1 reviews | Active since Sept 2016
Refuse to pay my son's hospital bill of R4800. Pathetic!
<p>I have been been struggling with the processing of this claim for the hospitalisation of my son for almost a year now.</p> <p>My son was taken to hospital on 28 August with diarrhoea and vomiting and admitted immediately and put on a drip.</p> <p>The hospital submitted the claim to Bestmed. Bestmed has repeatedly rejected the claim due to the fact that you seem to think medication was only admitted orally. This is mentioned again in your latest rejection dated 5 August 2016. He was however put on a drip immediately upon arrival and had to stay the night in hospital on the doctor's orders. He could not be sent home.</p> <p>I have discussed this with a Bestmed staff by the name of Cecile, who said that if the hospital invoice was rectified to indicate this drip, Bestmed would do the payment without hesitation. I have since received proof that a drip was administered from the hospital, see herewith attached (Proof of Drip). Also attached find photos taken of him the day after admitting, still with drip visible.</p> <p>With numerous e-mails and calls to all parties this has dragged out for almost a year and in the mean time the hospital has handed over the account to debt collectors. See letter attached (2016-04-18 Debt collector).</p> <p>I called earlier today again to resolve the matter and was told by your employee Rachel that due to the claim being so old, Bestmed now requires proof of submission. I therefore attach the original rejection of the claim which is dated 8 September 2015. (Proof of Submission).</p> <p>Can you please process the claim urgently and contact me should you require any more proof or information. Should this matter not be resolved we will have to escalate it and get legal advice to bring it to some kind of conclusion.</p> <p>In the meantime I have even posted a negative review on facebook and I was told I would be contacted to resolve the matter. I was never contacted.</p>
Dear Avril
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
Dear Avril
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
