STRUGGLING 3 MONTHS TO OBTAIN PATIENT AUTH

ZERO STARS! We've been having struggling to obtain authorization for a patient who requires monthly infusions of a special medication. In October, a chronic form containing the correct Nappi codes and billing codes was sent. Although this was approved, the material was deducted from the patient's savings—rather than her PMB chronic basket. We have submitted several letters of motivations, and I have spent hours on the phone with agents who simply transferred me from one department to another, only to be disconnected in the process!

We wish to help the patient, but the degree of untrained agents who are unable to understand our requests or even speak English makes it extremely difficult and unfair to the patient. I have been trying to get authorization since October 2024, with no success. I requested to talk with a team leader or a manager, but the call was dropped numerous times; I wasted two hours on the phone this is unprofessional. I will encourage patients to join any other medical aid, except Bestmed, because it is clear that you do not care about your patients. I am awaiting your call – ***