You actually deserve ZERO

I'm an authorised contact person on my friend's BMW Employees medical aid to assist in dealing any medical-aid queries for her as she had a stroke in 2022 and lost temporarily disabled due to the stroke.

Dealing with BEMAS /Discovery has been so horrible, I truly believe there is an intentional attempt to frustrate efforts for her to receive the healthcare she's entitled to, prioritising profits at her expense. 31/10 I submitted 2 applications (appeal and ex gratia) to appeal the decision to decline further physio, received confirmation from Discovery that the request had been sent to BEMAS - Since end of Jan I've been following up on the appeal, since TAT is 30 days - BEMAS feedback on 10/2 is that the person the appeal was sent to resigned and they don't know who has it, sorry. No comms on how this will be fixed: fact is BEMAS has had docs since 1 Nov and should at least make plans to get the appeal and expedite consideration instead of making their poor administration my friend's problem - My friend started seeing a new physio and BEMAS responded in Jan to request diagnosing pathology so they consider the claim - I asked on 5/2 which pathology they need so I can explain to my friend and the response from BEMAS on 10/2 indicates that they don't need updated pathology to diagnose. Why then was it requested?

My friend had a stroke which is a neuro injury, BEMAS and Discovery are very complicit, intentional in crafting confusion and conflicting messaging, causing additional stress and frustration unnecessarily.

I've been dealing with Marisa from escalations, I've been waiting for her call since Wednesday so I could query the conflicting answers, she still hasn't. BEMAS service is terrible, inefficient and not geared to help people, who pay to access quality healthcare, it is tantamount to *****ing actually