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Shakeel E

1 reviews | Active since Mar 2018

15 May 2018, 10:55

BESTMED SUCKS!

I submitted a query regarding a payment made on a claim. The doctor is question claims R18000 and Bestmed paid R3000. My query was put in on the 18/04/2018 with call reference 888185. Today is the 15 /05/2018. During this period i have contacted your call centre numerous times i am told sorry this is still with the PMB department. Today is the 15/05/2018 which is almost a month later. Again i am told sorry they are behind and still no feedback. Please note each call takes approximately 30 min to 45 min. This is ridiculous honestly. I keep getting calls from the doctors office who will blacklist me. Will Bestmed deal with this? Please DO NOT tell me to contact the escalations mailbox as i get ZERO feedback on this. How long can it possible take to review an account! EMPLOY more staff! YOUR SERVICE SUCKS!

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Replies (7)
Bestmed Medical Scheme
Bestmed Medical Scheme's reply15 May 2018, 11:18
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

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Shakeel E's update15 May 2018, 11:22
Reviewer Update
PLS SEE ABOVE! ESCALATIONS MAILBOX IS USELESS!
Bestmed Medical Scheme
Bestmed Medical Scheme's reply15 May 2018, 11:33
Official

Good day

When and on what date and time did you submit your complaint e-mail to ***?

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Shakeel E's update19 Jul 2018, 10:28
Reviewer Update
I dont know what else to do! I have you guys every single piece of documentation you require! Everytime i call i am asked for the same documents. When i say i sent it a month ago i get a standard response. Oh we are still reviewing it! The doctor is going to place me on ITC! It is impossible to speak to anyone with any knowledge there. No one seems to know what is going on. I am literally sitting on hold waiting for your consultant to figure out what is going on. CAN SOMEONE FROM AUTHORITY AT BESTMED PLEASE CALL ME!
Bestmed Medical Scheme
Bestmed Medical Scheme's reply19 Jul 2018, 12:13
Official

Good day Dr Docrat

We have received your e-mail sent via [email protected].

We have submitted an urgent query in this matter to the Supervisor in the PMB Department. We are keeping tabs on it and will follow up to ensure that a response is received as soon as possible and we will give you feedback as soon as we have it from the PMB Department.

With kind regards.

Bestmed

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Shakeel E's update23 Jul 2018, 17:45
Reviewer Update
Good day Today I received an email from the PMB department enquiring about the use of the doctors used as well as asking me for a letter of motivation as to the reasons why the caesarean was done. A letter which I had forwarded in JUne already. A letter which I had spoken to your call centre about. The same letter I once again forwarded to you a second time . I am at wits end now. Please see my email send to the pmb department today. I am now laying a complaint with the council for medical schemes. I have every piece of correspondence since I raised the query. It's literally impossible to get any response from anyone nor is anyone willing to.provide me contact details for a person of authority. I am seriously done .
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Shakeel E's update24 Jul 2018, 11:08
Reviewer Update
Still no response?