CvdM
Carina van der Mescht

1 reviews | Active since Aug 2011

23 Sept 2015, 16:10

Hospital Authorization/ Claim department

I did received hospital auth *** I was in ICU for 3 days and on life support did get auth for 3 days the on the Friday Bestmed said the Doctor must send through motivation letter if I need to stay longer in hospital which the doctor did we could not get Authorization to be transferred to another hospital which the medical aid required because it was over the weekend. Never was it communicated to the hospital case manager in writing that I must be transferred to Folateng which the medical aid say they did communicated through to Montana hospital or to the Doctor<br> <br> The email with the authorization stated:<br> GOOD DAY, PLEASE NOTE 3 DAYS FUNDED . AFTER 3 DAYS.<br> LENGHT OF STAY THE SCHEME MAY REQUEST A TRANSFER TO THE PUBLIC SECTOR FOR<br> MANAGMENT.<br> <br> Clearly it stated that the medical aid may request a transfer<br> <br> The doctor did not want to discharge me on the Sunday.<br> <br> On the Saturday I did receive an email by mistake that my medical aid was suspended which was confirmed by Membership department.<br> <br> Again my life was put in danger.<br> <br> Why do I pay Medical aid. We made a cash payment as soon as possible.<br>

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Replies (1)
Bestmed Medical Scheme
Bestmed Medical Scheme's reply25 Sept 2015, 08:27
Official
Hello carina7607,

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