1 reviews | Active since Jan 2014
Declined claims
I have lodged a claim with the medical aid to have surgery done for myomectomy. I have submitted various information from 3 July 2015 till to date I am being told that they are claim is being declined due to lack of information. I keep on providing additional information on daily basis but still nothing. I am living with pains now every night while I wait in agony for the medical aid to approve. In all fairness the clause of one not being not in the medical aid for 12 months should not a stumbling block for one to not get approval. In addition to that one pays premiums on monthly basis to ensure that I am covered but not disappointed. I would like to know those medical officers if they can tell me on where to get treatment of myomectomy if they cannot claim. I am very disappointed in the way the matter has been handled. Overall I call the whole day but when it is about the time for them to go home they only come back to me with the details that they have declined. What am I paying the medical aid for? If they can make me understand because I don't understand now. Does a person has to die first before getting help.
Thank you for taking the time to bring your complaint to our attention. The contents have been noted and we are currently investigating the issue.
Please note that the complaint will be handled and responded to by an Escalation Specialist. If however, you need more information, do not hesitate to contact us.
Your wellbeing, as a valued client of the Scheme, is important to all of us at Bestmed.
With kind regards
Bestmed Medical Scheme
Thank you for taking the time to bring your complaint to our attention. The contents have been noted and we are currently investigating the issue.
Please note that the complaint will be handled and responded to by an Escalation Specialist. If however, you need more information, do not hesitate to contact us.
Your wellbeing, as a valued client of the Scheme, is important to all of us at Bestmed.
With kind regards
Bestmed Medical Scheme
