PB
Peter B

1 reviews | Active since Aug 2009

05 Apr 2019, 12:04

The total incompetence of Momentum Health is bordering on being ********!

There simply are no words to describe just how bad Momentum Health are, every claim is a problem, their call center are nothing more than a bunch off call dodgers, really s****ed at never answering the phone, and even better at the "leaving you on hold until you go away" trick. I spent an entire day trying to speak with someone that could actually help and spent most of the day being left on hold or "accidently" cut off, and this happens when you try and query why they are under paying a claim, which they do almost every claim. I was promised 3 times a supervisor would call me but that never happened. But then it never has in the 30 years I have been with this awful medical aid I sent an email explaining everything but that is just ignored to (Reference ********** 64) and I have sent another since seeing as the very next claim you underpaid me again. Your very claim statements say I will be payed X amount into my account but then you pay R880 less than you said.... which was already around R600 short of what the claim was anyway... and I had to pay a R3000 co payment which was more than you payed!!! I am supposed to have 200% cover for oncology and yet you barely covered half, changing codes at will to lower amounts, and short paying when depositing the money into my bank account. Getting pre authorization for my procedure was a nightmare, with one hour to go the day before my procedure I was still chasing your useless staff who say utterly dumb things like "it should be done in the next day or so" when my op is in 12 hours time!!! Why don't you close down, you can not do anything right, absolutely nothing, and you always do everything in your power to avoid paying, you are basically *********. I was told the procedure I had done had a Prescribed Minimum Benefit (PMB) of 953J which means you are required to pay in full as per the Medical Schemes Act (act 131 of 1998). I shall be writing to the Council of Medical Schemes next with a long list of complaints, I suggest you finally get someone that has some kind of clue what's going to call me ASAP. I can't get anyone on the phone to help, they just dodge calls, and emails go unanswered, there is no doubt in my mind that Momentum Health is not only the worst Medical aid in SA, but the worst company I have ever dealt with anywhere in the world in my life.

0
Replies (2)
Momentum Health
Momentum Health's reply05 Apr 2019, 12:59
Official
Thank you for bringing this to our attention.

Your query will be investigated and feedback will be provided.

Kind regards
Debbie
PB
Peter B's update11 Apr 2019, 11:01
Reviewer Update
Zero feed back has been provided in the 6 days since you said "feed back will be provided" … thank you for highlighting exactly how bad Momentum health is, even at this level nothing gets sorted out!!!