JH
JOHN H

1 reviews | Active since Sept 2018

19 Aug 2020, 09:41

Momentum health Authoristion # ***

I was given authorisation from momentum on July 13th 2020 to have a procedure carried out at a medi clinic in the doctors rooms. I was told at that time that a co payment of R1570 would be for my account which I accepted as this practice was not on Momentums list. The procedure was carried out on the 31st July and I made the payment myself on that day which was R5233.44. Once home I sat and made the claim to momentum, giving all relevant documentation and receipts for payment. this was then emailed to Momentum. a few weeks later, I contacted momentum to follow this up. I had received confirmation they had my documents and the claim was being processed. When I called I was told that the sum of R1249.59 had been paid to the medi clinic where the procedure had been carried out. I queried this as I had clearly paid the account myself up front? I also queried the amount which was no where near what I had paid. The amount refunded was well below what I expected for the procedure and argued that no one would have been able to carry out that procedure for as little as they refunded. I am sure an error was made, and clearly they had not looked closely at the documents forwarded, or they would have refunded me and not the medi clinic. I was told that they would contact the medi clinic and have the payment returned to me from them, and Momentum would call me back to confirm. I got no return call so called the medi clinic myself. They confirmed the payment had been made to them from momentum and if I filled out a form they were sending me, the monies would be returned to me. This I did and the monies were returned. I also asked the Medi clinic if Momentum had been in touch and they confirmed they had NOT. At no time did Momentum tell me that the maximum they would refund would be R1249.59. They did give me the co payment figure which I accepted. The service they provided and the follow up was abysmal. I hope they read this and understand that this is not the way to treat your elderly customers.

0
Replies (1)
Momentum Health
Momentum Health's reply19 Aug 2020, 11:36
Official
Hi John

Your query will be investigated and feedback will be provided.

Kind Regards
Debbie