Very,very poor service from Momentum medical aid

As you can see this is my 3 and last attempt to Momentum Health Medical Aid to address my problem. They whole story continues as you read. Roger Naidoo response to my complaint was, that I did not use any associated Dr. Well we chose our options every year and we have asked for any Dr and hospital. That's why our premium is higher too. So that's now the 4 excuse. Still hasn't come back to me. I am approaching the Medical Aid Ombudsmen if Momentum strings me along any more. I really am so sick and tired of this Medical Aid. They paid for the private hospital. They paid physio and other Dr not associated. Why are they stalling to pay R36 000+ to the surgeon . A review of Momentum Health by rina-olivier on 22 Sep 2017. They paid the Share Comment Report Momentum Health. Very, very bad service.

To read my previous review I have copies and pasted. Since then I got a call from Debbie van der Haar that she will look into it and come back to me. Well since then nada. I tried phoning waiting in lie for 6 min but due to air time left a message. Till now no one called. I'm at my wits end and don't know what to do anymore. Very poor service from Momentum medical aid A review of Momentum Health by Rinaolivier on 28 Aug 2017 Very poor service from Momentum medical aid I were hospitalised last year February WITH authorization to try and close a Hernia repair that just wouldn't heal at all. A specialist were prepared to try and close the hole. It required dressings every night and was a nightmare. Now we in August of this year and I'm still trying to get Momentum medical aid to pay 2/3 of his account R26000+. It Is with attorney's now and interest is climbing. Have queried it so many times and every time I get a different reason why they won't pay. First was plastic surgery. Sorry we don't pay. Motivation letter from specialist and then the account is stale. Sorry we don't pay. Give proof and all faxes and communication and now they say that it is a PMS and not emergency and operation were a day before the authorization. I asked for a faxs to this effect as it's utter nonsens. Sorry we don't pay. My tummy is a mess. Were in hospital for 3 months and to theatre 4 times because of infection. They phoned my family at one stage to come in as they were not sure I was gone make it. I offer to send fotos of before op and current state of my hernea which is still Hugh but due to high risk surgery now I must learn to live with the pain. All hospital bills, step down facility and Dr were paid except the surgeon that did the operation. It was a scheduled operation and Authorization were give with dates and codes. Now!!! Sorry we don't pay and I can't get anybody to actually tell me the problem. Have so many reference numbers for querying it but customer service is as far as I get with no headway. I am very, very disappointed in Momentum medical aid and just wish I can speak to someone that makes some kind of sense and tell me what the problem is. Official business reply As per our discussion your query will be investigated and feedback will be provided. Kind regards Debbie van der Haar 29 Aug 2017, 14:40 24 days ago

Official business reply

Dear Rina Olivier

Thank you

I am currently investigating your case and will provide feedback to you shortly .

Kind Regards

Roger Naidoo.