1 reviews | Active since Feb 2025
Not getting what we signed up for
Sad to see so much negative reviews all of a sudden, just shows that we as bestmef clients are being ignored, cheated and ****** of our hard earned money. You have medical aid for peace of mind that if needed you will be covered 100%. Now bestmed is actually causing financial stress on its clients, so what is the use to pay such high premiums for nothing. Everything is short payment, nothing is covered 100% anymore. Last year November my daughter had her tonsils removed, no problems it was lovely. This year 14 January I had to go for minor surgery and the problems still continues, how is a person supposed to recover with enormous co-payment all of a sudden and absolutely no response to email, just more and more claims being paid short for in hospital treatment that is supposed to be 100% covered. I obtained my authorisation on the day of admission. Was not told to pay a co-payment before admission of at discharge. A week later recieved a message that I have to pay a co-payment before admission!!! If I knew I had to pay R4746 before being admitted I wouldn't have gone through with the surgery. The Dr has send a motivational letter I have send email after email to query the short payment, my airtime was wasted on phoning to be send from authentication to membership department to receiving no justifiable reasons for the sudden changes in the scheme. And judging from all the complaints here it is clear that the staff have no idea what they are doing and causing a very bad reputation for the company.
I have read through the brochure and and what I read is not what I recieved. Quick to take our contribution but it's seems it's very hard to give us what we are supposed to be covered for. Any medical condition is made worse with stress. There is no piece of mind anymore with bestmed.
I have gone from recomending you to my client to telling them it's not worth having medical aid anymore, better of getting medical insurance instead.
But is funny how quick they are to respond here and not to the emails, I wonder why.
Thank you for reaching out to us with your concerns. We appreciate the opportunity to address them.
We acknowledge that the scheme has introduced some changes in benefits and app**** co-payments to specific services and procedures for the 2025 coverage year. We understand that these adjustments may have raised concerns among our members.
If we put the above aside, one of Bestmed’s key priorities, beyond delivering value for money options to our members, is balancing the costs of providing extensive coverage, while proactively managing our long-term financial sustainability. In fact, we have seen an industry-wide phenomenon where schemes’ solvency ratios are decreasing, which for many is a direct result of contribution increases and co-payments that were historically below inflation, increase in utilisation (claims) and treatment costs, especially related to oncology and pathology. In recent years, the cost of healthcare has risen substantially, and medical inflation has, for a number of years, exceeded the Consumer Price Index (CPI), which is a major contributing factor in the annual medical scheme increases being higher than the CPI. Additionally, the industry has seen a proliferation of *****, Waste and Abuse (FWA)
We are currently experiencing a high volume of inquiries, which has resulted in delays in responding. Please be assured that management is fully aware of this issue and is working actively to resolve it as a priority, aiming to enhance overall experience for both our members and providers.
We appreciate your patience and understanding as we work towards a resolution.
Best Regards
GM
Thank you for reaching out to us with your concerns. We appreciate the opportunity to address them.
We acknowledge that the scheme has introduced some changes in benefits and app**** co-payments to specific services and procedures for the 2025 coverage year. We understand that these adjustments may have raised concerns among our members.
If we put the above aside, one of Bestmed’s key priorities, beyond delivering value for money options to our members, is balancing the costs of providing extensive coverage, while proactively managing our long-term financial sustainability. In fact, we have seen an industry-wide phenomenon where schemes’ solvency ratios are decreasing, which for many is a direct result of contribution increases and co-payments that were historically below inflation, increase in utilisation (claims) and treatment costs, especially related to oncology and pathology. In recent years, the cost of healthcare has risen substantially, and medical inflation has, for a number of years, exceeded the Consumer Price Index (CPI), which is a major contributing factor in the annual medical scheme increases being higher than the CPI. Additionally, the industry has seen a proliferation of *****, Waste and Abuse (FWA)
We are currently experiencing a high volume of inquiries, which has resulted in delays in responding. Please be assured that management is fully aware of this issue and is working actively to resolve it as a priority, aiming to enhance overall experience for both our members and providers.
We appreciate your patience and understanding as we work towards a resolution.
Best Regards
GM
I'm not on a network plan.
No where did it say I had to pay a co-payment before admission. Meaning if i dont have the R4746 i could have had the surgery done, but i only got that messag a week after i was discharge..... That is my problem I have. Why give authorization for all the codes that was submitted but yet you won't cover 100% for again I say IN-HOSPITAL surgery. There is no value for money for this as my medical debt is now high than my monthly contribution and this for a simple in hospital surgery that again I say should have been covered 100% I have read the new rules.
I'm not on a network plan.
No where did it say I had to pay a co-payment before admission. Meaning if i dont have the R4746 i could have had the surgery done, but i only got that messag a week after i was discharge..... That is my problem I have. Why give authorization for all the codes that was submitted but yet you won't cover 100% for again I say IN-HOSPITAL surgery. There is no value for money for this as my medical debt is now high than my monthly contribution and this for a simple in hospital surgery that again I say should have been covered 100% I have read the new rules.
GM
GM