DISGRUNTLED MEMBER

I am very disappointed with momentum medical scheme and how they pay claims. I had an authorized procedure in November 2023. A co payment of R5220 which they are quick.to remind of now January the 5th I'm told by the call centre agent that a claims statement will only be available after the 15th of January and the claim was paid 20 December so how does a medical aid only have one claims statement date. Almost a month after a claims run. When they know people have to claim from gap cover which ironically they say is seamless but when it comes to payment they need a claims statement. So since November all my providers were only partially paid. When momentum claims to pay claims with in 5 days . REALLY why do you have to beg an plea when we pay contributions every month have to take out savings and gap cover just for stall tactics this is unacceptable. You really need to review your processes. One should have peace of mind while recovering from a procedure not fighting to get your claims paid. Just to be told that is momentums process the Drs doesn't care if they hand you over so that's even more stressful or tell you oh we always have issues with Momentum. Unacceptable momentum. Due to your claims process everything gets held up.