ES
Elvera S

1 reviews | Active since Jun 2017

22 Nov 2023, 08:05

4 Months later and claim still not paid

I am rewriting a complaint dealing with a complaint lodged on 28-Sep now either being ignored or just getting plunged deeper in the absolute mess that the claims system is operating under.

Complaint ***

In summary: On 28 July I submitted a 6 month claim as I was travelling and needed all at once as accompanied by a doctor letter. After many struggles I got only 1 month's worth repaid. It's now 4 months later and I am still struggling to get the other 5 paid out.

At some point I just have to accept that Momentum is incapable of solving this so let me put this clearly. At the time of writing it is 8AM. If by 4PM I have not had a clear indication of how and when this issue will be solved I will be opening a case at the Ombudsman by the end of TODAY. In addition if no payouts have been authorised by the end of next week I will be switching to an alternate medical aid. I am travelling often and if Momentum is unable to cater for that then the choice is obvious.

Do not ask me to forward you any documentation as you have multiple copies of everything you need by now. I'm done wasting my time with this matter.

0
Replies (2)
Momentum Health
Momentum Health's reply22 Nov 2023, 13:21
Official
Dear Elvera

The above query is still being attended to.  We are currently awaiting feedback from the pharmacy.

Kind Regards
Debbie
ES
Elvera S's update22 Nov 2023, 14:06
Reviewer Update
The above query is now more than 4 months old.
I'm done waiting for anything or anyone.
You have received feedback from the pharmacy on the correct practice number (where Momentum's was outdated) more than a MONTH ago! Just check in the email and case history for goodness sake!
I repeat - YOU HAVE THE FEEDBACK DOCS FROM THE PHARMACY!

Can you at least just try and be less ***********?

My ombudsman case will thus still be lodged at 4pm today as per original complaint.