TM
Themba M

1 reviews | Active since Jul 2022

30 Jan 2024, 07:36

Clueless Consultants

Poor amd arrogant customer service ,my medicalnaid was missused in a non existend pharmacy and the just hang up when i query, please find other better medical aid this one does nt take its customers seriouly

0
Replies (4)
TM
Themba M's update30 Jan 2024, 10:15
Reviewer Update
So you are basically telling me they can just clean out my account in january? who in their right mind processes 10 claims in a space of 2 days ? i have supp**** you with information that the pharmarcy is closed , what exactly are you doing to protect your customers ??????????
Bestmed Medical Scheme
Bestmed Medical Scheme's reply30 Jan 2024, 10:32
Official
Dear Themba Mathebula

Please note that, according to information from the BHF (Board of Health Funders), the practice is still active and not closed.

If the pharmacy were closed, they couldn't claim from the medical schemes.

The service provider needs to be informed and provided with an opportunity to respond to the scheme regarding the claims.

Pharmacy claims are submitted via the live system, and they can only be reversed directly from the pharmacy. We have contacted the pharmacy accordingly to assist with the matter.

If the service provider does not respond, the claim will be escalated to our ***** and ethics department for investigation. 

Regards
Nondumiso



TM
Themba M's update30 Jan 2024, 11:14
Reviewer Update
As iam asking how long must we wait for them to respond??? till my medical savings are depleted ???? because chances are they will not respond since they cannot even pick up their lines
Bestmed Medical Scheme
Bestmed Medical Scheme's reply30 Jan 2024, 11:32
Official
Dear Themba Mathebula

Please note that I have escalated your complaint to our ***** and ethics department for further assistance. 

We will provide you with feedback once it is finalized.

Regards
Nondumiso