mA
matthew A

1 reviews | Active since Apr 2018

10 Apr 2018, 11:20

Momentum Health? better off with something else

Worst service ever.

I joined the medical scheme in October 2016 so I've been with the company's Momentum Health Saver for less than a year on a hospital plan and for my very first experience in trying to get hospital authorisation for a procedure for a networked specialist, I was failed by the scheme, MISERABLY.

I needed to go for a colonoscopy after I adhered to all the procedures and followed up regularly with the clinical assessment team (as I haven't been with the scheme for more than a year so I understood the necessity of the process).

The team needed records a year prior to joining the scheme which my GP and specialist provided, I only saw my GP once in 2016 for a case of diarrhoea, and my specialist, for the first time ever, two-weeks prior to writing this.

Fast forward to June 2017 I was at my GP again for a case of diarrhoea and ****** pain. And more recently I was there again for the same thing, but I had experienced some bleeding, this time my 3-month probation was over, so I could claim.

So I decided to seek the help of an in-network specialist because my mother has a history of colon cancer, which I declared numerous times. The specialist noted that just to be safe I needed to undergo a colonoscopy.

After pushing the procedure date back weeks at a time while the assessment team conducted their "investigations" (keep in mind I've only been to the doctor once a year prior to what happens next) my contract was terminated.

If the scheme was concerned about taking on a patient with a family history of cancer, WHICH WAS DECLARED, then why still accept me and take my money for months on end and still terminate my scheme?

So now I sit here having contributed for almost six months, with an upcoming procedure and no medical aid. I could've used the money I paid for my premiums and paid for the procedure myself.

I have the opportunity to appeal, but will not even bother with such a useless service, that when called upon can't even deliver.

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Replies (2)
Momentum Health
Momentum Health's reply10 Apr 2018, 11:33
Official

Good day Mr Alexander

Thank you for bringing this enquiry to our attention, one of our agents will contact you to discuss this matter.

Kind regards

Jody Saunders

Momentum Health
Momentum Health's reply10 Apr 2018, 14:00
Official

Good day Mr Alexander

As discussed , your enquiry was reviewed and the decision will stand .

Kind regards

Jody Saunders