Beware of Bestmed's double standards and lies!

You may not believe this but it really happened: I investigated my Bestmed claims statements and discovered that Bestmed paid back different amounts for identical treatments that took place on different days within a time span of 2-3 months. When I examined this more closely, I realised that in the cases when the practice sent Bestmed the invoice, bestmed refunded a smaller amount than for cases when I paid the invoice myself. I repeat that I considered only identical treatments with identical codes.

So I inquired with Bestmed by my email, so that I could have their answer black on white and received the following answer: "When we pay a member, the claim is paid in full. When we pay a practice we pay only Scheme tariffs."

This is unbelievable! No hesitation to confirm their double standards!

Moreover, in both cases, Bestmed paid back only a fraction of the actual cost of the treatment, despite the fact that the practice ensured me that they charge only 100% medical aid tariffs - nothing more - and that most other medical aids pay out in full or at least pay out a much larger fraction. So should I really believe what they say: when they pay a member, the claim is paid in full???