VW
Verushca W

1 reviews | Active since Nov 2012

20 Aug 2020, 09:55

We regret leaving Discovery Health for Momentum Health

We phoned Momentum Health for a authorisation number for our daughter's immunisations, which we received. A week or two later she had them done at a clinic which doesn't handle claims and we paid for them ourselves, after which we got a statement (showing that we paid them) and we sent a claim to Momentum Health with the authorisation number and the statement from the Hospital. First, they denied the claim saying that the authorisation number did not exist. My husband sent it in again and got no response, after which he phoned them and the authorisation number was indeed on their system. Then they took the money from our savings account, even though it's covered by the medical aid fund and not the savings account, and paid the money to the hospital, even though the statement showed that it was paid. Now we have to send them proof that we paid it, again EVEN THOUGH THE STATEMENT SHOWS IT IS PAID. I had such a lovely experience at Discovery and this is just really disappointing to be honest. The only reason we left was because my husband's new job deals with Momentum and asked him to move over and we really regret it. They never once made a mistake with a claim, and they even allowed me to deal with the admin on behalf of my husband. I can't believe one single claim is causing us so much grief, it's as if Momentum has no experience in this area.

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Replies (4)
Momentum Health
Momentum Health's reply20 Aug 2020, 10:25
Official
Thank you for bringing this enquiry to our attention, we will investigate and arrange for one of our consultants to call you shortly.

Kind regards
Jody Saunders
VW
Verushca W's update25 Aug 2020, 08:29
Reviewer Update
Our health saver account is now R0 and the payment that Momentum "reversed" has been paid into my husband's bank account. The health saver was not R0 after the initial claim, so it seems that further money has been taken out of it. The incompetence continues, and it doesn't seem as if anyone cares to correct the situation.
VW
Verushca W's update25 Aug 2020, 08:30
Reviewer Update
This consultant phoned and promised to get into contact to my husband and nothing further was heard. So apparently we must now just accept that you people are the worst medical aid in South Africa.
Momentum Health
Momentum Health's reply25 Aug 2020, 08:36
Official
Hi Verushca

We are currently busy with your enquiry, we will contact you shortly and discuss.

Kind regards
Jody Saunders