1 reviews | Active since May 2012
You onboard me as a new member and than apply restrictions after joining despite me been open about my chronic medication at sales stage
I am writing to express my deep disappointment and frustration with the service I have received from Bestmed Medical Aid regarding the coverage of my chronic medication. As a new member of Bestmed, I had high hopes for a smooth transition from my previous medical aid, Medshield. However, my experience thus far has been far from satisfactory.
Upon considering a switch to Bestmed, I made sure to disclose my medical condition and the specific medication I require for the management of my diabetes. Prior to joining, I had multiple conversations with a sales representative who assured me, both telephonically and via email, that the medication would be covered without any conditions or restrictions.
Regrettably, after submitting my chronic medication application, I was informed that the "treatment protocol was not followed," which resulted in the denial of coverage. I am left perplexed and utterly disappointed by this response, as I am new to Bestmed and have diligently followed all the necessary steps, including full disclosure of my medical condition and medication history, as requested.
In an attempt to address this matter promptly, I have reached out to your customer service department both via phone and email last week. Unfortunately, my concerns seem to have fallen on deaf ears, as I have received no response or acknowledgement from your team. This lack of communication and disregard for my situation only adds to my frustration and disappointment with Bestmed's level of service.
I believe it is essential for a reputable medical aid provider like Bestmed to honor the commitments made to its members. I trusted your organization with my healthcare needs and made a decision based on the information provided to me during the enrollment process. It is distressing to find that the promises made have not been upheld, leaving me in a vulnerable and uncertain position regarding the coverage of my vital chronic medication.
I kindly request that you review my case thoroughly and rectify this matter as soon as possible. I expect a swift resolution that ensures the coverage of my prescribed medication without any further delays or complications. Moreover, I urge you to improve your communication channels, responsiveness, and accountability, as they are vital aspects of providing quality service to your members.
Should this matter remain unresolved or unaddressed, I will have no choice but to explore alternative options for my medical aid needs. However, I sincerely hope that it does not come to that and that Bestmed can rectify this situation promptly and regain my trust as a valued member.
I would appreciate your prompt attention to this matter. I have attached copies of the emails and documentation exchanged during my enrollment process for your reference. Please acknowledge the receipt of this letter and provide me with an update on the progress of my case.
Thank you for your understanding and cooperation. I look forward to a swift and satisfactory resolutioN
Your complaint has been escalated to the medicine department for urgent review and feedback.
Regards
Nondumiso Letsoalo
Your complaint has been escalated to the medicine department for urgent review and feedback.
Regards
Nondumiso Letsoalo
Kindly note that feedback from our chronic department was emailed to you this morning.
Regards
Nondumiso Letsoalo
Kindly note that feedback from our chronic department was emailed to you this morning.
Regards
Nondumiso Letsoalo
