VC
Vernon C

1 reviews | Active since Aug 2019

21 Aug 2019, 10:49

BetMed refuses to pay for heartfailure hospitalisation

BestMed is refusing to pay hospital and doctors costs for a three day stay in hospital. I was admitted with 3rd degree heartfailure and discharged three days later. BestMed says that the hospital was slow to provide them with clinical information and due to their dissatisfaction with Glynnwood hospital they are refusing to pay any of the costs. The hospital says that they have sent the required information. Glynnwood hospital plus a string of doctors have handed me over for collection. I pay R9000 per month for medical cover and now have massive amounts of debt because my medical aid is not interested in helping me. They say the hospital and doctors must just write off the cost as they won’t pay. I have now lost three days in leave already trying to fight this with BestMed and the doctors. I’m not winning.......

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Replies (2)
Bestmed Medical Scheme
Bestmed Medical Scheme's reply21 Aug 2019, 11:34
Official
Good day Mr Candiotes

According to our records, the hospital stay in Glynnwood over the period 30 January to 1 February 2019 was approved on 1 February 2019 already.  

If there are short payments on any accounts it is not due to the hospitalization not being authorized.

Kindly allow me to investigate the claims over that period and I will provide you with feedback via *** to the e-mail address on our records.

With kind regards.

Bestmed 
Bestmed Medical Scheme
Bestmed Medical Scheme's reply21 Aug 2019, 11:44
Official
Mr Candiotes

I see there was a previous admission in 2018 that was declined.  My apologies as I accepted it was the latest admission that was the issue.  I am discussing this matter with Management and will respond to you via *** once I receive feedback from Management.

Kind regards.

Marlene