HV
Hrusostomos V

1 reviews | Active since Mar 2009

10 Mar 2016, 08:03

Simple authorisation takes months

A quotation for dental treatment was submitted December 11th. We are now in March and Bestmed have not approved it. They previously authorised a higher treatment plan from an Orthodontist.... but our contribution was excessive. We since found another dentist that can provide dental treatment for a third of the price...<br> <br> Bestmed sat on it till Feb and did nothing while we kept following up and escalating.<br> A simple three payment quotation for the year long process was given ... and they seem mentally unable to interpret this and process it for authorisation. It's March and they still are not assisting this. <br> <br> Their escalation department claims they only have one person handling dentistry claims.... well...that person must be either bad at their job or mentally challenged. Now we are getting no feedback. Even our dentist has written to them explaining that this is a standard simple to understand quote that is processed easily by other medical aids..... <br> And the really frustrating thing is that out monthly Bestmed fee is almost 70% of what was quoted for the treatment plan. If we stopped our medical aid, we could have funded this treatment three times already!!<br> This is so frustrating

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Replies (1)
Bestmed Medical Scheme
Bestmed Medical Scheme's reply10 Mar 2016, 08:48
Official
Hello sosmansa,

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