1 reviews | Active since Dec 2014
REFUSAL TO PAY CLAIM
Good morning I recently was added on the high risk martenity plan. My Dr then requested that I go for an NIPT test since my tests results for Down syndrome came back as intermediate risk, I was informed by Polmed that I need authorisation for such a test and it normally takes two weeks to get one. Due to the nature of the test I had to pay from my own pocket and submit claims to the Polmed maternity. I was then taken from pillar to post with regards to my claims payment ,eventually when it was processed I was told I will be paid 513 from the 6000 I paid , this was taken from my day to day pathology funds. I then called Polmed to find out how that is possible ,that my day to day are to be used for an authorised test. I was still taken from pillar to post regarding this until eventually the case manager agreed that a mistake was made and I need to be paid from my maternity benefits. It’s a struggle to get my money again am still being taken from pillar to post. I want my money and am tired of all the customer agents in Polmed not knowing how to assist me. May I please be given a straight answer on how far my file is. Right now I wish I had another option for medical aid , I would definitely cancel my medical aid.
This is to confirm that we have received your comment and that we are currently investigating this matter.
Our representative will be in touch with you shortly to discuss this matter and ensure that it is speedily resolved.
Kind regards
POLMED Team
This is to confirm that we have received your comment and that we are currently investigating this matter.
Our representative will be in touch with you shortly to discuss this matter and ensure that it is speedily resolved.
Kind regards
POLMED Team
I see my claim was processed. Please note the money needs to be paid into my account and not into the Ampath account. Also please confirm when is the next payment run
I see my claim was processed. Please note the money needs to be paid into my account and not into the Ampath account. Also please confirm when is the next payment run
As per agreement I was told the refund will reflect on my account on the 31st August 2023,however nothing shows. Please assist on this matter
As per agreement I was told the refund will reflect on my account on the 31st August 2023,however nothing shows. Please assist on this matter
