1 reviews | Active since May 2016

23 Jun 2020, 19:33

Momentum cheats clients

I am currently covered by Momentum medical aid, Ingwe plan. I pay my installment monthly, without fail. I contacted the Momentum health emergency line on the 13 June 2020, and was told that I could go to one of 3 hospitals. Once there I would be liable to pay R100 from my pocket and they would cover everything else. I get treated at the hospital that they tell me to go to, and than get charged cash by the hospital. I complained on the 15 June to momentum via email, on the 16 June 2020 (Public holiday) I get an email from somebody explaining why I am wrong and they listened to the recording and basically telling me tough luck. I respond as per their terms to make a claim for the money I spent, and hear nothing back from them. I submitted all the forms, and nothing. I have been requesting the recording, submitting my claim, on 16 June 2020. I have sent over 4 emails, and today is the 23 June 2020, and still no response from Momentum. it is evident that they are hiding something on the recording and know they are wrong. I pay so much money, and now when I need treatment, they do not cover medication, they do not cover 80% of treatment needed in hospital, such as scans or blood tests, so basically momentum is a donation of my hard earned money

I have given them a chance to contact me and resolve this, but clearly I am not a big enough client or do not spend enough money with them so they do not care.

I have no choice but to take this to social media and contact the medical counsel and medical aid ombudsman to seek assistance.

by far this is the worst medical aid ever been on

0
Replies (2)
Momentum Health
Momentum Health's reply25 Jun 2020, 14:17
Official
Thank you for bringing this enquiry to our attention. We will call you and discuss.

Kind regards
Jody Saunders
's update25 Jun 2020, 14:36
Reviewer Update
Thank you Jody for the call. I am grateful for you taking the time to explain how things work, and for looking into this for me and resolving. I am sorry it had to lead to me lodging a complaint on hello peter to get attention, but I now do understand everything explained and would like to say that if all staff were like you, no complaints would be on hello peter