NM
Ntshuxeko M

1 reviews | Active since May 2022

21 May 2022, 06:28

Emotionally and financially abused by bestmed.

My husband and I joined bestmed in February 2022 and upon joining I was honest with my previous medical condition where I told them that I previously had an ectopic pregnancy and was operated for that. They therefore approved my application with a condition of "NOT TO COVER ANYTHING RELATED TO ECTOPIC PREGNANCY FOR THE NEXT 12 MONTHS" I did not have a problem with that condition, they also stated they will monitor us as a family for any possible non-disclosure along the course of the year and I also didn't have any problem with that condition as I know my family and I are healthy people who don't usually get sick or visit the doctor. The problem started 3 months down the line after being a member with them, I am now pregnant and when I try to use my pregnancy benefits like visiting the doctor or buying medication at the pharmacy I was detlined, I tried calling bestmed where I spent more than R100 of my airtime while holding on the phone and being taken from pillar to post until I got the call center supervisor who then told me that I have a condition for the current pregnancy even if it's not an ectopic pregnancy. I was furious and confused because the current pregnancy is not an ectopic pregnancy and it's normal, and also the fact that nothing like that was stated on my contract. She then advised that in order for the condition to be reconsidered I needed to contact the previous doctor who conducted the operation to write me a medical report of what happened during that pregnancy, and also contact my current doctor to write me a report stating how many weeks pregnant am I. I have been trying to contact the doctors for a full week now they have been promising they will write the letters when they get time, you know how doctors are always busy if it's not theathre it's consultation rooms. So now I'm stil waiting and not covered for anything by bestmed until I receive those letters, I am very frustrated and don't even know what to do next. Since February we were promised membership cards within a week but even now nothing. I feel like we've been ****ed really paying R4700 monthly for my husband and my son but I can't even buy medication at the pharmacy or atleast see a doctor. Please urgently intervene on this matter as my life is in a compromising situation.

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Replies (1)
Bestmed Medical Scheme
Bestmed Medical Scheme's reply26 May 2022, 11:22
Official
Dear  Ntshuxeko,

We apologize for the inconvenience caused.

As per our email communication, the matter was clarified regarding the waiting period and claims received from the specialist and pharmacy claims that are yet to be submitted to the scheme.

I trust the feedback was useful. If, however, you need more information, or support from our Client Relations Communication Team, please do not hesitate to contact us again. Your wellbeing, as a valued client of the Scheme, is important to all of us at Bestmed. 

With kind regards 
Katlego Ratau