AND SPEECH THERAPY “
Because I KNOW this is a basic plan and therefore not all conditions would be covered. I JUST NEEDED THE TRUTH
INSTEAD
I HAVE BEEN MESSED AROUND BY BANKMED EMPLOYEES AND MY GP WARNED ME THAT THIS WOULD HAPPEN, FILLING IN TWO SETS OF FORMS AGENTS INSISTING IAM COVERED.
NOW IAM TOLD TO FILL IN A DISPUTE FORMS. TERRIBLE CUSTOMER SERVICE ********** THERE ARE NOT ENOUGH ZEROS
To read FirstRand Bank's Disclaimer for this email click on the following address or copy into your Internet browser:
https://www.fnb.co.za/about- fnb/legal-matters/email- disclaimer.html
If you are unable to access the Disclaimer, send a blank e-mail ********** co.za and we will send you a copy of the Disclaimer.
Dear Alethea
Thank you for raising this concern with us.
We've confirmed that detailed feedback has been emailed to you regarding this matter.
In our written reply to you previously we advised you that the Occupational and Speech Therapy benefit is limited to Prescribed Minimum Benefits (PMB) and is subject to pre-authorisation and referral by your Network GP. A request for authorisation is not a guarantee of approval as the Scheme clinical and plan rules will always apply. The benefit was declined because the diagnosis app**** for is not a PMB.
We understand that this is not the feedback you were looking for and apologise for any frustration this matter may have caused.
Regards
Bankmed Servicing
Dear Alethea
Thank you for raising this concern with us.
We've confirmed that detailed feedback has been emailed to you regarding this matter.
In our written reply to you previously we advised you that the Occupational and Speech Therapy benefit is limited to Prescribed Minimum Benefits (PMB) and is subject to pre-authorisation and referral by your Network GP. A request for authorisation is not a guarantee of approval as the Scheme clinical and plan rules will always apply. The benefit was declined because the diagnosis app**** for is not a PMB.
We understand that this is not the feedback you were looking for and apologise for any frustration this matter may have caused.
Regards
Bankmed Servicing
