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gibsonmusic G
1 reviews | Active since Oct 2016
04 Oct 2025, 12:34
Very dissatisfied customer
We moved over to BestMed over a year ago and recently had to take my husband to the emergency unit at midnight with chest pains and pain down his arm. He was assessed for possible heart issues and was admitted for monitoring for less than a day. When we put in our claim, it was denied on the basis that we did not get pre-approval. We appealed through our broker and through the ombudsman but have still not had any luck. How on earth one is supposed to get pre-approval on an emergency visit at midnight, I do not know. We have had no other claims and are very much regretting having moved over to BestMed. I will never recommend them and will be cancelling my policy due to this.
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Bestmed Medical Scheme's replyOfficial
06 Oct 2025, 12:28 Dear Claire Maritz
Thank you for reaching out and sharing your concerns regarding your recent experience. We sincerely regret the distress caused during your husband’s emergency admission and appreciate the opportunity to clarify the process for emergency cases.
In situations requiring urgent admission, pre-authorization can be requested on the first working day or the following morning. Hospitals are also able to contact the Scheme directly on behalf of members in such emergency situations. This process ensures that necessary approvals are obtained even when an admission occurs outside normal working hours.
To assist you further, kindly provide the details of the claim that was rejected so that we can review and check the matter thoroughly. Please email the claim information to ***, and our team will investigate your case and provide feedback as soon as possible.
Kind Regards
GM
GM
Bestmed Medical Scheme's reply06 Oct 2025, 12:28
Official
Dear Claire Maritz
Thank you for reaching out and sharing your concerns regarding your recent experience. We sincerely regret the distress caused during your husband’s emergency admission and appreciate the opportunity to clarify the process for emergency cases.
In situations requiring urgent admission, pre-authorization can be requested on the first working day or the following morning. Hospitals are also able to contact the Scheme directly on behalf of members in such emergency situations. This process ensures that necessary approvals are obtained even when an admission occurs outside normal working hours.
To assist you further, kindly provide the details of the claim that was rejected so that we can review and check the matter thoroughly. Please email the claim information to ***, and our team will investigate your case and provide feedback as soon as possible.
Kind Regards
GM
GM