ON
Ockert N

1 reviews | Active since Dec 2012

26 Aug 2022, 09:31

Zero competency, zero customer service, zero accountability, 100% consistent stuff-ups.

I have had three claims in a row handled entirely incorrectly. First claim was to be paid out to me, and was incorrectly paid out to the provider. The second claim was for entire statement, instead of the specific entries which I *clearly* stated in my claim submission. The third claim resulted in a random amount (?) being claimed, and it's not even clear if it is/was paid out to the provider, or me (as requested).

In the first instance, my efforts to follow up were initially largely ignored, then I was simply told that I had "lodged the claim incorrectly", and that they "could do nothing about it" (a blatant lie in the end) and that I had to "log the claim again" (with *NO* explanation as to how they would rebalance my account for the amount incorrectly paid out to the provider). This was only resolved by me physically going into their head office and making the problem theirs, forcing them to stop ignoring my complaint and fobbing off *THEIR* error on me. In the second instance, again, I *IMMEDIATELY* notified them that they had logged the claim incorrectly, however they ignored my notice and went ahead and processed the claim anyway - again, zero communication, responses, etc from their side. In this instance, there was zero redress or recourse, as again, Bestmed refused to accept liability for their error. The third claim, while I thought having learned my lesson the previous two times by going in to their head office first and having someone there log the claim correctly on my behalf, has again turned into a fiasco, and *AGAIN* my requests to deal with a claims agent directly has gone completely ignored for almost a week.

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Replies (4)
ON
Ockert N's update26 Aug 2022, 09:36
Reviewer Update
To add -
They *HAVE* no 'complaints' process, and hide behind a firewall of automation to dodge any and all accountability in the name of 'cost savings'.
ON
Ockert N's update26 Aug 2022, 09:42
Reviewer Update
I also forgot to mention that they send unsolicited newsletters and marketing mails, and have *NO* opt out or unsubscribe option (they confirmed this in writing).
Bestmed Medical Scheme
Bestmed Medical Scheme's reply31 Aug 2022, 10:32
Official
Dear Ockert,

Please accept our sincere apologies for the inconvenience caused.

The matter was referred to the claims department quality control department for investigation and training so that we can better our service to you.

Regards
Katlego Sithole
ON
Ockert N's update21 Dec 2022, 11:12
Reviewer Update
Follow-up - BestMed at no point sorted out the issue, and it is still a problem.