PB
Philecia B

1 reviews | Active since Sept 2019

01 Jul 2025, 15:27

Truly disappointed in the lack of cover now provided

I have been on medical aid all my life and never dealt with such a sneaky company. Just last year I had these very same tests done and now they have introduced payments for all scopes and scans to be done. How does a company take away cover and increase premiums. Beamed now introduced ridiculous cost payments over night and I find this out when there is an emergency. When one is hospitalized you don't automatically have R100.00 cash available and bestmed insists that you do. They cover 15% of the value of the claim. I was then told that I should designated providers and doctors which I did and they tell me they will cut the co payment in half even if I choose a designated service provider and there is no way to not pay the co payment. According to the agent her answer to me was mam you choose this plan so there's no way of getting out of the co payments when I asked how to not pay it all medical aids remove Co payments but Bestmed has become one of the louisest service providers. People who are on this medical aid should move and those forced to be on it really needs to read the fine print of communication they apparently sent the end of last year. I always said I had the best medical aid and referred so many of my family and friends to bestmed but this behavior and bad service from bestmed makes me question what is actually covered if you are now paying 15% of the value of scopes if I need to cough up 85% of the bill

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Replies (1)
Bestmed Medical Scheme
Bestmed Medical Scheme's reply02 Jul 2025, 10:42
Official
 
 Dear Philecia Buys 

 Thank you for your feedback. We apologise for the frustration caused by recent benefit changes, including co-payments for certain procedures. These adjustments are made annually to balance comprehensive coverage with financial sustainability amid rising healthcare costs and industry challenges. Changes are communicated through official channels at year-end. 

 These changes are also included in the updated benefit guides and brochures for the new year. 

 We regret your experience and have noted your concerns about coverage and communication, which will be reviewed. Thank you for your past support and referrals; your feedback helps us improve. 

 Kind regards
 GM