CB
Carin B

1 reviews | Active since Nov 2016

24 Nov 2016, 12:03

Disappointed

<p>I have been with Momentum Health for almost 7 years, therefore I am aware of the processes in order to see a specialist Doctor.</p> <p> </p> <p>Upon following the processes and after my medical procedure - I was informed that Momentum Health rejected the entire claim as I never got authorisation. I was initially told that I needed to get a referal letter from my network GP and that would be sufficient. It has been 6 weeks that I have been going back and forth with emails requesting a refund for the procedure and explanation (I had to then pay in full to the specialist).</p> <p> </p> <p>This past week I am advised that I will be receiving my claim money from Momentum. This morning 24/11/16 I get the statement and only 11% of the ENTIRE bill will refunded to me. This is ONE line item on the entire statement from the doctor. </p> <p> </p> <p>I am so disappointed by Momentum Health.</p>

0
Replies (3)
Momentum Health
Momentum Health's reply24 Nov 2016, 14:19
Official

Dear Miss C Berrington

Thank you

Further to our telephone conversation , I once again apologise for the inconvenience and the irritation subjected to you in trying to resolve this case .This claim has been re-assessed and will be refunded to you as per your option benefit rates . I trust this case has now been resolved .

Kind regards

Roger Naidoo

CB
Carin B's update24 Nov 2016, 14:42
Reviewer Update

Good Day,

Thank you for the quick response to my complaint. It is appreciated.

I am still disappointed that I am only going to be refunded 48% of the entire bill, as I need to go back to the specialist but am now definitely not able too, as it is unaffordable even though I have a medical aid with Momentum Health - but thank you Rodger for your assistance, you were very kind.

CB
Carin B's update28 Nov 2016, 14:55
Reviewer Update

Momentum - after the telephone call on Thursday with Roger Naidoo - I was informed that my claim has been re-assessed and I would be paid an additional refund on FRIDAY. It is monday I still have not received that monies mentioned telephonically. I received my orginal refund of R468 but not the other. PLEASE URGENTLY ADVISE, as this is now beyond ridiculous and I am very disappointed.