AR
Anil R

1 reviews | Active since Oct 2021

01 Apr 2022, 15:48

Terri le service polmed medscheme medical aid

I am Mr A Ratheepaul retired police officer with major spinal problems. I am on medscheme medical aid namely polmed. I am paying basically the same amount for polmed from time I was permanent in the SAPS.Polmed is giving me poor service as I have chronic medication that is approved for 2022. Polmed sent me the approval leters but continued to take out funds from my day to day benefits thus within 3 months exhausted my days to day acute benefits. I have complained to them but they rep**** by saying that I did not register my chronic medication wit h polmed and therefore it came out of my acute benefits. Polmed sent me letter of authorisation for chronic medication for myself and my wife but yet they say I did not register my chronic medication. Today I can't get medication for diabetes for hypertension my spine and other medication. The system is not granting the pharmacy my medication. I am disgusted and furious with polmed if anything happens to me or my wife people must know that medschemebis poor administration has led to our illness. It is the worse medical scheme to join . Do not join medschembwhether Bonita's polmed or hospmed freekin useless bunch of administrators.

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Replies (3)
AR
Anil R's update04 Apr 2022, 11:30
Reviewer Update
Since posting this about polmed MR ANIL RATHEEPAUL, they have automatically released some chronic medication for my condition.Polmed is basically holding back our funds . They are depriving members like me OUR basics human rights for MEDICAL CARE. Polmed has this excuse that the medication is not in their basket of medicines therefore it comes out of the acute benefits. Polmed does not give the members , doctors or the pharmacies the chronic list of medicines that fall in their basket. What they do is conveniently approve your chronic medicine and when it's not in the basket the use up your acute benefits.Polmed does not refer back to the meme er and inform the member you need to use the alternate medicine from their basket and they don't tell you the medicine in their basket . Polmed refused me soany times to give the list of medicine in their basket for my chronic medication which can be paid from the chronic benefit.What polmed is doing is unconstitutional and violation of members rights to fair medical care and information . Polmed have attacked doctors Nd pharmacies without ******** cases and now those doctors and pharmacies have litigation against polmed. I want polmed to prove me wrong. If they do I will shut up. Polmed usingemebers benefits for litigation I am at a point now where I am gonna hand this to my attorney as polmeds semantics and tricks not pay members from right benefits need to be exposed. They are nothing but poor administrator s with a bad history of bulleting people pharmacies doctors and now members to do what they are told. This is my final post of terrible service from polmed I am now handing this to my attorneys .
Medscheme
Medscheme's reply13 Apr 2022, 16:01
Official
Hello Anil Ratheepaul, 

We hereby acknowledge receipt of your enquiry and assure you that we are investigating the matter and will ensure a speedy resolution. 

A consultant will be in touch with you shortly to discuss the outcome of the investigation.

Kind regards,

Medscheme Team 
AR
Anil R's update13 Apr 2022, 17:01
Reviewer Update
Thank you for your speedy reply, I appreciate it my situation has just been poor communication from polmed to me and poor administration from polmed , I am sorry but the it's long weekend in a days time I will just have to hang on till the year ends I am doing my best to understand all this but nevertheless,I will await your team's reply.Thank you for your time I know how busy your teams are.