JM
Junita M

1 reviews | Active since Nov 2014

27 Feb 2025, 02:50

Refusal of treatment

I went through to the emergency room two days ago as I am suffering with severe pain in my back and chest. Upon arrival, it was determined that I should be admitted to determine the cause. Bestmed point blank refused authorization for admission. Without knowing the reason, they requested a thousand documents from my neurosurgeon, and I am almost 100% sure that this is completely unrelated. I am now in severe pain, unable to function and still waiting on this useless medical aid to respond. I have no Exclusions and no waiting periods, yet I am told that I need to wait for a decision to be made regarding funding. What on earth am I paying for, if medical emergencies are not covered? I feel like I am knocking on deaths door, and this is not treated as urgent.

The doctor at the ER had a screaming match with the person on the end whilst calling for the auth number, whilst advising them that my condition is pretty dire. With this in mind, the person (who is in no way a qualified medical doctor), point blank refused to assist. Still after numerous attempts, nothing has been done.

Bestmed is disappointing and truly just feels like a huge ****. For someone who never visits a doctor, it has to be pretty dire to end up at the ER. The pain is worsening and I feel utterly appalled by the service that I continue to receive here. Further to this, I am too weak to continue fighting.

Steer clear of Bestmed. You will be left for dead with no assistance at all.

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Replies (1)
Bestmed Medical Scheme
Bestmed Medical Scheme's reply27 Feb 2025, 11:37
Official

 Dear Junita Moonsamy

 Thank you for reaching out with your concerns. We sincerely apologize for the inconvenience this has caused.

Our hospital’s pre-authorization department has communicated with both you, the facility, and the treating doctor regarding the reasons for the delay in authorization and the necessary documents required for review.

 Once we receive the requested documentation, we will promptly review the authorization.

 Best regards
 GM