RH
Rachel H

1 reviews | Active since Apr 2014

17 May 2016, 14:12

No response on claims

<p>i have repeatedly tried to get a response from momentum health regarding a NICU claim that they won't pay for. According to my contract it is meant to be covered. I have yet to have any sort of response on the reason that makes sense. </p>

0
Replies (5)
RH
Rachel H's update23 May 2016, 09:41
Reviewer Update
Still no response!
Momentum Health
Momentum Health's reply23 May 2016, 10:01
Official

Thank you

With regards to our telephone conversation , I am currently investigating your query and will provide feedback to you shortly.

Kind regards

Roger Naidoo

RH
Rachel H's update24 May 2016, 10:32
Reviewer Update
Worst service I have ever encountered. Definitely looking at other medical aid options who don't hide terms and conditions and actually tell you what you are paying for. I absolutely do NOT recommend momentum to anyone and will be sure to spread the work on their dishonesty!!!! Don't fall for their bull advertising, you are never covered the way you need to be, especially to new mothers who have to worry about other expenses! Discovery might be my next step... Can anyone recommend a decent medical aid?
RH
Rachel H's update25 May 2016, 06:23
Reviewer Update
I will be taking this further to the Council of Medical Schemes. I have done some research. * PMBs, co-payments and deductibles - there are a limited number of instances where a medical scheme may charge a co-payment for PMBs. These include occasions when a member may elect to use a provider who is not part of the scheme's designated service providers (DSPs). This does not, however, extend to cases that are clearly of an emergency nature or the appointed DSP is not accessible to members. In all these cases the scheme is obliged to pay for PMBs in full and without co-payments or deductibles
Momentum Health
Momentum Health's reply01 Jun 2016, 13:52
Official

Thank you

Momentum Health has received your complaint from the Council of Medical Schemes . We will respond directly to Council .

Kind Regards

Roger Naidoo