vM
vuledzani M
1 reviews | Active since Oct 2012
07 Apr 2023, 21:52
Bad service
My daughter was admitted due to an emergency Now the medical aid is not paying in full the plastic surgeon who was allocated to her during admission My understand is that emergency are paid in full
Helpful (0)
Replies (3)0
Replies (3)
Bestmed Medical Scheme's replyOfficial
14 Apr 2023, 11:46Dear vuledzani,
Kindly be advised that the claim for the specialist is currently with the PMB ( Prescribed Minimum Benefits) department for evaluation and feedback to you.
Kindly be advised that the claim for the specialist is currently with the PMB ( Prescribed Minimum Benefits) department for evaluation and feedback to you.
Prescribed Minimum Benefits (PMBs) are minimum benefits that, by law, must be provided to all medical scheme members. This includes the provision of diagnosis, treatment, and care costs for:
- A limited set of 271 conditions as specified in Annexure A of the Regulations to the Medical Schemes Act.
- A list of 26 chronic conditions which are also referred to as the Chronic Disease List (CDL).
- An emergency medical condition refers to any sudden and/or unexpected health condition that requires immediate medical treatment.
Regards
Katlego Sithole
Bestmed Medical Scheme's reply14 Apr 2023, 11:46
Official
Dear vuledzani,
Kindly be advised that the claim for the specialist is currently with the PMB ( Prescribed Minimum Benefits) department for evaluation and feedback to you.
Kindly be advised that the claim for the specialist is currently with the PMB ( Prescribed Minimum Benefits) department for evaluation and feedback to you.
Prescribed Minimum Benefits (PMBs) are minimum benefits that, by law, must be provided to all medical scheme members. This includes the provision of diagnosis, treatment, and care costs for:
- A limited set of 271 conditions as specified in Annexure A of the Regulations to the Medical Schemes Act.
- A list of 26 chronic conditions which are also referred to as the Chronic Disease List (CDL).
- An emergency medical condition refers to any sudden and/or unexpected health condition that requires immediate medical treatment.
Regards
Katlego Sithole
vM
vuledzani M's updateReviewer Update
26 Sept 2023, 10:33Good day
the specialist is still not paid, claims are being rejected, all my hospital claims are not fully paid. i even got listed on transunion from hospital. this is really frustrating
the specialist is still not paid, claims are being rejected, all my hospital claims are not fully paid. i even got listed on transunion from hospital. this is really frustrating
vM
vuledzani M's update26 Sept 2023, 10:33
Reviewer Update
Good day
the specialist is still not paid, claims are being rejected, all my hospital claims are not fully paid. i even got listed on transunion from hospital. this is really frustrating
the specialist is still not paid, claims are being rejected, all my hospital claims are not fully paid. i even got listed on transunion from hospital. this is really frustrating
vM
vuledzani M's updateReviewer Update
07 Jan 2026, 13:39Good day Bestmed
Claims to the plastic surgeon who treated my daughter during an emergency has still not been paid
I am being harassed by emails from the doctor
Please can you pay
Claims to the plastic surgeon who treated my daughter during an emergency has still not been paid
I am being harassed by emails from the doctor
Please can you pay
vM
vuledzani M's update07 Jan 2026, 13:39
Reviewer Update
Good day Bestmed
Claims to the plastic surgeon who treated my daughter during an emergency has still not been paid
I am being harassed by emails from the doctor
Please can you pay
Claims to the plastic surgeon who treated my daughter during an emergency has still not been paid
I am being harassed by emails from the doctor
Please can you pay