PT
Philip T

1 reviews | Active since Jan 2022

18 Nov 2024, 18:49

Unsatisfactory service

I joined Bestmed June 2024. When I app**** I specifically asked whether they would pay for hospitalisations if within 1 year of membership upon which the consultant confirmed. I developed a medical problem upon which my GP try to solve with medication. It was unsuccessful, so I returned to him. He consulted and examined me again upon which he referred me to a Specialist to be examined and suggested surgery. On 5th November I consulted the Specialist upon which he also suggested surgery. His assistant called Bestmed in order to get authorization upon which they informed her that an investigation needs to be done due to the fact that I am not 12 months on the medical scheme. They sent me an email in which they requested reports from the GP, Specialist and a letter from myself. All the requested information and reports was forwarded to authorizations department on 7th November. I was informed that the turn around time is 24 to 72 working hours. So, on 15th November upon enquiry I was informed that they also request a report from my gynecologist for which I had a routine consultation in July 2024. If I did not do enquiry, would they have informed me of this request? Today it is already 72 working hours without any feedback or authorization for surgery. In the meantime I am in constant pain and discomfort every day. Why am I paying membership fees every month? Bestmed is not what it used to be, I am not satisfied with the service and am really in the process to cancel my membership and move to another medical aid. This is really unacceptable the way they deal with members. Emails sent are being ignored. I will never ever refer anybody to this *********** medical scheme.

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Replies (1)
Bestmed Medical Scheme
Bestmed Medical Scheme's reply19 Nov 2024, 12:44
Official
Good day Mr. Taljaard,

We want to thank you for taking the time to provide us with your feedback. Your input is invaluable to us as we strive to improve our services.
We understand that you have a pending hospital authorisation. We have addressed your specific query privately via email. Please check your inbox for further details.
We hope this resolves your concern. If you have any further questions or require additional assistance, please don't hesitate to contact us. 

Regards,
LE