NvdH
Niel van den Heever

1 reviews | Active since Mar 2017

23 Feb 2018, 15:05

Not paying PMB claims and looting my savings account

I recently had a cholecystectomy and have since been fighting non-stop for two weeks with Momentum Health to pay the various accounts for the hospital, surgeon and anaesthetist. Momentum Health is trying their utmost best not to pay the claims in full and is only paying the accounts as per their scheme rates. Cholecystectomy is categorised as a Prescribed Minimum Benefit and the medical aid is required by law to pay the accounts in full.

I have been transferred across departments and have spoken to numerous call centre agents and nobody is able to assist me. Every time I'm told that they will refer it to the PMB department but I haven't received any feedback.

To make matters worse, they are looting my medical savings account to pay for bills they are suppose to pay from the major medical benefit. I have taken it up with them on three occasions have have yet to be refunded as promised. All I get is excuse after excuse and no action.

I'm disgusted with the lack of service I have received from Momentum!

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Replies (1)
Momentum Health
Momentum Health's reply23 Feb 2018, 15:24
Official

Dear Niel

Thank you for bringing this to our attention .We are currently looking into your case and will provide feedback to you shortly.

Kind regards

Roger Naidoo