CW
Carol W

1 reviews | Active since Nov 2023

31 May 2024, 15:12

Momentum Health very slack with medical claim statements to members

I had major surgery done on 23/4/24 at Glynwood Hospital in Benoni and paid my co-payment already on 15/4/24 and the bill was only settled to the hospital on 27/5/24 of which I don't have any peeve as it was backwards and forwards from hospital to medical aid for all of the relevant details. But what I am not at all impressed with is that I have to wait till about 15th June before the medical aid will email me a copy of the detailed medical statement for me to then be able to submit a claim for my gap cover of the co-payment. Two month's down the line and I am still out of pocket of my co-payment I was told that under no circumstances can I get the statement any earlier!! This is absolutely ridiculous that it seems that the statements are only generated once a month! I asked if I could speak to anyone in a managerial position or a team leader and was told that they would have to get someone to call me back. I am so stressed with this being a pensioner and now being out of pocket for such a long period of time and it will be even longer as when my gap cover claim is submitted that also takes a while before payment is made. Come on Momentum come to the party and assist me with a detailed claims statement for my hospital payment!

0
Replies (4)
Momentum Health
Momentum Health's reply31 May 2024, 15:46
Official
Good day Carol

Thank you for bringing this to our enquiry, we will call you shortly and discuss.

Kind regards
Jody Saunders
CW
Carol W's update31 May 2024, 16:00
Reviewer Update
Good day Jody,

Thanks for your prompt response telephonically. But am vey disappointed that Momentum is not willing to help me out with an earlier detailed claim statement. Not at all impressed with the poor service and response which I received.

Regards
Carol
CW
Carol W's update31 May 2024, 16:06
Reviewer Update
I was also asked if I ever look in the spam or trash folder!! I am very knowledgeable with how my email system works. Was also told that their system says my statements used to be posted. That has never happened as I have always received my statements, ta certificates, brochures and any other info via the same email address for many years and save everything to my external hard drive
CW
Carol W's update31 May 2024, 16:08
Reviewer Update
Jody they will not accept the claims processing notification.
  1. Detailed Medical Scheme statement, reflecting the shortfall (Contact your medical scheme for a copy).