DW
David W

1 reviews | Active since Feb 2017

22 Jul 2021, 06:06

Not paying claims

Good day We have been members of Health4me for many years. We just had to change membership details because then I worked at a company that used h4me and then my wife worked at a company that used them. Recently we changed back to my name again and had to go via Bloom. Before we changed to my name, my wife had a specialist visit that was authorised by H4me. We had to pay upfront, but never got back the money from H4me after claiming it. I myself had a specialist visit early this year and it was never paid. Then we changed to my name this year. My wife's X-rays was not paid because the excuse is that it was a colour X-ray. REALLY? There is no such thing. I tested positive for Covid and they keep asking for an ICD10 code that the LAB should change. I provided the ICD10 code on the lab results and still they are not happy. Why dont they contact the lab themselves? If they can send me a mail, they can send it to the lab also. THIS IS PATHETIC. We pay for a service that is not being honored. You are in breach of contract. I am paying double the amount that I used to pay and my 2 boys is without cover now because of that. But we dont get the proper service now.

0
Replies (2)
Momentum Health
Momentum Health's reply23 Jul 2021, 12:37
Official
H David

As requested we will be in contact with you later.

Kind regards
Debbie

DW
David W's update30 Jul 2021, 14:42
Reviewer Update
Hi. Please ask Judy to call me again. I have tried to call her back, but your system keeps disconecting me before I can speak to an agent