RM
Reginald M

1 reviews | Active since Aug 2009

11 May 2018, 14:17

'Bestmed" Not Best at all

I am very disappointed with the way my things are being run at "Bestmed".I was hospitalized last year and the doctor send the report to "Bestmed" explaining my condition and her recommendation but the medical aid rejected it based on the option that I am in.But that was not communicated to me as they member,they rejected the recommendation but not stating the reasons.I expected "Bestmed" to inform me and advice me as my situation is very bad as per the report and the pictures that my doctor showed me.It looks like our medical scheme are there for our money not our health because if the had that report they should have evaluated it and see the seriousness of my health and advice accordingly.

Worse on the 11/05/2018 I called the scheme and was transferred to Chronic division and I was told that I will need medication after 24 days and I ask the lady that I was talking to if she had seen the report from the doctor and she was still busy telling me about the policies and I ask her to transfer me to the advice and the lady(whiteLady) that I was talking to couldn't answer my questions busy telling me that my I must get medication after 24 days which I didn't dispute my point was that I have funds I wont be taking any money from my pocket if I still have funds,I will only pay for medication if I dont have funds anymore.The white lady hang up on me whilst I was talking to her,and she was very rude and the intention was not to listen or answer any question that I asked. I will report this to my Company and other employees so that they can know that there are still ****** people at "Bestmed"

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Replies (4)
Bestmed Medical Scheme
Bestmed Medical Scheme's reply11 May 2018, 14:37
Official

Dear Member

Thank you for taking the time to bring your complaint to our attention.

Kindly note that Bestmed does have an Escalation process for the handling of complaints.

You are most welcome to submit your complaint to the Scheme via *** for assistance by one of our Escalations Specialists.

Your well-being, as a valued client of the Scheme, is important to all of us at Bestmed.

Regards

Bestmed Medical Scheme

RM
Reginald M's update14 May 2018, 07:34
Reviewer Update
The escalation that you are talking about is not working,You call bestmed you will hold on for more than 30 minutes.As I mentioned before you claim that Our well being is important to you whereas is not like that "Our Contribution Is Important to You"! that should be your motto.If my doctor has send that report to you and request the Chronic for GERD and is Chronic is not allowed on the Option that I have chosen,Then as a Medical Scheme that claims that The well being of the members is important to you"You should have adviced me accordingly,but you just reject without any advice.Thats one of the things that made me to lose trust in Bestmed.Anyway I will sort this out myself,because its my health not yours because the only thing that you are looking fo r is to make money!!!!
RM
Reginald M's update14 May 2018, 07:34
Reviewer Update
The escalation that you are talking about is not working,You call bestmed you will hold on for more than 30 minutes.As I mentioned before you claim that Our well being is important to you whereas is not like that "Our Contribution Is Important to You"! that should be your motto.If my doctor has send that report to you and request the Chronic for GERD and is Chronic is not allowed on the Option that I have chosen,Then as a Medical Scheme that claims that The well being of the members is important to you"You should have adviced me accordingly,but you just reject without any advice.Thats one of the things that made me to lose trust in Bestmed.Anyway I will sort this out myself,because its my health not yours because the only thing that you are looking fo r is to make money!!!!
Bestmed Medical Scheme
Bestmed Medical Scheme's reply14 May 2018, 09:47
Official

Good day Mr Magagula

Your e-mail received at *** on 11 May 2018 at 14:19 was responded to by our Escalations Agent on 12 May 2018.

Can you kindly respond to the questions asked by our agent to enable us to attend to your complaint.

Kind regards.

Bestmed