CLc
Catherine Lombard catherine.lombard

1 reviews | Active since Nov 2023

21 Feb 2024, 13:44

Bestmed / Worstmed

I have been with Bestmed since December 2022. I was admitted to hospital in January and February 2024 where 2 Neuro Surgeons requested MRI scans for my neck and back and both times, Bestmed declined the approval. However, in the benefits brochure it is stipulated "MRI & SCANS - UNLIMITED BENEFITS IN HOSPITAL". Nowhere is it stipulated that Back and Neck MRI will only be approved from the MSA. In February I was admitted after having severe migraines for 6 days, the neurosurgeon requested a back and neck MRI, because I had a previous neck surgery and I am presenting with symptoms indicating there is nerve compression, yet Bestmed refuses to approve the MRI scanning, while I was in hospital. This is the second time they decline to approve the request. Whenever the medical staff hears that you are a member of Bestmed, their response is "Good luck with Worstmed".

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Replies (2)
CLc
Catherine Lombard catherine.lombard's update22 Feb 2024, 09:36
Reviewer Update
Good day Nondumiso

Will you please contact me with regards to the approved MRI scans, as I was informed by the radiologists that the approval is for in-hospital, yet I was already discharged when the approval was received 2 days later, after discharge, and I haven't gone for the MRI's. Is that authorization then still valid?
Bestmed Medical Scheme
Bestmed Medical Scheme's reply23 Feb 2024, 10:34
Official
Dear Catherine

Please check your inbox, as I have responded to your query via email.

Regards
Nondumiso