PJ
Peter J

1 reviews | Active since Jun 2015

28 Nov 2016, 07:30

Claims not paid according to quote received

<p>I had a procedure done in hospital in October. I obtained quotes from the Specialist Surgeon and Anaesthetists to verify with Momentum Health what costs would be covered. I received back a reply, which stated what the Momentum Heath Rates were for both the Specialist and Anaesthetist. I used this information to make the decision on whether to have the surgery and to make sure I have funds available.</p> <p> </p> <p>When it came to the claim it was not paid as expected. The incentive option pays 200% of the Momentum Heath Rate and either this has not happened, or the information given to me was incorrect. This resulted in a large shortfall in funds for both accounts. There is money in the personal savings and this has not been used to offset the difference in the specialists fees, but was used for the hospital pharmacy costs whilst in hospital.</p> <p> </p> <p>After numerous emails to the correspondence team, they do not answer my questions properly nor do they elevate the problem to a higher level where it can be sorted out.</p> <p> </p> <p>I thought that Momentum Health was one of the better medical aids, but the correspondence team, provides a very poor service at times vague and it seems misleading.</p>

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Replies (1)
Momentum Health
Momentum Health's reply28 Nov 2016, 10:38
Official

One of our consultants will contact you shortly to discuss your enquiry.

Kind Regards

Janet Behari